STARTS ON 15 JUNE 2023

Skim Perubatan MADANI

Free Treatment for Sumbangan Tunai Rahmah Recipients at Registered GP Clinics



Welcome GP Participation in Skim Perubatan MADANI

Skim Perubatan MADANI is a pilot initiative by the Government of Malaysia through the Ministry of Health that is implemented to accommodate the health needs of the B40 group for Acute Primary Care Services.

Sumbangan Tunai Rahmah (STR) recipients in the B40 group can seek treatment at private medical clinics (GP) registered under the Skim Perubatan MADANI.

Approximately 700,000 households will gain access to the Acute Primary Care Services when needed at GPs for free, which can reduce the burden of healthcare treatment costs whilst improving the well-being of low-income group.

Skim Perubatan MADANI focuses on partnership between the public and private sectors, especially in delivering Acute Primary Care Services.

Eligibility of Skim Perubatan MADANI

Treatment of Acute Primary Care Services inclusive:

Treatments that are not included are 1) Routine Vaccination; 2) Health screening; 3) Routine NCD Follow-ups; 4) Routine Perinatal Follow-ups; 5) Family Planning; 6) Rehabilitation Request 7) Medicines without doctor’s consultation; and 8) Supplements Request 

Treatment Benefits of Skim Perubatan MADANI

Family Household
RM 250

* List of households registered with LHDN

Senior citizens
(without spouse)
RM 125

* Aged 60 years old and above

Singles
RM 75

* Singles aged between 21 - 59 years old
* Singles OKU aged between 19- 59 years old

Steps To Obtain Skim Perubatan MADANI Treatment​

Step 1, Check Eligibility : Check your eligibility on the website or via MySejahtera application.

Step 2, Clinic Visit : Proceed to any GP registered with Skim Perubatan MADANI (which can be identified by the Skim Perubatan MADANI sticker) with your identification card/document.

Step 3, Receive Treatment: If you are eligible, you can receive Acute Primary Care Services for free.

Step 4, Balance of Benefit: The limit of your Skim Perubatan MADANI benefits will be deducted after each visit. The benefits of Skim Perubatan MADANI are subject to the Terms & Conditions by ProtectHealth Corporation Sdn. Bhd. as stated in our website.

Frequently Asked Questions​

General Information​

Skim Perubatan MADANI Benefit Package

General Practitioner

Benefit 1 : Free Health Screening

  • Recipients must undergo Health Screening (Benefit 1) in order to be eligible for Health Aid (Benefit 2), Completing Cancer Treatment Incentive (Benefit 3), and Transport Incentive (Benefit 4).
  • Health screening may be performed by doctors at any MOH clinic and private clinic registered with PeKa B40.
  • Health screening includes:
    • medical history taking, noting of individual and family ailments, including risk factors
    • mental health screening
    • physical examination
    • clinical breast examination for female recipients, and clinical prostate examination for male recipients who are at risk
    • blood and urine tests
  • Blood and urine specimens will be obtained and sent to the laboratory for the following tests – blood cell test, blood sugar control test, cholesterol test, kidney function test, and urine test.
  • Benefit recipients do not need to fast to undergo those tests.
  • Benefit recipients will not be charged for undergoing physical examinations and laboratory tests under this PeKa B40 package.
  • Should recipients require treatment, they may be referred to a Klinik Kesihatan (government clinic), or, if they agree to be treated at a Private Clinic, recipients must bear the cost of said treatment themselves. For now, the PeKa B40 scheme does not
    include any treatment or medication cost.

Benefit 2: Health Aid

  • This benefit covers medical equipment that is required in procedures/ treatments and is not subsidised in MOH hospitals.
  • A maximum of RM20,000 is given to the recipients in the form of purchased medical equipment.
  • Benefit 2 includes medical equipment in the following categories:
    • Stents for the heart
    • Artificial joint equipment
    • Hearing aid devices
    • Heart pacemakers
    • Prostheses and implants for the spine
    • Prostheses and orthoses for the limb bones
    • Intraocular lenses
    • Breathing therapy equipment and oxygen concentrator
    • Nutritional support assistance
    • Wheelchairs
  • Health Screening (Benefit 1) must be performed first before recipients of PeKa B40 may avail themselves of this benefit.
  • This benefit only applies when recipients of PeKa B40 are treated in MOH hospitals, whereby the application must be made by MOH medical specialists on behalf of the patients who are recipients of PeKa B40.
  • The approval depends on the price range for each medical equipment’s category.

Benefit 3 : Completing Cancer Treatment Incentive

  • Benefit 3 is intended to encourage cancer patients, especially those in the early stages of treatment and disease, to complete their treatment plan as laid out by MOH cancer specialists.
  • RM1,000 is paid to cancer patients who complete their treatment at MOH hospitals.
  • Health Screening (Benefit 1) must be performed first before recipients of PeKa B40 may avail themselves of this benefit.
  • Payment of incentive is divided into two (2) parts
    • RM300 will be paid once the beneficiary started his/her cancer treatment.
    • RM700 will be paid after cancer treatment has been completed.
  • Payment of incentive is made directly to all eligible recipients of PeKa B40 via their registered bank accounts.
  • Application and proof of eligibility for Benefit 3 must be made by a doctor or MOH specialist on behalf of patients who are recipients of PeKa B40.