BNM Interim Measures on Medical Insurance

BM | CHI

We are fully committed to support BNM’s interim measures on medical insurance. Kindly take note that this is applicable to policyholders impacted by medical revision effective 1 October 2024 onwards. 

What are the Interim Measures?

  • Gradual Adjustments:

For affected policyholders, premium adjustments will be staggered over a minimum of three years. This means at least 80% of policyholders will see yearly premium adjustments of less than 10% annually.

  • Senior Support:

There will be a one-year pause on premium adjustment due to medical claims inflation for those aged 60 and above, covered under the minimum plan.

  • Policy Reinstatement:

Customers who have surrendered or lapsed their policy from January 2024 to February 2025, due to medical revision, will be eligible for reinstatement without underwriting.

This option is available upon request from 15 January to 30 June 2025.

  • Alternative Plans:

To supplement the interim measures, insurers must develop an appropriate alternative product within the next one year that carefully considers the long-term affordability of medical coverage.

How do I find out my new insurance charges?

You will receive an updated notification pack detailing your new insurance charges depending on your policy anniversary date. Please refer to timing below:

   


Where do I find my Policy Anniversary Date?

The Policy Anniversary Date is the date each year that marks the anniversary of when your policy was first issued.

Log on to PRUServices under Active > Select policy > Overview > Issue date; or in your policy document under Policy Commencement Date.

 

How do I create my PRUServices account?

For further assistance, policyholders may reach out to our dedicated hotline at 03- 2771 2450 (Monday to Friday, from 8.30am to 5.15pm) or shareyourfeedback@prudential.com.my 

References: 

Link to BNM’s press statementInterim measures to assist policyholders and to promote continued access to suitable medical and health insurance/takaful products - Bank Negara Malaysia
 
Link to BNM’s information on the interim measures: Interim Measures to Promote Continued Access to MHIT Products - Bank Negara Malaysia 

Link to LIAM's press statement: Insurance and Takaful Industry Introduces Interim Measures for Policyholders/Takaful Participants Impacted by Premium/Contribution Repricing

Link to LIAM FAQsFAQ-Interim-Relief-Measures-20Dec2024-FinalVersion.pdf 

You can also refer to these FAQs to help you understand more:

FAQ

1. Is my policy impacted by these interim measures?

The interim measures are applicable to policyholders impacted by the medical revision effective as per the table below.

               

Medical Revision
Effective Date

Medical Plans

From 1 October 2024 onwards

PRUHealth (PHL)

PRUFlexi Med (PFM)

PRUValue Med (PVM)

PRUMillion Med (PMLM)

From 1 December 2024 onwards

PRUMajor Med 1-5 (PMM)

The following plans are excluded from medical revision and are not impacted by BNM interim measures:

  1. PRUMillion Med Active and PRUMillion Med 2.0

  2. PMLM with Med Saver 1000, 3000, 5000 and 10,000

  3. Active Booster, PRUMillion Med Booster 2.0, PRUValue Med Booster and PRUMillion Med Booster  

 

 

We will reach out to affected customers once we have details on how the interim measures affect their policy and make the necessary adjustments.

2. I received a medical revision notification letter. What should I do?

We encourage you to continue paying your current premium to ensure the sustainability of your plan(s). We will reach out to affected customers once we have details on how the interim measures affect your policy and make the necessary adjustments.

Kindly take note that this is applicable to policyholders impacted by medical revision effective 1 October 2024 onwards, as guided in Q1.

3. The medical revision notification letter mentioned a Special Medical Plan Campaign. Is this still applicable?

Before BNM announced the interim measures, we launched a Special Medical Plan Campaign to defer the start of the new premium rates and cost of insurance (COI) deduction. This campaign is applicable for medical plan policies undergoing medical repricing from 1 October 2024 to 31 December 2024. We have extended the campaign to 28 February 2025, for customers with medical revision effective from 1 October 2024 to 28 February 2025.  

We encourage customers to continue paying your current premium to ensure the sustainability of your plan(s). We will reach out to you once we have clearer details on how the interim measures affect your policy and make the necessary adjustments.

4. My premium was adjusted between 1 January 2024 and 30 September 2024. Am I eligible under this interim measure?

BNM’s interim measures are only applicable to policyholders impacted by medical revision effective 1 October 2024 onwards. You can refer to the table in Q1 for details on which policies are eligible.

5. What happens if I have already paid the new premium before these measures take effect? Will I get refunded and when?

If you are eligible under the interim measures, you will receive a refund on your premiums paid.

6. What is staggered/spreading out of premium increases?

Staggered or spreading out of premium increases is a flexibility offered to adjust the increase in premium to a lower amount, distributed over a period of 3 or 5 years (depending on your medical plan). This is only a temporary relief measure to assist policyholders in managing their premium during this interim period. We will be reaching out to the affected policyholders with more information.

7. Will my benefits be affected by this new measure?

No, your medical benefits, including coverage limits, remain unchanged.

8. How will these measures affect senior citizens aged 60 and above?

For customers aged 60 years old and above, who are covered under the minimum plan, there will be a one-year deferment of the incremental or the repriced amount. This means there will be no repricing for one year for eligible policyholders, please refer to the table in Q1 for more details. 

This one-year deferment on the adjustment or repriced amount does not apply to the premium increase that results from a policyholder moving up to a higher age band.

Please reach out to your Prudential Wealth Planner or Bank Representative to find out more on your plan.

9. I have not made a claim, why am I still being repriced?

Insurance works on a risk-pooling concept. It is the equal sharing of financial risk among the large group of people contributing funds to the same pool. Insurers use the pool of money to cover large claims to minimise the cost of impact to the policyholders. When claims increase, the pool needs to be topped up by increasing premiums.

10. What are the other options available for me?

We offer several flexible options, including:

 

 

Options

Details

Convert to a medical plan with co-payment options

You may lower your premium by converting to a medical plan with co-payment options (i.e. Deductible / Med Saver / Coinsurance), if applicable.

Review and downgrade current benefit(s)

You may review and opt to downgrade your policy benefits to suit your needs, subject to the terms and conditions of the policy. However, we wish to remind you that any changes to your coverage will have an impact to your protection.

Consider changing premium payment frequency

You may consider changing your premium payment frequency to lower down lump sum financial commitment (if applicable).

Consider a different medical plan

You may consider purchasing a new or different medical plan offered by Prudential, subject to underwriting.

Adjust Target Coverage Term (for Investment-Linked policies only)

Shorten the target coverage term to match your needs and affordability. Note that this may affect the policy’s ability to sustain insurance charges deduction until the chosen expiry age.

   

You may also contact your dedicated Prudential Wealth Planner or Bank Representative for further advice and recommendations.

11. I surrendered/lapsed my policy due to repricing. Can I reinstate my policy/certificate under these interim measures.

Where applicable, policyholders who have surrendered or lapsed their policy from January 2024 to February 2025, due to medical revision, will be eligible for reinstatement without underwriting.

This option is available upon request from 15 January to 30 June 2025.

 

For lapsed policy: 

Please fill up the Revival application form here and get in touch with your Prudential Wealth Planner or visit the nearest Prudential Customer Engagement Centre.

 

For Surrendered policy:

Please submit your written requests to your Prudential Wealth Planner or visit the nearest Prudential Customer Engagement Centre.

Kindly ensure all payments are up to date.

12. What is the turnaround time for reinstatement?

Please allow us up to 10 working days to process your reinstatement request. Once approved, you will receive a notification letter from us.

13. How much am I required to pay to reinstate my policy?

There is no processing fee involved for reinstatement of your policy. However, you are required to catch up and pay any outstanding premiums from date of surrender/lapsed of your policy as well as return the full surrender payout (applicable to surrendered policy).

Once your policy has been reinstated, the new staggered insurance charges apply from 1 March 2025.

Please take note of the Waiting Period, as outlined in Q14.

14. Once I reinstate my policy, is there any waiting period that applies?

Yes, there is a waiting period upon reinstatement for medical and critical illness (CI) riders as outlined in your policy document.

15. Once my policy has been reinstated, will my premium remain the same as before or will it be the new staggered premium?

Yes, the premium amount remains the same. Additionally, the Special Medical Plan Campaign applies for eligible policies with anniversaries from 1 October 2024 to 28 February 2025.

The staggered amount will take effect from 1 March 2025.