Admission Steps
Hospital Cashless Admission Process
At Gathercare, we are always finding simplified ways for our Community to have a seamless cashless hospital admission to avoid the long waiting time at hospitals. As part of our Community, you not only can recuperate without having to worry about the hassle of payment, our Community Crowd Sharing Mechanism will also assure your peace of mind during your stay.
Our Truly Cashless Admission Feature available in following two situations :
01. Contact Gathercare Admission Team
1. Call Gathercare at 1700-817-884 for Admission Enquiries and Support.
2. Gathercare Admission Team collects following information from patient to provide fit-in-situation advice and verification purposes:
- Patient Name
- Patient IC No.
- Email
- Preferred hospital for Admission
- Diagnosis/ Reason for Admission
- Estimate Treatment Cost (if any)
- Referral Letter from patient's Family Doctor/ Clinic
3. Gathercare Admission Team will follow up with our partner Professional Medical Auditor, e-Mas if patient request for Professional Second Opinion/ Medical Advice/ Panel Hospital and Specialist Recommendation within 48 Hours of Initial Call
2. Gathercare Admission Team collects following information from patient to provide fit-in-situation advice and verification purposes:
- Patient Name
- Patient IC No.
- Preferred hospital for Admission
- Diagnosis/ Reason for Admission
- Estimate Treatment Cost (if any)
- Referral Letter from patient's Family Doctor/ Clinic
3. Gathercare Admission Team will follow up with our partner Professional Medical Auditor, e-Mas if patient request for Professional Second Opinion/ Medical Advice/ Panel Hospital and Specialist Recommendation within 48 Hours of Initial Call
02. Patient visit Panel Hospital by e-Mas
1. Nationwide panel hospital, for more information please visit https://gathercare.com/doctor/
2. Patient MUST obtain Referral Letter from Family Doctor/ Clinic before the Hospital Admission in the case of Non-Emergency (Planned Admission), otherwise our Medical Partner, e-Mas may not provide Financial Guarantee and issue Initial Guarantee Letter (IGL). In such cases, patient will subject on Self-Pay during Admission Registration, and will require to pay a deposit which is usually 80% of the estimated hospitalization cost in advanced.
3. Patient Charter:
- Know your doctor
- Ask for second opinions
- Always ask your doctor if surgery can be avoided.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
2. Patient MUST obtain Referral Letter from Family Doctor/ Clinic before the Hospital Admission in the case of Non-Emergency (Planned Admission), otherwise our Medical Partner, e-Mas may not provide Financial Guarantee and issue Initial Guarantee Letter (IGL). In such cases, patient will subject on Self-Pay during Admission Registration, and will require to pay a deposit which is usually 80% of the estimated hospitalization cost in advanced.
3. Patient Charter:
- Know your doctor
- Ask for second opinions
- Always ask your doctor if surgery can be avoided.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
03. Admission Registration & Request of Initial Guarantee Letter (IGL)
1. Present your Identification Card (IC) or Birth certificate (if below 12 years old) together with Gathercare Medical Card at the Hospital Registration Counter
2. Hospital Admission Form (HAF) to be filled by hospital and treating doctor
3. Patient/ Patient's Guarantor to provide consent by signing HAF form
4. Hospital to contact our Medical Partner, e-Mas to verify patient eligibility and entitlement
5. Our Professional Medical Auditor Partner, e-Mas's Medical Review Team (MRT) will perform Diagnosis and Treatment Plan Verifications to ensure appropriate billing and prevent over-servicing while receiving quality medical care treatments.
6. e-Mas's Patient Administration Team (PAT) will pre-authorize and issue Initial Guarantee Letter (IGL) to Hospital after MRT's approval. Several factors that MRT will consider, includes:
- Gathercare Program Guidelines & Details
- Pateint Medical History
- Patient's Gender and Age
- Diagnosis and Type of Treatment
7. Our Medical Partner, e-Mas's Verification Process will take up to 2 hours subject to the number of patients waiting for admission and Hospital Response Time. If facing any delays, please contact Gathercare Admission Support Team at 1700-817-884
8. Patient Charter:
- Make sure to know the treatment plan prior to avoiding the consent.
- Hospital may request for Deposit as per Hospital Policy.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
2. Hospital Admission Form (HAF) to be filled by hospital and treating doctor
3. Patient/ Patient's Guarantor to provide consent by signing HAF form
4. Hospital to contact our Medical Partner, e-Mas to verify patient eligibility and entitlement
5. Our Professional Medical Auditor Partner, e-Mas's Medical Review Team (MRT) will perform Diagnosis and Treatment Plan Verifications to ensure appropriate billing and prevent over-servicing while receiving quality medical care treatments.
6. e-Mas's Patient Administration Team (PAT) will pre-authorize and issue Initial Guarantee Letter (IGL) to Hospital after MRT's approval. Several factors that MRT will consider, includes:
- Gathercare Program Guidelines & Details
- Pateint Medical History
- Patient's Gender and Age
- Diagnosis and Type of Treatment
7. Our Medical Partner, e-Mas's Verification Process will take up to 2 hours subject to the number of patients waiting for admission and Hospital Response Time. If facing any delays, please contact Gathercare Admission Support Team at 1700-817-884
8. Patient Charter:
- Make sure to know the treatment plan prior to avoiding the consent.
- Hospital may request for Deposit as per Hospital Policy.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
04. Patient Receives Treatments
1. With the IGL issued, patient can proceed for Admission and appropriate Treatments with their known and trusted Doctor
2. Gathercare Admission Team to follow up with patient to ensure a seamless experience throughout the Hospital Admission
3. Patient Charter:
- Patients shall have the right to determine the doctor of his/her choice and the right to accept or refuse the procedure, investigation or treatment that has been proposed.
- Patients have the right to a second medical opinion at any time.
- Patients shall be treated with care, consideration, respect and dignity without any discrimination.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
2. Gathercare Admission Team to follow up with patient to ensure a seamless experience throughout the Hospital Admission
3. Patient Charter:
- Patients shall have the right to determine the doctor of his/her choice and the right to accept or refuse the procedure, investigation or treatment that has been proposed.
- Patients have the right to a second medical opinion at any time.
- Patients shall be treated with care, consideration, respect and dignity without any discrimination.
For more information, please visit https://gathercare.com/knowledge-base-category/patient-charter/
05. Patient Discharge & Request of Final Guarantee Letter (FGL)
1. Patient has recovered and Doctor approved for Discharge.
2. Hospital prepares Itemized Bill, Medical Reports and All Relevant Documents send to our Professional Medical Auditor Partner, e-Mas for Verification Purpose and Request for Final Guarantee Letter (FGL).
3. After receiving Complete Discharge Documentation from Hospital, e-Mas will calculate the Excess Amount and ensure no double billing for unnecessary charges before issue the Excess Notice to Hospital.
4. Patient pays for Excess and ready to go back home
5. Our Medical Partner, e-Mas's Bill Review Process will take up to 1 hour subject to the Hospital Response Time. If facing any delays, please contact Gathercare Admission Support Team at 1700-817-884
2. Hospital prepares Itemized Bill, Medical Reports and All Relevant Documents send to our Professional Medical Auditor Partner, e-Mas for Verification Purpose and Request for Final Guarantee Letter (FGL).
3. After receiving Complete Discharge Documentation from Hospital, e-Mas will calculate the Excess Amount and ensure no double billing for unnecessary charges before issue the Excess Notice to Hospital.
4. Patient pays for Excess and ready to go back home
5. Our Medical Partner, e-Mas's Bill Review Process will take up to 1 hour subject to the Hospital Response Time. If facing any delays, please contact Gathercare Admission Support Team at 1700-817-884
06. Crowd Share
1. e-Mas issued Final Guarantee Letter (FGL) to Hospital within 3 Working Days and subject to the Response Time from Hospital and Case Complexity after patient Discharge.
2. Further Investigations (if any) will carry on by e-Mas's MRT and Gathercare Admission Team to ensure the Crowd Sharing is Equal, Fair and Transparent to all Gathercare's Community Members.
3. Gathercare Admission Team will prepare the documents to be processed and approved by our Legal-Appointed Trustee, Ong and Manecksha Advocates & Solicitors to utilize Gathercare Community's Risk-Sharing Trustee Fund (RSTF) for Crowd Sharing at every 24th of Calendar Month.
4. Gathercare includes and publishes the Admission Case at the Monthly Community Report.
2. Further Investigations (if any) will carry on by e-Mas's MRT and Gathercare Admission Team to ensure the Crowd Sharing is Equal, Fair and Transparent to all Gathercare's Community Members.
3. Gathercare Admission Team will prepare the documents to be processed and approved by our Legal-Appointed Trustee, Ong and Manecksha Advocates & Solicitors to utilize Gathercare Community's Risk-Sharing Trustee Fund (RSTF) for Crowd Sharing at every 24th of Calendar Month.
4. Gathercare includes and publishes the Admission Case at the Monthly Community Report.
01. Patient Directly Admit Hospital Emergency Department
1. For Emergency & Accident conditions, Patient is urged to admit hospital at near and to receive necessary treatments.
2. If Patient requires emergency aids, please dial 999 for ambulance service and aids supports
3. Refers the following link for Private Ground Ambulance Services: https://gathercare.com/doctor/
2. If Patient requires emergency aids, please dial 999 for ambulance service and aids supports
3. Refers the following link for Private Ground Ambulance Services: https://gathercare.com/doctor/
02. Contact Gathercare Admission Team
1. Patient/ Patient's Spouse to contact Gathercare Admission Team at 1700-817-884 if the situation is under control to receives Full Admission Support from Gathercare and its Medical Partner, e-Mas
2. Contact Gathercare Admission Team in advanced to transfer to another Hospital/ Medical Facility
2. Contact Gathercare Admission Team in advanced to transfer to another Hospital/ Medical Facility
03. Admission With / Without Guarantee Letter (GL)
1. There could be situations where the Hospital Admission Form (HAF) is not yet signed by Patient / Patient Spouse; therefore, the hospital is unable to submit to our Medical Partner, e-Mas and request for an Initial Guarantee Letter (IGL) as Planned Admission. In this instance, the hospital would then request for a deposit in advanced and consider as Self-Pay.
2. For any such Self-Pay incidents due to Treatment Urgency or Admission to Government Hospital, Gathercare will arrange for reimbursement during or after Patient Discharge.
3. In this case, patient will require to collect and prepare all relevant Admission Documents, including but not limited to Itemized Bills, Medical Reports, Hospital Admission Form following by the requests and instructions from Gathercare Admission Team.
2. For any such Self-Pay incidents due to Treatment Urgency or Admission to Government Hospital, Gathercare will arrange for reimbursement during or after Patient Discharge.
3. In this case, patient will require to collect and prepare all relevant Admission Documents, including but not limited to Itemized Bills, Medical Reports, Hospital Admission Form following by the requests and instructions from Gathercare Admission Team.
04. Crowd Share
1. Gathercare Admission Team will prepare the documents to be processed and approved by our Legal-Appointed Trustee, Ong and Manecksha Advocates & Solicitors to utilize Gathercare Community's Risk-Sharing Trustee Fund (RSTF) for Crowd Sharing at every 24th of Calendar Month.
2. Gathercare includes and publishes the Admission Case at the Monthly Community Report.
2. Gathercare includes and publishes the Admission Case at the Monthly Community Report.
Hospital Deposit Requirements
All private hospitals in Malaysia require patients to provide a financial guarantee before admission, therefore a deposit is needed.
Guarantee Letter (GL) Facilities
A Guarantee Letter is a letter of assurance that is offered by our TPA Partner, e-Mas to the hospital confirming that the cost of treatment for the patient will be taken care of by Gathercare Community’s Risk-Sharing Trust Fund (RSTF). This means that the patients no need to pay for their hospital expenses upfront and Gathercare will cover the eligible expenses via monthly crowdshare while e-Mas make direct-payments to the hospital.
For more information, please visit https://gathercare.com/knowledge-base-category/cashless-admission-procedure/
