Employment of Educators Act, 1998 (Act No. 76 of 1998)RegulationsRegulations regarding the Terms and Conditions of Employment of EducationChapter 4 : Medical Assistance, State Housing, Subsistence Allowance, Official Journeys and Transport, House Owner Allowance, Service Bonus, Long Service Recognition and Resettlement ExpenditureMedical assistance66. Procedure for the submission, chanelling and processing of claims abroad |
| (1) |
| (a) | The original bill in respect of medical assistance abroad, shall, under cover of a claim form of the medical scheme of which the educator is a member, be submitted to the mission or foreign office who shall ensure that— |
| (i) | the claim form is filled in correctly; |
| (ii) | the bill is properly specified or that the type of service is understandable; and |
| (iii) | proof of payment is provided. |
| (b) | The mission or foreign office shall pay the sum total of the claim, or such other amount as determined in accordance with guidelines laid down by the Department of Foreign Affairs in consultation with other government institutions who have personnel abroad, to the educator in local currency. |
| (c) | The Department of Foreign Affairs checks and verifies the claim and sends it to the medical scheme of which the official is a member. |
| (2) |
| (a) | The medical scheme determines in terms of its rules— |
| (i) | the benefits payable in respect of a specific claim and pays it to the Department of Foreign Affairs; and |
| (ii) | the member's liability in respect of a service not acknowledged by the scheme for benefit purposes. |
| (b) | With regard to the member's liability referred to in paragraph (a)(ii) the Department of Foreign Affairs determines the amount to be paid from State funds. |
| (c) | The mission or foreign office shall recover the member's liability referred to in paragraph (a)(ii) from him or her in local currency. |