Skim Perubatan MADANI is a pilot initiative by the Government of Malaysia through the Ministry of Health (MOH) that is implemented to accommodate the health needs of the B40 group for Acute Primary Care Services.
Objectives of Skim Perubatan MADANI are:
The benefit is eligible beneficiary could receive Acute Primary Care services for FREE at empanelled General Practitioners under Skim Perubatan MADANI. List of GPs can be found here: https://kelayakan-spm.protecthealth.com.my/find-clinics
Rahmah Cash Contribution (STR) recipients who are family, elderly (without a spouse), and singles. Eligible beneficiaries should make a declaration that they are not receiving any benefit equal or similar to this Scheme from any other employer/state government/medical agency scheme such as Iltizam Selangor Sihat, Perak Prihatin and others.
Eligibility checking can be done via Skim Perubatan MADANI website: https://protecthealth.com.my/skimperubatanmadani, MySejahtera or Skim Perubatan MADANI mobile applications. Eligibility is AUTOMATIC during visit to the empanelled GP under this Scheme. Eligible beneficiary only has to present identification card (IC) to check for eligibility.
Three (3) cumulative benefit entitlement by category for Skim Perubatan MADANI are:
Each household, senior citizen (without spouse), or single individual can receive complete single visit treatment, within the limits for every visit, until the beneficiary fully utilise the above cumulative amount. Please note that this allocation limit may be subject to change in future years depending on Government policies or programs. The benefits of the Skim Perubatan MADANI are subject to the Terms & Conditions provided by ProtectHealth Corporation Sdn. Bhd. as stated on our website.
Skim Perubatan MADANI focuses on 10 districts namely:
List of GPs can be found here: https://kelayakan-spm.protecthealth.com.my/find-clinics
No payment will and shall be charged to beneficairy by any parties involved for any treatment, procedure, and medications under Skim Perubatan MADANI for any treatment, procedure, and medications. If any complaints to be made, kindly send us an email at: [email protected] or contact +603-8687 2525.
High health care cost is causing serious impact to financial status of the B40 group. Therefore, to avoid this group from continuously burdened from accessing primary acute treatment service, this Scheme is created by the Government through Ministry of Health. If any complaints to be made, kindly send us an email at: [email protected] or contact +603-8687 2525.
1) Message/SMS will be sent to the registered mobile phone number after treatment visit.
2) The entitlement balance can be checked through the GP during treatment visit.
3) Can make a call to +603-8687 2525.
Treatments that are not included are:
Treatment of Acute Primary Care Services inclusive:
Yes, The Skim Perubatan MADANI Benefit package includes consultation, a selection of medications, treatment procedures, and tests that can be provided at private clinics. The maximum treatment limits that the Government pays to private clinics for each visit are as follows:
This means that the maximum total limit for each visit paid by the Government is RM170.
GPs is prohibited from imposing additional charges to Skim Perubatan MADANI beneficiary.
Can, as long as the GP is empanelled under the Scheme. Beneficiaries can check the list of empanelled clinics in our website or identify through Skim Perubatan MADANI Glass sticker.
If our existing provider has both BMS and VCS account credentials, either one of the account can be used to empanel for the program. However, we encourage the use of your VCS account to empanel for Skim Perubatan MADANI.
Can.
The payment mechanism used in this scheme is Fee-for-service. Panel GP will be reimbursed according to the services rendered to the beneficiary. Please find the full list of services and the respective fee in the Skim Perubatan MADANI List of Services & Fee Schedule in PRIMIS Provider Portal.
It will be a FREE web-based digital system called PRIMIS (Primary Care Information System) that will be monitored and managed by ProtectHealth Corporation Sdn. Bhd.
Disclaimer:
Should there be any information or declaration provided herein found to be false or inaccurate, ProtectHealth reserves the right to terminate your appointment.
PeKa B40 aims to improve access to healthcare services, alleviate the cost of living, and enhance the wellbeing of the people. This initiative places special emphasis on non-communicable diseases and focuses on enhancing the cooperation between the public and private sectors, particularly at the level of primary healthcare.
Offered to Malaysian citizens in the bottom 40% household income range, known as the B40 group. Criteria for eligibility is as follows:
Recipients of Sumbangan Tunai Rahmah (STR) and their spouses aged 40 and above may check their eligibility status here by typing their MyKad number and a combination of other information.
No. No charges will be imposed. All benefits of PeKa B40 are given free of charge.
For as long as PeKa B40 is carried out by the Government, recipients may apply for a variety of medical equipment on the list, provided there is still money left from the RM20,000 allocation. For example, a recipient who has already received intraocular lenses can still apply for a pacemaker at a different time.
Only Sumbangan Tunai Rahmah (STR) recipients and their spouses who are registered, aged 40 and above are eligible for PeKa B40. Each person is entitled to a maximum of RM20,000 in financial assistance. This sum cannot be extended to other family members.
If the PeKa B40 recipient suffers from cancer and is still undergoing treatment, the treating doctor or specialist will make the application on behalf of said recipient.
Yes. Recipients of PeKa B40 who are undergoing cancer treatment are eligible for this benefit. However, health screening is still compulsory, and/ or the results must be uploaded to the PeKa B40 database. If the health screening has not yet been done, doctors or specialists from hospitals will counsel patients on how to get it done.
The transport cost incentive will cover the journey to and from cancer treatment (Benefit 3) as well as treatments involving utilisation/ insertion medical devices (Benefit 2) at MOH Hospitals according to set appointment dates.
This incentive is provided to encourage patients to come to hospital to receive and complete their treatment. If a patient does not attend treatment sessions, he or she will not be given the incentive.
Yes, this incentive is counted and is given as financial assistance for the return journey, i.e. to and from the hospital, according to set rates and conditions for PeKa B40.
Private medical practitioners may register online here.
Registration can be done online via this website. Should there be any clarification required, General Practitioner / Specialist Clinic may email us at [email protected].
General Practitioner / Specialist Clinic registration takes place throughout the National COVID-19 Immunisation Program.
No participation fee.
Yes for vaccination at clinic and community outreach models.
For Pfizer vaccine, low dead volume syringe and vaccination card will be provided by MOH.
No. General Practitioner / Specialist Clinics need to provide their own PPE.
Yes. Further details will be informed soon.
The General Practitioner / Specialist Clinic will manage the vaccination through MyVAS, VMS and ProtectHealth VCS system.
For vaccination at clinic and community outreach models, the payment will be RM19 per dose administered.
Payment will be made by ProtectHealth.
Registration can be done online via this website. Should there be any clarification required, you may email at us at [email protected].
Registration of Private Hospital / ACC take place throughout the National COVID-19 Immunisation Program.
No participation fee is required.
Yes, training will be provided prior to starting this program.
Yes, Private Hospital / ACC will be given access to IT system used in this programme which includes Malaysia Vaccine Administration System (MyVAS), Vaccine Management System (VMS) and ProtectHealth Vaksin Control System (VCS).
Payment will be made through ProtectHealth.
Registration can be done online via this website. Should there be any clarification required, HCO may email us at [email protected].
HCO registration takes place throughout the National COVID-19 Immunisation Program.
No participation fee.
Yes for vaccination at clinic and community outreach models.
For Pfizer vaccine, low dead volume syringe and vaccination card will be provided by MOH.
No. HCOs need to provide their own PPE.
No. It needs to be provided by the HCO.
The HCO will manage the vaccination through MyVAS, VMS and ProtectHealth VCS system.
The payment will be RM19 per dose administered.
Payment will be made by ProtectHealth.
Registration can be done online via this website. Should there be any clarification required, NGO may email us at [email protected].
NGO registration takes place throughout the National COVID-19 Immunisation Program.
No participation fee.
Yes for vaccination at clinic and community outreach models.
For Pfizer vaccine, low dead volume syringe and vaccination card will be provided by MOH.
No. NGOs need to provide their own PPE.
No. It needs to be provided by the NGO.
The NGO will manage the vaccination through MyVAS, VMS and ProtectHealth VCS system.
The payment will be RM19 per dose administered.
Payment will be made by ProtectHealth.
