The Insurance Concierge

This information is relevant solely for BUPA members who are seeking treatment within Malaysia. It does not apply to members who are seeking treatment outside of Malaysia.

BUPA Global has appointed IHP Malaysia as its third-party administrator in Malaysia. IHP Malaysia is responsible for issuing a Guarantee of Payment (GOP) on behalf of BUPA to the country's network providers.

Setting Up a Direct Billing Arrangement for Inpatient Treatment

To establish a direct billing arrangement for an upcoming inpatient treatment, follow these steps: 

1. **Verify Your Medical Provider**: Check if the medical provider (MP) you plan to visit is a Panel Provider (PP).   

• Visit www.bupaglobal.com/en/facilities/full-list.   
• Scroll down and select “Malaysia.”   
• Locate your provider in the list. 

Direct billing is only available through BUPA's designated Panel Providers (PP). You may need to use the Pay & Claim arrangement if your medical provider is not a PP.

If your hospital is a panel provider, present your BUPA membership card at admission and request that they secure a Guarantee of Payment (GOP) from IHP Malaysia. The participating medical provider will work with IHP Malaysia to obtain approvals.

Setting Up a Direct Billing Arrangement for Outpatient Treatment

For outpatient treatment, you must verify if your medical provider is a Panel Provider of BUPA. 

1. **Verify Your Medical Provider**: Check if the medical provider (MP) you plan to visit is a Panel Provider (PP).   

• Visit www.bupaglobal.com/en/facilities/full-list.   
• Scroll down and select “Malaysia.”   
• Locate your provider in the list.

If your provider is listed, contact them to confirm whether they will accept a GOP / Direct Billing arrangement from IHP Malaysia for your treatment. Some medical providers only allow direct billing for inpatient treatments and require payment for outpatient services upfront. If this is the case, you will need to pay for your treatment and later submit a claim, or you may choose to find another medical provider that will accept a GOP / Direct Billing setup for your required treatment. Related Article on Claims Submission

For the GOP / Direct Billing arrangement, present your BUPA membership number to the medical provider and request that they secure approval from IHP Malaysia. The participating medical provider will coordinate with IHP Malaysia to obtain approvals.

To ensure a faster approval process, members should schedule a medical appointment with the provider in advance (3-5 days, if possible). If you walk in without an appointment, please be aware that the expected waiting time for a cashless approval may take at least one hour.

This information is intended for BUPA members under the care of The Insurance Concierge only.

Related Articles 
Filing for reimbursement with BUPA Global
Setting up Direct Billing for Treatment not in Malaysia