Skim Peduli Kesihatan for the B40 group (PeKa B40) is a Government initiative via the Ministry of Health which aims to sustain the healthcare needs of low income groups by focusing on non-communicable diseases (NCD).
PeKa B40 is offered to Malaysian citizens in the bottom 40% household income range, also known as the B40 group.
Recipients of the Livelihood Assistance (BSH) and their spouses aged 40 and above are automatically eligible for PeKa B40. No special registration is required to join PeKa B40.
PeKa B40 aims to improve access to healthcare services, alleviate the cost of living, and enhance the wellbeing of the people. This initiative places special emphasis on non-communicable diseases and focuses on enhancing the cooperation between the public and private sectors, particularly at the level of primary healthcare.
What are the benefits of PeKa B40?
Medical Equipment Assistance
Incentive for Completing Cancer Treatment
Transport Cost Initiative
Who can join PeKa B40?
Offered to Malaysian citizens in the bottom 40% household income range, known as the B40 group. Criteria for eligibility is as follows:
Recipients of BSH (livelihood assistance) and their registered spouses.
Aged 40 and above.
How can recipients check their eligibility status for PeKa B40?
Recipients of BSH and their spouses aged 40 and above may check their eligibility status here by typing their MyKad number and a combination of other information.
Will there be any charges imposed on recipients of PeKa B40?
No. No charges will be imposed. All benefits of PeKa B40 are given free of charge.
Why does PeKa B40 involve those aged 40 and above only?
PeKa B40 began as a pioneer project and is carried out in stages.
More members of the B40 group suffer from non-communicable diseases than those in other groups (M40 & T20).
Those in the over 40 category also have a greater burden of NCDs. Such diseases amongst this group are also more likely to have not been detected or poorly controlled..
It will also be expanded to include other groups, subject to effectiveness of this program and Government funding.
What are the prerequisites to receving Benefits 2, 3, and 4?
Patient must be a recipient of BSH (or his/ her spouse) and aged 40 and above.
Has undergone Health Screening (Benefit 1); and
All applications must be made via MOH hospitals only.
For further information, please refer to the Benefits section here.
Benefit 1: Health Screening Assistance
What are the requirements for undergoing the health screening?
Simply bring your MyKad along.
No early registration required.
No charges imposed.
No fasting required.
Is the same recipient allowed to undergo more than one (1) screening?
No. Screening may only be performed once for eligible recipients, as long as there are sufficient funds.
After undergoing screening during the first visit at the clinic, recipients’ information would have been recorded, and blood and urine specimens sent to private laboratories for the required testing.
Should a PeKa B40 recipient attend another clinic for a repeat screening, the process will not progress.
Where can recipients undergo screening?
Any private clinic that is registered with PeKa B40 and has the PeKa B40 sticker displayed on their front door.
The list of Peka B40 clinics may be obtained here.
Most Government clinics provided there are doctors on duty.
What are the list of health screenings that will be performed?
Medical history taking, noting of individual and family illnesses, including risk factors
Mental health screening
Clinical breast examination for female recipients, and clinical prostate examination for male recipients who are at risk
Blood cell test
Blood sugar control test
Cholesterol level test
Kidney function test
Benefit recipients will not be charged for any of the Health Screenings mentioned above.
How are the results of the screening obtained?
Recipients who have undergone Health Screening may have already been given a date for their second visit. If that is not the case, the doctor/ clinic will contact the recipient via telephone, short messaging system (SMS) or WhatsApp to arrange an appointment for the second visit.
Should further treatment or examination be required, private doctors will refer recipients to the relevant or nearby government clinics (Klinik Kesihatan) or MOH Hospitals. A PeKa B40 referral letter will be issued by the private clinics to be brought to the MOH facilities.
Benefit 2: Medical Equipment Assistance
What is the procedure for applying for medical equipment assistance?
Application for Medical Equipment Assistance must be made via the Medical Social Work Department at Ministry of Health hospitals only.
The Medical Officer or specialist treating the Peka B40 recipient will make the referral to a Medical Social Work Officer for the application process.
The Medical Officer or specialist will also determine what type of medical equipments are required.
Which categories of Medical Equipment Assistance are offered?
There are 10 categories of Medical Equipment Assistance offered based on the confirmation by specialists at MOH Hospitals:
Artificial joint equipment
Hearing aid devices
Prostheses and implants for the spine
Prostheses and orthoses for the limb bones
Breathing therapy equipment and oxygen concentrator
Nutritional support assistance
The maximum Medical Equipment Assistance that can be funded by PeKa B40 is RM20,000 (per lifetime). It is also subject to the price range of equipments in each category.
What happens if the cost of medical equipment applied for is less than Rm20,000?
For as long as PeKa B40 is carried out by the Government, recipients may apply for a variety of medical equipment on the list, provided there is still money left from the RM20,000 allocation. For example, a recipient who has already received intraocular lenses can still apply for a pacemaker at a different time.
Will family members also benefit from the Medical Equipment Assistance?
Only BSH Recipients and their spouses who are registered, aged 40 and above are eligible for PeKa B40. Each person is entitled to a maximum of RM20,000 in financial assistance (per lifetime). This sum cannot be extended to other family members.
Benefit 3: Incentive for Completing Cancer Treatment
What is the value of the incentive given?
The amount of the incentive is RM1,000, given to encourage patients to complete their curative treatments at MOH Hospitals as recommended by their treating doctors.
Benefit 3 does not include traditional or alternative treatments.
It will be given in two (2) stages.
First stage - RM300, when the application is received from the MOH Hospital according to the correct procedure and will be credited directly into recipients’ accounts in the same manner as the BSH.
Peringkat kedua - RM700, once the recipient has completed his or her treatment plan as recommended by the treating doctor. This will also be credited directly into recipients’ accounts.
Who will assist recipients in the process of applying for this incentive?
If the PeKa B40 recipient suffers from cancer and is still undergoing treatment, the treating doctor or specialist will make the application on behalf of said recipient.
If I did not complete my last cancer treatment, am I allowed to apply for this incentive?
This incentive was developed to encourage cancer patients to complete their treatment. The condition for receiving the second incentive is that the patient must comply with the doctor’s treatment plan and complete it with no misses.
The incentive will be given subject to confirmation by the treating doctor or specialist based on their expertise in determining the level of completion of treatment.
This incentive will only be given to recipients who are still alive and cannot be claimed by relatives.
If a Peka B40 recipient is undergoing cancer treatment, is he/ she eligible for this benefit?
Yes. Recipients of PeKa B40 who are undergoing cancer treatment are eligible for this benefit. However, health screening is still compulsory, and/ or the results must be uploaded to the PeKa B40 database. If the health screening has not yet been done, doctors or specialists from hospitals will counsel patients on how to get it done.
Benefit 4: Transport Cost Incentive
What does the transport cost incentive entail?
The transport cost incentive will cover the journey to and from cancer treatment (Benefit 3) as well as treatments involving utilisation/ insertion medical devices (Benefit 2) at MOH Hospitals according to set appointment dates.
What is the value of the transport cost incentive?
The value of the incentive depends on the distance from the patient’s residence to the hospital.
It is credited into the recipient’s account for each journey to and from the hospital, not exceeding the limit of RM 5000 for Peninsular Malaysia and RM 1000 for Sabah/ Sarawak/ Labuan.
How does one apply for the incentive?
For recipients of Benefit 2, i.e. Medical Equipment Assistance, application may be made via Medical Social Work Officers.
For recipients of Benefit 3, i.e. Incentive for Completing Cancer Treatment, application may be made via the treating doctor at MOH hospitals.
What happens if a patient does not go to hospital?
This incentive is provided to encourage patients to come to hospital to receive and complete their treatment. If a patient does not attend treatment sessions, he or she will not be given the incentive.
Does this incentive cover the cost of the journey to and from the hospital?
Yes, this incentive is counted and is given as financial assistance for the return journey, i.e. to and from the hospital, according to set rates and conditions for PeKa B40.
How is the payment for the Transport Cost Incentive made?
After the application for Transport Cost Incentive has been made by the Medical Social Work Officer or treating Medical Officer, the system will calculate the amount to be paid based on the distance that has been determined.
Payment will be made directly into the account of the patient before the next follow-up treatment.
Private Medical Practitioners
How will private medical practitioners be paid?
The payment to private practitioners is made according to Table 7 of the Private Healthcare Facilities and Services Act 1998, 2006 amendment that is in use nowadays.
The private practitioner involved is not required to pay any registration fee.
There is no splitting of fees for health screening services performed under PeKa B40.
Laboratory tests have been predetermined and will be paid directly to the private laboratory. No payment or sharing of payment occurs between clinics and private laboratories.
Interested private practitioners may register to participate in this scheme voluntarily (not mandatory).
How can interested private medical practitioners participate in this scheme?
ProtectHealth Corporation Sdn. Bhd. (hereinafter referred to as “ProtectHealth”, “our”, “we” or “us”) is committed to protecting the privacy, confidentiality and security of all personal data and health information to which it is entrusted.
WHAT INFORMATION THAT WE PROCESS
We process personal data which you have provided to us voluntarily through our website and upon your registration for health screening at our registered healthcare facilities. This includes personal data such as your name, address, date of birth, gender, age, contact details, race, religion, occupation, next of kin details, the nature of the problem for which you sought treatment and the investigations, treatment and advice you were given. Every time you visit our registered healthcare facilities for healthcare services or consultations, new personal data will be added to your medical records. In this regard, you hereby expressly consent to our processing of your sensitive personal data such as your religion and medical records.
We also process personal data submitted and obtained from individuals seeking employment and other sources in connection with applications for work through this site.
If you give us personal data or information about another person, you must first confirm that he/she has appointed you to act for him/her, to consent to the processing of his/her personal data and to receive on his/her behalf any data protection notices. We may request your assistance to procure the consent of such persons whose personal data is provided by you to us and you agree to do so. You shall indemnify us in the event we suffer any loss or damage as a result of your failure to comply with the same.
WHY DO WE PROCESS YOUR PERSONAL DATA
The purposes for which personal data is processed is as follows:
to complete transactions with you and to administer and to manage/verify your benefits under PeKa B40 scheme;
to direct communicate with you on our wellness programme;
the provision and/or delivery of healthcare;
to monitor and evaluate the quality of care and the outcomes resulting from that care;
to plan for the development and delivery of care and services;
to assess your suitability of employment with us;
to perform a contract of service;
to conduct medical research and/or clinical trials;
to promote and support research and education;
to contact you and respond to all your queries;
to meet legal and regulatory requirements;
Conducting surveys and/or statistics compilation;
investigating claims and complaints; and
Such other purposes as may be related to the foregoing.
Please note that it will be necessary for ProtectHealth to process your personal data, without which we will not be able to continue to process your personal data for any of the above purposes.
WHERE DO WE COLLECT YOUR DATA
From statutory bodies and government authorities
From our registered healthcare facilities
From the website and/or email
Registration (hard copy/soft copy)
External document that you have attached
Any other oral/ written communications between us
DISCLOSURE OF PERSONAL DATA (WITHIN AND/OR OUTSIDE MALAYSIA)
We may disclose your personal data, if we are required to do so by law or relevant authority.
Your personal data may be disclosed to parties such as but no limited to banks, auditors, governmental departments and/or agencies, regulatory and/or statutory bodies, credit check companies, our related corporations, business partners, service providers, courts and tribunals, your next of kin, research organizations, non-governmental organizations, medical and healthcare professionals / facilities and any such third party requested or authorized by you for any of the above Purpose or any other purpose for which your personal data was to be disclosed at the time of its collection or any other purpose directly related to any of the above Purposes.
Any person/company who is under a duty of confidentially to ProtectHealth and has under taken to keep such personal data confidential. This includes our related corporations, business partners, service providers and any such third party requested or authorised by you for any of the above purposes.
Your personal data may be transferred to a place outside Malaysia.
Any person or company who is accessing for or on behalf of ProtectHealth or jointly with ProtectHealth in respect of the purpose / a directly related purpose for which the data was provided.
HOW DO WE PROTECT YOUR PERSONAL DATA
All reasonable efforts and practical steps are made to ensure that personal data held by us is kept and protected against theft, unauthorised access, disclosure, copying, use and/or modification. We maintain strict policies regarding who has the authority to access your personal data. All staff is bound by a strict code of conduct and legal obligations with respect to maintaining the confidentiality of your personal data.
HOW LONG DO WE RETAIN YOUR PERSONAL DATA
We will only retain your personal data for as long as necessary for the fulfillment of the specified purposes or as legislated.
HOW DO WE KEEP PERSONAL DATA ACCURATE AND UP TO DATE?
We will take reasonable steps to ensure that the personal data we hold is accurate and kept up to date. We realise that personal data changes frequently with changes of address and other personal circumstances. Please advise us when your personal data changes.
If you become aware that any personal data we hold is not accurate or if you would like to update your personal details, please advise us in writing via our contact details as described below.
Please note that it is your responsibility to ensure that the personal data you provide to us is accurate, complete and not misleading and that such personal data is kept up to date.
HOW DO YOU ACCESS TO YOUR PERSONAL DATA
Requests for access to your personal data can be made in writing to:
ProtectHealth Corporation Sdn Bhd
F01 & F02, 1st Floor, Block 2300,
Century Square, Jalan Usahawan,
63000, Cyberjaya Selangor
Telephone No: +603 8687 2500
Facsimile No: +603 8687 2599
Email address: firstname.lastname@example.org
If there are personal data in our records, which you believe to be incorrect, or you do not agree with, you have the right to request that it be corrected.
LINKS TO OTHER WEBSITES
Our website may contain links to other websites of interest. However, once you have used these links to leave our site, you should note that we do not have any control over that other website. Therefore, we cannot be responsible for the protection and privacy of any information which you provide whilst visiting such sites and such sites are not governed by this privacy statement. You should exercise caution and look at the privacy statement applicable to the website in question.
Leading technologies including encryption software is used to safeguard any data given to us and strict security standards are maintained to prevent unauthorised access.
To safeguard your personal data, all electronic storage and transmission of personal data are secured and stored with appropriate security technologies.