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Strong medicine needed to sustain insurance coverage
Free Malaysia Today
Follow
1/27/2025
The insurance premium hike has raised widespread complaints, but an in-depth look at the sector shows that the underlying cause is medical inflation, making premium adjustments unavoidable to keep many people covered.
Read More:
https://www.freemalaysiatoday.com/category/nation/2024/12/30/strong-medicine-needed-to-sustain-insurance-coverage/
Free Malaysia Today is an independent, bi-lingual news portal with a focus on Malaysian current affairs.
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#FMTNews #BankNegaraMalaysia #Medical #Insurance #PremiumHike
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Transcript
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00:00
Malaysians are expected to pay higher medical and health insurance premiums next year,
00:04
with increases projected between 40% to 70%.
00:09
Why is this happening, and what does it mean for everyone?
00:13
Let's start with the All-in-One Medical Card, a handy tool that simplifies hospital
00:17
admissions across Malaysia. Just present it at the hospital, and your insurance covers the bills.
00:24
Simple, right? But maintaining this system is getting more expensive by the day.
00:30
Behind these rising costs are several key factors, but the major contributor? Medical inflation.
00:38
Last year, Malaysia saw a 15% rise in medical costs, outpacing the regional average.
00:44
Much of this expense comes from hospital supplies and services, including everything from lab tests
00:50
to essential medical equipment. These costs, which make up about 70% of patients' medical bills,
00:56
are not regulated, meaning hospitals can charge as they see fit.
01:02
In addition, insured patients are often charged much higher than self-paid patients,
01:07
indirectly pushing up insurance claims and premiums.
01:11
This has created a vicious cycle in which high medical insurance claims already outpace
01:16
premiums collected, causing insurers to raise premiums. In 2023, the claims-to-premium ratio
01:22
exceed at 111%. If this trend continues, insurers might be forced to either drastically raise
01:30
premiums or stop offering medical insurance products altogether. So what's being done about
01:36
this? On December 20th, Bank Negara Malaysia introduced some interim measures in hopes of
01:42
softening the blow. Insurance companies will spread premium increases caused by medical
01:48
inflation over three years, capping the annual medical inflation adjustments at less than 10%
01:54
for 80% of policyholders. Those aged 60 and above will also have a one-year pause
02:01
on premium increases caused by medical inflation from the date of their policy anniversary.
02:07
While helpful, these measures do not address the fundamental issue of medical inflation,
02:12
which requires more robust, long-term strategies.
02:16
Long-term solutions will require all hands on deck. Insurers, hospitals, government bodies,
02:22
and even policyholders need to come together to tackle this. Without addressing the root causes,
02:29
like unchecked medical costs, this cycle will continue.
02:35
Dhanush Rajareza, FMT News.
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