How to Use Insurance or EPF for Knee Surgery in Malaysia

Knee surgery — whether it’s a knee replacement, ACL reconstruction, or meniscus repair — can be costly. Thankfully, Malaysians can ease their financial burden using medical insurance or the EPF Account 2 Health Withdrawal Scheme.

Here’s a simple guide on how to use both options effectively.

Table of Contents

1. Using Medical Insurance for Knee Surgery

If you’re covered by a medical insurance policy, your insurer may pay part or all of your surgery cost — depending on your coverage and policy terms.

✅ Steps to Use Insurance:

  1. Review Your Policy
    Confirm your plan covers orthopaedic or knee surgeries, and check your annual limit, deductible, and exclusions.

  2. Get a Medical Report
    Your orthopaedic specialist (such as Dr Sashi Darshan) will provide a report stating your diagnosis and the need for surgery.

  3. Submit for Pre-Authorisation
    The hospital can help you send your documents to the insurer for cashless admission approval.

  4. Proceed with Surgery
    Once approved, the insurer pays the hospital directly (cashless) or reimburses you later if you’ve paid upfront.

2. Using EPF Account 2 for Knee Surgery

If you don’t have insurance, you can apply to withdraw funds from EPF Account 2 under the Health Withdrawal Scheme for yourself or your dependents.

✅ Eligibility:

  • Malaysian citizen or permanent resident
  • Surgery is medically certified as necessary
  • Performed at an EPF-approved hospital

📝 Steps to Apply:

  1. Get Medical Certification
    Your doctor must confirm that knee surgery is required.

  2. Prepare Documents:

  • EPF Form 9D (AHL)
  • Copy of NRIC
  • Hospital quotation or invoice
  • Medical report
  • Admission or appointment letter (if applicable)
  1. Submit Application
    Submit all documents to any EPF branch or through i-Akaun.
    Processing usually takes 2–4 weeks.

  2. Payment
    Once approved, EPF will pay the hospital directly or reimburse you.

⚖️ Insurance vs EPF: Which Is Better?

CriteriaMedical InsuranceEPF Account 2
Payment TypeCashless or reimbursementDirect to hospital / reimbursement
Approval TimeA few days2–4 weeks
EligibilityBased on policyMalaysian EPF member
Coverage LimitAs per your policyAmount in Account 2
Best ForActive insurance holdersUninsured or additional support

🏥 Knee Surgery with Dr Sashi Darshan

If you’re considering knee replacement or knee ligament surgery, consult Dr Sashi Darshan, Orthopaedic Specialist.
Our clinic can assist you with:

  • Estimating your knee surgery cost
  • Preparing insurance documentation
  • Submitting EPF withdrawal forms

👉 Learn more about knee replacement surgery cost in Malaysia.

🔑 Key Takeaway

Both insurance and EPF can help you manage knee surgery expenses in Malaysia.

  • Use insurance for faster, cashless coverage.
  • Use EPF if you don’t have insurance or need additional funds.

Always confirm your eligibility and documentation with your hospital billing department before your surgery.

epf withdrawal
KPJ insurance panel

FAQ

Can I use EPF for knee surgery in Malaysia?

Yes. Malaysian EPF members can withdraw savings from Account 2 under the Health Withdrawal Scheme for approved medical treatments such as knee surgery. The surgery must be certified by a registered doctor and performed at an EPF-approved hospital.

Most medical insurance policies in Malaysia cover knee replacement and other orthopaedic surgeries, depending on your plan’s terms and conditions. Patients can also enjoy cashless admission at panel hospitals once pre-authorisation is approved.

To apply, prepare the following:

  • EPF Form 9D (AHL)
  • Medical report from your specialist
  • Hospital quotation or invoice
  • Copy of NRIC
    Submit these to any EPF branch or via i-Akaun. Approval usually takes 2–4 weeks, and EPF will pay the hospital directly or reimburse you.

If you already have medical insurance, it’s usually the best first option since it offers cashless admission and faster processing.
EPF withdrawal is ideal if you don’t have insurance or need additional support to cover remaining medical costs.

You can contact Dr Sashi Darshan, Orthopaedic Specialist.
Our team assists patients with:

  • Preparing medical reports
  • Submitting insurance pre-authorisation
  • Handling EPF withdrawal documentation

We’ll help make the entire process smooth and stress-free.

Book Appointment

If you’re experiencing knee pain, or your doctor has recommended knee surgery, don’t wait until the pain affects your daily life.
Our team at Orthopedic Specialist Malaysia, led by Dr Sashi Darshan, is here to guide you through every step — from diagnosis to treatment, insurance claims, and EPF withdrawal assistance.

📍 Clinic: SD Clinic, KAJANG, Selangor
📞 Call / WhatsApp: +6013 4485856
💻 Book Online: https://orthopedicspecialist.com.my/book-appointment/

Let’s help you move better and live pain-free again.
Consult Dr Sashi Darshan today — your trusted orthopaedic specialist in Malaysia.

enquiry@orthopedicspecialist.com.my

+603-8769 9524

+6013 4485856

Suite 35, 6th Floor, KPJ Kajang Specialist Hospital, Jalan Cheras, Kampung Sungai Kuantan, 43000 Kajang, Selangor