FWHS/SPIKPA - Claims Submission
Everything you need to know about claiming your Foreign Worker Hospitalization & Surgical Scheme (SPIKPA) clear, simple, and fast to follow. Quick Summary (for emergencies) (https://storage.crisp.chat/users/helpdesk/website/-/8/f/e/e/8fee56e3f4257000/claims-kit-einsurans-min6lzlfu.png =600x851) Admitted to Government hospital → Show passport → Hospital verifies passport in SPIKPA system If deposit paid → Keep receipts Collect medical report + bills Submit allFew readersCan I claim if worker is asked to transfer to private hospital.
Yes, a claim is allowed only under specific conditions: The transfer must be instructed or advised by the attending doctor at the government hospital. The worker must have been admitted at the government hospital for at least 12 hours before the transfer. The attending doctor must issue a transfer or referral letter stating the medical reason for the transfer. ⚠️ Important: Claims for treatment at a private hospital are on a reimbursement basis only,Few readersWhich hospital is eligible to claim SPIKPA
Here’s a clear summary of information regarding SPIKPA hospital eligibility for foreign worker insurance claims in Malaysia. Hospitals Eligible for SPIKPA Claims Only government hospitals are eligible to accept SPIKPA (Skim Perlindungan Insurans Kesihatan Pekerja Asing). Private hospitals, clinics and semi-government hospitals such as PPUM (UMMC), UKM, and UiTM are not eligible for SPIKPA admissions or claims. 📋 *List of Government Hospitals:Few readersHow to obtain medical claim report/form
Upon discharge, promptly request the medical report from the attending doctor or hospital. The processing time may take a few weeks, depending on the hospital’s or doctor’s availability. Example: If admitted to Hospital Kuala Lumpur, you can download the Medical Report Application Form directly from their official website. Sample Sample Medical Report Form Need AFew readersHow can I check the status of my claim?
Currently, insurers do not send claim status notifications automatically. If you wish to check your SPIKPA claim progress, please contact eInsurans Malaysia for assistance and support. Need Assistance? For any questions or help with your SPIKPA insurance claim (Malaysia): Contact us via WhatsApp: 011 5621 6906 Buy SPIKPA IG with ITR (for FWCMS): Click to purchase 💡 *eInsurans Malaysia — Your trusted onlFew readersHow long to receive the claim reimbursement
Once we receive your complete claim form and all required supporting documents, please allow 14 to 30 working days for claim processing. During this period, our team or the insurer may contact you to request additional information such as the company SSM certificate or director’s passport copy to fulfil Bank Negara Malaysia’s Anti-Money Laundering (AML) and Counter-Terrorism Financing (CTF) requirements.Few readers