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

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ryan18
post May 30 2018, 11:46 PM

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Any idea when the Annual Bonus statement would be out? last year end of May,now already end of May still havent release
ryan18
post May 31 2018, 07:45 AM

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QUOTE(roystevenung @ May 31 2018, 06:49 AM)
This year onwards it is via electronically, no more paper.

You can download the statement by registering for << Prudential Customer Portal PruAccess Plus >>.

Alternatively you may contact your servicing agent or walk in directly to any Prudential branch for assistance.
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Yeah I have checked till yesterday still not available


This post has been edited by ryan18: May 31 2018, 07:52 AM
ryan18
post Jul 8 2020, 11:58 PM

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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
ryan18
post Jul 9 2020, 02:17 PM

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QUOTE(roystevenung @ Jul 9 2020, 10:09 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.
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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
ryan18
post Jul 9 2020, 07:33 PM

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QUOTE(roystevenung @ Jul 9 2020, 02:38 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.
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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?
ryan18
post Jul 9 2020, 09:45 PM

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QUOTE(roystevenung @ Jul 9 2020, 09:33 PM)
1. That is not what I said, please read again what I had typed  sweat.gif
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'
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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?
ryan18
post Jul 9 2020, 10:01 PM

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QUOTE(roystevenung @ Jul 9 2020, 09:52 PM)
There is no harm in trying to remove the exclusion if your policy has been in effect for 2 years
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Policy has been in effect for 4 years already
Thanks so the agent need to write a memo? Is there any other supporting required?
ryan18
post Jul 9 2020, 10:04 PM

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QUOTE(roystevenung @ Jul 9 2020, 09:33 PM)
1. That is not what I said, please read again what I had typed  sweat.gif
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'
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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?
ryan18
post Oct 30 2020, 01:10 PM

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Update: my appeal to remove exclusion was rejected by Prudential
Should I try again after my next check up in 2 years time
ryan18
post Oct 30 2020, 09:25 PM

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QUOTE(roystevenung @ Oct 30 2020, 04:35 PM)
What's the story? Pls tag if you had ask before. Sorry i cant possibly remember everyone's case 😔
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Background story:
Been having some “minor” heart issue since 8 years ago and need to go for scan/follow up every 2 years
So far condition is stable
This year asked my agent to write a note to try to remove this condition from exclusion list but Prudential rejected
ryan18
post Oct 30 2020, 09:45 PM

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QUOTE(roystevenung @ Oct 30 2020, 09:35 PM)
If it is still under follow-up with the Doctor then the Exclusion will still remain.

Only until the Doctor had cleared you that you no longer need to go back for follow up (with no recurrent) there is a possibility of having the Exclusion remove.

Was it palpitation?
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Yeah heart murmur
Even doctor also said will be hard to get the exclusion removed
ryan18
post Jun 11 2021, 11:25 PM

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Seems that if someone has pre existing condition, it’s not possible to purchase those affordably priced online insurance plans

This post has been edited by ryan18: Jun 11 2021, 11:25 PM
ryan18
post Jul 4 2021, 04:02 PM

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Is it a bad idea to add on TMCC to my current medical card policy(prulink one)?
ryan18
post Jul 4 2021, 04:31 PM

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QUOTE(lifebalance @ Jul 4 2021, 04:20 PM)
Why bad idea according to you?
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Just trying to get second opinion as 1 contact who is an insurance agent(non Prudential) said it’s a bad idea to include CI(TMCC), accident and medical card in the same plan.so he suggested to get stand-alone CI instead
Sustainability will be affected and premiums need to be increased substantially in the future

Which in in contrast to what my agent said sustainability will be up to 71 by increasing my current premium from 150 to 250
ryan18
post Jul 4 2021, 05:19 PM

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[quote=lifebalance,Jul 4 2021, 04:37 PM]
Depends on your affordability to add-on the rider if it meets your current need.

Any insurance plan out there has it's own pros and cons, just a matter of what purpose it serves you and why you're buying it.

Example:
1. Why did the agent recommended the standalone CI ? Sorry what I mean by stand-alone CI is another policy with CI itself instead of including as an add on rider in my current medical card policy
2. Does it also cover early & multi CI like TMCC? Yes
3. If not, then why was it recommended and does it meet your need?
4. the cost would also defer and will be obviously cheaper if it doesn't have as many feature
5. Do you need the TMCC? Isn’t a multi claim plan better than single claim



ryan18
post Jul 5 2021, 09:27 AM

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QUOTE(roystevenung @ Jul 5 2021, 02:49 AM)
To answer your question, you need to look at your current's policy sustainability. If your current policy sustainability is up to age 80, then if you add TMCC to the existing policy the TMCC cost of insurance is also calculated to sustain up to age 80 (since TMCC is a rider that will follow the policy sustainability term).

Do you think you'd still be working to generate an income at age 75 or would you have retired?

If not, then just start with a new TMCC policy limiting the sustainability age to 60 or 70 (albeit with a lower premium) to act as income protection during our productive years.

» Click to show Spoiler - click again to hide... «

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Thanks for the explanation
based on the quotation that I got from my agent
Current policy sustainability is up to 100 years old
With the addition of TMCC policy sustainability is 71 years old
I’m taking 200k CI which is about 3 years income
ryan18
post Aug 2 2021, 11:52 PM

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How long does it take for policy endorsement?
I thought is as simple as I request agent to generate quote,agree then agent submit to Prudential then prudential assess and process and confirm endorsement and is it accepted with/without loading.should be within a month right?

This post has been edited by ryan18: Aug 2 2021, 11:52 PM
ryan18
post Aug 3 2021, 12:22 AM

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QUOTE(ping325 @ Aug 3 2021, 12:19 AM)
Case to case basis depend on client history , endorsement details and so on....fastest i say is 1 week , longest can takes 2months...
provided the agent submit via e-endorsement not the physical endorsement ya....

if lets say just modify sum assured and policy holder does not have any medical record like admitted to ICU , kena covid etc then very very fast.
if something happen and need further investigation , the endorsement could take months....

i just perform e-endorsement for my client recently which have clean health record. 25th June submit , 7th July approved
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Thanks for sharing
Maybe coz I got pre existing condition and this endorsement is to add CI in current policy so take some time
ryan18
post Aug 12 2021, 05:52 PM

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Is it normal to get a loading of almost 70/ month on an endorsement to add CI/TMCC?
Anyway asked my agent to appeal as its way too high
ryan18
post Aug 12 2021, 09:39 PM

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QUOTE(mini orchard @ Aug 12 2021, 08:24 PM)
What is the coverage amount ?
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250,000 for CI/TMCC
Initially was quoted 250, but after processing a loading of 68 was included due to pre existing condition

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