If you are weighing an Allianz co-pay or deductible option against MediAsas — the government-designed MediAsas rolling out nationwide in January 2027 — the deciding factor is not the monthly premium. It is the annual limit and the pre-existing condition rule. MediAsas Teras stops at RM 100,000 a year and excludes pre-existing conditions entirely. An Allianz plan you already hold covers conditions you have already declared, up to RM 3 million.
For someone with a clean bill of health and no cover at all, MediAsas is a genuine lifeline at RM 60 to RM 550 a month. For someone already insured, swapping into it can be the most expensive saving they ever make.
What Cost-Sharing Does Allianz Actually Offer?
Two structurally different levers, and they are not interchangeable.
- Allianz HealthInsured — deductible route. RM 5,000, RM 10,000, or RM 30,000 per policy year. Once absorbed, the plan pays in full to an annual limit of up to RM 3 million with no lifetime cap.
- Allianz HealthAssured — co-insurance route. 5% of each bill capped at RM 1,000 per year, or 15% capped at RM 2,500 per year. Waived entirely for emergency accident cases, outpatient kidney dialysis, outpatient cancer treatment, and treatment at government facilities.
The annual cap is what people miss. On HealthAssured at 5%, your worst possible year of cost-sharing is RM 1,000 — one admission or four. That is a ceiling, not an estimate. Full detail is in our Allianz medical card review.
How Does MediAsas Structure Its Deductibles?
MediAsas comes in two variants, and their deductibles reset on completely different bases.
MediAsas Teras — the standard tier:
- Deductible per disability: RM 500 if you are under 60, RM 1,000 from age 60
- In-network: deductible only. Out-of-network: plus 20% of the remainder, capped at RM 3,000 per disability
- Annual limit RM 100,000, rising automatically to RM 150,000 at age 60
- Co-payment waived for government facilities, emergency care, and outpatient cancer treatment
MediAsas Fleksi — the standard-plus tier:
- Deductible per annum: RM 10,000 in-network, RM 15,000 out-of-network
- No percentage co-insurance, and no emergency waiver
- Annual limit RM 300,000
- Positioned as supplementary coverage, not a first policy
“Per disability” sits between per-admission and per-year. Several admissions for the same condition draw one deductible; a second, unrelated condition draws another. Our post on in-network vs out-of-network costs works the arithmetic through.
Side by Side: Where the Numbers Diverge
| Allianz HealthInsured | Allianz HealthAssured | MediAsas Teras | MediAsas Fleksi | |
|---|---|---|---|---|
| Cost-sharing | Deductible | Co-insurance % | Deductible + out-of-network share | Deductible only |
| Amount | RM 5,000 / 10,000 / 30,000 | 5% or 15% of bill | RM 500 (under 60) / RM 1,000 (60+) | RM 10,000 in-network / RM 15,000 out |
| Reset basis | Per policy year | Per policy year | Per disability | Per annum |
| Annual out-of-pocket ceiling | The deductible | RM 1,000 or RM 2,500 | None — scales with conditions | The deductible |
| Annual limit | Up to RM 3 million | Up to RM 3 million | RM 100,000 (RM 150,000 at 60+) | RM 300,000 |
| Lifetime limit | None | None | None | None |
| Pre-existing conditions | Covered once declared and accepted | Covered once declared and accepted | Excluded | Excluded |
| Emergency waiver | — | Yes | Yes | No |
| Available | Now | Now | January 2027 | January 2027 |
Why Is the Annual Limit the Real Decision?
Because it is the number that decides whether a serious illness is survivable financially.
A RM 100,000 annual limit handles most standard admissions comfortably — a surgery, an acute medical stay, a short ICU episode. It does not handle a year of cancer treatment, complex cardiac surgery, or extended critical care, any of which can pass RM 100,000 in a single episode. That is precisely the scenario a medical card exists to carry.
Run a RM 260,000 cancer year through each structure:
- Allianz HealthAssured (5%): premium plus RM 1,000. The annual cap binds and the RM 3 million limit is nowhere near troubled.
- Allianz HealthInsured (RM 10,000 deductible): RM 10,000, then nothing further that year.
- MediAsas Teras: the RM 500 deductible, then the plan pays to RM 100,000 — and you carry roughly RM 160,000 yourself.
- MediAsas Fleksi: RM 10,000 deductible, plan pays to RM 300,000, so the bill is covered — this is what Fleksi is for.
MediAsas Teras is designed as an affordable floor for people who currently have nothing. It was never designed to replace a comprehensive plan, and reading it as a cheaper equivalent is the central mistake to avoid.
What About Pre-Existing Conditions?
This is the second decision, and for anyone already insured it usually settles the matter.
MediAsas lists 35 exclusions, and pre-existing conditions are among them. Waiting periods run 30 days for general conditions and 120 days for specified illnesses. There is a seven-year “no look-back” provision — after seven continuous years from the risk commencement date, claims cannot be contested for non-disclosure, except where the non-disclosure was fraudulent, deliberate or reckless.
Set against that: a policy you already hold has already underwritten you. Conditions you declared and had accepted are covered. Waiting periods are served. If you surrender that to move to MediAsas, every condition on your file becomes an exclusion on the new plan — permanently, and at exactly the age when it matters most.
The rule of thumb is simple. MediAsas is built for the uninsured. If you already hold cover, restructure what you have before you consider replacing it — see how to downgrade without losing what matters and what your insurer must offer you.
Which Should You Choose?
- If you have no medical cover at all, MediAsas Teras is the strongest floor available to you at RM 60 to RM 550 a month, entry to age 70 and renewable to 85. Take it, then plan to layer on top.
- If your household claims more than once a year, a capped structure wins. HealthAssured’s 5% co-insurance with an RM 1,000 annual ceiling is the most predictable option on the market.
- If you already hold employer cover, a high Allianz deductible or MediAsas Fleksi both work as catastrophe layers. Fleksi is cheaper; the Allianz layer carries the far higher limit.
- If you have declared conditions on file, stay where you are and restructure. MediAsas will not cover them.
- If you want the lowest monthly outlay and rarely claim, MediAsas Teras is likely the cheapest baseline from January 2027 — provided you accept the RM 100,000 ceiling and can top up above it.
What Should You Do Before January 2027?
- Write down three numbers from your current policy: annual limit, deductible or co-insurance terms and its annual cap, and your current premium.
- Ask your insurer what your plan costs with a deductible attached. On an ILP this is a rider adjustment, not a new policy — entry age and served waiting periods stay intact.
- Check which of the six MediAsas providers has your usual hospital in-network — AIA, Allianz Life, Great Eastern, Prudential BSN Takaful, Etiqa Family Takaful, or Syarikat Takaful Malaysia Keluarga. Panels differ between them.
- Do not cancel anything to wait for MediAsas. A coverage gap turns every condition diagnosed in the meantime into a permanent exclusion — and MediAsas excludes pre-existing conditions anyway.
A policy review runs these against your actual claims history rather than an average.
Frequently Asked Questions
Is MediAsas cheaper than an Allianz medical card?
Usually yes on premium, at roughly RM 60 to RM 550 a month. But MediAsas Teras caps at RM 100,000 a year against up to RM 3 million on Allianz HealthInsured or HealthAssured, and it excludes pre-existing conditions. It is a cheaper product because it covers less, so compare the limits and exclusions before comparing the premiums.
Does the MediAsas deductible apply every admission?
Not on either variant. MediAsas Teras applies its deductible per disability — several admissions for the same condition draw one deductible, while a separate condition draws another. MediAsas Fleksi applies its deductible per annum, once per policy year regardless of how many times you are admitted.
Can I keep my Allianz plan and add MediAsas?
MediAsas is voluntary and sits alongside existing products rather than replacing them, so holding both is possible. Whether it is worthwhile is another question — if your existing plan already carries a multi-million-ringgit limit, a second plan capped at RM 100,000 that excludes your pre-existing conditions adds relatively little. Discuss it against your specific policy before paying two premiums.
Will Allianz still sell HealthInsured and HealthAssured after MediAsas launches?
Yes. MediAsas is an additional standardised product, not a replacement for comprehensive plans, and your existing policy will not be cancelled or converted automatically. Allianz Life is one of the six providers offering MediAsas.
Does the 20% out-of-network share apply to Allianz plans too?
No. That share belongs to MediAsas Teras. Allianz HealthAssured’s co-insurance is a flat 5% or 15% regardless of which panel hospital you use, subject to its annual cap of RM 1,000 or RM 2,500.
Have a question that wasn’t covered here? Our advisors at FINNO. — an authorised agent of Allianz Malaysia — offer free, no-obligation consultations — no hard sell, just honest answers about what’s right for your situation.