Admitting to a Government Hospital With MediAsas: Is It Completely Free?

Admitting to a Government Hospital With MediAsas: Is It Completely Free?

Nabil FarhanNabil Farhan· · 3 min read
Reviewed by Hasif Elias · Authorised by Ronald Lim · Last reviewed

Hidden Costs at Government Hospitals

Although government health subsidies are substantial, you must still pay daily room charges if you opt for First or Second Class wards. Furthermore, the costs of surgical implants, eye lenses, or specialized drugs outside the MOH formulary are usually unsubsidized and borne entirely by the patient.

For complex orthopedic or cardiac surgeries, the bills for these specialized medical components can easily reach tens of thousands of ringgit. This is exactly where your MediAsas policy plays a crucial role as a financial backup to cover the costs of those expensive medical parts.

The RM500 Deductible Reality

As outlined in the contract, the MediAsas plan is subject to a fixed RM500 deductible and a 20% co-insurance charge for every ward admission. If your total government hospital bill is low (for instance, RM150), you must bear that bill out-of-pocket because it falls below the deductible threshold.

However, if the cost of your specialized implants or complex treatments reaches thousands of ringgit, this situation changes. The insurance company will absorb the remainder of your treatment bill after your deductible and co-insurance limits are met.

The Pay and Claim Method

Unlike the seamless cashless facilities found at private hospitals, public hospitals generally do not accept Guarantee Letters (GL) from private insurers. Therefore, if you utilize a MediAsas plan at a government hospital, you are required to use the “Pay and Claim” method.

This means you must settle the entire hospital bill using your own pocket money first. After being officially discharged, you must submit the original receipts and comprehensive medical reports to the insurer to file a reimbursement claim.

Quick Comparison: Government vs Private (Using MediAsas)

Ward Admission AspectGovernment HospitalPanel Private Hospital
Payment MethodPay and Claim (Pay full bill first)Cashless (Subject to GL approval)
Total Bill ChargeVery low (Highly subsidized)Very high (No subsidies)
Hidden Cost RiskHigh for expensive implants/special drugsNone (Everything is billed directly)
RM500 Deductible EffectPatient pays if the bill is below RM500Insurer covers the massive remainder

To ensure you are never confused by payment structures, please read our guide on how the hospital co-payment system works. You are also recommended to study the 35 major exclusions under the MediAsas plan. Additionally, evaluate the differences in annual limits between the MediAsas Teras vs Fleksi plans.

How Bjak Helps You

Navigating complex medical terms and understanding policy operations at public hospitals should never complicate your emergency preparations. The Bjak digital platform is committed to helping all Malaysians transparently, safely, and rapidly compare their protection rights.

Through the Bjak.my platform, you are free to check detailed quotes and conditions for various medical packages from top-tier insurance companies. We clearly display deductible conditions, payment modes, and exclusion limits so you are never caught off guard when registering at the ward counter.

Knowing the actual procedures enforced at government hospitals ensures you are constantly prepared to face any financial burdens caused by implants or specialized drugs. Ensure your family receives the strongest protection guarantee with the right medical plan. Proactively compare quotes and subscribe to the best health protection policies at Bjak.my today!

Frequently asked questions

Can I request a GL issuance for a government hospital admission?

Generally, no. Government hospitals do not process private insurance GL systems for standard ward admissions. You must pay the deposit and settle the bill manually before filing for a reimbursement claim.

Am I eligible to receive a Government Hospital Daily Cash Allowance?

Most private medical policies offer a daily cash allowance if a patient is admitted to a public hospital without claiming the medical bill. Please refer to your MediAsas policy contract to verify your eligibility for this specific benefit.

Should I make a MediAsas claim for a very cheap government bill?

It is not worth it. If your public hospital bill is only RM200, it is much wiser to pay it using your own money. Saving your annual insurance limit for major future emergencies is a much safer financial strategy.

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