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EZ Hospital Income Insurance

Get Started

Please make sure you meet the following conditions:

  1. You are between {{productMinAge}} and {{productMaxAge}} years old at the time of application.
  2. You are a Malaysian, Permanent Resident, Work Permit/Employment Pass Holder, or otherwise legally employed in Malaysia.
For policy renewal:

You may renew until you are {{productMaxAge}} years old.

Please enter the details of Insured Person

* Complete the NRIC field. Please check NRIC number Main policyholder age must be between {{productMinAge}} and {{productMaxAge}}.
* Complete the country field.
* Complete the Passport No field.
* Complete the Passport No field.
* Complete the date field. Main policyholder age must be between 16 and 65.

Do you wish to insure together with your spouse?

Enjoy 10% discount by insuring together with your spouse under one policy.

* Please select your answer.

Please enter the details of your spouse to be insured

* Complete the NRIC field. Please check NRIC number Spouse age must be between {{productMinAge}} and {{productMaxAge}}.
* Complete the country field.
* Complete the Passport field.
* Complete the Passport field.
* Complete the date field. Spouse age must be between 16 and 65.
* Oops, looks like you haven't ticked the box yet. Please do so to proceed

Declaration

1. Are you or your spouse to be insured staying in Malaysia for less than 9 consecutive months in a year?

* Please select your answer.

2. Have you or your spouse to be insured, ever consulted any medical practitioner / specialist or have had surgery or been hospitalised for any injury, disease or chronic illnesses such as but not limited to anemia, diabetes, heart or circulation disorder, hepatitis, kidney disease or physical defects?

* Please select your answer.

3. Are you or your spouse to be insured, considering to seek consultation, treatment, investigation of any kind or pending surgery or procedure in the coming 12 months?

* Please select your answer.

4. Do you or your spouse to be insured have any Hospital Income or other similar insurance?

* Please select your answer.

Start Date

?
This is an annual coverage.
* Complete the Start Date. Policy start date must be within 60 days starting from today.

Policyholder

You

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Your Spouse

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Oops,please check you details.

You haven't select a plan yet for:
  • {{role.isMember ? "Spouse": "Principal Insured"}}
You haven't select a date yet for:
  • {{role.isMember ? "Spouse": "Principal Insured"}}
Ok, got it

Oops,please check you details.

You haven't select a plan yet for:
  • {{role.isMember ? "Spouse": "Principal Insured"}}
You haven't select a date yet for:
  • {{role.isMember ? "Spouse": "Principal Insured"}}
Ok, got it

Policyholder

You

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Your Spouse

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Your Personal Details

Nationality:

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* Complete the Country field.
* Complete the Name as per {{isIdNric ? "NRIC" : "Passport"}} field. * Please enter only alphabet, "-", "@", "/" and " ' " for Name Member name cannot be greater than 70 characters.
* Complete the Email field. * Please enter a valid email address.
* Complete the Mobile field. * Please check mobile number.

Gender:

* Complete the Gender field.
* Complete the Address field.
* Complete the Postcode field. * Please enter a valid Postcode.

Oops,please check you details.

You haven't enter your name yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your email yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your mobile no. yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't select your gender yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your address line 1 yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your postcode yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
Ok, got it

Oops,please check you details.

You haven't enter your name yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your email yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your mobile no. yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't select your gender yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your address line 1 yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
You haven't enter your postcode yet for:
  • {{"Principal Insured"}}
  • {{"Spouse"}}
Ok, got it

Your Personal Details

Full Name (As per {{step4PassportOrNric}}):

{{ formData['4'].policyHolderName }}

{{step4PassportOrNric}} No.:

{{ formData['1'].policyHolderNric }}

Email:

{{ formData['4'].policyHolderEmail }}

Mobile No.:

{{ formData['4'].policyHolderMobileNo }}

Date Of Birth.:

{{ formData['1'].displayDateOfBirth }}

Gender:

{{ formData['3'].policyHolderGender == 'M' ? 'Male' : 'Female' }}

Address:

{{ fullAddress }}

Postcode:

{{ formData['4'].addressPostcode }}

Country:

Malaysia

Country (As per Passport):

{{ findCountryByCode(formData['4'].policyHolderCountry).name }}

Your Spouse's Personal Details

Full Name (As per {{rolesPlan.rolePolicyHolderIdType == 'nric' ? "NRIC" : "Passport"}}):

{{ rolesPlan.rolePolicyHolderName }}

{{rolesPlan.rolePolicyHolderIdType == 'nric' ? "NRIC" : "Passport"}} No.:

{{ rolesPlan.rolePolicyHolderNric }}

Email:

{{ rolesPlan.roleEmail }}

Mobile No.:

{{ rolesPlan.roleMobileNo }}

Date Of Birth.:

{{ rolesPlan.rolePolicyHolderDateOfBirth }}

Gender:

{{ rolesPlan.rolePolicyHolderGender == 'M' ? 'Male' : 'Female' }}

Address:

{{ spouseFullAddress }}

Postcode:

{{ rolesPlan.roleAddressPostcode }}

Country {{rolesPlan.rolePolicyHolderIdType == 'nric' ? "" : "(As per Passport)"}}:

{{ rolesPlan.rolePolicyHolderIdType == 'nric' ? 'Malaysia' : findCountryByCode(rolesPlan.rolePolicyHolderCountry).name }}

* Invalid promo code. * The promo code has already been redeemed. * The promo code is already expired. * Minimum subtotal must be more than RM100.
* Oops, looks like you haven't ticked the box yet. Please do so to proceed.
* Oops, looks like you haven't ticked the box yet. Please do so to proceed
* Oops, looks like you haven't ticked the box yet. Please do so to proceed.
* Oops, looks like you haven't ticked the box yet. Please do so to proceed

Payment

Kindly note that Boost e-Wallet payment is currently unavailable until further notice.

Apologies for any inconvenience caused.

Payment Method:

Bank:

* Please select a valid bank.

Note: You need to have an active internet banking account with any of the FPX performing banks to use FPX.

Email Address: (For transaction status)

* Complete the Email field. * Please enter a valid email address.

Credit / Debit Card:

* Please select a Credit/Debit Card provider.

Select Your Preferred E-Wallet:

* Please select an e-Wallet Provider.

By clicking "Pay Now" button, you agree to FPX's Terms & Conditions.

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Sorry, we are unable to proceed with your application online.

Please download and fill out the application form here and submit it to us here.

Error Code: TI{{TIEErrorCode}}

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If you have any enquiries, you may contact our Customer Service Hotline at:

{{supportTel}}

enquiry_form

Or contact us through our

Online Enquiry Form

hour

Operating Hours

Monday - Friday

9.00am - 5.00pm (excluding public holidays)

Monday - Friday

9.00am - 6.00pm (excluding public holidays)

Monday - Friday

9.00am - 6.15pm (excluding public holidays)

Monday - Friday

8.30am - 5.00pm (excluding public holidays)

Monday - Friday

8.30am - 5.30pm (excluding public holidays)