The Life Insurance Association of Malaysia (LIAM), Persatuan Insurans Am Malaysia (PIAM) and the Malaysian Takaful Association (MTA) has pledged RM8 million to establish a special relief fund or COVID-19 Test Fund (CTF) to support the Ministry of Health’s (MoH) efforts to conduct more COVID-19 tests for Malaysians.
The CTF will provide a fixed cash reimbursement for the cost of COVID-19 tests (up to a maximum of RM300 per test) for policyholders and takaful participants.
Policyholders and takaful participants with group medical or individual medical and health insurance policies/takaful certificates must be in force as of 27 March 2020 and the time the test is conducted.
The claimant has not made a prior claim to CT
Only applicable for those referred by registered doctors.
Those entitled to be referred/tested are:
- Deemed as persons under investigation (PUI) as defined by MoH
- Contacts of a positive case
Clinical samples (Nasopharyngeal swabs) to be tested at recognized private labs as listed on the MoH’s COVID-19 website
The following supporting documents are furnished:
• Letter from MMA-registered doctor confirming eligibility under criteria listed under Point 4
• Original receipts of test
• Copy of the claimants IC
Process Flow For Claimant Submission
Step 1: Underwent COVID-19 Test at MOH Approved Private Facilities
Step 2: Claims e-form can be downloaded via ISM Portal https://myctf.my/
Step 3: Enter key information required in the form
Step 4: Once information on the e-form is completed and required documents uploaded, claimant, to submit information through the Portal.
Step 5: Prepare scanned copy of MyKad, doctor’s referral letter and invoice/receipt for the test.
FREQUENTLY ASKED QUESTIONS ON COVID-19 TEST FUND (CTF) FOR MEDICAL INSURANCE AND TAKAFUL CERTIFICATE HOLDERS
1. What is the COVID-19 Test Fund (CTF) set up by the insurance and takaful industry?
- The CTF is an RM8 million fund set up by the insurance and takaful industry to support the Ministry of Health’s (MoH) efforts to conduct more COVID-19 testing.
- The fund will provide a fixed cash reimbursement up to RM300 for the cost of COVID-19 testing for individuals covered under individual or group Medical and Health Insurance policies/takaful certificates.
2. What are the Medical and Health Insurance/ Takaful products that qualify for the RM300 under CTF?
- Medical and Health Insurance/ Takaful products that qualify for the RM300 reimbursement from the COVID-19 Testing Fund shall include products defined in the Bank Negara Malaysia's Guidelines on Medical and Health Insurance/ Takaful.
- This includes medical expenses plans, hospital and surgical plans, hospital income plans, and critical illness/dread disease plans and other similar insurance/ Takaful plans offering similar benefits.
- The COVID-19 Testing Fund is extended to Malaysians and Non-Malaysians residing in Malaysia. However, the CTF is not extended to the Foreign Worker Hospitalisation Scheme.
3. Who is eligible to claim from the CTF?
- The CTF is only applicable for insurance policyholders/ takaful certificate holders with group*/individual Medical and Health-related insurance policies and takaful certificates, who have been referred by registered doctors for COVID-19 testing at recognised private labs as listed on the MoH COVID-19 website. *for employees only, excluding dependents
- Your insurance policy/takaful certificate must be in force as of 27 March 2020 and at the time the COVID-19 test is conducted.
4. If I have more than one Medical and Health Insurance Policy/Takaful certificate with different insurance and takaful companies, can I claim from more than one company?
The CTF will pay out up to a maximum of RM300 per individual regardless of the number of COVID-19 tests. You can only claim once from the CTF even though you have more than one Medical and Health Insurance Policy/Takaful certificate.
5. Who can be tested for COVID-19 under this CTF?
Those entitled to claim from the CTF must be referred by a registered doctor and are:
- Deemed as persons under investigation (PUI) as defined by MoH (latest version below) or
- Contacts of a positive COVID-19 case (MoH definition below).
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 a 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
*Close contact defined as:
- Healthcare-associated exposure without appropriate Personal Protective Equipment (including providing direct care for COVID-19 patients, working with healthcare workers infected with COVID-19, visiting patients or staying in the same closed environment of a COVID-19 patient).
- Working together in close proximity or sharing the same classroom environment with a COVID-19 patient.
- Travelling together with a COVID-19 patient in any kind of conveyance.
- Living in the same household as a COVID-19 patient.
**Confirmed case of COVID-19 defined as a person with laboratory
confirmation of infection with the COVID-19
Note: This CTF does not cover Drive-Through tests offered by some private hospitals/laboratories.
For any further enquiries, you may reach out to your servicing agent or please contact our Customer Service at 1800-88-6333 (Mon-Thurs 8:45am-5:45pm, Fri 8:45am-4:45pm)
We aim to provide the utmost support to our customers during these critical times. Thank you for your continuous support. #MakeMalaysiaSafe