The current fee, directly from FOMEMA
FOMEMA’s own current Payments and Refunds FAQ states the fee directly: RM207 for a male foreign worker, RM217 for a female worker, both subject to 8% SST. FOMEMA’s own explanation for the difference is that the female registration fee includes the cost of a pregnancy test. This confirms figures already used elsewhere on this site and adds the SST detail on top of the base rate.
The exam covers a specific set of tests FOMEMA names directly: methamphetamine urine screening, filariasis testing, and hepatitis C testing were added as mandatory for all foreign workers, in line with Ministry of Health guidelines, alongside the female-specific pregnancy test. FOMEMA references a fuller test list elsewhere that wasn’t independently confirmed — treat these four as the confirmed set rather than the complete one.
Why the frequency figure needs an update from older guides
FOMEMA’s own current FAQ states plainly that a mandatory yearly medical examination for all foreign workers has been in effect since 16 December 2023. That’s a real change from what a 2022-dated employer guide’s model contract states — annual exams for the first two years, "as required" after that — and from Immigration’s own FDH and Foreign Worker pages, which still frame the renewal-exam requirement around second- and third-year extensions specifically, without reflecting the 2023 update in their current wording.
The practical takeaway: treat the exam as an annual requirement for every year of her employment, per FOMEMA’s own live guidance, rather than reproducing the older "first 2 years only" framing some employer guides still carry.
Timing windows worth knowing
The initial post-arrival exam happens within a month of arrival, per Immigration’s FDH page — the FDH-specific model contract in the JTKSM/ILO guide states the same window more precisely, as 30 days from her date of arrival. Once completed, FOMEMA reviews the report before it reaches Immigration within 7 working days, and the result then stays available at Immigration for 180 days from the exam date.
One operational detail worth planning around: the exam registration form itself is only valid for 30 days from the date of payment. If the exam isn’t completed within that window, a new registration and payment is required — no refund is issued for a lapsed registration. Everything on this page describes FOMEMA, the system used in Peninsular Malaysia; Sarawak runs its own separate medical-screening system, SAFHIS, instead — see the dedicated Sarawak guide if that applies to your situation.