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7 things you should know before buying a medical card

28/12/2021

For medical card holders, can you answer the following 7 questions?

In a modern society where medical expenses are becoming more expensive due to the rejuvenation of diseases, it is believed that most people have a medical card in their hands! As a medical card holder, do you know the medical card you purchased?

1. Premium

What is the annual charge for your medical card? Some people choose to pay the premium every month, some people choose to pay every six months, and some people choose to pay every year for convenience.

 

2. Overall Annual Limit

Generally, the maximum annual claim amount for a medical card is 100,000 to 150,000 ringgits. If the insurance is added, the maximum annual claim amount is 990,000 ringgits. What is the maximum annual claim amount for your medical card?

3. Overall Lifetime Limit

There are two types of medical cards, namely lifetime unlimited claims, and limited claims. Unlimited claims mean that there is no limit to the amount that the insured can claim for life, while the limited claims are the maximum amount that the insured can claim for life, for example, only RM1.2 million can be claimed for life.

4. Hospital Room and Board

The medical card will specify in detail the maximum amount that the insured person can claim per day while in hospital. Some medical cards only cover MYR 150 per day, some MYR 200, some MYR 300, etc. The maximum number of hospitalization days that can be claimed per year is 180 days.

5. Co-Insurance

This is that the insured must share a small portion of the hospitalization and medical expenses with the insurance company: most medical cards stipulate the Co-Insurance regulations, that is, the insured is responsible for sharing 10% of the hospitalization expenses, or at least RM300. The medical expenses of up to RM1,000 are paid by the insurance company for the remaining hospitalization and medical expenses. Does the medical card you buy have this regulation?

6. Panel Hospitals of insurance companies

Many insured persons think that the insurance company will only pay for treatment at a designated hospital, but this is not the case. No matter whether it is a designated or non-designated hospital, the insurance company will be responsible. The difference is that you can visit the designated hospital for free, and the insured person in the non-designated hospital needs to pay for the medical expenses on behalf of the insurance company. Which hospitals do the medical card you buy have partnered with?

7. Exclusions

Accidents caused by plastic surgery, childbirth, suicide, dangerous sports, drug abuse, war, or riots are not covered.

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