There is no 'one size fits all' answer imho. I too have seen my premiums increase significantly and there is no doubt that alternatives must be found. If you can afford it and your current and short term health risks allow it, we are thinking of going the 'self insured' route, whereby we put 50k pa or thereabouts into a high interest savings acount and, after just a few years, you have a pot of money that will cover most illnesses and operations.

We see it as being almost analagous to the renting v buying property argument. In this case, if you remain healthy you keep the money to pass on to the next generation, if you are not healthy then your costs are covered, but either way, you remain in control of your finances and medical choices.

Caveat the above with saying that this advice applies to Malaysia only. If you are travelling globally then individual health insurance per trip (including repatriation) is a very good idea.

What you worry is the one in a million chance you hit a rare disease and it cost alot more than normal to get better. You can opt for a medical plan with high deductible, like 50k. So you cap your risk there.
This is where you buy a medical insurance with the high deductible. In the person's case if he has 50k, then he buys a 50k deductible medical insurance. His risk will be capped at 50k. So he does not have to worry about anything above 50k.

Of course deductible also have a basis. Example 50k per year, so the assurance that every year, touch wood if you get sick max is you pay 50k.

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I am gonna have field day answering or rebutting some of these

Lesson #1 (in no particular order of importance)

Medical insurance is not a free lunch. Insurance companies are FOR-PROFIT companies.

They will increase the price when claims exceed what they collect from you. This will not stop happening. What you know is the price will increase. How bad it is? Who knows...?

How many years or how frequent will it be? Depends on your insurance company.

The more frequent they do it, more likely smaller quantum.

The less frequent, the bigger the quantum.

How not to get influenced by this? /s but well... you can always go to government hospital and not buy medical insurance. But Honestly i dunno. This is a certainty but maybe there is an option that makes it more palatable but this... maybe look out for lesson #2

Isn't BNM doing something about this? Arent they aware? Yes, they are aware of these price increase. Because without BNM approval, you would not have received the letter telling you to pay more.