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 AXA-AFFIN MEDICAL CARD

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rockets
post Mar 22 2011, 04:02 PM

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QUOTE(umapathy @ Mar 22 2011, 03:21 PM)
Guaranteed Renewal
This medical card is guaranteed renewal until aged 80 years old regardless of how many claims been made in previous year. Hence, provide peace of mind to the client. On top of that, no loading or increase in premium due to your health conditions and claim record.

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this one you better check again.

taken off their website:

"There is no selective Renewal Loading or Exclusion on individual if claim is made during previous year."

essentially guaranteed renewal is also useless if they can impose loading, and you will get loaded if you make a claim for your current year and try to renew for next year. only previous year claims are excluded that has already been loaded when you renew on the previous year.

a little confusing, i'll provide an example.

ex: if your policy runs from March 2011 to March 2012, if you make a claim during this period then it is considered a claim made in the current year. so when it's close to time of renewal, say Feb 2012, they will say you made a claim in your current year and has the right to impose loading upon you.

so that clause there means they can load you when you make a claim.

This post has been edited by rockets: Mar 22 2011, 04:05 PM
rockets
post Mar 22 2011, 04:12 PM

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QUOTE(umapathy @ Mar 22 2011, 04:06 PM)
This clause is made on AXA Affin medical card plan? ING Imax Care is not  guaranteed renewal ah?
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yes, for their Smartcare Optimum standalone medical insurance. is this the one you're looking at?
rockets
post Mar 22 2011, 04:21 PM

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QUOTE(numbertwo @ Mar 22 2011, 04:12 PM)
now..that is very picky.. lol , but a good one for TS to find out.  But as a general clause, I have never seen any clauses that says current year claims will be taken into consideration when it comes to renewal... Policy expires is always one year after the effective date.  Renewal shall be paid within 30 days thereafter... hence, the claim made in between 03/2011 - 03/2012 is always considered to be previous year IMO.
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So far i've only seen something like that from AXA, most newer plans never mention anything about loading anymore. Having loading defeats the entire purpose of having an insurance. They can make policy wide premium changes but never based on individual claims.

If it's really like what you said it is, why did they put that clause there at all? Something like "No loading will be imposed based on claims." would be so much more convincing.
rockets
post Mar 22 2011, 04:26 PM

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QUOTE(umapathy @ Mar 22 2011, 04:23 PM)
Anyone has any proof to claim that AXA Affin indicated that portion in their policy?
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http://www.axa.com.my/132/en/Health-Insura...artCare-Optimum

click on the FAQ.
rockets
post Mar 22 2011, 04:42 PM

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QUOTE(numbertwo @ Mar 22 2011, 04:30 PM)
I do not think the insurer would want to play such a trick to be honest.  But you may write them to get clarification.

Anyhow, from AXA policy wording this is what I understood and hence  I stand on the fact that this policy has no loading based on previous claim experience , no matter current policy year or previous policy year.

Extracts :
6.  Period of Cover and Renewal
This Policy shall become effective as of the date stated in the
Schedule. The Policy Anniversary shall be one (1) year after the
effective date and annually thereafter. On each such anniversary,
this Policy is renewable at the premium rates in effect at that time
and any change in the renewal premium shall be notified by writing
at least thirty (30) days before change is effected. It shall not be
incumbent on the Company to give notice that any premium for
renewal is due and such premium shall be deemed to be due date
on which the Policy expires and must be paid within thirty (30) days
thereafter. However, during such thirty (30) days the Company shall
remain liable thereunder if by the last of such days the premium is
actually paid unless the Company or the Insured Person shall have
given notice that the Insurance would not be renewed.

This Policy will be renewable at the option of Policyholder subject to
the terms, conditions and termination at each of the anniversary of
the Policy date. The renewal premiums payable will increase with
age and is not guaranteed. The Company reserves the right to revise
the premium rate applicable at the time of renewal. Such changes, if
any shall be applicable to all Policyholders irrespective of their claim
experience according to the Company’s risk assessment
.
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that bolded part they are refering to the policy wide premium changes. it never said anything about individual loading.


Added on March 22, 2011, 4:44 pm
QUOTE(umapathy @ Mar 22 2011, 04:33 PM)
That is applicable for Smartcare policy? What about Medical Care Rider? it is totally different right?
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it should be different, thought i'm not 100% positive. you'll have to buy their life insurance to qualify for that rider medical.

This post has been edited by rockets: Mar 22 2011, 04:44 PM
rockets
post Mar 22 2011, 04:56 PM

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QUOTE(numbertwo @ Mar 22 2011, 04:45 PM)
when they decide to load you, that means it is a change in premium.  And I could always argue that your premium rate changes shall not refer back to my claim experience.. Anyway best is to get a B&W from Axa, not down to me to make assumption i suppose.
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i agree, we're just pretty much guessing here. i'm just very careful about insurance companies because i've seen many cases of claims and renewal gone bad because of some little words in the B&W which they can use against you.
rockets
post Mar 23 2011, 02:28 PM

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QUOTE(PJusa @ Mar 23 2011, 02:19 PM)
many reasons come to mind: different risk structure = different expected loss rate different costs for management, advertisement, higher internal profit rate, less strict claims handling, etc etc.

also bear in mind: covering 500k max is cheaper to cover per $-coverage than 50k since lower claims are simply more likely to occur than high claims.

AXAs policy is different from ING and PRU - look carefully. most policies are - among other reasons to prevent buyers from having an easy comparison (which would mean all buy from the cheapest provider cause cover the same). you need to figure out the differences and what they personally are worth to you - only then can you find the cheapest cover for yourself.

once again: my personal opinion is that AXA with a top-up is currently one of the best options for higher-end H&S plans.
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i think part of the reason why PRU and ING are expensive is because their outpatient treatment for cancer/kidneys are As Charged.
rockets
post Mar 23 2011, 02:54 PM

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QUOTE(umapathy @ Mar 23 2011, 02:34 PM)
Thanks PJUsa for the fine explanation.

What makes you think that there are high risks a lot of people would be diagnozed with cancer/kidney problem?

Is the ratio very high compare to other sickness like BP or diabetes?
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but it's better to have good cover for those, no? no matter the odds. cause if you do strike any of these it could bankrupt you and you'd just wait to die.

diabetes is actually one of the top causes for kidney failures in case you didn't know.

as for cancer, "In 2007 cancer caused about 13% of all human deaths worldwide (7.9 million)". that's from wiki.

trust me, if you want a good insurance you'd want one that has good cover these two. or you could get a top up like what PJusa did.
rockets
post Mar 29 2011, 11:43 AM

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QUOTE(numbertwo @ Mar 29 2011, 10:11 AM)
ad official answer from AXA CS :

From: MAL-AXA-Customer-Service [mailto:customer.service@axa.com.my]
Sent: Tuesday, 29 March, 2011 10:02 AM
To: ********
Subject: FW: Smartcare Ooptimum : e-Brochure & Premium table request
Dear ********,

Thank you for your email below.

We would like to inform that the renewal is guaranteed even though there is claim made on the current year.
Thank you.
Regards,
Iris

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yes we already knew that, my biggest concern was whether loading would be imposed during renewal.

"There is no selective Renewal Loading or Exclusion on individual if claim is made during previous year."

the more i read into this the more loop hole i see to it.

the bolded part, in addition to the possiblity of what it meant that i've described a few post back, it could also mean if you made a claim in year 2001, loading will not be imposed at year 2002, but year 2003 there will be loading even if you're made no claim during 2002. notice that it stated "previous year" not "years", so essentially it is a deferred loading system.

i swear that quoted clause was not there when i download their product brochure last year. PJusa might have the policy that deos not have this clause yet cause as far as i know she bought it quite a while ago?

EDIT: also this one.

Alterations
"The Company reserves the right to amend the terms and provisions
of this Policy by giving a thirty (30) day prior notice in writing by
ordinary post to the Owner’s last known address in the Company’s
records, and such amendment will be applicable from the next
renewal of this Policy. No alteration to this Policy shall be valid
unless Authorized by the Company and such approval is endorsed
thereon. The Insurer should give thirty (30) days prior written notice
to the Policyholder according to the last recorded address for any
alterations made."

This post has been edited by rockets: Mar 29 2011, 11:45 AM
rockets
post Mar 29 2011, 02:47 PM

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QUOTE(numbertwo @ Mar 29 2011, 02:28 PM)
The clause was there even in the '09 brochure...

user posted image

And , read the terms above on Premium guaranteed..  Most GI policy has a portfolio loading only...not individual.  I don't know if you can find any policy contract that specifically says no individual loading upon renewal or something similar.  In fact, the 'premium guaranteed' statement is good enuf for me to argue , if needs be!
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thank you for bringing that up, guess my memory is not as good as it used to be sad.gif.

I don't know about others, but AIA has loading based on claim history. i'll post the exact wording here when i get back. i think loading is still pretty common considering a big player like AIA is still doing it.

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