Skip to content

Malaysia · visa health insurance

Sarawak MM2H (S-MM2H), and the word that changes everything

By Covered Abroad Research Desk · Last verified 3 October 2026

Sarawak runs its own second-home programme, separate from federal MM2H and administered by the state. It opens at age 30, needs a RM500,000 fixed deposit in a Sarawak panel bank plus proof of income, and requires 30 days a year in the state. ⚠️ Its document list asks for “Local Medical Insurance” — wording a foreign policy does not obviously meet.

Visa-ready plans from $962 per adult, billed annually · see your exact price by age.

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:

It is not the federal programme with a Sarawak postcode

Sarawak controls its own immigration. That constitutional fact is why S-MM2H exists as a distinct programme with its own ministry, its own thresholds and its own paperwork — the Ministry of Tourism, Creative Industry and Performing Arts Sarawak, not MOTAC in Putrajaya.

The headline differences from federal MM2H:

  • Age 30 and above, against MM2H's floor of 25 but with none of MM2H's tier structure.
  • A sponsor is mandatory — someone who originated from and currently lives in Sarawak, or an S-MM2H licensed agent registered in the state.
  • A pass tied to Sarawak. It is not a Malaysia-wide residence programme.
  • A 30-day minimum annual stay in Sarawak, which the guide names as a condition for extension or renewal. Federal MM2H and PVIP handle presence differently.

If you have been reading MM2H guidance and planning for Kuching, almost none of it transfers.

Source: Ministry of Tourism, Creative Industry and Performing Arts Sarawak — S-MM2H Application Guide, read 1 October 2026

The money: a deposit AND an income test

Unlike federal MM2H, where the fixed deposit largely is the test, Sarawak stacks two requirements.

First, the fixed deposit. RM500,000 for the main applicant, and placement is mandatory in an S-MM2H panel local bank in Sarawak — not any Malaysian bank, and not a bank of your choosing.

And then one of three income proofs:

  • Pension funds — RM10,000 monthly for an individual, RM15,000 monthly with a dependant.
  • Offshore income, for applicants currently employed — the same RM10,000 and RM15,000 monthly figures.
  • Saving funds — a monthly closing balance of RM100,000 for an individual, RM200,000 with a dependant.

The deposit is not entirely locked. Participants may withdraw up to 50% after one year in the programme, and the guide sets a floor of RM250,000 that must remain in the S-MM2H account.

⚠️ The insurance line says LOCAL

This is the single most important difference for anyone holding an international policy, and it runs opposite to the federal position.

Federal MM2H's published MOTAC guide states that cover “must be from any Malaysian or foreign insurance provider with worldwide coverage”. A foreign policy is accepted on the government's own wording. The cover we arrange is worldwide — the United States is the one exception.

Sarawak's application guide lists, among the applicant's required documents:

“Certified copy of Local Medical Insurance Purchase” — “For applicants below 60 years old”.

The age gate matches. The acceptance test does not. Local medical insurance is not what an internationally issued policy is, on the plain meaning of the words, and the Sarawak FAQ published alongside the guide does not discuss insurance at all — so there is no second document softening it.

We are not going to tell you a foreign policy satisfies that line, because the document does not say so. If you are under 60 and applying for S-MM2H, confirm the acceptable form of cover with the Ministry or your licensed agent before you buy anything. An international policy may still be useful alongside a local one; it should not be assumed to replace it.

The medical report has to happen in Sarawak

A second practical trap sits next to the insurance line.

The required documents include an RBII Form and Medical Report from a hospital in Sarawak, certified and signed by the hospital Medical Officer on each page, and endorsed by a Government Health Clinic on each page.

You cannot complete that from home. The examination is done in the state, which means a trip to Sarawak is part of the application rather than something that follows approval. The guide also notes that a resubmission of a new medical report is a separate step if the first lapses.

Other document conditions worth knowing before you book anything:

  • Passport valid for a minimum of 24 months at the time of submission — longer than most programmes ask.
  • A Letter of Good Conduct from your origin country, original copy, with at least 12 months validity.
  • Six passport photographs on a blue background.

What you can and cannot do on the pass

S-MM2H is a residence programme, not a work permit, and the guide is specific about the boundary: participants are not eligible to work full time, and are only eligible to work part time in professional fields.

On property, the thresholds are divisional rather than national — RM600,000 in Kuching Division and RM500,000 in other divisions, subject to Land authority rules.

There is also a route the guide carves out that few programmes do: application under the condition of long-term medical treatment in Sarawak, supported by a detailed medical report from a certified practitioner and institution situated in the state, which the Ministry then refers to a government medical practitioner.

That provision is a reminder of what the programme assumes. Sarawak expects participants to use Sarawak's health system, which is also the most coherent reading of why its document list asks for local cover.

What it costs to be treated there

Whatever form your cover takes, the exposure underneath it is the same. 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.

Sarawak adds distance to that arithmetic. Interior districts sit a long way from a tertiary hospital, and a transfer from a district facility to Kuching or Kota Kinabalu is a medical transport question rather than a drive. That is worth reading alongside what evacuation cover does and does not include.

One honest note on sequencing, which applies to every programme here: a condition you already have when a policy begins is a pre-existing condition and is excluded. Whatever you arrange for S-MM2H, arranging it earlier is worth more than arranging it cheaper.

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.

Cover levels that meet the rule

Benefits are public, and so are the 2026 prices: your exact rate depends on age.

Rest-of-world rates — Indonesia and Malaysia. Essential matches Europe; the other plans price higher in this column.

Standard

From $1,510/yearabout $126/mo billed annuallyChildren 0–17: flat $1,137/yr

Adds everyday outpatient care — GP and specialist visits, prescriptions, and tests — to hospital cover.

  • US$1,000,000 overall plan limit per year
  • GP, specialist, medication & lab tests (US$750 each)
  • Outpatient surgical to US$25,000
  • Semi-private hospital room & board
  • Pre- & post-hospitalisation cover

New applicants up to age 70.

+ everything included — hover to expand

Scope: No dental or wellbeing benefits at this level.

Choose StandardSee your price by age →

Fully Comprehensive

From $2,541/yearabout $212/mo billed annuallyChildren 0–17: flat $1,919/yr

The highest level: full-cover room, uncapped surgeon fees, routine dental, and the largest limits.

  • US$2,000,000 overall plan limit per year
  • Full-cover private room & board
  • Full surgeon, professional & outpatient cover
  • Routine & major dental (after 6-month wait)
  • Wellbeing check-ups & vaccinations to US$500

New applicants up to age 70.

+ everything included — hover to expand

Choose Fully ComprehensiveSee your price by age →

See your exact price by age →

Budget options — limited cover

Essential Health

From $392/yearabout $33/mo billed annually

A budget plan for accident and emergency care in state hospitals only. Not full private health cover.

  • US$100,000 maximum plan limit per year
  • Unforeseen accident & emergency care only

Scope: State hospitals only, accident/emergency only. No outpatient, dental, or wellbeing cover. Not a substitute for full private health insurance on a visa application.

Choose Essential Health →

Major Medical

From $962/yearabout $80/mo billed annually

Hospital-focused cover: inpatient treatment, surgery, and emergencies, worldwide outside the US.

  • US$1,000,000 overall plan limit per year
  • Semi-private hospital room & board
  • Theatre, ICU, and emergency-room cover (full)

Scope: No outpatient, dental, or wellbeing benefits at this level.

Choose Major Medical →
  • Treatment is covered worldwide, excluding the United States.
  • Pre-existing conditions are excluded — including conditions you did not know about.
  • Evacuation & repatriation is an optional benefit that costs an additional premium.
  • Prices are Regency’s 2026 rates for the EU region: per person, per year, billed annually, starting at adult age 18 — your exact price depends on age. Children 0–17 pay a flat rate on every plan.
  • Plans run in 12-month terms and renew at the anniversary; the age limits shown apply to new applicants.

Common questions

Is Sarawak MM2H the same as MM2H?

No. S-MM2H is a separate programme administered by the Sarawak state government through its tourism ministry, with its own age floor of 30, its own financial tests, a mandatory Sarawak-based sponsor, and a pass tied to Sarawak rather than Malaysia as a whole.

How much money does Sarawak MM2H require?

A RM500,000 fixed deposit for the main applicant in an S-MM2H panel local bank in Sarawak, plus one income proof: pension or offshore income of RM10,000 monthly (RM15,000 with a dependant), or saving funds with a monthly closing balance of RM100,000 (RM200,000 with a dependant).

Does Sarawak MM2H accept foreign health insurance?

The application guide asks for a certified copy of Local Medical Insurance Purchase for applicants below 60, and the accompanying FAQ does not discuss insurance. That wording differs from federal MM2H, which accepts any Malaysian or foreign provider with worldwide coverage. Confirm the acceptable form with the Ministry before buying.

Can I withdraw the Sarawak MM2H fixed deposit?

Partially. Participants may withdraw up to 50% of the fixed deposit after one year in the programme, with RM250,000 required to remain in the S-MM2H fixed deposit account.

Do I have to live in Sarawak?

There is a 30-day minimum annual stay in Sarawak, which the guide names as a condition considered for extension or renewal of the visa. The medical report also has to be completed at a hospital in Sarawak as part of the application itself.

Can I work on S-MM2H?

Not full time. The guide states participants are not eligible to work full time and are only eligible to work part time in professional fields.

Get a certificate that meets the published rule

Tell us your destination, visa, and who’s moving. Our team reviews it against the current requirement and calls you with a quote — no obligation.

Cover underwritten by Regency Assurance · every rule on this site cited and dated · a person calls back within one business day.

Before you request a quote: cover is worldwide but excludes treatment in the United States, and pre-existing conditions are not covered — including conditions you did not know about. We say this up front so a quote is worth your time.

Keep reading