Medical Care Services
Medical care services for the NSSF members who are defined by the provisions of the Labour Law including personnel serving in air and maritime transportation as well as domestic workers shall be entitled to enjoy medical care services only if they have registered and paid contributions to the Health Care Scheme.
Medical care services are as follows:
1. Inpatient department includes:
– Treatment and care services with medical professional technics
– Diagnosis, laboratory and other medical screening services
– Surgical apparatus and other medical equipment in the need of treatment
– Prescribed medicine
– Inpatient room.
2. Outpatient department includes:
– Treatment and care services with medical professional technics
– Diagnosis, laboratory and other medical screening services
– Surgical apparatus and other medical equipment in the need of treatment
– Prescribed medicine.
3. Delivery and prenatal-and-postnatal services
4. Physiotherapy and kinesitherapy services or other medical rehabilitation services
5. Emergency service: in the case of an emergency, the victim can access medical care services at the nearest health facility. If such a health facility does not have an agreement with NSSF, the person concerned or representative of the victim shall inform NSSF promptly.
6. Health prevention services.
7. Patient or victim referral services and corpse transportation.
Patient or victim referral services shall be provided in the case of emergency by the ambulance of the health facility only.
Hopeless patient or corpse transportation shall be provided based on the price of health facilities recognized by NSSF.
8. Medical rehabilitation services
Medical rehabilitation services for supporting the medical care or helping alleviate patient or victim during treatment.
Daily Allowance for Sick Leave
The NSSF members who are defined by the provisions of the Labour Law including personnel serving in air and maritime transportation as well as domestic workers shall have entitlement to enjoy daily allowance for sick leave only if they: – Registered in Health Care Scheme – Paid contributions in a qualifying period of 2 (two) consecutive months or 6 (six) months within a period of the last 12 (twelve) months. – Hospitalized in the health facility for 8 (eight) days or more.
A daily allowance shall be provided from the first day of the abstention from work because of the hospitalization in the health facilities. A daily allowance shall be equivalent to 70% of the daily average wage for contribution payment in a qualifying period of not exceeding 6 (six) months before encountering health problems. Page 14 of 24 Conditions, formalities, and procedures of providing a daily allowance for sick leave shall be regulated by Prakas of Minister of the Ministry in charge of social security schemes in compliance with the proposal of the NSSF Governing Body.
Maternity Allowance
The NSSF members who are defined by the provisions of the Labour Law including personnel serving in air and maritime transportation as well as domestic workers shall be entitled to enjoy the maternity allowance only if they: – Registered in Health Care Scheme – Paid contributions for at least 9 (nine) months within the last 12 (twelve) months until the date of delivery.
The maternity allowance shall be equivalent to 70% of contributory wage in a qualifying period of not exceeding 6 (six) months before the delivery month for 90-day maternity leave. Conditions, formalities and procedures of providing maternity allowance are regulated by Prakas of Minister of the Ministry in charge of social security schemes in compliance with the proposal of the NSSF Governing Body.
Source: http://www.nssf.gov.kh/default/wp-content/uploads/2020/09/2.-Law-on-Social-Security-Schemes.pdf