hi, can any agent quote me prudential insurance, pm me, thx

Thanks for the update.
I was being advised, not selected, for taking up PVM. However, in view already have 1st medical card, I may wish to go for deductible 20K option as 2nd medical card. Would you be able to advise if PVM could be converted back to zero deductible or with med saver let say after retirement 55 years old. Is this applicable for PVM? If yes, then PVM is highly appealing. Thanks.

Assuming that you had the PVM with Rm20k deductible as a second medical card and prior to retiring you want to convert it to include med saver (rm300), it is only possible if you remain healthy during the conversion.

Converting it from Rm20k deductible to med saver Rm300 means added risk to the insurer. Therefore a medical underwriting is necessary.

50k limit is not alot nowadays

Pls consider to upgrade the policy

Thanks for prompt reply as usual. However this means it's only possible if PVM is still active product let say 20 years from now? Eg, is underwriting still possible if PVM off shelf by then? Eg, like my current PMM100 series 1, it's not possible to underwrite to PMM200 series 1 after just 15 years right since PMM already phased out. Apology if it's a bad comparison analogy. Hope you get what I'm trying to point out. Perhaps something more secure like Pru Health's prumedic retirement rider for PVM for guaranteed conversion back to zero deductible / med saver.

This post has been edited by mktan78: Jul 14 2016, 06:57 PM

Yes, reviewing now as per all sifus advises obtained from this forum. Thanks. 😀

Yes that too (if the product still remains in the market) and I got your point.

FYi PMM1 is still able to be upgraded to PMM5 (which is currently still in sales). However in PMM5, Cancer Treatment and Kidney Dialysis it does not cover Take Home Drugs, Long Term Meds and Consultation Charges.

PMM5 also comes with co insurance (min Rm300 - Rm1K) as opposed to PMM1 (full claim)

This is why most agents advice to upgrade to PVM (full claim or Rm300 or deductible options)

Thanks for the clear explanation. I'll assume my PMM1 for outpatient cancer treatment and kidney dialysis will also not entitled for Take Home drugs, long term mess and consultation charges, correct?

PMM1 yes, it do cover Take Home drugs, Long Term Meds and Consultation Charges. However, it is still bounded by the annual limit of RM50K. If you use up too much on the THD, LTM and CC, it may not even be sufficient to pay for the chemo.

PMM3 onward does not cover.

PruValue Med do cover the Take Home drugs, Long Term Meds and Consultation Charges.

This post has been edited by roystevenung: Jul 14 2016, 08:18 PM

Something new learnt today. Thank you so much.
Noticed that only PVM outpatient benefit explicitly mentioned on the Take Home drugs etc. Can this imply that other insurance provider, if doesn't mentioned this, then no such entitlement benefits?

I have to apologize as I am unable to comment on other insurer's product which I do not represent.

@roystevenung

A more serious question and obviously a lengthy one.

In the past, Prudential medical insurance was always using "Guaranteed Renewal", however, since PVM, it switched to "Non-Cancellable" while emphasizing it's actually same with guaranteed renewal. Now if one is to search the definition (web) , it's generally indicating policy where "an insurance company can’t cancel, increase the premiums on or reduce the benefits of as long as the customer pays the premiums."

First non conformity would obviously be in PVM version, premium and/or insurance charges is subject to be revised. It's actually still acceptable in Malaysia landscape plus how Prudential medical insurance works in the past (PMM, PruFlexi Med, Pru Health).

Now, what may need further attention is the portion about non cancellable benefit or reduction of benefit. I'd had opportunity to read through PVM policy and the provision clause mentioned in both below which relates to PVM:

1) Annexure 227 : Part 5 : General Conditions
2) Annexure MB3 : Part 2 : General Conditions  - A. Alteration

When read, it quite cause one to be suspicious that these clauses actually enable the company to have the ability for Future Alteration which may open the risk of Table of Benefits subjected to alteration which is damaging if it's to reduce covered benefits. The clauses also clearly spell ability to alter terms and conditions, aside from the usual premium and insurance charges. This defeat the overall "non cancellable" policy as it doesn't looks good for guaranteed renewal but other "ingredients" are subject to be altered.

Yet another provision clause is regarding the non cancellable itself warranted under "Annexure MB3 : H. Non-cancellable"

This part of annexure was specifically mentioning that "Non-Cancellable is
only for insurance cover (any annexure) on "Life Assured being Confined to
the Hospital".

The curious part is why emphasize only for "Confined to Hospital" which gives impression non cancellable only applies to "Inpatient Benefit" while rest is not governed by the non cancellable eg outpatient, other benefits, and when relates back to "Alteration" provision mentioned above, the whole PVM non cancellable looks really discredited.

Well, I'm not legal expert nor fluent with such big jargon used in the policy. But these clauses doesn't shown in older Prudential policy. Really hope you may give some advice or comments on this realm as I'm long term Prudential customer which still trying to believe the company always strive to provide quality product and outshine other providers in Malaysia.

Thanks

"Guaranteed Renewal" and "Non-Cancelable" refers to the same thing.

Some of the older version of the stand alone medical card (which are normally provided by General Insurance company is annually renewed and is non-guaranteed to be renewed).

This means that if I have a heart bypass this year, and upon the renewal next year the insurer may exclude the heart condition or turn down the application altogether. It would be rather impossible for me to find other insurer to get reinsured if I had a heart condition.

This is why most insurer nowadays provides "Guarantee Renewal".

--

In MY the insurer reserve the right to increase the premium (or rather the insurance charges) should there be a necessity in order to maintain the insurance portfolio. I believe this is applicable to all insurer and not only limited to Prudential.

The last increase of the premium was from 1997 and it was carried out in 2015. Some of my clients was increased by RM30/mth.

On the part of reducing the benefits, I have not known of any insurer that does that unless the applicant themselves specifically request to lower the benefits.

The part on the Alteration, it is necessary to be included in the new policy as we had seen that the government rules may change, example the inclusion of the GST as part of the insurance parcel.

To be fair to the clients (and to us agents who holds Prudential medical card) the alteration part is not applicable to PVM. This means we cannot amend the benefit structure of PVM.

Yes, we agents are the ones who will make 'noise' to Prudential if we get 'nonsense' T&C

hi, i want to ask whether TCM treatment fee is claimable under prudential medical insurance ?

Hi, if 1st medical card PMM with annual limit 50K, lifetime limit 150K. Intend to buy PVM as 2nd medical card, with deductible 20K. Assuming anniversary of both cards are close by. Now since 1st card have lower lifetime limit, is it possible if we submit both cards for Hospitals Alliances hospitals for cashless admission, we request Prudential to only utilize 20K on first card (instead of its annual limit of 50K) and starts on claiming 2nd card since fulfilled 20K deductible oledi. This will able to prolong 1st card limit exhaustion. Possible? Assumption made, the single admission incurred more than 50K bill.

Heard from my colleague that oledi PVM holders, also 2 medical cards, he mentioned agent ask to submit both medical cards when admitted.

This post has been edited by mktan78: Jul 16 2016, 11:08 PM

For PVM, there's one benefit (Expert Medical Opinion) that's having limited information aside from its website which gives below description :

"Expert Medical Opinion is a value added service that provides second medical opinion from medical experts in various areas of specialisation. This service is to assist you to learn more about your medical conditions and make an informed decision on the treatment plans."

Need extra rider? Or if built-in oledi, what is the pre-requisite to use it to ensure claimable later on?

No, but what kind of TCM treatment specifically are you referring to? Bone setting? Acupuncture?



Understood what you want to do (to prolonged the 1st medical card).

It is possible to be done, but the hospital concern may need to limit the RM20K on the 1st bill. Then reissue another Letter of Authorization for the subsequent bill on the second medical card.

Cashless admission can only be done if both card are from the same insurer (and from the above, it is).

Ps. If the second medical card was from a different insurer, then you will need to settle the amount not covered (assuming that the annual limit has been exhausted) upon discharge and only file for reimbursement on the second insurer.

It is built in

[quote=roystevenung,Jul 17 2016, 12:20 AM]
No, but what kind of TCM treatment specifically are you referring to? Bone setting? Acupuncture?



Bone setting and acupuncture. From MRI, specialist said no problem, then give me a relief pain medicine and the condition is not getting better.
From TCM, he studied MRI and said i need take a long treatment and take time to recover.

Hey guys, I hope I am able to get some unbiased opinion here. I know its damn ironic to expect for an unbiased answer from a sellers thread but considering that there are also outsiders who do not want to purchase due to the cons the product brings, may I know...

is Prudential Cash Booster really that good? My friend who is a Prudential agent keep telling me how good the product is, with a minimum monthly payment, almost all aspects of my life are covered etc etc. I know no products are perfect, so, if there is something bad about this product, what would it be?

Is it the suitable and the only investment product I need if I can only fork out RM200 every month? If not, what else would you guys recommend?

hey, premium payment auto debit credit card got extra charges?