Welcome Guest ( Log In | Register )

Outline · [ Standard ] · Linear+

 Medical Claim Procedure Problem :(

views
     
Ewa Wa
post Oct 2 2021, 10:27 PM

On my way
****
Junior Member
685 posts

Joined: Jul 2012
From: Kuala Lumpur


QUOTE(jazmie @ Oct 2 2021, 09:25 PM)
I plan to change my medic card aia to hong leong msig
Hlmsig the benefit is premium is fixed..also coverage higher per year...only cover until age 70 compare aia till 100
As i know the challenge for medic card when to get GL.

So far review aia very good.
Anybody experienced using hlmsig?
*
Why do u need to change? If u have with Aia for some years is good to keep using it due to waiting period. Premium FIXED for medical card? U sure?

Cost of insurance for medical card is not fixed, the premium is not fixed but is so called sustainable till age 70 yet subject to premium revise from time to time.
but

lifebalance
post Oct 2 2021, 11:40 PM

Licensed Financial Planner & Financial Adviser's Rep.
********
All Stars
10,162 posts

Joined: Nov 2014
QUOTE(jazmie @ Oct 2 2021, 09:25 PM)
I plan to change my medic card aia to hong leong msig
Hlmsig the benefit is premium is fixed..also coverage higher per year...only cover until age 70 compare aia till 100
As i know the challenge for medic card when to get GL.

So far review aia very good.
Anybody experienced using hlmsig?
*
Medical Card policies premium are never really "fixed" as there are bound to be repricing in between the years.


daniellehu
post Oct 3 2021, 07:16 AM

Casual
***
Junior Member
351 posts

Joined: Nov 2010


QUOTE(lifebalance @ Oct 2 2021, 11:40 PM)
Medical Card policies premium are never really "fixed" as there are bound to be repricing in between the years.
*
During this pandemic period really had me looking back into my current medical card policy. The coverage is only valid up to the age of 70 years old. Is it worth it to raise the age coverage beyond 70 as it is quite costly?
SUSyklooi
post Oct 3 2021, 08:39 AM

Look at all my stars!!
*******
Senior Member
8,188 posts

Joined: Apr 2013


QUOTE(daniellehu @ Oct 3 2021, 07:16 AM)
During this pandemic period really had me looking back into my current medical card policy. The coverage is only valid up to the age of 70 years old. Is it worth it to raise the age coverage beyond 70 as it is quite costly?
*
that is the time period when your changes is higher or having more probability of winning the bet.

in another way round,..."Is it worth to buy a medical coverage when it "young" when the probability of needing it is very little eventhough the premium is not costly?"

you had been paying the money for so many years,...look at the accumulated money paid and the opportunity cost of if those money paid are invested in equities....
if you don't continue,...all coverage for it are GONE, money BURNED..
wouldn't it worthy it to continue to pay knowing that probabilities of you will need it very soon? (OLD does not mean SURE kena hospital stays but the chances of illness are alot higher)

worth it or not is very subjective,....
depends for examples,
on your financial standing at that time,...
do you still have income at age 70 to continue to pay or your dependents has the capability and also want to pay for you?
do you need to keep up with the JONES,...or your Tai Chi or morning walks or Tim Sum kakis where if they always talked about private hospitals only? are you ok ONLY with private hospitals or are you ALSO ok with Govt hospitals stays?
do you have the financial to pay for your hospital stays by your own?
do you have enough of retirement fund just for your normal expenses or your retirement fund is alot more that enough to cater for the cost of hospitalization in a private hospitals too?
do your dependents willing and capable to pay for you?

if not sure,...i think that is what insurance is for,...just not sure and just in case.
worth it or not,...it depends

This post has been edited by yklooi: Oct 3 2021, 08:41 AM
lifebalance
post Oct 3 2021, 11:43 AM

Licensed Financial Planner & Financial Adviser's Rep.
********
All Stars
10,162 posts

Joined: Nov 2014
QUOTE(daniellehu @ Oct 3 2021, 07:16 AM)
During this pandemic period really had me looking back into my current medical card policy. The coverage is only valid up to the age of 70 years old. Is it worth it to raise the age coverage beyond 70 as it is quite costly?
*
The rate of a person to get diseases are much higher >age 70 thus the reason why insurance company price it higher because you'll likely to make claims. It's recommended to have it somewhere up to age 80 as the current Malaysian age averages out around age 73 - 78.
daniellehu
post Oct 3 2021, 10:39 PM

Casual
***
Junior Member
351 posts

Joined: Nov 2010


QUOTE(lifebalance @ Oct 3 2021, 11:43 AM)
The rate of a person to get diseases are much higher >age 70 thus the reason why insurance company price it higher because you'll likely to make claims. It's recommended to have it somewhere up to age 80 as the current Malaysian age averages out around age 73 - 78.
*
thank you for the sound advice, keith. i was thinking about it for a few months now. will get right to it.
Ewa Wa
post Oct 4 2021, 05:39 PM

On my way
****
Junior Member
685 posts

Joined: Jul 2012
From: Kuala Lumpur


QUOTE(daniellehu @ Oct 3 2021, 07:16 AM)
During this pandemic period really had me looking back into my current medical card policy. The coverage is only valid up to the age of 70 years old. Is it worth it to raise the age coverage beyond 70 as it is quite costly?
*
If u are referring your policy valid till age 70 then this policy should be 10-15 years ago.

Many have mixed up between valid / sustainable till age 70. recent 2-3 years policy is sustainable till 70, with auto extend till 100yo with increase premium.

Recently I have helped a 59yo man to apply a new medical plan bcoz his medical plan till age 70 and no auto extension on this old policy which he applied 15years ago.
JIUHWEI
post Oct 5 2021, 12:42 PM

Regular
******
Senior Member
1,333 posts

Joined: Nov 2008
QUOTE(daniellehu @ Oct 3 2021, 07:16 AM)
During this pandemic period really had me looking back into my current medical card policy. The coverage is only valid up to the age of 70 years old. Is it worth it to raise the age coverage beyond 70 as it is quite costly?
*
It is a decision between steady payments and a potential giant shock.

Which would you prefer?
daniellehu
post Oct 5 2021, 06:34 PM

Casual
***
Junior Member
351 posts

Joined: Nov 2010


QUOTE(JIUHWEI @ Oct 5 2021, 12:42 PM)
It is a decision between steady payments and a potential giant shock.

Which would you prefer?
*
You have a valid point there...
JIUHWEI
post Oct 5 2021, 11:57 PM

Regular
******
Senior Member
1,333 posts

Joined: Nov 2008
QUOTE(daniellehu @ Oct 5 2021, 06:34 PM)
You have a valid point there...
*
I just wish to help people get out of the conundrum of "is it worth it?"

From a risk management perspective, the real questions are:
"what is the potential impact of this risk if left unplugged?"
"can we afford to risk it?"

If we can afford to risk it, then sure, roll that dice.

If we can't afford to risk it, then how can we manage it?
- how can we minimize the risk?
- how can we prevent it?
- if all else fails, how can we transfer it?

In its essence, insurance is a risk transfer tool.

daniellehu
post Oct 7 2021, 07:06 AM

Casual
***
Junior Member
351 posts

Joined: Nov 2010


QUOTE(JIUHWEI @ Oct 5 2021, 11:57 PM)
I just wish to help people get out of the conundrum of "is it worth it?"

From a risk management perspective, the real questions are:
"what is the potential impact of this risk if left unplugged?"
"can we afford to risk it?"

If we can afford to risk it, then sure, roll that dice.

If we can't afford to risk it, then how can we manage it?
- how can we minimize the risk?
- how can we prevent it?
- if all else fails, how can we transfer it?

In its essence, insurance is a risk transfer tool.
*
yeah,

i can relate to that as my MIL was hospitalised a few times, once due to dengue and twice due to high fever that lasted for days. believe me that the price is exorbitant. that is really a wake up call for me.
teslaman
post Nov 7 2022, 12:48 AM

Regular
******
Senior Member
1,154 posts

Joined: Oct 2021
QUOTE(arm_audioslave @ Oct 28 2010, 06:34 PM)
Guys, im having a problem whereby i don't who to be blame rite now?

on the 26 Oct, im having a health problem, which  is chest pain n cold sweating during sleep, so the next morning my wife suggest go to hospital to get a treatment/checkup.

so i went to ampang puteri hospital emergency, first the brought me to ECG (to check heart rate), after that i met the cardiology specialist, n during checking the doctor still dont know the cause

of chest pain, and mention to me to go through all test. so i say ok n give my medical card which is under MCIS Zurich n according to the doctor i need to stay in hospital (warded) upon checking)

n i have run all test including blood test, glucose test, CTA scanner, treadmils, xray etc.

so all went normally n i stay for 3 days 2 night at the hospital. and the result was ormal, nothing wrong with my chech.

during my discharge, total charge is around 4.5k++,  n what was shocked is the insurance did not cover all the expenses, the reason is i was normal.nothing wrong with my bodies and asked me to pay all.

and im saying why i gonna pay? thats why i take medical card, to cover all the expenses. n according to the hospital, the insurance did not cover because im ok after the test!

what im not satisfied here?during the first procedure/registration normally, the hospital must call the insurance company for the checking whter can claim or not. but why after run all the test, the told me not cover

and still now, i just run back still not paid anything.im gonna report this to tribunal.

i need a solution/pendapt from u guys, what can i do now. 4.5k??i can pay , but not easily just give the money.
*
maybe your insurance is the cheapest one
CommodoreAmiga
post Nov 7 2022, 08:37 AM

Look at all my stars!!
*******
Senior Member
3,864 posts

Joined: Jun 2022


A lot of time doctors and hospital just want to rip you off. I once had a stochmache discomfort. Went to this Hospital KPJ. The doctor there got title "Datuk". Wants to admit me and do all sort of test. I said hold on and he said "You have Medical Insurance right?". Just because I have insurance doesnt mean I will let you rip me off. In the end, I refuse to be admitted and just take the medicine for acid reflux. One tablet kaw Tim. Jilaka penipu Datuk.
james.6831
post Nov 8 2022, 04:23 PM

Enthusiast
*****
Junior Member
937 posts

Joined: Apr 2020
QUOTE(CommodoreAmiga @ Nov 7 2022, 08:37 AM)
A lot of time doctors and hospital just want to rip you off. I once had a stochmache discomfort. Went to this Hospital KPJ. The doctor there got title "Datuk". Wants to admit me and do all sort of test. I said hold on and he said "You have Medical Insurance right?". Just because I have insurance doesnt mean I will let you rip me off. In the end, I refuse to be admitted and just take the medicine for acid reflux. One tablet kaw Tim. Jilaka penipu Datuk.
*
if not how they gonna buy their merc and bmw all lol go thru hospital see all the atas cars there...some doctor when heard you got insurance terus $$$ liao

 

Change to:
| Lo-Fi Version
0.0232sec    1.05    5 queries    GZIP Disabled
Time is now: 14th December 2025 - 02:41 PM