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The rule in writing
“MM2H lists health insurance as a required document, and MOTAC’s published guide states the acceptance test in writing: cover “must be from any Malaysian or foreign insurance provider with worldwide coverage”. A policy issued outside Malaysia is therefore accepted on the government’s own wording rather than on an insurer’s assurance. The insurance document sits at the immigration pass stage — the programme’s application checklist at the MOTAC intake stage carries no insurance line. Note an unresolved conflict at exactly age 60: the guide applies the requirement to applicants “aged 60 and below”, while the application guidelines booklet states “exempt for age 60 and above”. Treat under-60 as settled and the exact-60 case as open.”
Official source: MOTAC — Guide: Malaysia My Second Home (linked from mm2h.gov.my/apply/references), with the MM2H Application Guidelines Booklet — Last verified:
The rule in writing
“Malaysia’s public system charges foreigners under the Ministry of Health’s published foreigner service rates (Fees Act 1951 fee orders): outpatient RM40, specialist RM120 and emergency RM100 per visit, with inpatient ward and procedure charges on top — so an uninsured long-stay resident pays the full foreigner schedule out of pocket.”
Official source: Ministry of Health Malaysia — Caj Bagi Warga Asing (foreigner service rates) — Last verified:
What PVIP actually gives you
The Immigration Department describes PVIP as a long-term residency visa letting investors, entrepreneurs and foreign talents live and work or study in Malaysia for up to 20 years. The benefit list is unusually permissive for the region:
- No age limits
- Approval for up to 20 years with multiple entry visa facilities
- Exemption from the minimum staying requirement
- Permission to work and run legal businesses
- Permission to study
- Permission to buy residential, commercial or industrial property
- Active investment in permitted fields
- Accompanying spouses, children, parents and foreign domestic helpers
Dependants can also be taken at 10 years instead of 20, for a participation fee of RM50,000 — half the standard RM100,000.
Source: Immigration Department of Malaysia — PVIP General FAQ, read 1 October 2026
The money
Four requirements, and the first has an alternative most summaries drop:
- Onshore and offshore income of RM40,000 per month, or RM480,000 annually — or a total net worth of at least RM1 billion as an alternative to proving cash-based financial capacity
- A fixed deposit account of RM1,000,000 with a licensed bank in Malaysia
- Participation fees of RM200,000 for the principal and RM100,000 per dependant
- Application through an authorised agency appointed by the Immigration Department
The participation fee is split rather than paid in one go. RM2,000 is the initial fee at online registration, with the RM198,000 balance following. On top of that sits a pass fee of RM2,000 per year, and the visa itself at existing rates by country.
The fixed deposit, and the one withdrawal allowed
The RM1,000,000 is not a fee and not a payment — it is a balance you hold, and the FAQ is explicit that no withdrawals are allowed on the principal.
There is one exception, and it is a revealing one. After six months from the date of the first PVIP endorsement, you may withdraw 50% of the fixed deposit — but only for the purchase of real estate, medical and educational purposes, and only with a letter of recommendation from the Immigration Department.
Read that from the other direction. The programme anticipates that a participant may need to break into locked capital to pay for medical care, and builds a permission for it. A half-million-ringgit withdrawal, gated behind a government recommendation letter, is a slow and expensive way to settle a hospital bill — which is precisely the gap an insurance policy exists to fill.
You cannot apply directly
One line in the requirements changes the whole process: all applications must be made through an authorised agency appointed by the Immigration Department of Malaysia. There is no direct route.
The FAQ also sets out what an agency has to be, which is useful for checking that whoever approaches you is real. The company must be a sendirian berhad incorporated with the Companies Commission of Malaysia under the Companies Act 2016, hold paid-up capital of at least RM1,000,000, be at least 51% locally owned with no more than 49% foreign ownership, and have a business purpose related to PVIP consultancy.
The Department publishes its own list of authorised agencies. Match any firm against that list before sending documents or money.
Insurance: PVIP and MM2H part company here
Malaysia runs two long-stay programmes and they do not take the same position on cover.
MM2H does require it. The published MOTAC guide states the test in writing: health insurance applies to applicants “aged 60 and below”, and the cover “must be from any Malaysian or foreign insurance provider with worldwide coverage”. A foreign policy is accepted on the government's own wording. One caveat stays open — the guide applies the requirement to applicants aged 60 and below, while the application guidelines booklet states it is exempt for age 60 and above, so the position at exactly 60 is unsettled.
PVIP does not. The official FAQ sets out benefits, financial requirements, the deposit rules, the fee schedule and the agency criteria, and no health insurance document appears anywhere in it.
If you are choosing between the two, note the asymmetry runs opposite to the money: the cheaper programme is the one that asks for cover, and the far more expensive one does not.
A practical note on the MM2H wording for anyone holding an international policy: worldwide coverage is the stated condition. The cover we arrange is worldwide — the United States is the one exception. Check how your certificate words the area of cover before it is submitted.
What cover is for when nobody demands it
PVIP grants residence, not access to subsidised care. Malaysia charges foreigners under the Ministry of Health's published foreigner service rates: RM40 outpatient, RM120 specialist and RM100 emergency per visit, with inpatient ward and procedure charges on top.
Those consultation figures are modest, and they are also the part nobody worries about. The exposure is the admission behind them — the ward nights, the imaging, the theatre time — and that is charged at the foreigner schedule too, out of pocket, for a resident with no insurance.
Which brings the fixed deposit back into view. The programme will let you take half of it for medical purposes with a Department letter. A policy is the version of that which does not require you to liquidate capital, wait for a recommendation, or make the decision while someone is already in a hospital bed.
Honest limits: Cover is worldwide but excludes treatment in the United States. Pre-existing conditions are excluded, including conditions you did not know about. We disclose this before you request a quote. Consulates keep discretion, and requirements can change. We show the published rule and its source; the final decision is the consulate’s.