Rising Employee Benefits Costs in Malaysia: How SMEs Can Manage Health Insurance & Medical Premiums in 2025

Rising Employee Benefits Costs in Malaysia
All over Malaysia, businesses are getting an unpleasant shock: their medical insurance renewals are coming with price hikes in the double digits. A small business owner told others how her October renewal went up by 13%—the biggest jump her company has ever seen. Insurance brokers say this isn’t out of the ordinary anymore; it’s become the standard.  Malay Mail reported in November 2025 that many employers are now cutting back on outpatient benefits or making employees pay more as healthcare costs “skyrocket.” Medical costs have been going up by 10–14% each year, which is faster than both wages and overall prices are rising. Marsh McLennan’s 2025 Employee Health & Benefits Report says this big increase is happening because hospitals are charging more, drugs cost more, and more people are going to outpatient clinics across the country.  For SMEs—which already run on slim margins—these increases pack an extra punch. 

Why Employee Benefit Costs Are Going Up in Malaysia 

A deeper look shows several underlying factors driving costs up. Since the pandemic ended, Malaysians are going to the doctor more often. Mercer’s 2025 Health Trends Report points out a big jump in check-ups and long-term care visits leading to more claims that insurers need to factor into their prices.  Insurers have also started to change how they calculate risk. In September 2025, The Star reported that some industries saw premiums go up by as much as 18%. Big companies might be able to bargain for better rates, but SMEs—most of which use shared plans—end up paying more.  Meanwhile, the competition for skilled workers raises expectations. Mednefits’ 2025 survey reveals that 76% of Malaysian employees see medical benefits as a key reason to stay with an employer. Reducing benefits can lead to staff turnover, decreased morale, and increased hiring expenses. 

How Cost Increases Impact SME Budgets 

Think about a company with 50 workers. If medical coverage costs RM1,500 for each employee , a 10% rise bumps the per-employee cost to RM1,650. After adding dental, optical, wellness, and administrative fees total cost increases can reach RM25,000–RM40,000 each year.  To show the money trouble here’s a table that sums up the main things driving up costs and how they affect small and medium businesses: 

Rising Benefit Costs & How They Hit Malaysian SMEs (2025) 

Cost Driver  What’s Happening  Impact on SMEs 
Medical Inflation (10–14%)  Higher hospital, medication, and treatment costs  Annual premium increases of 10–18% 
Increased Healthcare Utilisation  More outpatient visits post-pandemic  Higher claim ratios → more expensive renewals 
Talent Competition  Employees expect better benefits  Cutting benefits risks turnover & lower morale 
Pooled Insurance Structures  One high-claim company affects all  SMEs pay more despite low usage 
Limited Negotiation Power  SMEs lack volume leverage  Fewer options to reduce premiums 
This explains why benefit budgeting now plays a key role in financial planning instead of just being a standard HR job. 

How Malaysian SMEs Are Responding 

Industry experts say SMEs no longer stay quiet about rising costs. Marsh McLennan sees a clear pattern: companies are changing their benefits to offer more options while keeping risks in check. Mercer’s 2025 Total Rewards Study shows that 44% of SMEs aim to negotiate new deals, while 30% plan to split costs (like small employee payments).  Tech companies such as Mednefits notice that SMEs now look at claim patterns to find the real issues. For instance, lots of clinic visits for small health problems point to chances for online doctor visits, health programs, or steps to prevent illness. 

Practical Strategies SMEs Can Use in 2025 

SMEs that keep their costs in check pay attention to visibility and create smart plans.  They start by checking if their plan still works each year seeing how their benefits stack up against what others offer, and working with brokers who know SME group plans inside out. Many of them set up different levels of benefits—giving more coverage to higher-ups while making sure everyone else gets the basics. Some ask employees to chip in 5–10% for non-urgent outpatient care to cut down on needless claims without breaking trust.  Keeping people healthy before they get sick is paying off. Mercer and Mednefits point out that regular check-ups, help with mental health, and doctor calls over the phone or video can lower the number of claims by up to 15% as time goes on.  More and more small and medium-sized businesses now use HR and payroll systems like Info-Tech HRMS. These systems bring together benefit usage, payroll deductions medical claims, and insurance updates. This gives SMEs a clearer picture allowing them to predict premium changes well before renewals and negotiate based on facts—not guesses.  Hybrid benefit models are becoming popular too. Some SMEs fund outpatient benefits themselves through set budgets while insuring major medical needs. This approach offers flexibility and keeps costs predictable—but it needs careful tracking. 

Balancing Affordability With Employee Expectations 

Healthcare perks now have a crucial impact on keeping employees. Mercer’s research indicates that flexible benefits can boost worker satisfaction by up to 30%. Workers—particularly Millennials and Gen Z—seek perks that address both physical and mental health.  Slashing perks without explaining why hurts trust. But revamping perks , with well-thought-out options, keeps spirits high and boosts the company’s image.  Why Are Employee Benefit Costs Going Up in Malaysia in 2025?  “Employee benefit costs are climbing because of healthcare inflation (10–15%) more people using healthcare services, pricier insurance plans, and workers wanting better health benefits. Small businesses can handle these costs by talking to insurers pushing for preventive care, looking at data, trying mixed benefit plans, and using HR software to track benefits.”

How Info-Tech Helps SMEs Handle Rising Costs 

Info-Tech Malaysia backs SMEs by offering a combined HR  &  Accounting Software  to track medical claims, link perks to payroll, and create detailed cost reports. With up-to-the-minute data, SMEs can: 
  • Keep track of benefit usage 
  • Spot expensive claim patterns 
  • Predict premium hikes 
  • Follow EPF, SOCSO, and EIS rules 
Going digital with benefits leads to clearer insights and smarter planning—two key tools for 2025.   Contact Us  For A Free Demo! 

Frequently Asked Questions:

What’s behind the rise in medical insurance premiums in Malaysia come 2025?

Medical inflation more outpatient visits higher hospital expenses, and new insurance pricing models all play a part in driving up premiums. 
Most SMEs should brace for increases of 10–15%, while some industries might see jumps as high as 18%. 
SMEs can keep costs in check while keeping employees happy by redesigning plans, rolling out wellness programs introducing co-pays, setting up tiered benefits, and using data to negotiate better deals. 
Programs like Info-Tech enable small and medium businesses to monitor claims, examine expenses, predict premium hikes, and combine benefits with payroll to budget better. 
These plans can work well when backed by robust monitoring systems and defined claim limits. Many small and medium enterprises insure major medical needs while paying for outpatient care themselves.