ProtectHealth Corporation

What ProtectHealth Corporation does

ProtectHealth Corporation Sdn. Bhd. is a not-for-profit, wholly-owned subsidiary of ProtectHealth Malaysia, incorporated on 19 December 2016 and operating under the mandate of the Ministry of Health Malaysia (MOH). Headquartered in Cyberjaya, Selangor with a headcount of 51-100 employees, the company serves as the central administrator of multiple Malaysian healthcare financing programmes, coordinating payments and service delivery between MOH and a nationwide network of private healthcare providers. Its programme portfolio includes PeKa B40 (free health screening, medical equipment assistance up to RM 20,000 per beneficiary, cancer treatment incentives, and transportation allowances for the B40 low-income group), Skim Perubatan MADANI (acute primary care for STR recipients across 10 designated districts), the Hospital Services Outsourcing Programme (HSOP), SPIKPA (foreign worker health insurance/takaful administration), and the prior coordination of Private Medical Practitioners in the National COVID-19 Immunisation Programme (over 35 million vaccine doses administered under its coordination).

The technology foundation is a set of digital portals and integration points rather than a unified commercial product suite. Key platforms include the Hospital Services Outsourcing System (HSOS) for managing patient referrals from MOH hospitals to private panel providers; the PeKa B40 Business Management System (BMS) provider portal for clinic registration, lab result uploads, and payment processing; integration with MOH-specified COVID-19 vaccination systems (MYVAS, VMS, VCS); separate eligibility and registration portals for Skim Perubatan MADANI; and a new Diagnosis Related Group (DRG) project. All systems are mandated and integrated with MOH's digital health infrastructure, with certified data flows into over 10 registered pathology laboratories (Pathlab, Premier Integrated Labs, Clinipath, Innoquest, Eurofins MediSCAN, BSM Premier Pathology, Lablink, and others). The company is ISO 22301 Business Continuity Management System (BCMS) certified as of March 2026.

The business model is administrative rather than commercial. ProtectHealth receives government budget allocations and disburses payments to registered private providers for services rendered under MOH-mandated programmes: RM 40 and RM 20 per PeKa B40 GP consultation (first and second visit), RM 19 per COVID-19 vaccine dose, payments for HSOP-referred specialist procedures, and equipment procurement up to RM 20,000 per eligible B40 beneficiary. Beneficiaries (STR recipients, B40 group, MOH hospital patients) pay nothing at point of service. Go-to-market is three-party: MOH mandate and funding → ProtectHealth administration → private provider delivery, with SMS invitations sent directly to eligible beneficiaries and GP recruitment executed via the Malaysian Medical Association (MMA) and online provider portals. The company also describes itself as the first in Malaysia to successfully purchase healthcare services from both public and private sectors simultaneously.

Name

ProtectHealth Corporation

Legal name

ProtectHealth Corporation Sdn. Bhd.

Website

https://protecthealth.com.my

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

51–100 employees

Short description

ProtectHealth Corporation is a not-for-profit, MOH-mandated healthcare scheme administrator that coordinates PeKa B40 screening, Skim Perubatan MADANI primary care, HSOP hospital outsourcing, and SPIKPA foreign-worker insurance between Malaysia's Ministry of Health and a nationwide network of private healthcare providers and beneficiaries.

Ownership category

akta.pro rank

Product category

Public Healthcare Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Public Health Policy, Planning & Governance (BPAIAJAB)

akta.pro secondary industry

Health Systems Strengthening & Primary Care Development (HLAJAKAJ)

Keywords

• Healthcare scheme administration
• Public healthcare financing
• Government health programs
• Medical practitioner registration
• Patient referral outsourcing

Headquarters

HQ city

Selangor

HQ country

Malaysia

HQ region

Asia

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare Scheme Administration (Not-for-Profit): ProtectHealth Corporation Sdn. Bhd. is a not-for-profit company incorporated on 19 December 2016 as a wholly-owned subsidiary of ProtectHealth Malaysia, established under the Ministry of Health Malaysia (MOH). It coordinates, administers, and manages initiatives related to financing healthcare services as mandated by MOH. Revenue is generated through government allocations and programme fees — not commercial profit. The company acts as an intermediary between MOH and private healthcare providers, disbursing payments to panel providers for services rendered under programmes such as HSOP, PeKa B40, Skim Perubatan MADANI, and SPIKPA.
2. PeKa B40 - GP Consultation Fees Reimbursement: Payments are made by ProtectHealth to registered GP clinics for health screening services: RM 40 for the first visit and RM 20 for the second visit. Payment cycles occur twice per month. Fees are governed by Schedule 7 of the Private Healthcare Facilities and Services (Private Medical Clinics or Private Dental Clinics) Regulations 2006 under Act 586. No charge is levied on beneficiaries for the screening package.
3. COVID-19 Vaccination Administration Fee: ProtectHealth pays registered private clinics and hospitals RM19 per dose of COVID-19 vaccine administered under the National COVID-19 Immunisation Programme. Payment is made directly to the bank account provided during registration.
4. Medical Equipment Assistance (In-Kind): PeKa B40 Benefit 2 provides medical equipment (e.g., stents, prosthetic joints, hearing aids, pacemakers) worth up to RM20,000. These are provided in-kind through KKM hospitals — not as cash. The procurement of items such as cardiac pacemakers and breathing machines/oxygen concentrators is managed via tender processes.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

ProtectHealth Corporation Sdn. Bhd. is a not-for-profit healthcare scheme administrator that coordinates, administers, and manages government-funded healthcare financing initiatives mandated by the Ministry of Health Malaysia (MOH). It operates the Hospital Services Outsourcing Programme (HSOP), Skim Perubatan MADANI, PeKa B40, and serves as the electronic service provider for SPIKPA, connecting public and private healthcare providers through digital platforms.

Product overview

ProtectHealth Corporation is a not-for-profit healthcare scheme administrator under Malaysia's Ministry of Health that manages multiple public healthcare programs. The portfolio consists of four core initiatives: (1) Hospital Services Outsourcing Programme (HSOP) - coordinating patient referrals from public to private hospitals for 14 service categories including cardiology, radiology, nephrology, and cardiothoracic surgery; (2) PeKa B40 - providing free health screening, medical equipment assistance (up to RM20,000), cancer treatment incentives, and transport allowances for B40 Malaysians; (3) Skim Perubatan MADANI - offering acute primary care services for B40 recipients at registered private clinics across 10 designated districts; and (4) SPIKPA - serving as electronic service provider for foreign worker health insurance/takaful. Additionally, ProtectHealth previously administered private practitioner participation in the National COVID-19 Immunisation Programme. The organization connects government health facilities with private healthcare providers through digital platforms including the Hospital Services Outsourcing System (HSOS) for patient referrals.

Differentiator

Problem solved

Functional benefit

Brands

• PeKa B40: Skim Peduli Kesihatan untuk Kumpulan B40 - A government healthcare initiative by the Ministry of Health for Malaysia's low-income (B40) group, focusing on non-communicable diseases (NCDs) screening, medical equipment assistance, cancer treatment incentives, and transportation allowances.
• Skim Perubatan MADANI
• Hospital Services Outsourcing Programme (HSOP)
• SPIKPA

Products and services

• Hospital Services Outsourcing Programme (HSOP) A Ministry of Health initiative that outsources specific medical services from public MOH hospitals to selected private healthcare facilities and university teaching hospitals, reducing patient congestion and waiting times while improving healthcare accessibility. Services include cardiology, radiology, nephrology, radiotherapy, general surgery, ophthalmology, urology, nuclear medicine, and more.
• PeKa B40 (Skim Peduli Kesihatan untuk Kumpulan B40) Government healthcare initiative providing free non-communicable disease (NCD) health screening, medical equipment assistance up to RM20,000, cancer treatment completion incentives, and transportation allowances for low-income (B40) Malaysians aged 40 and above who are recipients of Sumbangan Tunai Rahmah (STR). Services are delivered through a nationwide network of registered private GP clinics.
• Skim Perubatan MADANI Government initiative providing Acute Primary Care Services for B40 group STR recipients, available in 10 designated districts (Wilayah Persekutuan Kuala Lumpur, Gombak, Hulu Langat, Petaling, Klang, Johor Bahru, Kinta, Timur Laut, Kota Kinabalu, and Kuching), allowing eligible beneficiaries to receive treatment at registered private clinics.
• SPIKPA (Skim Perlindungan Insurans Kesihatan Pekerja Asing) Health insurance/takaful scheme for foreign workers in Malaysia, with ProtectHealth serving as electronic service provider (ESP), involving multiple insurance companies, takaful operators, and three Third Party Claims Administrators.
• Private Medical Practitioners COVID-19 Immunisation Programme Programme coordinating private medical practitioner participation in Malaysia's National COVID-19 Immunisation Programme, managing vaccination delivery at private clinics, hospitals, healthcare NGOs, and designated PPVs (Pusat Pemberian Vaksin) using MOH-specified vaccination verification systems (MYVAS, VMS, VCS).

Quantifiable outcome

• Over 35 million COVID-19 vaccine doses administered by Private Medical Practitioners under ProtectHealth coordination
• +3 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature3 records

Partnerships

Ten partnerships are on record, tiered minor and core.

• Hospital Shah AlamminorStrategic or Co-development Partner · 18 March 2026ProtectHealth partnered with Hospital Shah Alam staff to strengthen PeKa B40 health screening promotion through the Ziarah MADANI programme. Hospital staff participated in outreach activities to promote health screening services among eligible beneficiaries.
• Ministry of Health Malaysia (MOH)coreStrategic or Co-development PartnerProtectHealth is a wholly-owned subsidiary of ProtectHealth Malaysia, established under and mandated by the Ministry of Health Malaysia (MOH). All healthcare financing programmes (PeKa B40, Skim Perubatan MADANI, HSOP, SPIKPA, COVID-19 immunisation) are administered as mandated by MOH. MOH provides budget allocations and policy direction while ProtectHealth handles operational coordination and administration.
• ANMS (Agensi Natsional MalaysiaSatu?)coreStrategic or Co-development PartnerANMS is listed as a strategic partner of ProtectHealth Corporation, shown as a logo on the corporate website's strategic partners section.
• Malaysia-MadanicoreStrategic or Co-development PartnerMalaysia-Madani is listed as a strategic partner of ProtectHealth Corporation, shown as a logo on the corporate website's strategic partners section.
• Registered Pathology Laboratories (Pathlab, Premier Integrated Labs, BP Clinical Lab, Clinipath, Innoquest/Quantum, Gribbles, Gnosis Laboratories, Eurofins MediSCAN, BSM Premier Pathology, Lablink)coreTechnology or IntegrationPeKa B40 health screenings involve registered pathology laboratories that process beneficiary blood and urine specimens at no cost. Labs supply consumables, collect specimens from clinics, upload results to the database, and bill ProtectHealth directly — no financial transaction between clinics and labs. Labs include: Pathology & Clinical Laboratory (Pathlab), Premier Integrated Labs, BP Clinical Lab, Clinipath, Innoquest Diagnostic/Quantum, Innoquest Pathology/Gribbles, Gnosis Laboratories, Eurofins MediSCAN, BSM Premier Pathology, and Lablink.
• Insurance Companies & Takaful Operators (SPIKPA)coreStrategic or Co-development PartnerSPIKPA (Skim Perlindungan Insurans Kesihatan Pekerja Asing) involves multiple insurance companies and takaful operators as partners, alongside 3 Third Party Claims Administrators, providing health insurance coverage for foreign workers in Malaysia.
• Healthcare Organisers (HCOs)coreChannel Partner/ Reseller/ DistributorHCOs (Healthcare Organisers) are registered organisations under the Registration of Businesses Act 1956 that coordinate COVID-19 vaccination at designated PPV sites. They must have a medical doctor as person-in-charge and adhere to ProtectHealth vaccination manuals and MOH systems (MYVAS, VMS, VCS).
• Registered Healthcare NGOscoreChannel Partner/ Reseller/ DistributorNGOs registered under the Societies Act 1966, with a medical doctor as person-in-charge, participate in the COVID-19 immunisation programme by providing vaccination services at facility or outside facility locations under ProtectHealth coordination.
• Malaysian Medical Association (MMA)coreGTM or Marketing PartnerProtectHealth partners with the Malaysian Medical Association (MMA) to recruit General Practitioners for PeKa B40 and Skim Perubatan MADANI programmes. The co-branded announcement shared with MMA members encouraged GP registration, demonstrating an effective GTM channel for expanding the provider network.
• Bahagian Perkembangan Perubatan (Medical Development Division), MOHcoreStrategic or Co-development PartnerThe Medical Development Division of MOH oversees the Hospital Services Outsourcing Programme (HSOP). ProtectHealth serves as the strategic partner implementing the outsourcing of MOH hospital patients to private healthcare facilities. Budget allocations are managed through this division.

Scale indicators10 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• MySalam: Malaysia's national health protection scheme for the B40 group, administered in partnership with a private insurer (Etiqa) under Bank Negara Malaysia — comparable in mission and beneficiary base to ProtectHealth's PeKa B40 and Skim Perubatan MADANI.
• MiCare: Malaysian healthcare benefits administrator and TPA managing insurance claims, provider networks, and corporate health benefits — comparable as a domestic TPA with similar provider-network administration responsibilities.
• MediExpress: Malaysian third-party medical claims administrator and healthcare network operator — comparable as a domestic TPA delivering healthcare benefit administration services for insurers and corporates.
• MedLink Global: Asia-Pacific healthcare network and TPA operating provider panels and benefits administration across multiple Southeast Asian markets — comparable in TPA function and provider-network orchestration.
• PERKESO (SOCSO): Malaysian Social Security Organization, a statutory body that administers social security and health-related schemes (Employment Injury Scheme, Health Screening Programme) on behalf of the government — directly comparable to ProtectHealth's role as a government-mandated healthcare scheme administrator.
• PMCare: Malaysian third-party administrator (TPA) providing corporate healthcare benefits administration, panel-provider management, and claims processing — directly comparable in TPA function, though operating in the private/employer-funded segment rather than government-mandated programmes.

Broad incumbents

• Bupa: Global health insurer and provider operating health insurance, clinics, and aged-care services — broader incumbent with overlapping capabilities in health financing and care coordination across multiple geographies.
• Cigna Healthcare: Global health insurer and benefits administrator with significant TPA capabilities across employer-sponsored and government programmes — a broader incumbent offering overlapping scheme-administration capabilities at global scale.
• Aetna International: International health insurance and benefits administrator (CVS Health group) with global TPA operations — comparable in administering complex health benefit schemes, though as a private insurer rather than a government-linked entity.

Others

• Sedgwick: Global claims administration and managed-care services provider — adjacent peer offering third-party administration, claims, and disability/health programme management that intersects with ProtectHealth's TPA-like role.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/protecthealthco
• Facebookfacebook.com/ProtectHealthCo
• LinkedInlinkedin.com/company/protecthealthco

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ProtectHealth Corporation