claims payout

Prudential's Claims Payout 2025

January - December 2025
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In bringing you financial peace of mind. Our reason is you.

At Prudential, your peace of mind is our priority, reflecting our unwavering commitment to be there when it matters most. Because true wealth is knowing support is there when you need it most.

In 2025, we paid RM2.88 billion in claims for medical needs, personal accidents, and life’s most unexpected moments.

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claims payout

Amount Paid by Claim Type

Medical claims still lead in payouts, with heart disease and cancer ranking as the leading cause of claims across all categories.

Medical Claims Payout

Overview:

  1. Heart Disease, Breast Cancer, Cataract, Pneumonia and Gastritis remain the top 5 diagnoses for medical claims.
  2. Heart Diseases have surged by 79% in the last 5 years, making it the leading cause of hospitalisation.
  3. Pneumonia cases have doubled in the past 5 years and treatment cost per case have edged up by 20%.

Critical Illness
Claims Payout

Overview:

  1. Top 5 diagnoses were Cancer, Heart Disease, Stroke, Kidney Disease and Brain Disease/ Injury.

  2. Critical Illness is appearing at an earlier age. 15% of critical illness claims were paid to those aged 40 and below.
  3. Heart disease and stroke are more prevalent among men, accounting for 89% and 64% of related claims respectively.

Death Claims Payout

Overview:

  1. Top 5 causes for death claims were Cancer, Heart Disease, Accidents, Pneumonia and Infectious Diseases.
  2. Non-communicable diseases (NCDs) have become the leading cause of death and disease burden in Malaysia1.
  3. Cancer and Heart Disease are the leading causes of death claims payouts, at 30% and 21% respectively.

Source:
1Health White Paper, 2024, Ministry of Health, Malaysia

We Care for You Every Step of the Way

Whether you're making your first doctor visit or seeing a specialist, we’re here to help you get the right care, at the right place, and at the right time.

Care Concierge

  • First in the market to assist you in finding and booking specialist appointments with ease.

 

Case Management Service

  • Receive personalised end-to-end medical support and guidance for serious medical conditions.

 

PRUPanel Plus

  • Get more value and care with PRUPanel Plus, our network of trusted healthcare partners.

 

Day Surgery

  • Get coverage for the surgical care you need without requiring an overnight stay.

 

Advanced Treatment

  • Get coverage and access to precise, less invasive procedures that support faster, more effective diagnosis and treatment.

Do you have enough coverage to ensure financial resilience and peace of mind? Speak to Prudential Wealth Planner today.