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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:
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.