Private Medical Insurance Proposal.

This is just a suggestion for future medical care in Malaysia.

User: Normal People who work/stay in the same region for example Klang Valley.

Insurance Companies : Local Universities with Medical Degree Program with a running hospital. (UKM, UM, UIA, UiTM etc).

Banker/regulatory body: An institution which withheld the fund paid by policy holder on behalf of the universities. This body responsibility is to slowly disburse fund to local universities as many universities are inexperience in handling fund and can easily run out of $$.

Each user upon it’s first employment he can buy a long term insurance policy from one of the local universities. This fund will be slowly disbursed to the universities as operational expenses and future development.

First before the user is admitted for a long term insurance policy, the local universities will do a health check and analysis on the user.  Base on the user lifestyle, a premium value is calculated and the users are admitted to the insurance policy. Any big health issues with the policy holders, it is the local university medical faculty responsibility. There is no hassle in checking insurance company. Just come and you ‘ll be served.

Transparency, a statistics of number of doctors, specialist for each area, medical facilities and other resources are identified, published and they are bind to the policy holder. Policy holder will be served first instead of non-policy holder.

Policy Holder trading.

Let say Mr Charlie move from KL to Kota Bharu. He can change his policy from UM to USM hospital. The will be a small handling fee and if Mr Charlie lifestyle is extremely bad, USM hold the right not to accept Mr Charlie policy.

Let say Mr Alex who currently a policy holder from UM, he is not happy with the service. He can switch to UKM.

Towards a healthier society.

The university is incentified to implement a healthy lifestyle program among its policy holders to minimize their future health expenditure and yet collect the same amount of premium. More focus will be done on prevention side. Thus, a lot of health problem will be eliminated.

There is a lot of unclear issue to address. Thus, a new company should be formed consisting of local universities medical faculty team, medical testing facilities company such as BPLab, insurance companies and banker. This will facilitate the move to a healthier society at a more affordable price. It must be regional for example Klang Valley only. It should not be nation-wide like “National Health Care System” which bound to be failure.

Direct feedback. Shorten the feedback cycle and you will see a more sensible result/action.

Example: for dental care.

The maximum age for dental patient new policy holder is 25 year old. The policy is renewable up to age 70. An annual fee of RM200-300/- is required. Inflation price will be added yearly.

Coverage: Dental filling, yearly dental check-up. For every 10 years, 1 crown, 1 root canal treatment.

Term: Good behaviour such as daily brush teeth, not eating hard food.

Non-coverage: accident, teeth implant.

If this policy is done early, many people don’t need root canal treatment.

In Summary, ”old time local dentist guarantee”, if you come here every time, I guarantee you no need root canal for the rest of your life.