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3rd-party administrators, insurance and takaful operators can’t prescribe treatment, Dewan told

today6 November 2025

Background


klinik kesihatan
It had been alleged that insurance and takaful operators were interfering in decisions related to the treatment of patients.
KUALA LUMPUR:

The finance ministry today said that insurance and takaful operators (ITOs) and third-party administrators (TPAs) are not authorised to prescribe treatment for patients, as criticism mounts over their alleged interference.

Deputy finance minister Lim Hui Ying said the exclusive right to determine patient care remained reserved for doctors.

“And if the insurance policy does not cover the treatment, then patients can pay for it out of pocket,” she told the Dewan Rakyat.

Lim was responding to a supplementary question by Sim Tze Tzin (PH-Bayan Baru), who asked about the government’s measures to address the issues highlighted following the imposition of Bank Negara Malaysia’s interim measures to tackle the rise in medical insurance premiums using existing laws.

The issues highlighted by the PKR MP included the interference of ITOs in clinical…

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Written by: Dineskumar Ragu


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