Interim Measures for Medical Repricing

Interim Measures for Medical and Health Insurance Premium Repricing

At AmMetLife, we are committed to supporting Bank Negara Malaysia’s (BNM) recently announced interim measures to assist policy owners impacted by the medical and health insurance premium repricing.

These interim measures are introduced to ensure that policy owners continue to have access to quality coverage. Our goal is to help Malaysians maintain essential medical and health benefits that align with their evolving healthcare needs.

For more details on the interim measures, you may refer to the following:

  1. Press Release by Bank Negara Malaysia.  
  2. Frequently Asked Questions (FAQ) by Bank Negara Malaysia.
  3. Statement on Bank Negara’s Announcement on Interim Measures to Assist Policyholders and to Promote Continued Access to Suitable Medical and Health Insurance
  4. Press Release by Life Insurance Association of Malaysia. 
  5. Frequently Asked Questions (FAQ) by Life Insurance Association of Malaysia
  6. General Information on the Interim Measures Relating to MHIT Medical Repricing Exercise for Impacted Policy Owners. Click here to get the latest updates as of 15 January 2025.
  7. Frequently Asked Questions (FAQ) by AmMetLife Insurance Berhad in English - Updated as of 15 January 2025 (please refer below)
  8. Frequently Asked Question (FAQ) by AmMetLife Insurance Berhad in Bahasa Melayu - Updated as of 15 January 2025
  9. Frequently Asked Question (FAQ) by AmMetLife Insurance Berhad in Mandarin - Updated as of 15 January 2025

 

This FAQ outlines key updates and provides clarity on these interim measures. It is designed to help policy owners better understand the changes and potential implications, enabling policy owners to make informed decisions about their coverage.

FAQ by AmMetLife Insurance Berhad in English

1. What are the interim measures in conjunction with the Medical Repricing exercise?

The interim measures announced are applicable for the period of 2024 – 2026. Below are the list of measures available,

  1. Spreading Out Future Premium Adjustments
    All Insurance and Takaful Operators (ITOs) will distribute future premium increases due to the Medical Repricing exercise over a minimum of three years.
  2. One-Year Premium Adjustment Pause for Senior Policy Owners (Aged 60 and above)
    Policy owners aged 60 and above, who are covered under the lowest plan of their Medical and Health Insurance/Takaful (MHIT) product, will be able to enjoy a one-year deferment on premium adjustments related to the Medical Repricing exercise effective from the next policy anniversary.
  3. Policy Reinstatement Option
    Policy owners who have surrendered their entire policy or their repriced medical rider or having their entire policy lapsed in 2024 due to the Medical Repricing exercise will be able to reinstate their entire policy or the repriced medical rider without any underwriting and this measure is available upon request.
  4. Alternative MHIT products
    ITOs will develop an alternative medical/health insurance product within 2025 in order to provide options at the same or lower premiums for policy owners who prefer not to continue with the repriced medical/health insurance product.
  5. Dedicated Support Hotlines
    AmMetLife has established a dedicated helpline to provide guidance and address inquiries related to these interim measures. 

    You may contact our Customer Care Centre at 1300 88 8800 (Chris, Customer Care Representative) or email us at customercare@ammetlife.com

2. Is my policy eligible for these interim measures?

These measures are applicable for policy owners of AmMedic Flexi Plus that are affected by AmMetLife’s Medical Repricing exercise during 2024 – 2026.

3. What is staggered premium increases?

Staggered premium increases is a flexibility offered to adjust the increase in premium to a lower amount distributed over a minimum period of 3 years depending on your medical and health insurance plan. This is only a temporary relief measure to assist policy owners in managing their premium increases during this interim period of 2024-2026.

(Note: This measure is NOT applicable to premium increases due to change in age band)

4. Will my medical and health benefits change under this measure?

No, your medical and health benefits remain the same as per your policy contract.

5. What is the One-Year Incremental Premium / Insurance Charges Temporary Pause?

This is an interim measure that assists policy owners maintain their medical and health insurance plans’ benefits from the Medical Repricing exercise in 2024-2026.

Under this measure, your medical and health insurance plan’s incremental premium / insurance charges will be temporarily paused for one year from your next policy anniversary due to the Medical Repricing exercise.

(Note : This one-year temporary pause is NOT applicable to premium increase due to change in age band)

6. Who is eligible for this One-Year Incremental Premium/Insurance Charges Temporary Pause?

This measure is applicable to the following policy owners of AmMedic Flexi Plus who are impacted by the Medical Repricing exercise in 2024-2026 either;

  • For policy owners aged 60 and above who is currently covered under the lowest medical plan; or
  • For policy owners with policies under premium waiver status.

7. What is the lowest medical plan type eligible under this One-Year Incremental Premium / Insurance Charges Temporary Pause?

The lowest medical plan is Plan 1 of AmMedic Flexi Plus.

8. What happens after the One-Year Incremental Premium/Insurance Charges Temporary Pause ends?

After the One-Year Temporary Pause, your premium / insurance charges may be adjusted to reflect the revised premium / insurance charges due to the Medical Repricing exercise. The staggered premium increases as stated in question 3 above will apply to the revised premium / insurance charges due to the Medical Repricing exercise during the interim period of 2024-2026.

9. What happens if I am aged 60 and above but covered in a higher medical plan type?

If you are aged 60 and above and currently have a higher plan type i.e. Plan 2/3/4 of AmMedic Flexi Plus, the one-year incremental premium/insurance charges temporary pause will not be applicable to you.

However, you have the option to downgrade to a lower plan, which offers reduced coverage and a lower premium. However, we encourage you to carefully consider if the lower plan will still meet your medical protection needs.

10. Is my lapsed or surrendered policy eligible for reinstatement due to the Medical Repricing exercise?

Yes, your policy is eligible for reinstatement if;

  1. Policy has lapsed/surrendered in 2024 due to the Medical Repricing exercise; or
  2. Medical and health insurance rider that is deleted from the policy and not replaced with another medical rider due to the Medical Repricing exercise in 2024

Notes:

  • All of the underwriting will be waived under this reinstatement measure.
  • Waiting periods will NOT be waived and shall apply from the reinstatement date as per your policy contract.
  • Each policy is entitled once for reinstatement under the interim measures relating to Medical Repricing exercise.
  • The Medical and health insurance plan reinstated will be as per your previous plan.
  • To reinstate the lapsed policy, kindly make payment of all outstanding premiums and policy debt to AmMetLife.
  • To reinstate the surrendered policy, kindly make payment of all surrender value (if any) and outstanding premiums to AmMetLife.

11. How long do I have to apply for this reinstatement measure?

You can apply for this reinstatement measure within 12 months from the lapse/surrender date in 2024 due to the Medical Repricing exercise.

12. Who can I contact if I have more questions?

If you have any questions about your policy or the Interim Measures pertaining to the Medical repricing exercise, you can reach out to our hotline,

  • Customer Care Centre at 1300 88 8800 (Chris, Customer Care Representative) or
  • email at customercare@ammetlife.com