SECTION II:MEDICAL CARE
SECTION II
MEDICAL CARE
ARTICLE (2)
With due regard to the provisions of Article (5) of these Regulations, the employer shall, after providing the necessary first-aid, carry the injured person, if necessary, to the treatment center already designated for him and entered into contract with the Organization or to the public hospitals or health centers belonging thereto.
ARTICLE (3(
1. Under medical care, treatment whatsoever shall be provided to the injured person according to his physical condition and for as long as his condition requires such treatment until he is fully recovered or his condition is stabilized, as decided by the treatment center. The appropriate office shall follow up the treatment and may by its physician or the Medical Board, as applicable, examine the patient at the treatment center to make the proper decision as to the discontinuity of the need for the treatment as a result of recovery or stabilization of the condition.
2. Treatment shall include the following:
a. Treatment of disfiguration resulting from the injury in cases decided by the Primary Medical Board to be necessary in order to enable the injured person to continue performance of his work satisfactorily, or because the disfiguration affects his normal social life according to the Board's judgment.
b. Rehabilitation of the injured person and preparing him physically and professionally if his condition so requires.
c. Provision and maintenance of artificial limbs and compensatory appliances and the like and replacement thereof, as needed, within the Kingdom, if their damage or breakage is not due to the injured person's negligence or his failure to observe treatment instructions.
d. Treatment of illness which will result in the injured's recovery from the employment injury as determined by the treatment body and approved by the physician of the Office in respect of each case.
e. Treatment of illness that may be caused to the injured person sustaining an employment injury during his admission to the hospital for the treatment of the injury regardless whether such illness is caused by the complications of the injury or results from the method of treatment or caused by infectious virus arising out of his hospitalization for the treatment of his employment injury or due to his exposure to casual incident during his hospitalization for that purpose. The disability resulting from the said illness cases shall not be considered as an employment injury unless the illness is caused by complications of the injury.
f. Treatment of deterioration or complication of the injury notwithstanding that the injured person may have not been in an employment covered under the Law at the time of occurrence of the injury.
ARTICLE (4)
1. The Organization shall take the necessary measures for the treatment of and provision of medical care to the injured person at the hospitals, medical centers and private clinics owned by it or entered into contract with for this purpose. If the required medical treatment is not available at such places, the Organization shall provide it at the public hospitals or its own health centers, according to the available facilities.
2. The Organization may agree with any private medical center or any of the employers who have special centers for the treatment of and provision of the necessary medical care to their injured workers regardless whether or not such bodies have entered into contract with the Organization. The treatment expenses shall be reimbursed to such centers as agreed under contracts concluded between them and the Organization or for each case separately as per the prices agreed with the treatment centers entered into contract with the Organization. However, where no medical facilities are available at such centers for the treatment of certain injury cases, such cases shall be referred to the Organization's contracted medical bodies where the treatment facilities are available.
ARTICLE (5)
1. In emergency cases, the injured person may resort to a licensed private treatment body such as a physician, private medical clinic or private hospital, provided that his condition does not tolerate transporting him to the treatment body already designated by the Organization, and that the injured person or the employer shall notify the appropriate office to this effect within three days from the date of resort to the said treatment body. The Office physician shall decide whether or not an emergency case exists. The Office Director may, for justifiable reasons, forego the delay in reporting.
2. The Organization shall have the right to transfer the injured person to the treatment body already designated if his condition allows such transfer.
3. The Organization shall pay the expenses of the treatment of the injured person at the treatment bodies referred to in paragraph (1) above within the prices already specified by the treating body according to the Governor's decision. The Governor may set out the maximum limits which shall be taken into account in payment of the expenses of treatment of various injuries at the said treatment bodies.
4. As an exception of the provisions of paragraph (3), the Organization shall only pay the treatment expenses payable under the said provisions within the expenses limits prescribed by the treatment bodies owned by or entered into contract with the Organization, in the following cases:
a. If notice is not served within the period prescribed in paragraph (1) above, and the appropriate Office Director has not accepted the excuse for delay.
b. If the injured person refuses to move to the treatment body designated by the Organization under the provisions of paragraph (2) above.
c. If the Organization discovers that the injured person's condition is not an emergency case that necessitates resort to a treatment body other than those already designated by it.
5. If the required medical treatment is not available at the treatment body entered into contract with the Organization where the injured person is admitted as an inpatient, he shall be transferred to such other treatment body where the required treatment is available as specified by the Office Director regardless whether the Organization has or has not entered into contract therewith, in which case the Organization shall be responsible for the cost of his treatment at the medical center to which he has been transferred.
However, if he has been transferred without the approval of the appropriate Office Director, the treatment costs shall only be reimbursed by the Governor's approval and within the rates of the medical centers contracted with or owned by the Organization.
ARTICLE (6)
1. The Organization shall bear the expenses of the injured person's two-way transportation from the workplace or his residence (as applicable) to:
a. The place where he receives treatment in accordance with the provisions of these Regulations.
b. The place where the compensatory appliance is being installed and he is being rehabilitated to use it.
c. The place where medical tests of any kind are conducted by the treatment bodies, the Organization's doctor or the appropriate Medical Board.
2. If the appropriate Medical Board decides, on the basis of the opinion of the treating body, that the injured person is in need of a companion, the Organization shall bear the expenses of transportation and lodging of the companion throughout the duration determined by the Board, notwithstanding that the injured person may spend his period of temporary disability within his country of residence so long as the Board has decided the necessity therefore.
3. As an exception of the provisions of paragraph (2), the expenses of transportation and lodging of the companion throughout the period spent by the injured person at the treatment body, shall not be payable unless the Medical Board deems that the companion's stay is necessary.
4. If the condition of the injured person necessitates his treatment outside his country of residence, he shall be entitled to reimbursement of expenses of lodging for himself and his companion if he is forced to stay outside the hospital or treating center and is established to have paid the expenses of such lodging.
5. With due regard to the provisions of paragraphs (2) and (3), as a proviso for payment of the transportation and lodging expenses in all cases, the transportation and lodging shall have been based on the approval of the appropriate authority designated by the Organization.
6. The Governor shall, by a decision to be made by him, determine the transportation and lodging expenses of the injured person and companion and the rules and procedures for payment thereof.
ARTICLE (7)
1. The injured person may, at the discretion of the Governor, be moved from the treatment body to his home country if it is discovered that his physical condition is hopeless and, a permanent total disability is existing and there is a need for other's help in his movement and performance of his everyday life activities, in which case the employer shall complete the formalities for moving him and pay the expenses thereof. The Organization shall refund the cost of the economy class air-ticket of each the injured person and his companion in addition to the costs of such medical facilities as the Primary Medical Board deems necessary for the injured person.
For the purposes of application of the provisions of Article (37) of the Law, the Organization shall bear all the expenses for the transport of the body of the contributor who dies as a result of an employment injury or the deceased recipient of a permanent disability benefit, to his home country along with the expenses of washing and embalming the corpse, the cost of the shroud, the expenses of its transportation to the airport, the expenses of translation and legalization of the required documents, the expenses of notifying the family of the deceased, and such other expenses as the Governor may deem appropriate to be borne by the Organization for the safe transportation of the body.