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Book cover image: Guide to Hospitalisation and Surgical Insurance in Malaysia

 

Guide to Hospitalisation and Surgical Insurance in Malaysia

 

 

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What is Hospitalization & Surgical (H&S) Insurance?

 

Structure of  H&S Insurance

 

Types of H&S insurance

 

Plans Available

 

Policy Renewal Conditions

 

Provisions of Hospital Admissions

 

Common H&S Insurance benefits

 

Additional H&S Insurance Benefits

 

Waiting Periods

 

How Much is the Premium

 

List of H&S Insurance from Various Insurance Companies in Malaysia

 

Why do People Delay in Purchasing H&S Insurance

 

General Exclusions

 

Frequently Asked Questions (FAQ)

 

 

How to Select Hospitalization & Surgical (H&S) Insurance in Malaysia

(also known as Medical & Health Insurance or Medical Card Insurance in Malaysia)

  Types of H&S Insurance

 

H&S Insurance with Co-insurance

 

*Co-insurance means cost sharing between you and the insurance company. You need to pay a certain percentage of the medical bill (for example, 10%), and the rest will be paid by the insurance company.

 

Not all benefits covered are subjected to co-insurance. Benefits subjected to co-insurance vary widely among insurance companies.

 

Common benefits subjected to co-insurance include:

      Hospital Supplies & Services

      Intensive Care Unit

      Day Care Benefit

      Surgical Fees

      Pre-hospitalization Treatment

      Post-hospitalization Treatment

      Home Nursing Care

      Outpatient Cancer Treatment, etc.

 

Most H&S insurance with co-insurance are offered by life insurance companies. 

 

Factors to consider:                                                        

What is the maximum cost of co-insurance you need to bear?

 

Is the maximum cost of co-insurance a big financial burden to you?

 

 

 

 

                                                   

Advantage:

 

Reduce ‘over-claim’ cases

Since the policyholders are sharing a certain portion of the medical bill through co-insurance, the probability of ‘over-claim’ will be reduced. In the long run, both insurance companies and policyholders will benefit from it.

 

With the same amount of premium, H&S insurance with co-insurance usually gives you higher Annual Limit (for example RM60, 000) compared to those without co-insurance (for example RM40, 000).

 

 

 

Disadvantage:

 

Co-insurance might become a financial burden

The cost of co-insurance, for example RM1, 000, might be a financial burden to certain people.

 

 

 

Note:

*Co-insurance and co-payment are two different things. Co-payment is the mandatory cost sharing of 20% of the total medical bills. You have to pay 20% of the total medical bill if you are warded to a hospital room which costs higher than your eligible benefit. For example, if the H&S insurance you purchased covers RM150 per day for a hospital room, but you choose to stay in a room which costs RM200 per day.

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For inquiries on various H&S insurance plans available in Malaysia, kindly email your name, handphone number and email address to us at MalaysiaInsuranceGuide@yahoo.com

   You may also want to know about:

      'H&S Insurance Without Co-insurance' -Click here

       'H&S Insurance With Deductible' -Click here

       'H&S Insurance Without Deductible' -Click here

 

 

Home | Structure of H&S Insurance | Types of H&S insurance | Plans Available | Policy Renewal Conditions | Provisions of Hospital Admission | Common H&S Insurance Benefits | Additional H&S Insurance Benefits | What Are Waiting Periods | How Much Is The Premium | Why Do People Delay in Purchasing H&S Insurance | General Exclusions | Frequently Ask Questions | List of Various Medical Insurance Products

This site was last updated on Tuesday, 03 November 2009