Under the PruFlexiMed plan, you have the option to select RM 300 deductible or Zero Deductible (ZD). If you chose the RM 300 deductible, this means that the minimum that you need to pay is RM 300. If you choose the ZD, Prudential will absorb the bill. The deductibles will be reapplied after the 90 days per incident.

The premium for RM300 deductible is relatively cheaper as compared to the ZD.

The deductible is applied per event within the 90 days period from the last discharge date. Any subsequent events of the same diagnosis occurring after the 90 days period from the last discharge date will be subjected to another round of of deductible.

Example of a RM 300 Deductible for Kidney Dialysis
1st Kidney Dialysis: 20Feb ---> RM 300 is payable
2nd Kidney Dialysis: 20Mar ---> no deductible is being applied as it is still within the 90days from last event in Feb
3rd Kidney Dialysis: 20Apr ---> no deductible is being applied as it is still within the 90days from last event in Mar
4th Kidney Dialysis: 20May ---> no deductible is being applied as it is still within the 90days from last event in Apr
5th Kidney Dialysis: 20Oct ---> RM 300 is payable as it is after 90 days from the last event in May

Hope the above clarifies your doubts.

1. If the application for upgrade is approved, then there is no waiting period (since PruFlexi Med (PFM) was launched IIRC in 2012). However do note that application on the PruValue Med (PVM) the insurer is subjected to a 2 year incontestability period.

Should there be any evidence to show that there was a non-declaration of a material fact (especially on the pre-existing illness) the application for the upgrade may be downgraded back to PVM.

2. It is considered an upgrade, therefore do expect the premium to increase, depending on the age sustainability option, 70, 80 90 or 100.

3. Only for the upgraded portion (ie PVM to PFM), the changes of the allocation of the premium will be affected and reset. Eg, if you are previously paying RM200 and now it cost you Rm250, only the RM50 allocation is reset. Same goes to the agent commission.

4. It depends on your current PFM. For example if your current PFM is at age 90, and if you intend to maintain the current premium, you may try to lower down the sustainability option to say age 70 or 80 for the PVM.

If you decided to lower the sustainability age to 70, and only top up later, it needs to be going thru another round of endorsement (upgrade) whereby health declaration is required.

If you are still healthy then its not an issue to do any upgrade. Otherwise, it may be imposed with exclusion/loading/rejected (depending on the severity of the illness).

5. Do declare all questionnaires properly