1. The PruHealth (PH) comes with an annual limit and lifetime limit of Rm150K/Rm1,560,000 while the PruValue Med (PVM) comes with MedValue Point (MVP) Rm1M to Rm2M and no lifetime limit. If the total cumulative bills exceeds the MVP, Prudential will still pay 80% of the bill.
PH comes with a co insurance plan min Rm300 or 10%, maximum Rm1k (inpatient) and 10% up to a maximum of Rm2k for outpatient.
PVM comes with the option of full claim, Rm300 deductibles.
* For PVM, for Cancer Treatment and Kidney Dialysis, it do cover Take Home Drugs, Long Term Medication and Consultation Charges" while PH does not as it is an older plan.
Plans aside, if you are not worried of getting ICU or cancer for a prolonged period of time then there is no need to upgrade as of yet.
* Ps. A 30 days ICU due to Stroke or coma due to a major accident can costs > Rm120k at a private hospital. If the bill is Rm250K then for PH, you are required to settle the Rm100K with the hospital
2.
Pros: Covers Take Home Drugs, Long Term Meds and Consultation Charges and will be able to take care of larger bills in one go.
For PVM plans with Rm300 Room, for every 2 years of no claim, the MVP will be increased by 2%, eg MVP Rm1m will be Rm1,020,000 after 2 years of no claim, irrespective of the medical condition.
Cons: Naturally PVM comes with a higher insurance charge as compared to PH as the sum at risk is only Rm150k, while PVM Rm1m
No NCB for PVM
3. No, the NCB will be dropped since PVM does not have this feature of the NCB.
4. Most likely it will, and how much higher will it cost will depend on the types of riders you have in the plan. If you only drop PH and get PVM, do expect the premium to increase 20%-30%.
That is why for some of my clients, i do advice them to drop some of the add ons benefits such as "Hospital Income" and concentrate on the bigger hospital bills.
You may ask your servicing agent to generate a quote for you as simulation for upgrade.
PruHealth 400 Annual limit Rm150k, lifetime limit Rm1,560,000
Having said the above, it is best to sit down and review with your servicing agent to understand what add on riders you have and whether it is necessary to have them.
Appreciate the info.
1) For PVM,after exceeding the MVP,Prudential still pay 80%,is there max cap for this 80% portion?
2) Is there any possibility/method to increase the PH AL from 150K to let's say 500K?