Utilising / Claiming of Cashless Employee Healthcare Benefits as a HealthMetrics Member

HealthMetrics - Employee Benefits Made Easy and Convenient!

As a HealthMetrics covered member - utilising or claiming of your employee healthcare benefits is simple and straightforward across our panel healthcare providers (where applicable in your employer's employee benefit programme). 

In the event that you get sick or require medical attention, the steps below are all you need to know when it comes to making a cashless claim through HealthMetrics' Panel Network.

Do take note that the type of cashless claims you can make depends on the benefit programme that your employer provides and is not determined by HealthMetrics. If you are unsure - please check your HealthMetrics app or reach out to your HR for more questions on your employee benefit programme.

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Regular Outpatient Visits (GPs, Dental & Optical Claims)

1. Walk into your nearest panel healthcare provider by locating through your HealthMetrics App.
2. Indicate to the panel healthcare provider that you are "Covered under HealthMetrics".
3. The panel healthcare provider will verify your profile and confirm eligibility on coverage and terms.
4. In the event of an uncovered treatment or exceeding of your benefit limit, you may be asked to pay for the excess / uncovered amount.

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Outpatient Specialist Visits (Outpatient Specialist Claims / Health Screening Claims)

Walk-In Basis

1. Walk into your nearest panel healthcare provider by locating through your HealthMetrics App.
2. Indicate to the panel healthcare provider that you are "Covered under HealthMetrics".
3. The panel healthcare provider will verify your profile and apply for a Guarantee Letter (GL) / Letter of Guarantee (LoG) for your claim. Once approved - you will be treated.
4. In the event of an uncovered treatment or exceeding of your benefit limit, you may be asked to pay for the excess / uncovered amount.

Pre-Applied Guarantee Letter Basis (Only applicable for outpatient specialist claims)

1. Apply a Guarantee Letter (GL) / Letter of Guarantee (LoG) for your visit through the HealthMetrics App and await for approval.
2. Once approved, head to the healthcare provider for your treatment. Appointments may be necessary.
3. Indicate to the panel healthcare provider that you are "Covered under HealthMetrics".
4. The panel healthcare provider will verify your profile and indicate the next steps of your visit.
5. In the event of an uncovered treatment or exceeding of your benefit limit, you may be asked to pay for the excess / uncovered amount.

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Inpatient Admissions (Hospitalisation / Inpatient / Maternity Claims)

1. Walk into your nearest panel healthcare provider by locating through your HealthMetrics App.
2. Indicate to the panel healthcare provider that you are "Covered under HealthMetrics" in the event of an admission
3. The panel healthcare provider will verify your profile and apply for a Guarantee Letter (GL) / Letter of Guarantee (LoG) for your claim. Once approved - you will be treated accordingly
4. In the event of an uncovered treatment or exceeding of your benefit limit, you may be asked to pay for the excess / uncovered amount.

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Common Issues

• I cannot find the healthcare provider of my choice in the HealthMetrics app.
  Although we do have 6000+ over healthcare providers, we may not have all clinics in Malaysia as a panel healthcare provider. Thus cashless service may not be applicable at the healthcare provider. 
• The healthcare provider indicated that my profile cannot be found.
  If you have your HealthMetrics app logged in and available
• I'm asked to pay for my visit.
• I don't have an appointment made yet.
  Do not register a second time or create a new account. Contact HealthMetrics support so we can support you accordingly.  
• The panel healthcare provider indicate that they are not a panel healthcare provider.
  Your claim history, dependants, and past activity all move across to the new app when you register. You do not need to keep the old app open.

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Need help?

Call [phone] (24 hours), use the Online Chat on the right of this page, or email [e-mail].