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Medical Board (24)

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Below are the list of Medical Board related FAQ's

Yes, the Medical Board may request making any laboratory tests if the contributor’s condition necessitates such tests in the opinion of the Board. GOSI bears the costs of the medical reports and examinations made within the Kingdom so long as they are made upon the request of the Medical Board. GOSI does not bear the costs of the medical reports and examinations made outside the Kingdom except in such cases as may be approved by the Governor

Yes, the contributor may appeal against the decision issued in respect of his case by the Primary Medical Board, provided that he submits his appeal to the Appeal Medical Board within twenty one working days at the most from the date he is notified of the Board's decision. The Governor may forego the contributor’s delay in submitting the appeal, if such delay is due to justifiable reasons.

Yes, the medical periodical examination should be re-conducted for all cases. However, the appropriate Medical Board may issue a decision that it is not necessary for the contributor to conduct medical periodical examination  if the contributor's injury is hopeless or unexpected to be healed.

The Primary Medical Board is formed of at least two physicians of whom one represents GOSI, if possible. One Board is set up at each District Office of GOSI. The jurisdiction of two or more boards may be merged in one board subject to the work volume and requirements

If the contributor appeals against the decision of the Primary Medical Board, he bears the transportation and residence expenses for himself and his companion (if any) throughout the entire period of his appeal before the Appeal Medical Board. In case the appeal is accepted, GOSI bears the said expenses in accordance with the approved rules

The Primary Medical Board does not determine the state of permanent disability of the injured person as long as he is hospitalized for treatment. It determines the state of permanent disability, if any, after the required treatment is completed and the condition is stabilized and he is discharged from the treating center. As an exception of this, if the treatment center or the office physician discovers that the physical condition of the non-Saudi injured person does not permit him to resume his employment and that he must leave the hospital to his home country directly, the Medical Board may examine him while he is in the treating center. If the Board is satisfied that his condition is stabilized, it may issue its decision before he is discharged from the treating medical center, in which case, the Office coordinates with the employer and arrange for his travel to his home country, so that his cash benefit will be paid to him in due course prior to his departure.

Yes, the Medical Board may subject the recipient of pension or benefit to a medical examination after he reaches age sixty in non-occupational disability cases, and after the lapse of five years from the allocation of benefit in occupational disability cases, in order to verify whether the beneficiary is still in need of assistance of others in performing his everyday life activities.

The allowance determined for this purpose becomes final by completion by the contributor of sixty five years of age for non-occupational disability and by the lapse of ten years from the date of allocation of benefit for occupational disability.

: The employer should fill in two copies of Form No.10/Occupational Hazards and submit the form to the assigned treatment body within three days after he takes note of its occurrence
The members of the Primary and Appeal Medical Boards are selected from among the physicians of GOSI or Ministry of Health or other qualified medical doctors either by deputation or contract, provided that one of such 
 
Yes, documents proving the occurrence of the injury may be submitted. In case of non-availability, the examination of the injury shall not be accepted due to the lack of documentation and evidence of its occurrence.

Yes, the Medical Board may call for the advice of a specialized medical consultant. The Secretary to the Board should record the advice of such consultant or attach his relevant report, if any. If the Board is not of the opinion to adopt the consultant's advice, it should mention in detail the reasons therefore, and the secretary should record such reasons

GOSI or the contributor may withdraw the appeal submitted to the Appeal Medical Board at any time before the Board issues its decision

 

If a member of the Appeal Medical Board fails to attend the Board meeting for any reason, and his absence has caused the number of the Board members to be less than three physicians, another physician is assigned to replace him during his absence, provided that he should not be from among members of the Board which has issued the decision appealed against.

Yes, the appropriate Medical Board may request the presence of a competent GOSI officer to explain the provisions of the Law and implementing regulations relevant to the case being presented to the Board.

 

1. The contributor’s case is presented to the Office physician who may medically examine the contributor or refer him to the appropriate medical body for undergoing the necessary medical examinations before being presented to the Board. The contributor should submit his medical reports to the said Office physician.

 

2. Where all the medical reports and examinations deemed to be necessary by the Office physician are completed, the Secretary to the Medical Board refers the contributor to the Board on the fixed date for the session and notifies the contributor of the fixed time of the session.

The Medical Board adopts its decisions by majority voting if its members are three or over and by unanimous voting if its members are two only. Another physician can be called to join the Medical Board membership to review the case if the Board fails to issue the relevant decision. The decision of the Board should, in all cases, be reason-based. However, if no reasons are instituted in the decision, the case should be presented again to the same Board to issue its final reason-based decision on such case.

The Appeal Medical Board is formed of at least three physicians from outside GOSI. The Appeal Medical Board meets at the Head Office of GOSI, and may, if necessary, meet in such other place

Yes, GOSI may appeal against the decisions issued by the Primary Medical Boards, in which case it submits its appeal to the Appeal Medical Board within twenty one working days at the most from the date of issue of the Board's decision. GOSI should show the reasons for its appeal.

Yes, the Medical Board may issue its decision on the establishment of the state of non-occupational disability even after the contributor attains sixty years of age in the following two cases:

1. If the case had been presented to the Board before the contributor attained age sixty and the procedures had taken some time until he reached such age.

2. If the case had been presented to the Board for the first time on the date the contributor attained age sixty or thereafter and the Board had been certain that the disability state was established before the contributor reached such age.

Yes, the case is presented to the Medical Board to determine the relation of the disease with the occupation he was exercising before he left employment, without prejudice to the provisions of the Schedule of the Occupational Diseases. The Medical Board should take into account that the occupation which caused such disease to the contributor is one of the causative occupations shown opposite to the respective diseases in the Schedule of the Occupational Diseases.

The Medical Board itself examines the contributor or beneficiary. However, the Medical Board may consider the medical reports as sufficient for the purposes of establishment or continuity of the disability state in the following cases:

a.If the case is appealed against to the Appeal Medical Board, the contributor has left the Kingdom and the Board is satisfied with the adequacy of the report submitted in respect of this case. 

b.In case the medical reports required by the Medical Boards for the establishment of the state of disability are submitted after the contributor’s departure from the Kingdom as supplementary to previous medical examination by the Medical Board.

c.If the contributor, who is afflicted with a non-occupational disability, is only entitled to a lump sum compensation.

d.In case of submission of the medical reports required by the Medical Boards for periodical re-examination of the contributor or beneficiary.

e.Where the case of any family member is considered for the establishment of his earning incapacity.

f.Such other cases as the Governor may permit the Board to be satisfied with the medical reports without the requirement of the contributor to appear before the Board.

The Primary Medical Board meets at least once a month so long as cases are available to be presented thereto. The Primary Medical Board meets at the appropriate office and may, if necessary, meet in such other place as may be approved by the concerned Director. The concerned Director fixes the times of the Board meetings by coordination with the physicians who are Board members. If a member of the Primary Medical Board fails to attend the Board meeting for any reason, and his absence caused the number of the Board members to be less than two physicians, the concerned Director assigns another physician to replace him during his absence.

تتم عرض حالة المشترك على طبيب المكتب الذي له أن يجري الفحص الطبي عليه أو يحيله إلى الجهة الطبية المختصة لإجراء الفحوص اللازمة قبل عرضه على اللجنة وعلى المشترك تقديم التقارير الطبية التي في حوزته للطبيب المذكور.
عند استكمال كافة التقارير والفحوص الطبية، يتم تحديد موعد للمشترك تمهيدا لعرضه على اللجنة الطبية واخطاره بموعد انعقاد اللجنة.
مع العلم أنه لا يمكن العرض على اللجنة الطبية الابتدائية لحالات العجز غير المهني الجديدة إلا بعد ترك العمل.
لا يحق للمشترك الاعتراض على قرار اللجنة الاستئنافية حيث أن قرار اللجنة الاستئنافية قرار نهائي بموجب الخطاب الصادر من مجلس الوزراء رقم (1943) وتاريخ 22/10/1432هـ.