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Kuala Lumpur, Wednesday, 1 April 2020 – The Life Insurance Association of Malaysia (LIAM), Persatuan Insurans Am Malaysia (PIAM) and the Malaysian Takaful Association (MTA) have finalised the details of the COVID-19 Test Fund (CTF) for the benefit of medical insurance policyholders and takaful certificate holders.
The RM8 million CTF has been pledged by the insurance and takaful industry in support of the Ministry of Health’s efforts to conduct more COVID-19 tests for Malaysians. LIAM is leading the initiative with a RM5 million contribution while PIAM and MTA have pledged RM2 million and RM1 million respectively.
Insurance policyholders and takaful participants with group/individual medical and health insurance policies and takaful certificates who have been referred by registered doctors to undergo COVID-19 tests at recognised private labs listed on the Health Ministry’s COVID-19 website are eligible to claim from the CTF. The funding is available for tests done from 27 March 2020 onwards. The insurance policy or takaful certificate must be in force as of 27 March 2020 and at the time the test is conducted.
The payout for reimbursement is up to a maximum of RM300 per test (one reimbursement per individual) to maximize the number of tests that can be supported by the CTF.
Those entitled to be referred/tested are deemed as persons under investigation (PUI) as defined by the Ministry of Health (MoH) or contacts of a positive case.
Case definition of persons under investigation (PUI) issued by MoH (updated on 25 March 2020):
Annex 1 to MoH COVID-19 Guidelines as updated from time to time:
Acute respiratory infection (sudden onset of respiratory infection with at least one of: shortness of breath, cough or sore throat) with or without Fever
AND
Travelled to/resided in foreign country within 14 days before the onset of illness OR
Close contact in 14 days before illness onset with a confirmed case of COVID-19 OR
Attended an event associated with known COVID-19 outbreak
The insurance and takaful industry is finalising a dedicated portal for COVID-19 Test Fund for the public to have access and submit their claims online. The COVID-19 Test Fund portal will have details on the application process and procedures for reimbursements and is expected to go live within the next few days.
For more information, please refer to the following documents:
1) Frequently Asked Questions
2) Eligibility Criteria
3) Kriteria Kelayakan
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