Medical cover is one of the most crucial aspects of a Seafarer’s Employment Agreement (SEA). The nature of seafaring is physically demanding and, at times, hazardous, making access to adequate medical care a necessity. However, the specifics of medical coverage can vary significantly depending on the flag state and employer. Here are key factors to consider when reviewing medical provisions in your SEA.

1. Access to emergency and routine medical care

Seafarers must have reliable access to medical care both onboard and ashore. Confirm that the SEA outlines provisions for emergency medical situations and routine healthcare needs.

Onboard Medical Supplies and Evacuation: Some flag states mandate specific onboard medical equipment, training for basic first aid, and arrangements for emergency medical evacuations. Ensure the SEA complies with these regulations.

Shore-Based Medical Access: Verify that the SEA includes access to medical services while in port or during travel. Employers should facilitate access to nearby healthcare facilities for non-emergency issues.

A clear understanding of these provisions ensures you’re prepared in case of injury or illness.

2. Medical examination requirements

Maintaining medical fitness is a critical aspect of seafaring, with most roles requiring periodic medical examinations. Double-check that the flag states accept the medical certificate in your possession if it is not on the MCA ENG1 approved medical doctors: https://www.gov.uk/government/publications/mca-approved-doctors-overseas/mca-approved-doctors-overseas.

Some medical certificates may require additional paperwork to be accepted by the flag state. 

Employer Responsibility: Check if the SEA specifies whether the employer covers the cost of medical exams. This is especially important if your position requires frequent health assessments or specialized testing.

Flag-Specific Requirements: Some flag states may impose additional medical examination standards, such as mental health evaluations or fitness tests specific to vessel type. Ensure these details are addressed in your SEA.

Having these expenses covered can significantly reduce out-of-pocket costs and ensure compliance with fitness requirements.

3. Coverage for repatriation and long-term illness

In the unfortunate event of serious illness or injury, the SEA should include provisions for repatriation and continued medical care.

Repatriation: The SEA should specify whether the employer will cover transportation costs for repatriation if you are unable to continue your duties due to medical reasons. Most flag states require employers to bear this responsibility, but it’s essential to confirm.

Long-Term Medical Support: Some SEAs include income support or extended medical insurance for seafarers requiring long-term treatment or recovery. Verify the extent of this coverage and understand the conditions under which it applies.

Without these protections, a medical emergency could have severe financial and logistical consequences.

Medical coverage is an essential part of any SEA, reflecting the unique challenges and risks of a seafaring career. By reviewing emergency care access, routine medical examination requirements, and provisions for repatriation and long-term illness, you can ensure your health and well-being are adequately safeguarded.

This is the third installment in a series on SEAs. Stay tuned for Part 4, where we’ll explore entitlements for minimum wages and financial provisions in detail.