The FOMEMA Appeal Process allows employers and appointed panel agencies to appeal the medical status of foreign workers who have been certified as ‘Unsuitable’ due to certain diseases detected during the FOMEMA Foreign Workers Medical Examination, in accordance to the guidelines set by the Ministry of Health Malaysia (MoH).
As part of the appeal process, eligible foreign workers are required to undergo additional medical assessments and, where applicable, treatment at FOMEMA’s assigned Panel Clinics and/or Appeal Panel Hospitals. The outcome of these assessments will determine the foreign worker’s final medical status.
FOMEMA introduced the Appeal Process to ensure fair evaluation for foreign workers seeking employment. All applications are thoroughly reviewed, and eligible cases undergo additional tests or referral to a medical specialist.
For list of diseases not allowed for appeal, you may visit
www.fomema2u.com.my/employer-agency/appeal-procedure/
Employers and appointed Panel Agencies may submit an appeal on behalf of affected foreign workers via the FOMEMA Online Portal.
Employers or appointed Panel Agencies MUST bring the following documents when attending their foreign worker’s appeal process at FOMEMA’s appeal panel clinics or hospitals:
1. Original passport of the foreign worker
2. Payment Receipt
3. Appeal referral letter (if applicable)
If the foreign worker is certified as ‘Unsuitable’ but eligible for appeal, this will be stated in the medical examination results email notification sent to the Employer or Panel Agency.
Employers and appointed Panel Agency are advised to submit the appeal within the stipulated appeal period to avoid the appeal eligibility period expiring.
No. Submitting an appeal does not guarantee that the foreign worker will be certified as ‘Suitable’.
During the appeal process, the foreign worker will undergo additional medical assessment and, where applicable, a specialist assessment. The final appeal outcome will be determined based on the specialist’s clinical assessment and/or supporting laboratory results.
The appeal process takes 30 days from the date of appeal payment made.
You may refer to the FOMEMA Appeal Process procedures on the FOMEMA corporate website at
https://www.fomema2u.com.my/employer-agency/appealprocedure/
The Employer or appointed Panel Agency may initiate and register the appeal through the FOMEMA Online Portal. Once the registration has been reviewed and approved, the appeal payment must be made upfront via the portal before the next course of action.
Foreign workers diagnosed with syphilis are required to obtain a referral letter from the Panel Clinic. The employer must then make an appointment with the assigned Appeal Panel Hospital before the worker attends the hospital for a specialist assessment.
Yes. In line with the directive issued by the Ministry of Health Malaysia (MoH), appeals are now allowed for foreign workers certified as ‘Unsuitable’ due to Syphilis, effective 20 July 2026.
Employers and appointed panel agencies may submit an appeal on behalf of affected foreign workers via the FOMEMA Online Portal.
Log in to the FOMEMA Online Portal, submit the appeal application, and complete the required payment to FOMEMA. Upon successful registration and payment, an Appeal To-Do List will be generated in the portal.
The total appeal fee is RM1,350.00, comprising:
FOMEMA Appeal Fee: RM15.00
Panel Clinic Fee: RM35.00
Specialist Fee Deposit: RM1,020.00
CD Monitoring Programme: RM280.00
Total: RM1,350.00 (not including SST)
The RM1,350.00 is collected upfront based on the maximum applicable specialist fee. The final fee will depend on the specialist’s diagnosis and the scope of assessment and/or treatment required.
Yes. If the final specialist fee is lower than the deposit amount collected, the balance will be credited to the employer’s registered account within 14 calendar days from the date of the appeal decision.
Foreign workers diagnosed with Syphilis are required to obtain a referral letter from the Panel Clinic. The employer must then make an appointment with the assigned Appeal Panel Hospital before the worker attends the hospital for a specialist assessment.
A valid referral letter issued by the assigned Panel Clinic is mandatory for foreign workers diagnosed with Syphilis to proceed with a specialist assessment.
Treatment is required for certain categories of Syphilis, based on the specialist’s diagnosis, to prevent the spread of the infection. Early treatment helps manage the infection and prevent health complications.
Where treatment is required, the worker must complete the prescribed treatment and attend the follow-up assessments recommended by the specialist as part of the appeal process. The final appeal decision will be based on the specialist’s assessment and the worker’s compliance with the required treatment and monitoring.
Treatment and follow-up assessments are mandatory components of the Syphilis Appeal Process. If the worker refuses or fails to complete the required treatment within the stipulated period, the appeal will be deemed unsuccessful, and the worker’s original ‘Unsuitable’ status will remain unchanged.
Completing the required treatment does not automatically guarantee a successful appeal. The appeal outcome may be affected by the worker’s follow-up test results, response to treatment, specialist’s assessment, and compliance with the CD Monitoring Programme requirements.
There is no fixed likelihood or guarantee that the Syphilis test result will become non-reactive. The test outcome depends on factors such as the stage of infection, initial Venereal Disease Research Laboratory (VDRL) test level, response to treatment, completion of treatment, and possible reinfection.
Foreign workers granted conditional approval to continue working in Malaysia will be enrolled in the Communicable Disease (CD) Monitoring Programme, in accordance with the requirements of the Ministry of Health Malaysia (MoH).
The NCD Monitoring Programme and CD Monitoring Programme are initiatives introduced by FOMEMA in alignment with Ministry of Health Malaysia (MoH) guidelines to support the ongoing health management of foreign workers in Malaysia identified through the FOMEMA Appeal Process.
These programmes provide continuous medical monitoring, follow-up care, and access to appropriate treatment. Its objective is to enable these workers to remain employed in Malaysia while effectively managing their health conditions under a structured list of diseases approved by FOMEMA.
These programmes were introduced to give employers an opportunity to retain their foreign workers who have been diagnosed with certain diseases that are manageable with medication and lifestyle changes. It supports fair employment practices by allowing eligible workers to remain in Malaysia under structured health monitoring.
Introduced in accordance with the guidelines set by the MoH, the programmes aim to enhance long-term health management among the foreign workforce. It also helps employers maintain workforce stability and productivity, offering a more cost-effective alternative to hiring and training new workers.
These programmes are long-term initiatives established under the directive from the MoH. They are intended to remain in place for as long as there is a need to support the ongoing health management of foreign workers diagnosed with diseases eligible under the programmes.
This implementation ensures that affected workers continue to receive proper medical supervision and necessary care throughout their employment in Malaysia.
NCD Monitoring Programme
This programme is only mandatory for applicable cases, specifically foreign workers with NCDs diagnosed by the Appeal Panel Specialist and requiring further medical monitoring.
CD Monitoring Programme
This programme is only mandatory for foreign workers with Syphilis identified through the appeal process as requiring further medical monitoring.
NCD Monitoring Programme
The following Non-Communicable Diseases (NCDs) are included in the mandatory monitoring programme:
• Diabetes
• Hypertension
• Kidney Disease
• Heart Disease
• Other related conditions
(For a full list of the eligible diseases and conditions, please refer to Appendix 1)
Foreign workers who have completed the appeal process will be reviewed to determine whether participation in the NCD Monitoring Programme is required.
CD Monitoring Programme
Effective 20 July 2026, foreign workers certified as ‘Unsuitable’ due to Syphilis are enrolled in the mandatory monitoring programme.
NCD Monitoring Programme
Foreign workers who are diagnosed with the NCDs approved under the programme may be enrolled in the NCD Monitoring Programme.
Enrolment applies to those identified by a medical specialist as requiring ongoing treatment, follow-up, or medication during the appeal process.
Once a foreign worker is identified eligible to participate in the programme, the employer or appointed panel agency will receive an official email notification from FOMEMA to proceed with payment and initiate the enrolment process.
CD Monitoring Programme
Only foreign workers diagnosed with certain category of Syphilis determined by the treating specialist during the appeal process, will be automatically enrolled in the CD Monitoring Programme.
For eligible foreign workers, participation in the programme is mandatory to ensure that they are reassessed in accordance with the programme requirements
These programmes ensure that affected foreign workers continue to receive proper medical supervision and necessary care throughout their employment in Malaysia.
They also support employers by helping to maintain workforce stability and productivity, offering a more cost-effective alternative to hiring and training new workers.
NCD Monitoring Programme
There is no enrolment fee for the NCD Monitoring Programme. However, there will be other charges may vary based on the NCD of the foreign worker.
Please refer to Appendix 2 for the list of Additional Tests under this programme.
CD Monitoring Programme
The CD Monitoring Programme fee is RM280.00 and it is payable upfront together with the Syphilis Appeal fees through the FOMEMA Online Portal during the appeal registration process.
Payments can be made using a variety of methods, including Debit and Credit Cards, Online Banking (FPX B2B and B2C), QR Payment and e-Wallets.
NCD Monitoring Programme
Payment must be made within seven (7) days from the date of the email notification.
CD Monitoring Programme
Payment for the CD Monitoring Programme fee will be made upfront together with the appeal fees through the FOMEMA Online Portal during the appeal registration process.
Employer or Agency can make payments for the NCD and CD Monitoring Programmes via the FOMEMA Online Portal and are required to log in to complete the transaction.
NCD Monitoring Programme
If payment is not made for NCD Monitoring program within the stipulated period, the appeal process will be closed, and the appeal case will be considered as unsuccessful.
In this event, the Employer or appointed Panel Agency must go through the appeal registration process again to make the payment.
To do this, the Employer or appointed Panel Agency is required to send an email to appeal@fomema.com.my to request for manual re-registration of the appeal.
Once the manual registration is completed, a FOMEMA officer will respond to the email within five (5) working days.
CD Monitoring Programme
Payment for the CD Monitoring Programme is made upfront together with the Specialist fee upon appeal case registration. If payment is not made within the stipulated period, the appeal case will be closed and deemed unsuccessful.
To proceed with a new appeal submission, the Employer or appointed Panel Agency must email appeal@fomema.com.my and request that a new appeal case be registered.
A FOMEMA officer will process the request and respond via email within five (5) working days. Once the new appeal case has been registered, the Employer or appointed Panel Agency must complete the required payment through the FOMEMA Online Portal.
The review and approval process takes three (3) to five (5) working days from the date of payment.
A receipt can be generated and downloaded from the FOMEMA Online Portal upon successful payment.
NCD Monitoring Programme
Once payment is confirmed, the foreign worker will be enrolled in a six-month monitoring programme.
This programme will be facilitated exclusively through the WellXS mobile application, a wellness platform that provides foreign workers with access to essential health services. Employers and appointed Panel Agencies must download and register on WellXS, as it serves as the primary platform for managing and tracking foreign workers’ health status throughout the programme.
In the fifth month of the monitoring period, a notification will be sent via the app, prompting the Employer or appointed Panel Agency to select a hospital or clinic for the foreign worker to undergo a medical check-up. This will be based on the NCD category indicated in the earlier payment.
CD Monitoring Programme
Once payment has been successfully processed, the foreign worker will be enrolled in the six-month CD Monitoring Programme.
During the fifth month of the monitoring period, FOMEMA will notify the Employer or appointed Panel Agencies via email to schedule the foreign worker’s follow-up medical assessment at an assigned Appeal Panel Hospital through the WellXS application.
NCD Monitoring Programme
The payment amount varies depending on the type and severity of the NCD. Different conditions may require different levels of monitoring, treatment and follow-up, which affects the overall cost.
Please refer to Appendix 2 for the list of Additional Tests under this programme.
CD Monitoring Programme
The Employer or appointed Panel Agencies is not required to make any direct payment to the hospital as the programme does not include any medication or treatment. The CD Monitoring Programme fee paid to FOMEMA covers the required follow-up tests and specialist assessment.
NCD Monitoring Programme
Employer or appointed Panel Agency is required to make direct payments to the clinic or hospital for any medication or treatment provided under this programme.
Please note that the NCD Monitoring Programme fees paid to FOMEMA cover only the follow-up tests, not treatment or medication.
CD Monitoring Programme
The Employer or appointed Panel Agencies is not required to make any direct payment to the hospital as the programme does not include any medication or treatment. The CD Monitoring Programme fee paid to FOMEMA covers the required follow-up tests and specialist assessment.
No additional charges will be imposed for the regular monitoring process for CD and NCD Monitoring Programmes as all standard costs are collected upfront by FOMEMA.
For cases involving heart disease or conditions that require specialist assessment under the NCD Monitoring Programme, additional fees may apply. These charges will be based on the specialist’s recommendations and are subject to prior agreement by the Employer or appointed Panel Agency.
CD Monitoring Programme
For foreign workers diagnosed with Syphilis, once submission is completed, the foreign worker is enrolled into the CD Monitoring Programme. Employer or appointed Panel Agency is required to schedule an appointment with the assigned Appeal Panel Hospital, where the foreign worker will undergo a specialist treatment.
For both CD and NCD Monitoring Programmes, the foreign worker must attend the assigned Panel Clinic/Appeal Hospital as indicated in the NCD / CD To-Do List.
The enrolment fees for both NCD and CD Monitoring Programmes are non-refundable, regardless of changes in the worker’s employment status.
There will be no restrictions for foreign workers under both programmes to travel outside Malaysia.
Yes, they can. Once the foreign worker’s status is updated to ‘Suitable’, they can proceed their PLKS application, even during the programme monitoring period.
NCD Monitoring Programme
There will be no changes made to the foreign worker’s medical examination status throughout the six-month monitoring period.
However, if the foreign worker’s condition deteriorates during the monitoring period, the medical examination status will be updated accordingly. This will be assessed on a case-by-case basis.
CD Monitoring Programme
Any changes to the foreign worker’s medical examination status during the monitoring period will be determined based on the specialist’s assessment.
However, if FOMEMA does not receive the specialist’s assessment report following the mandatory Month 6 assessment under the CD Monitoring Programme or if the specialist assessment indicates a higher value of titre of VDRL/RPR laboratory test, the foreign worker’s medical examination status will be changed to ‘Unsuitable’.
Foreign workers identified as eligible for the CD or NCD Monitoring Programmes are required to proceed with enrolment in order to undergo specialist follow-up. If the employer chooses not to proceed with enrolment, or the worker does not attend the required follow-up assessment in month 6, the worker will remain as “Unsuitable”.
As a result, the worker will be required to be repatriated to their home country in accordance with applicable regulations.
For any additional enquiries, please reach out to our Customer Service representative from 9:00 AM to 5:00 PM on Monday to Friday, excluding National & Selangor State public holidays via WhatsApp at 03-2782 8777 or through Live Chat on the FOMEMA website: www.fomema2u.com.my
WellXS is an innovative wellness mobile application platform designed specifically for foreign workers in Malaysia. It offers seamless access to health and wellness services, and serves as the primary platform for the NCD and CD Monitoring Programmes.
Employers, foreign workers, as well as panel clinic and hospitals involved under the NCD and CD Monitoring Programmes.
To register, simply download the WellXS mobile app and select accordingly:
• Select ‘Employer’ for self-registration.
• Select ‘Foreign Worker’ if registering on behalf of their foreign worker.
The required personal details must be completed during the signup process.
For assistance and further queries, please contact the WellXS team, Monday to Friday from 8:00 A.M. – 5:30 P.M. via WhatsApp at +6011-57513160.
The WellXS mobile application has been developed as the designated platform to facilitate the implementation of the NCD and CD Monitoring Programmes under FOMEMA’s supervision. It serves as the sole channel for health monitoring, medical record management, and communication between foreign workers, employers, panel hospitals and clinics, and FOMEMA.
The application is designed to be user-friendly, offering a seamless experience for all users, regardless of their digital literacy level.
The mobile application also incorporates strict data protection measures to ensure that all health records and personal information are stored and transmitted securely, in line with FOMEMA’s commitment to maintaining the highest standards of data privacy and security.
The WellXS app can be downloaded via:
•Apple App Store:
https://apps.apple.com/my/app/wellxs/id6737754223
•Google Play Store:
https://play.google.com/store/apps/details?id=com.fomema.wellxs&hl=en
WellXS offers a range of features focused on holistic well-being, including:
•Daily mood tracker
•Mental health assessments
•Outpatient insurance coverage (coming soon)
•Wellness articles tailored to three core pillars: mental, physical, and financial.
For assistance and further queries, please contact the WellXS team, Monday to Friday from 8:00 A.M. – 5:30 P.M. via WhatsApp at +6011-57513160.
Yes. Foreign workers must download and register on the WellXS app. Through the app, they are able to:
•Receive updates on scheduled follow-up check-ups
•Gain access to wellness-related articles
•Learn more about their diseases
•Enjoy other wellness features
Foreign workers can register as Essential Users for free or upgrade to Wellness Partners for premium benefits at just RM12.00 per year.
Yes, support is readily available. For assistance and further queries, please contact the WellXS team, Monday to Friday from 8:00 A.M. – 5:30 P.M. via WhatsApp at +6011-57513160.
NCD Monitoring Programme
Yes. Once the appeal decision is approved and the foreign worker’s status is updated to ‘Suitable’, all communication regarding the NCD Monitoring Programme will be channelled through the WellXS mobile app.
CD Monitoring Programme
Yes. Once the appeal is approved and the foreign worker’s status is updated to ‘Suitable’, the cases will be enrolled in the CD Monitoring Programme. The WellXS mobile application will be used to schedule an appointment with the assigned panel hospital
In the event of a change in employer or agency, please notify WellXS immediately via WhatsApp at +6011-57513160 so the records can be updated accordingly.
| No. | Organ | Diseases/Conditions |
|---|---|---|
| 1. | Skin |
Infections by causative agent:
|
| 2. | Brain |
Infections:
|
| 3. | Heart |
Infections:
|
| 4. | Lungs |
Infections:
|
| 5. | Kidney |
Infections:
|
| 6. | Liver |
Infections:
|
| 7. | Bones |
Infections:
|
| 8. | Intestine |
Infections:
|
| 9. | Bladder |
Infections:
|
Important Note:
| No. | Additional Tests | Scope Of Work | Applicable Fees (RM) | ||||
|---|---|---|---|---|---|---|---|
| Clinic | Lab | Appeal | Monitoring | Total | |||
| 1 | Diabetes Mellitus |
|
45 | 25 | 15 | 15 | 100 |
| 2 | Hypertension |
|
45 | - | 15 | 15 | 75 |
| 3 | Urine Albumin |
|
45 | 15 | 15 | 15 | 90 |
| 4 | Heart Disease |
|
350 | - | 15 | 15 | 380 |
| 5 | Others |
|
- | - | 15 | 15 | 30 |
