News
Prudential Paid Out RM1m In Medical Claims To A Policyholder In 2025
5+ hour, 55+ min ago (1573+ words) Prudential paid out RM1.04 million in claims in one policy year to a policyholder undergoing breast cancer treatment in 2025, saying medical plans with RM50k-RM100k annual limits were common in 2013 but are no longer adequate for today's health care needs. KUALA LUMPUR, March…...
MiCare Says Limited By Bank Employees’ Medical Benefits
4+ mon, 1+ day ago (478+ words) In response to an LOD by nine medical groups over a generic-only policy, MiCare says it's limited by Hong Leong Bank's staff medical benefits. If a prescribed medicine isn't reimbursable under the employee benefit policies, then the insured must self-pay....
LIAM Alleges Average Medical Insurance Claim Only RM12,000
1+ week, 6+ day ago (727+ words) In defending the RM100k annual limit under the Base MHIT plan, LIAM claims that the average medical claim is only RM12,000, even though many ITOs in the insurance industry regularly tout policies with RM1m or higher annual limits for medical emergencies. KUALA LUMPUR,…...
Analysing The Insurance Industry Publication On Price Ranges For Common Private Health Care Services — Dr Mohamed Rafick Khan
2+ week, 5+ day ago (855+ words) On February 23, 2025, Persatuan Insurans Am Malaysia (PIAM), the Malaysian Takaful Association (MTA), and the Life Insurance Association Malaysia (LIAM) jointly released an electronic document titled Price Ranges for Common Private Healthcare Services in Malaysia. The publication, available via the three…...
A Comprehensive Strategy To Tackle Medical Inflation — Dr Rajeentheran Suntheralingam, Dr Musa Mohd Nordin, Dr Ahmad Faizal Mohd Perdaus & Dr Sng Kim Hock
1+ mon, 6+ hour ago (1529+ words) The authorities must launch an aggressive promotional campaign on an "MHIT Made Simple" Guide, Reference Price Guide for common procedures, and a Health Insurance/Takaful Preparedness Calculator, besides a countdown campaign for Base MHIT launch in 2027. Malaysia stands at a…...
Most Malaysians Can’t Raise RM1,000 Emergency Funds, Base MHIT Deductibles Range RM500 To RM15,000
1+ mon, 2+ week ago (848+ words) The government's Base MHIT Plan proposes RM500-RM1,000 deductible under its Standard Plan, and RM10k-RM15k deductibles for the Standard-Plus option. Yet Bank Negara's own annual report says 61% of Malaysians have difficulty raising RM1,000 in an emergency. KUALA LUMPUR, Jan 30 " The majority of Malaysians likely…...
‘Deny, Delay, Revoke’: Specialists Reveal Health Insurance Underbelly In Malaysia
5+ mon, 1+ day ago (1621+ words) In a poll, specialists say insurers routinely use "Deny, Delay, Revoke" tactics to dodge payment and control treatment: rejecting surgery, delaying emergencies, and revoking approvals even after care is given, describing a system stacked against patients. KUALA LUMPUR, Oct 15 " Specialist…...
MPs Demand Regulation Of Health Insurance For Fairer Claims Process
3+ mon, 1+ week ago (1681+ words) Two PN MPs want strict rules imposed on health insurance, such as claims processing deadlines and limits on document requests, to prevent delays. ITOs mustn't be allowed to deny coverage if pre-existing conditions aren't related to an admission diagnosis. KUALA…...
Low FMOS Uptake For Health Insurance Disputes In 2025
1+ mon, 1+ week ago (425+ words) Health insurance disputes made up 3.4% of 3,253 complaints filed with the Financial Market Ombudsman Service (FMOS) in 2025. Of 112 health insurance cases, 83 (74%) were resolved via mediation or adjudication, with RM1.25m in estimated avoided court costs. KUALA LUMPUR, Feb 9 " Health insurance disputes made up…...
Base MHIT Can Curb Use Of Medical Card Like ‘Credit Card’: APHM
1+ mon, 1+ week ago (1094+ words) APHM president Dr Kuljit Singh says Malaysians often use their medical card like a "credit card" for minor ailments, arguing that the Base MHIT can instill patient responsibility. He also disputes the oft-cited 15% medical inflation figure for Malaysia. KUALA LUMPUR,…...