MVP 1.5mil means that should your total cumulative hospitalization claims Exceeded the MVP value, then Prudential will pay 80% of the bill and 20% is to be borne by you.

The MVPB of RM30K per every 2 years of no claim means that the MVP value of RM1.5m will gradually increase by RM30K for every 2 years of non hospital claim.

Meaning after 2 years, assuming there is no hospitalization claim the initial MVP value of RM1.5m will be RM1,530,000 after 2 years.

There is no lifetime value for PVM.

As for the point no 2, I am uncertain as to why you have 2 medical cards running. It would be best to seek for the agent's clarification as to why you are having 2 medical cards running. Don't get me wrong,

I also do have client that has 2 medical cards running at the same time (since the first medical card is an older and lower limit). When the client wanted to upgrade, he already have ailment which makes the application for an upgrade an Exclusion. Therefore we have to apply for another medical card with an Exclusion whilst maintaining the 1st medical card.

Well if the policy book says the term is until age 70, that is what it literally means, until age 70.

Hi Roy,

First of all thank you for your time in reading this question.

I am also approach by my insurance agent selling me the PruValue Med.

From the quotation, I understand that the Med Value Point of RM 1,000,000 is for the whole policy years like, assuming:

Year 2021 = RM300,000 hospitalisation
Year 2022 = RM600,000 hospitalisation
Year 2023 = RM500,000 hospitalisation

For year 2023, I need to pay 20% of RM400,000 as I have exceeded RM1,000,000 in Year 2023.

But my insurance agent told me that the Med Value Point of RM1,000,000 will be refreshed yearly (no annual limit but Med Value Point will be reset each year). Like for the above case, even in Year 2023, I do not need to pay any amount (except for the RM300), as my hospitalisation fee for that year did not exceed RM1,000,000.

Just want to get a second opinion before I make my decision.

Once again, thanks you so much!

Do note that it is the calculation of the limit is by the policy annexure year (depending on when you start the policy) and not by the calendar year, but for the sake of discussion lets stick to the calendar year:-

Year 2021 = RM300,000 hospitalisation - insured to pay RM 300 if med saver is attached
Year 2022 = RM600,000 hospitalisation - insured to pay RM 300 if med saver is attached
Year 2023 = RM500,000 hospitalisation
- first RM100K, insured to pay RM 300 if med saver is attached
- subsequent RM400,000, insured to pay RM80,000 (80/20 rule applies)

On a related note, it means you had 3 times of Critical Hospitalization with that type of claims and YET SURVIVE, which I had never seen before in my career as an insurance agent.

Thank you so much for the clarification Roy! Lucky I hadn't decided for my insurance yet.

Well if the annual limit is really your concern, then you may look at upgrading to PruMillion Med instead of PruValue Med.

Hi Roy,

Recently I am looking at my own policy as mentioned earlier, my pru value med insured until 70 years old.
I would like to raise the insurance year to 100 years old.

According to my agent, my insurance for illness is till 100 years old just medical card 1.5mil till 70 years old.
I asked her it is able to adjust everything to 100 years old and let me know how much is the premium.

She said mine is old policy which hardly can change anything. And if I upgrade to pru mil med which it will cost more than I bought a new insurance. She suggest me to buy a new insurance. Is that true?

3 concern here:
1. I cannot adjust my existing policy as its old policy
2. Either upgrade to pru mil med or buy a new policy)
3. If buy a new policy the old policy should maintain for 1 year only surrender

1. To answer your question, yes, it is possible to upgrade on that PruValue Med policy. The quote will to be calculated by the Underwriters.

Whether it will be costlier to upgrade on the same policy or add on another policy (by doing medical card transfer), is another matter though. Why not you get both options to compare before deciding?

I am still wondering why are you having PruValue Med & PruFlexi Med running together. Is your PruValue Med comes with a high deductible, eg RM20K or RM50K?

You may PM me if you do not want to disclose this information in public.

As for PruFlexi Med, no endorsement is possible as the product has been taken off the shelve. It is a good product that favors customer (admitted, get money) for claims, but good product tends to be getting claims abused.

2. See above

3. Alternatively you may do a medical transfer from the PruValue Med to the PruMillion Med on another policy (age 100). This way, if the PruValue Med has surpassed the 120 days Waiting Period, once transferred, the Waiting Period of 120 days does not apply to the PruMillion Med.

The old policy will have the PruValue Med taken out and therefore reduces the insurance charges which ultimately reduces the premium.

Since you mentioned that the PruValue Med policy also have critical illness/death insurance that is up to age 100, you can maintain this policy unless you do not need the cover any more.

Once the upgrade/transfer of medical is done, it is best to keep the old policy for at least 2 years due to incontestability period. However, this will be very much dependent on the health of the person.

The reason for maintaining the old policy for 2 years is that if there was a major claim on the new PruMillion Med and it is found to be a non-disclosure of material facts during the upgrade, it is still possible to revert back to the PruValue Med on the old policy (if the non-disclosure of material fact was only found after the PruValue Med is in force, of course).

My PVM has medsaver attached, and recently I had a minor daycare surgical procedure for a non pre existing condition. The RM300 will be charged when Prudential pays the hospital is it?
Would I be able to claim from my company insurer this RM300 since I went the other way around claim using PVM 1st rather than the company medical card 1st

Second question, I have a pre existing condition which my PVM doesn’t cover. If I require hospitalisation/surgery for this pre existing condition, would I be able to claim from my company medical card? Let say the bill come up to 30k and my company medical card limit is only 10k so the 20k I need to bear on my own and Prudential is not going to pay a single cent?

This post has been edited by ryan18: Jul 9 2020, 12:01 AM

It will depend on your company insurance whether they will pay the RM300.

You can submit the certify true copies of the medic reports, discharge summary, itemised billing and the original receipt for the Rm300 to your company insurer for claims consideration.

More importantly you need to understand how the rm300 can really benefit you in a long run.

If without the Rm300 upon admission, you may need to pay rm30-50 more per mth on your insurance premium.

How old are you and how many times have you been admitted to the hospital?

Assuming you are 30 yrs old and has been paying for full claim, rm30x12=360 per year, or rm10,800 for the next 30 years.

Yes if the event is related to your pre existing illness as mentioned in the policy document then it is not coverable.

However some minor pre existing illness(eg gastritis) over time can be appealed to be removed.

PM me your pre existing illness if you are not comfortable to mention here, see if I can help.

To answer the 1st part this is the 1st time I am having daycare/minor procedure so yeah it’s a small amount to pay rather than the increase in premium.Im 29 years old. My agent tells me I can claim the bills up to 1 year after the procedure .is it true or it is a case by case basis depending on whether it’s major procedure or daycare?

I’m not sure whether it’s a minor pre existing illness or not since it’s related to the heart but the doctor said it’s minor lol. It’s erm some heart valve issue and my PVM specifically mention that in the future if any heart valve replacement required or treatment for the related issue they will not cover

And my monthly premium for the prucash and prulink has additional few RM added to the premium for this issue compared to what is originally quoted

This post has been edited by ryan18: Jul 9 2020, 02:19 PM

Yes I do have claims submitted after 8 mths, customer misplaced the bill due to cancer stressed, it was honored.

My question is why wait until one year only test whether the claim is payable? What if Pru reject? Better submit everything asap, payment also will be swift.

Anything that is related to the heart is no minor issue unless it is being triggered by certain event,eg drinking coffee can cause palpitation.

If after 2 years of non recurrent for the heart issue, you may get your agent to appeal to remove the exclusion by writing a simple memo.

Ok there is a lot of info to digest
1. Claim- are you saying that I can do piece meal claim instead of accumulating all the bills up to 1 year or until doctor say no more follow up required ,whichever earliest. I thought for 1 surgery case can only claim once then case closed

2.Heart issue- Actually the heart issue didn’t create any issue for me only every 2 year need to go for scan to confirm that the heart issue condition is not worsening

3.Remove exclusion- I didn’t know can do this my agent never tell me.Thanks for informing. When I meet my agent to submit the follow up invoices, I will ask her about it. Does that mean my premium will reduce also?

1. That is not what I said, please read again what I had typed
As for the details on how long it is claimable for the follow up upon discharge from the surgery, it is maximum up to 90 days.

2. So it is not a minor issue, otherwise there won't be a need for future follow up.

3. Appeal to Remove exclusion can only be "considered" once it is no longer on a followup for at least 2 years. Key word here is 'considered'

Thanks understood for 1

2. To clarify, it was suspected 8 years ago in a student visa checkup and confirmed after an echo scan and cardiologist consultation.No medication,hospitalisation or surgery required for the condition up till now. I only had to return every 2 year for the echo scan and cardiologist follow up. Guess that is not a strong argument to appeal to remove exclusion?

There is no harm in trying to remove the exclusion if your policy has been in effect for 2 years

Policy has been in effect for 4 years already
Thanks so the agent need to write a memo? Is there any other supporting required?

1. Thanks for the reply, manage to dig out the policy book and it did say within 90 days after hospital discharge but didn’t mention how many times I can claim

How long does Prudential takes to pay the claim if it’s approved?

Details, please refer to your agent. TQ

Hi,

I bought pru-senior med for my parent years ago, with a deductible of 6k and a life time limit of 225K.

However I realized that 225K might not be sufficient, hence i am interested to buy another insurance to improve the limit of this insurance.

I've checked online and found that pru-value med has a plan with 20k deductible. I wonder can I buy pru-value med so that I can utilize pru-senior med or the first 6-20K and use pru-value med for the rest?

I am open to other options as well, thanks!

thanks for highlighting this plan.....

looking at the attached image, as per the illustration scenario....
looks like a good idea.

just asking, since you have 225k lifetime limit, why you want to buy 20k deductible?...why not start from perhaps RM100k (maybe that is much cheaper too)
any idea the age limit one can buy? does your parent age be a concern?

image from
https://www.prudential.com.my/export/sites/...nhanced_Eng.pdf

This post has been edited by yklooi: Aug 13 2020, 03:43 PM


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