Bal Ex module video is a fully structured homed-based video and audio guided tool developed to assist Peripheral Vestibular (PVD) patients in their treatment process. We aimed to assess the cost effectiveness of this tool as a guide to health policy makers. Complete CEA was conducted on data set prospectively collected from the ORL Clinic, Hospital Universiti Sains Malaysia in 2016 to 2018. More than 53% of the patient's age above 61 years old diagnosed for having PVD. The patients' health outcome was measured by the modified version of MVVS and the cost involved in treating the related patient was calculated based on activity base costing. The health status of the patient increased by 17% and the cost saving appeared positive after 3 months applying Bal Ex at home. It is clearly demonstrated from the CEA plane. Bal Ex module innovation is a cost effective PVD treatment and align with the Sustainable Development Goal to achieve healthy wellbeing by 2030.