Application for withdrawal for payment of medical treatment, etc.
3.—(1)  Subject to the Act and this Part, where a member or his dependant has received, or will receive as part of an approved treatment package —
(a)any medical treatment (except any MIC@Home treatment or qualifying combined treatment) or psychiatric treatment —
(i)in or provided by any approved medical institution;
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(ia)at home provided by an approved medical practitioner of an approved medical institution; or
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(ii)in any other centre, clinic, hospital or premises approved by the Minister charged with the responsibility for health under paragraph (1A);
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(aa)any approved rehabilitation treatment —
(i)in any approved medical institution from an approved medical practitioner or an approved allied health professional; or
(ii)in any other centre, clinic, hospital or premises approved by the Minister charged with the responsibility for health under paragraph (1A);
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(ab)any MIC@Home treatment or qualifying combined treatment; or
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(b)any medical treatment (other than any approved vaccination) at home from an approved home palliative care provider,
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the Board may, on an application by the member, authorise the whole or part of the amount standing to the member’s credit in his medisave account to be withdrawn and used for the payment of the medical treatment, psychiatric treatment, approved rehabilitation treatment, MIC@Home treatment or qualifying combined treatment received, or to be received as part of an approved treatment package, by the member or his dependant, subject to the direction of the Minister for Health under paragraph (1A)(b) and such other terms and conditions as the Board may impose.
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(1A)  Where a member or his dependant has received, or will receive as part of an approved treatment package, any treatment on or after 1st June 2007 in any centre, clinic, hospital or other premises that is not an approved medical institution, the Minister for Health may, on the application of the member and subject to such terms and conditions as he thinks fit to impose —
(a)approve such centre, clinic, hospital or other premises for the purpose of the member’s application to the Board under paragraph (1) for the withdrawal of moneys from his medisave account to pay for the treatment received, or to be received as part of an approved treatment package, by him or his dependant; and
(b)direct that, for the purposes of this Part, the withdrawal of moneys be made as if such centre, clinic, hospital or other premises were a type of approved medical institution as defined in regulation 2 as the Minister for Health may specify.
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(2)  Where a member has received, or will receive as part of an approved treatment package, any treatment in any of the situations specified in paragraph (3), the Board may, on an application by a prescribed person, authorise the whole or part of the amount standing to the member’s credit in his medisave account to be withdrawn and used for the payment of the treatment received, or to be received as part of an approved treatment package, by the member, subject to such terms and conditions as the Board may impose.
(3)  The situations mentioned in paragraph (2) are as follows:
(a)where the member —
(i)has received, or will receive as part of an approved treatment package, on such terms and conditions as the Minister charged with the responsibility for health may impose, any medical treatment, psychiatric treatment or approved rehabilitation treatment in the respective circumstances set out in paragraph (1)(a), (aa), (ab) or (b); and
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(ii)is —
(A)unconscious; or
(B)otherwise mentally incapacitated and unable to make the application under paragraph (1) himself;
(b)where the member —
(i)has received any medical or psychiatric treatment as an in-patient on such terms and conditions as the Minister for Health may impose, in —
(A)any approved hospital;
(AA)any approved MIC@Home treatment provider, in the case of in-patient treatment received as part of any qualifying combined treatment;
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(B)any approved community hospital;
(C)any approved convalescent hospital;
(D)any approved in-patient hospice;
(DA)any approved IPC provider; or
(E)any approved day hospital;
(ii)has not made an application under paragraph (1) himself; and
(iii)dies on or after 1 July 2006 in the premises referred to in sub-paragraph (i)(A), (B), (C), (D), (DA) or (E), as the case may be;
(c)where the member has received, before his death, any medical treatment, psychiatric treatment or approved rehabilitation treatment under such other circumstances as the Minister for Health may approve for the purposes of this Part, on such terms and conditions as the Minister for Health may impose.
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(3A)  An application for the withdrawal of moneys from a member’s medisave account under paragraph (1), (1A) or (2) shall —
(a)if the application is in respect of any medical treatment or psychiatric treatment (except any specified out-patient treatment, or any treatment, scan, vaccination or screening, or approved out-patient parenteral nutrition, referred to in regulation 21C(1)), or approved rehabilitation treatment received, other than as part of an approved treatment package, by the member or his dependant, be made within the period of 12 months, or within such further period as the Board may specify in any particular case, commencing immediately after the relevant date; or
(b)if the application is in respect of any medical treatment, psychiatric treatment or approved rehabilitation treatment received, or to be received, as part of an approved treatment package, by the member or his dependant —
(i)be made within the period of 12 months, or within such further period as the Board may specify for a treatment of that type or in any particular case, commencing immediately after the date on which the first medical treatment, psychiatric treatment or approved rehabilitation treatment (as the case may be) of the approved treatment package is received; and
(ii)be subject to such terms and conditions as the Minister for Health may impose.
(3B)  An application by a member to withdraw moneys from the member’s medisave account to pay for —
(a)any specified out-patient treatment received by the member or the member’s spouse; or
(b)any treatment, scan, vaccination or screening, or approved out-patient parenteral nutrition, referred to in regulation 21C(1) received by the member or the member’s spouse,
must be made by the member within the period of 12 months, or within such further period as the Board may specify in any particular case, commencing immediately after the relevant date.
(3C)  A prescribed person may make an application under paragraph (3B) on behalf of the member, in respect of any specified out-patient treatment or any treatment, scan, vaccination or screening, or approved out-patient parenteral nutrition, referred to in regulation 21C(1) received by the member, if the member —
(a)is unconscious; or
(b)is otherwise mentally incapacitated and unable to make the application under paragraph (3B) himself.
(3E)  The Board may authorise the whole or part of the amount standing to the member’s credit in the member’s medisave account to be withdrawn and used for the payment referred to in paragraph (3B) —
(a)if the Board is of the opinion that the conditions referred to in regulation 21B(2) or 21C(2), as the case may be, are satisfied, and has determined that such withdrawal does not exceed the withdrawal limit in regulation 21D; and
(b)subject to the direction of the Minister for Health and such other terms and conditions as the Board may impose.
(4)  Every application for the withdrawal of moneys from a member’s medisave account under this Part shall be made in such form, and supported by such information and documents, as the Board may require.
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(6)  In this regulation, except in the cases mentioned in paragraph (6A) and unless the context otherwise requires, “relevant date” means —
(a)in a case where the member or his dependant received any medical, psychiatric or approved rehabilitation treatment as an in-patient or received day surgical treatment in an approved medical institution, the date of discharge of the member or his dependant (as the case may be) from the approved medical institution;
(b)in a case where the member received any medical or psychiatric treatment as an in-patient in an approved medical institution and the member dies in the approved medical institution before his discharge therefrom, the date of his death;
(c)in a case of an application under paragraph (3B), the date on which the member or the member’s spouse (as the case may be) received the specified out-patient treatment, or the treatment, scan, vaccination or screening, or approved out-patient parenteral nutrition, referred to in regulation 21C(1); or
(d)in any other case, the date on which the member or his dependant received any medical or approved rehabilitation treatment as an out-patient.
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(6A)  In this regulation, “relevant date”, in relation to the following cases, means —
(a)in a case where the member or his dependant received any MIC@Home treatment, the date on which the member or his dependant (as the case may be) ceases to receive the MIC@Home treatment; or
(b)despite sub-paragraph (a), in a case where the member or his dependant received any qualifying combined treatment, the date on which the member or his dependant (as the case may be) ceases to receive the qualifying combined treatment.
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(7)  For the purposes of this regulation and regulations 4, 9A, 13, 23, 24, 25 and 25A, unless the context otherwise requires, “medical treatment” includes home palliative care.
(8)  For the purposes of this regulation and regulations 4, 13, 23, 25 and 25A, unless the context otherwise requires, “medical treatment” includes approved screening.
(9)  For the purposes of this regulation and regulations 4, 13(1), 23, 25 and 25A, unless the context otherwise requires, “medical treatment” includes an out‑patient scan.
(10)  For the purposes of this regulation and regulations 4, 13, 23, 25 and 25A, unless the context otherwise requires, “medical treatment” includes approved out-patient parenteral nutrition.
(11)  For the purposes of this regulation and regulations 4, 9AA, 22, 23, 24, 25 and 25A, unless the context otherwise requires, “medical treatment” includes in-patient palliative care.
(12)  For the purposes of this regulation and regulations 4, 23, 25 and 25A, unless the context otherwise requires, “medical treatment” includes MIC@Home treatment and qualifying combined treatment.
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