BERMULA PADA 15 JUN 2023

Skim Perubatan MADANI

Penerima Sumbangan Tunai Rahmah Boleh Dapatkan Rawatan Asas Percuma di Klinik GP Berdaftar



Mengalu-alukan penglibatan GP dalam Skim Perubatan MADANI

Skim Perubatan MADANI merupakan satu inisiatif rintis oleh Kerajaan Malaysia melalui Kementerian Kesihatan Malaysia yang diwujudkan bagi menampung keperluan kesihatan golongan B40 terhadap Penjagaan Kesihatan Primer Akut (Rawatan Sakit-sakit Ringan).

Penerima Sumbangan Tunai Rahmah (STR) dalam kalangan B40 boleh mendapatkan rawatan di klinik perubatan swasta (GP) yang berdaftar dibawah Skim Perubatan MADANI.

Lebih kurang 700,000 isi rumah boleh mendapatkan Rawatan Sakit-sakit Ringan yang diperlukan di GP secara percuma dan ianya dapat mengurangkan beban kos rawatan kesihatan disamping meningkatkan kesejahteraan golongan berpendapatan rendah.

Skim Perubatan MADANI memberi tumpuan kepada jalinan kerjasama diantara sektor awam dan swasta, terutamanya dalam penyampaian perkhidmatan Rawatan Sakit-sakit Ringan.

Kelayakan Skim Perubatan MADANI

Rawatan Sakit-sakit Ringan merangkumi:

Rawatan yang tidak termasuk adalah 1) Imunisasi Rutin; 2) Saringan Kesihatan; 3) Rawatan Susulan Penyakit Tidak Berjangkit (NCD) Rutin; 4) Rawatan Susulan Ibu dan Anak Rutin; 5) Perancangan Keluarga Rutin; 6) Perkhidmatan Rehabilitasi; 7) Permintaan Ubat tanpa konsultasi doktor; dan 8) Permintaan Suplemen

Manfaat Rawatan Skim Perubatan MADANI

Isi Rumah Berkeluarga
RM 250

* Senarai isi rumah yang berdaftar dengan LHDN

Warga Emas
(tanpa pasangan)
RM 125

* Berumur 60 tahun ke atas

Bujang
RM 75

* Bujang berumur antara 21 - 59 tahun
* Bujang OKU berumur antara 19- 59 tahun

Langkah untuk Mendapatkan Rawatan Skim Perubatan MADANI

Langkah 1, Semak Kelayakan: Semak kelayakan anda di laman sesawang atau aplikasi MySejahtera.

Langkah 2, Hadir Ke Klinik: Hadir ke mana-mana GP yang berdaftar dengan Skim Perubatan MADANI (boleh dikenalpasti dengan pelekat Skim Perubatan MADANI) dengan membawa kad/dokumen pengenalan.

Langkah 3, Terima Rawatan: Jika anda layak, anda boleh dapatkan Rawatan Sakit-sakit Ringan secara percuma.

Langkah 4, Baki Manfaat: Had manfaat Skim Perubatan MADANI anda akan ditolak selepas anda selesai mendapatkan rawatan. Manfaat Skim Perubatan MADANI adalah tertakluk kepada Terma & Syarat oleh pihak ProtectHealth Corporation Sdn. Bhd. seperti yang dinyatakan di laman sesawang kami.

Soalan Lazim

Maklumat Umum

Pakej Manfaat Skim Perubatan MADANI

Pengamal Perubatan Swasta

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.