Belize Social Security Medicare Benefit : socialsecurity.org.bz

Organization : Belize Social Security Board
Facility : Medicare Benefit
Country : Belize
Website : https://www.socialsecurity.org.bz/employment-injury-medicare/

How To Get Medicare Benefit in Belize?

Procedures For Medical Care

Related / Similar Facility : Belize Social Security Death Benefit

Injured Insured Contributor’s Responsibilities:
** Obtain medical attention and services from APPROVED medical providers (providers with a license issued by Social Security).
** The first visit must be to an approved General Practitioner who can then refer you to an approved Specialist, if necessary.
** You or your employer should pay for the first visit. The payer of the bill will be reimbursed by Social Security on presentation of receipt, if claim is approved.
** Submit the medical certificate(s) on IB1 or IB8 stating nature and bodily location of injury and period of incapacity.
** For your second and subsequent medical and specialist visits, you or your representative must obtain purchase order(s) from Social Security for diagnostic services, medications, laboratory examinations, etc
** If the claim is allowed, the benefit continues, with periodic assessments by the Medical Board, for as long as the patient requires medical care for the employment injury.
** If the injury is proven not to be work-related or is not covered as a prescribed disease, the claim will be disallowed. The employee must then pay for any medical bills incurred.

Employers’ Responsibilities:
** Maintain an Accident Log to record all accidents or work-related diseases allegedly suffered by your employees.
** Inform Social Security on work-related accidents (or suspected diseases), immediately, via telephone, fax or by other means.
** Ensure that the injured insured contributor is taken immediately to the nearest APPROVED General Practitioner for medical care; the employer is responsible for this transportation of injured contributor.
** Pay for the injured person’s first medical care (if employee is not able to).
** If claim is allowed as Injury Benefit, employer or insured contributor will be reimbursed by Social Security, on presentation of receipts.
** Facilitate investigation of the claim by Social Security Inspectors, by providing information relevant to the accident and by allowing access to witnesses to the accident.
** If claim is disallowed, the employee must pay for any medical bills incurred.

Who Can Get Medicare Benefit in Belize?

You Must:
** Have suffered an employment injury / work-related prescribed disease
** Meet all other requirements as per the Procedures for Medical Care (see summary below)

Requirements:
** Doctor or Medical Board’s recommendation for treatment required, e.g. therapy, surgery, artificial limbs, treatment abroad
** Claim when injury occurs or when prescribed disease develops
** Expenses to be submitted no later than 3 months from the date they were incurred
** If claim is not submitted within the 3 months period, a good reason must be given by claimant.

Rate and Payment of Belize Medicare Benefit

Payment to be made to insured:
person and/or Employer and/or Approved Medical Provider, as per agreed Payment Schedules

Continues, with periodic assessments:
by Medical Board, for as long as the patient requires medical care for the employment injury.