Medical & Health Insurance – Medical Aspects of Hospital & Surgical Insurance

Public Short Course

HRD Training Prog No 10001388313
Date & Time 18 – 19 June 2025, 9.00 a.m. – 5.00 p.m.
Registration Deadline 11 June 2025 
Learning Format In-Person Training 

Overview

Medical Aspects of Hospital Surgical Insurance is an intermediate level course that covers the content associated with hospitalized surgical insurance. This course deals with medical aspects of hospital surgical insurance. It is designed to make you understand the terms like congenital conditions, pre-existing and long-standing conditions, waiting period, medically necessary expenses, customary and reasonable charges and discusses how to maximize these benefits for the insured.

At the end of the programme, participants should be able to:

  • Explain the key terminology/definition and calculate the various elements of the Hospital & Surgical
  • Match the various expense items to their respective benefit category and calculate the amount of admissible and non-admissible claims
  • Explain the upgrading of rooms for medically necessary situations
  • Deepen understanding of the specialist, customary and reasonable charges
  • Explain M&H claims procedures and assessment
  • Identify various red flags relating to possible fraud
  • Identify and state the responsibilities of the various parties involved in using, delivering and financing healthcare

Recommended For

  • Underwriters, claims assessors, sales intermediaries, customer service officers, trainers, product designers and those involved in pricing, healthcare professionals, software programmers, employee benefit professionals and third-party administrators and those who are managing medical insurance claims

Medical & Health Insurance – Medical Aspects of Hospital & Surgical Insurance

For Inquiries

Sales

+603 2712 8882

Programme Structure

Day 1
  • Medical Jargons and Abbreviations
Day 2
  • What is Sickness and Injuries?
  • Congenital Conditions
  • Pre-existing and Long- standing Conditions
  • Waiting Period
  • Medically Necessary
  • Customary and Reasonable Charges

Dates

18/06/2025

Classroom

19/06/2025

Fees

Aii Member Early Bird

Register before 11 June 2025

Single: RM 1,080 | USD 250

 

Non-Member Early Bird

Register before 11 June 2025

Single: RM 1,180 | USD 272

 

Aii Member Normal Fee

Single: RM 1,180 | USD 272

Group of 3: RM 1,030 | USD 240

Non-Member Normal Fee

Single: RM 1,280 | USD 300

Group of 3: RM 1,080 | USD 250

*Fees inclusive of 8% SST (Malaysia Sales and Service Tax)

Meet The Expert

TAN ENG BEE
SRN, ANZIIF (Senior Associate), PCS, ARA, AIRC, ASRI, FLMI, FAHM, FLHC, MBA, CFP

A state registered nurse who ventured into the world of insurance, Eng Bee has since held various senior management positions in leading multinational and national insurance companies. Besides marketing of corporate life insurance, she was actively leading and managing the life insurance operations: new business, underwriting and claims team.

 

A fervent believer in staff development and the betterment of the life insurance industry, Eng Bee is a lecturer/ trainer in life, health and disability insurance and has assisted in insurance textbook reviews.

 

Eng Bee was also a technical advisor to a leading assistance company in Malaysia for 15 years and is now the special representative of a global life insurance association.