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 All about PRUDENTIAL & insurance updates!, any insurance related issue are welcome

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roystevenung
post Oct 30 2018, 10:12 AM

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QUOTE(7498 @ Oct 30 2018, 08:28 AM)
Hi Roy, what is non-medical limit? sorry I am new in insurance unsure.gif
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In layman terms, the NML is the total amount of insurance a person had bought for life+critical illness.
roystevenung
post Oct 30 2018, 11:44 AM

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QUOTE(oro89 @ Oct 30 2018, 10:19 AM)
I have been on prubsn health enrich 2 select for more than 2 years now and recently i saw a lot of much more interesting plan with more benefits is it possible to convert my existing plan to the new pru plan?

And if if i were to upgrade i need to go through the waiting period all over again?
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HE2 can only upgrade within the HE2 series and not able to upgrade to the new Health Protector (under PruBSN).

However, client is able to hold 2 medical cards HE2 + Health Protector (with the new Waiting Period)

Transfer of Medical card from PruBSN to Prudential Assurance Malaysia Berhad (PAMB) is not allowed to prevent agents from twisting of policies to get sales.
roystevenung
post Nov 3 2018, 11:45 AM

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QUOTE(swgiant @ Nov 3 2018, 11:28 AM)
My stomach is bloat since beginning of the year.
Yesterday i went to see a specialist and doctor recommend to endoscopy, found out excessive of gastric acid.
Total fee is RM 1K+, then may i know this fee can claim under PVM as "Emergency Treatment for Accidental Injury"
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No but its claimable under the medical card provided that the card has surpassed the waiting period based on the when the symptom had developed.

Emergency Treatment for Accidental Injury is for claims which are accident in nature.
roystevenung
post Nov 3 2018, 02:36 PM

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QUOTE(swgiant @ Nov 3 2018, 11:51 AM)
Thanks. Due to my agent had migrated to oversea which i bought medical card since pruhealth from him then how do i make the claim by myself ? first, obtain the claim form from prudential office then submit to hospital, once doctor signed then i pass the receipt and claim form back to prudential office ?
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I will PM you the forms later tonight when i get on my computer.
roystevenung
post Nov 7 2018, 02:34 PM

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QUOTE(ahchat @ Nov 7 2018, 12:46 PM)
hey guys, need some clarification here...a friend of mine mention to me that, if I want to do some eye related treatment, I can use my medical card for it, is that true?

treatment for Rabun silau
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As far as I know it is no cover, as “astigmatism” falls under the Exclusion for medical card.

QUOTE
Exclusion

Elective cosmetic or plastic surgery (except re-constructive surgery necessary to restore function), hyperhidrosis, circumcision, eye examination for nearsightedness, farsightedness or astigmatism, visual aids and refraction or surgical correction of nearsightedness (Radial Keratotomy) and the use or acquisition of external prosthetic appliances or devices such as but not limited to artificial limbs, hearing aids, cochlear apparatus, external or temporary pacemakers and prescriptions thereof;“

roystevenung
post Nov 13 2018, 10:51 PM

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QUOTE(Honey Stars @ Nov 13 2018, 09:17 PM)
Dear Sifus,

Thinking of upgrading my medical insurance. Currently under PLR with the following benefit:

Death, PD: RM 25k
CI : RM 25k
Acc Death: 20k
Room : up to age 70
Annual Limit: 60k
lifetime limit: 1.2m

My agent offered me 2 options:

PVM
Death, PD: 50k
CI: 50k
Acc death: 50k
Room: up to age 80
Annual limit: N/A
Lifetime limit: 1mil
other details same as current plan

PLR
Death, PD: 150k
CI: 150k
Acc Death: 150k
other details are same as current plan.

Both options are twice my current premium which I'm ok with. But is PVM beneficial for me with only +30k sum coverage for death, PD, CI, acc death and room & board till age 80?

I was thinking maintaining the current PLR plan and get +125K in Death and CI would be more worthwhile. Please advise me if i'm mistaken somewhere.
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The newest medical plan from Prudential is called PruMillion Med with a minimum of RM1.38M annual limit. Moving forward, it would be better to look at that option for the medical upgrade.

As for the rest, it would be best to discuss with the agent on why you need RM150K for Death/PD/CI/Accident Death.

This post has been edited by roystevenung: Nov 13 2018, 10:52 PM
roystevenung
post Dec 10 2018, 02:58 AM

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QUOTE(yupng @ Dec 9 2018, 10:16 PM)
Hi Sifu here,

PRU million med and PRU Value Med, which one is better?
What is the pro and con between this two plan?
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Major differences is that PMM has an annual limit of RM1.38m (with higher insurance charges naturally) as compared to PVM. For PVM, if one is able to claim up to RM1M cummulative, Prudential will pay 80% of the bill, whilst client has to pay 20%.

Cancer treatment and kidney dialysis is claimable up to RM1.5M for PVM as compared to PMM that has an annual limit of RM1.38M.
roystevenung
post Dec 12 2018, 12:06 PM

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QUOTE(yupng @ Dec 12 2018, 11:12 AM)
Which is the best choice between two of plans?
Which is more recommended?
Thanks.
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Better coverage but higher charges then PMM, otherwise PVM.

So far i have yet to see anyone claim out >Rm500k from medical insurance and yet surviving.
roystevenung
post Dec 17 2018, 11:37 AM

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QUOTE(tadashi987 @ Dec 17 2018, 11:20 AM)
Hi there, i have a pruwith you ILP insurance, wanna know if i go for normal outpatient in hospital, can I claim? :confused:
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First off the PruWith You is just the basic plan that covers Death/Total Permanent Disability. Unless you add the rider of the Medical Cover (such as PruMillion Med, PruValue Med, PruHealth), then you may be eligible for the claim (subjected to the waiting periods of up to 120 days).

May I know what kind of illness/incident are you trying to claim for outpatient at the hospital? :confused:

Though you may get a faster answer from asking your agent directly, which is why you chose to buy from that agent, no?

This post has been edited by roystevenung: Dec 17 2018, 11:38 AM
roystevenung
post Dec 17 2018, 12:13 PM

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QUOTE(tadashi987 @ Dec 17 2018, 11:46 AM)
Mine is PruValue Med, yep got the reply from my agent, thought of asking here at first.

I have a lipoma at my back thinking to go for hospital outpatient and see if require CT scan

Thanks for your prompt advise  thumbup.gif
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If the lipoma happens after the waiting period and it is not a pre existing illness, then it is claimable, otherwise the claim may be declined.

The procedure can be claimed under day surgery subjected to the above mentioned.
roystevenung
post Dec 19 2018, 05:43 PM

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QUOTE(tadashi987 @ Dec 19 2018, 03:19 PM)
Hi Roy want to know on following scenario:

1) if i go for outpatient check, end out it is just a normal imflammation, then it is not claimable?

2) if surgical is needed, but schedule for another day for surgery, do i need to pay upfront for the first day outpatient consultation?
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1. If it is just for checkup then no, it is not claimable as it is considered for investigations purposes.

2. However, if it resulted in a surgery as necessary then it is claimable. Most of the time the Dr will schedule another day for the surgery, of which during this time the hospital will arrange with the insurer the issuance of the pre authorization letter (formerly known as Guarantee Letter).

You will be need to pay for the doctors consultation for the first visit, which can be claimed once there is a surgery. This is commonly known as pre hospitalization cost.

After the surgery there will be follow ups, which you have to pay and file claim to the insurer.

roystevenung
post Dec 21 2018, 12:24 AM

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QUOTE(tadashi987 @ Dec 20 2018, 10:33 PM)
hey roy, just wonder why there is no any brochure/ sale illustration for my existing plan pruwithyou

something like this
https://www.prudential.com.my/export/sites/...ld-plus_Eng.pdf

because sometimes jst wanna to check through quickly the product instead of flipping the long story product disclosure sheet/policy document
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There is no brochure other than Infographic and some explanation for PruWith You
PruWith You Infographic

PruMy Medical Plus
roystevenung
post Dec 23 2018, 10:35 AM

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QUOTE(uus831 @ Dec 23 2018, 09:51 AM)
Hi,

I have subscribed to PruBsn Platinum with a monthly payment of RM 1007. The plan is for 10 years. For any yearly payback, i opted to reinvest. I have been with this plan for 3 years. If i surrender now, will i get the whole principal that i have paid all back?
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No, i highly doubt that if you surrender now, you will get anywhere close to your principle due to the following...

1. Market situation at the moment, for most funds, in general are on the low side, resulting in lower cash values as projected.

2. The upfront wakalah charges for the first-third year is 75%, 60% & 40% respectively. This means if you are expecting a profit, the funds must make more than 100% for the 1st year!

3. Buy insurance with protection in mind, not to make money.

You can read more on my blog - - - >>>Insurance 101

You can ask for a statement or register for online PruBSN Touch to view the policy values online.

Sekian harap maklum...

This post has been edited by roystevenung: Dec 23 2018, 10:37 AM
roystevenung
post Dec 24 2018, 09:48 PM

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QUOTE(uus831 @ Dec 23 2018, 05:15 PM)
Thank you very much for the clear explanation. What's your recommendation? Hold it until mature? Maturity is 20 years..
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It would be best for you to discuss with your agent on the options (after you check the latest cash value in the policy).
roystevenung
post Dec 27 2018, 01:19 PM

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QUOTE(IvanWong1989 @ Dec 27 2018, 12:22 PM)
Hi. Does Prudential have Android app ?
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No. Just use >> PruAccess Website << to check the status of your policies online.
roystevenung
post Jan 27 2019, 05:56 PM

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QUOTE(harace_84 @ Jan 27 2019, 05:03 PM)
Hi Sifus..

I need ur kind wisdom to make crucial decisions bout insurance. Following is my background for ur assessment.
1. I'm 35years old and a breadwinner for my family with 2 kids.
2. I work with a reputable GLC with adequate medical coverage for me & family members
3. Currently subscribed for Pru medical cards for myself, wife & 2 kids with minimal coverage. Subscribed since 2011.

I'm in midst of reviewing the policy and following are my thoughts;
a. I was thinking about terminating my kids medic cards since for the past years, I will utilised my corp's benefit.
b. As such, considering I'm the sole breadwinner for my family, I want to increase my medic coverage amount/subscribed new life insurance policy.
c. I also thinking to subscribed additional insurance for my spouse.

What's ur view? Thnks
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My personal view is that if you are able to stomach the risk and that the company insurance is sufficient to care for the kids, then terminating it should not be an issue.

a. Yes, do look at the mthly unavoidable expenses such as food, clothing, house expenses, loans, utilities as a base to calculate your needs.

You may also want to plan ahead by looking at tuition fees, and day care for the kids as without you, the spouse may have to work.

b. See above

On © I would suggest to have sufficient Critical Illness, as even though she is a home maker, she also contributes by taking care of the kids. Try sending 2 kids to full day care and you will understand where I am coming from.

roystevenung
post Feb 27 2019, 03:29 PM

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QUOTE(~Curious~ @ Feb 27 2019, 11:40 AM)
issit possible to request the loading to be lowered for a current policy ar?
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It is highly dependent on whether the "health issue" has been resolved, whether any recurrences and how long ago.

For eg, if admitted once for bloated liver, a loading of 25% may be imposed if the admission was recent when applying for the insurance.

After 2 years of non recurrent, you may ask your agent to help apply to remove the loading.

In other cases like breast cyst (after remove) it may require longer
roystevenung
post Mar 1 2019, 11:26 AM

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QUOTE(max880930 @ Mar 1 2019, 04:47 AM)
Prudential customer service and agent confirmed outpatient treatment/day surgery is NOT COVERED AND NOT CLAIMABLE...  the outpatient treatment mention in the policy is for 30-90days after surgery only can be reimburse so if you select for day surgery the old plan Pruflexi MED is NOT COVER/CLAIMABLE..

My advice to prudential owner, please double check it if you still on the old Pruflexi med plan..damn lousy card.
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For those interested to follow this discussion on this issue pls click below.

Link to response
roystevenung
post Mar 1 2019, 11:42 AM

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QUOTE(engyr @ Mar 1 2019, 09:29 AM)
Dear prudential agents, is there any good saving insurance that provide guarantee cash value upon maturity?
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My personal advice is buy insurance for its protection values, not for savings.

You may click on my blog which further explains the above Insurance 101

The Point of having insurance is to have sufficient cover during our "save/invest" period.

When we are unable to save due to illness or death, the insurance payout can be use for family expenses or to settle our loans/credit card/bills etc.

I suggest you discuss with your insurance agent if you are looking at that.

QUOTE(~Curious~ @ Mar 1 2019, 10:19 AM)
oic..mine was a preexisting condition that led to loading...
so no way about it?

since my premium is inclusive of loading,does that mean whatever rider i purchase in d future will b subject to loading too?
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A pre-existing condition is very wide as it means the problem was already there before the insurance was taken up.

Otherwise people will just wait until have Cancer to apply for a health insurance.

For example client had gastritis when applying for the med card and loading of 25% with Exclusion on gastritis was imposed on the medical card.

After 2 years of non recurrent of gastritis, we applied to have the exclusions removed and it was approved.

If it is not convenient for you, you may PM me the condition of the pre-existing illness, to see how I can help you forward.

roystevenung
post Mar 6 2019, 08:43 PM

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QUOTE(NiLeS @ Mar 6 2019, 07:59 PM)
Hi, is there any waiting period if I want to change my PVM to PMM?
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That is considered downgrading the plan, therefore theoretically there should be no Waiting Period (WP) provided that your PVM has surpassed all the WP

You may want to confirm with your servicing agent on whether it can be done as the PMM (1st series) medical card is no longer being offered for sales.

EDIT

Poster was asking about PruMillion Med (and not PruMajor Med. PruMillion Med is the newest medical plan from Prudential) offering an annual limit of Rm1.28m with unlimited lifetime.

It is considered an upgrade and there is no Waiting Period (provided that the PruValue Med has surpasses all Waiting Period) if done as a transfer of medical card.



This post has been edited by roystevenung: Mar 7 2019, 10:29 AM

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