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 can temporarilry unemployed claim socso medical, if injured

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TSjeyakumar
post Nov 8 2016, 12:01 PM, updated 10y ago

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Hi LYN friends,

I have a question. I am temporarily unemployed after former employer made me take VSS after working for 15 years. So I am not working and no salary and no socso payments. Then last week, I had an accident and got a fracture and so have been going to gomen hospital. Doctor suggested surgery to make the fracture heal faster but I was saying that prefer to just do simen/cast since cheaper. Doctor told me that actually I can claim the surgery as medical treatment under socso even though unemployed. I am trying to find out if this is true.
I have been reading http://www.perkeso.gov.my/en/medical-benefit.html

which says:
Reimbursement of Medical Claims
In the case of medical treatments received from non SOCSO’s panel clinics, employees or employers are eligible to make reimbursement of medical claims, subject to such condition as maybe determined by the Organisation.
Claims need to be supported with the following documents:
Claim for medical treatments (Form PKS (P) 24)
Claim for general expenses (Form PKS (P) 26)
Original receipts
A copy of the Appointment Card
A copy of the medical report (if needed)

But I think every page talks about employment. So seems like since I am unemployed, I cannot get anything.

Anyone have any advice/experience on this?

Thanks.
TSjeyakumar
post Nov 8 2016, 04:39 PM

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QUOTE(D10yrspain @ Nov 8 2016, 03:58 PM)
hmm.gif I thought only can entitle to claim during employment?
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So far based on what I read, I believe you are correct. Socso won't help unemployed / self-employed even if you paid socso monthly for 15 years before.
TSjeyakumar
post Nov 8 2016, 04:41 PM

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QUOTE(zeb kew @ Nov 8 2016, 01:20 PM)
Please note that SOCSO/PERKESO only covers injury sustained at work, or on the journey to/from work and at lunch time. If you broke your radius falling in your bathroom before going to work or after coming home from work, no cover. If you get in an accident while on leave going "balik kampung", no cover.

Temporary workers are covered. But of course, the employer have to make SOCSO deductions. If they're supposed to, but did not, ... I don't know. You should ask SOCSO about this.

If it's just a fracture, then cast might be fine. But for actual breaks, casts are no good. The bone would likely not align perfectly. Nowadays they use nails, pins, and plates to make sure the bones don't heal crooked.

I've broken my arm twice, and thigh once, plus two other fractures. The first time 3 decades ago. And even then, they didn't just use casts.
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Thanks. I believe you are correct on both the socso issue and the cast.

 

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