PETALING JAYA: ProtectHealth Corporation Sdn Bhd (PHCorp), set up to manage the Peduli Kesihatan B40 scheme (PeKa B40) is a 100% government-owned company, says Datuk Seri Dr Dzulkefly Ahmad.
The Health Minister said PHCorp was not a “managed care organisation (MCO) or a third party administrator (TPA)”.
Dr Dzulkefly said PHCorp was set up to broaden the access of quality healthcare services by optimising the use of existing public and private healthcare ecosystems.
He also explained the scheme was currently at a pilot project phase and had not been fully launched.
“Currently, the ministry wants to study the acceptance of the people and other stakeholders towards this scheme.
“The involvement and support of every stakeholder is very important in ensuring the success of the scheme, which is an initiative which focuses on the public-private collaboration through government funding,” he said in a statement here yesterday.
On Jan 28, it was reported that some 800,000 Malaysians aged 50 years and older from the B40 group are expected to benefit from the RM100mil PeKa B40 healthcare scheme.
The scheme would include health screenings, medical care benefits, incentives to complete cancer treatment as well as transport incentives.
Dr Dzulkefly said private clinics and medical laboratories would be involved in the healthcare screening of patients.
He said six private medical laboratories had passed the selection process and had registered with PHCorp.
He added that doctors in private practice registered with the scheme were free to choose any of these laboratories to handle their patients’ lab tests.
“There will be no payment involved between these two parties, and all payments will be borne by PHCorp,” he said.
He also clarified that medical fees for consultancy and health screening services at private clinics would be based on the provisions of the Private Healthcare Facilities and Services (Private Medical Clinics or Private Dental Clinics) Regulations 2006.
Meanwhile, PAS’ Kuala Terengganu MP Ahmad Amzad Hashim said the Health Ministry should explain who would bear the remaining medical costs once the limited allocation for each patient is exhausted.
He also questioned how the scheme would benefit poor patients who needed long-term medical care for critical ailments as insurance schemes only covered a certain percentage of the total cost.
He said the government should temporarily put on hold the proposed My Salam and PeKa B40 insurance schemes until the shortcomings and ambiguity of the scheme are addressed.