ExpZero?

So obvious it's a GE policy.
You should get in touch with your agent for the top up, or engage a GE agent that can help you with it.

I am from AIA.

I would like to point out that every policy you purchase and/or upgrade, there will be admin costs/distribution costs involved, whether or not you buy it from the same company or different company, unless stated otherwise.

Hope this clears the air.

Such exclusion clause would mean literally what it says. Anything related to the lumbosacral portion of the spine will not be covered, as well as any complications related to the lumbosaral spine, ie the slip disc.

However, an appeal can be done later on with no guarantee of success but it's definitely worth a try.

I know it sucks. But this is what i can share with you.

For the general readers here,

Some simple rules to guide you on:
- purchasing your medical plan
- upgrading your medical plan

1. Is it guaranteed renewable?
(So you can continue having that plan for as long as you need it.)

2. How much are the annual limits and lifetime limits?
(There is never a "paling best" plan. Times are different in the future, and costs and prices change. To do a revision every 3-5 years is recommended.)
As for those purchasing their first medical coverage, maybe consider plans with No Lifetime Limits.

3. Are the Outpatient Cancer Treatment and Kidney Dialysis separate from the Annual Limits?
For those with diabetes and/or cancer history in the family (and extended family), having these two items separate from the annual limits is very important. The hospital charges alone may wipe out the policy annual limit, and patients may feel discouraged to attend recurring dialysis sessions or cancer treatment sessions for the fear of incurring costs to their family members.

4. Outpatient Dengue Fever Treatment
At least for Malaysia, dengue fever is very common, with over 72 thousand reported cases last year, with over half of it coming from the state of Selangor. In fact, there are a time frame when we would casually call it "the dengue season", between the months of June to September.
Due to the sheer number, hospitals private and public may be overcrowded, and we're forced to seek and complete our treatment at the local clinics. So make sure this is included under your plan as well.


Would this be you?
"I am covered by my company employee benefit, therefore I do not need a medical insurance plan for now."

Congratulations! We feel very happy for you. What a generous employer you have!
However, should there be any major claims done during the course of your employment, your application for your own personal medical insurance may be subject to exclusion or loading if you are very lucky. If not, your application may be declined.

Here are some reasons for decline:
1. Hypertension
2. Diabetes
3. Gout

Some may say that the premiums paid throughout the years does not justify that concern.
Well, we can only say that these financial tools are always available for the healthy, forward-planning individuals.
The best candidate to take care of ourselves when we come of age, is none other than the young and able person we are today.
In the face of life's uncertainties, wouldn't it only make sense to transfer these risks to an insurance company?

After all, 150,000 may be a big impact on our own personal savings accounts.
In terms of financial strength, we will never beat that of an insurance company.
So why not let the better able party bear the medical costs?

It only makes sense.

Here's an article by the star newspaper some time back.
http://www.thestar.com.my/News/Nation/2014...-more-than-200/

1. There should be a schedule of payments according to the conditions:
- Patah 1 jari = x% of sum assured.
- Patah 1 tangan = 100%, so on and so forth, according to policy schedule.

2. Yes.

3. Yes.

4. For PA: Yes. For death/TPD: If the CI sum assured is accelerated from death/TPD, then whatever is left is the remaining sum assured for death/TPD. If the CI sum assured is NOT accelerated from death/TPD, then the CI claim does not affect the death/TPD sum assured.

Why not consider AIA Public Takaful?
R&B 200
1.375mil annual limit with no lifetime limit.

Woudn't this be better?

A-Plus Early Critical Care
https://www.aia.net.my/products/main/brochu...30529_final.pdf

As a general rule:
Any "upgrade" is really just purchasing a new policy.
Therefore the general waiting period of 3+1 months applies, unless expressly stated otherwise by the company.

I hope this clears the air and personally I would really question the agent with the 1-month waiting period.

No no! Do not ever suka-suka cancel your old hospital insurance policy!

On top of the 4 months waiting period, there is the 2 years incontestability period.

In the first 2 years of your new policy, anything claimed under the new policy can be contested by the company.

By "contested" i mean the company can challenge the claim by conducting an investigation into your medical records to make sure that it is a genuine case, no prior diagnosis of the condition has been done before.

So best is to disclose all that you can when purchasing the "upgrade" policy.

Only when you confirm betul-betul healthy, didn't leave out any details, didn't go to your kawan's clinic to forge your way through the medical exams/tests, etc. Then only cancel your old policy.

Usually I let the old policy run for one more year before cancelling it.

Both also pay in ringgit.
I think both are pretty compatible.

AIA will say AIA good.
GE will say GE good.

How leh?

AIA and GE medical policies now are very very similar.
Except
1. GE's base plan has a lifetime limit, which is 10 times the base plan's annual limit.
2. AIA's Outpatient Cancer Treatment & Kidney Dialysis (OCTKD) is on top of the annual limit; while GE's OCTKD is included in the annual limit.

Either one you choose also pay in ringgit. The same limitations set by BNM applies.
A good product is a good product, anyone will tell you they are good products.
The only difference is really the agents making the difference on how much to buy, how you buy it. Because ultimately insurance company only pay. And they pay the same doctors in the same hospitals, giving you the same procedures with the same equipment.
The healthcare providers are the hospitals, at when things get complicated, the servicing agents that make the difference in the whole experience.

So as long as you have a medical/hospital insurance coverage that is relevant to the costs today and from here moving forward, coming from whichever company it really doesn't matter.
What matters is the agent.

There are fee-based financial planners.
There are commission agents like me.
There are new agents join to test water wan.
There are agents who will tell you "Mr. So&so, we can sign on the bed also" <--- this kind also have
There are also agents who doesn't really know what they are selling wan.

Like the society - macam-macam ada.

Can you tell me more on the dialysis coverage?
Yes, I can. The dialysis coverage is bundled together with cancer treatment. In the case of co-morbidity, both the cancer treatment and dialysis sessions will be claimed from the same allocation (750k - 1.95mil depending on your selected plan).
These are post-hospitalization. Meaning to say:
John Doe was diagnosed for kidney failure/cancer, and requires surgery.
John Doe stays a few days for observation and recovery, and was discharged.
The surgical procedure and duration of stay will be claimed from his yearly limit.

Post-surgery, John Doe returns for his chemotherapy/dialysis session (as instructed by the doctor).
After the session, John Doe goes home the same day, without being admitted as in-patient because he was just there for the chemotherapy/dialysis.
John Doe pays first, take the receipt and file for a claim with his agent/insurance company service branch.
These sessions will be deducted from the lifetime limit of the Outpatient Cancer Treatment & Kidney Dialysis limit (750k - 1.95mil depending on your selected plan).


Do you mean AIA will have a certain amount allocated for yearly dialysis subsidy while not affecting the yearly limit?
Yes, AIA has a separate allocation for Dialysis & Cancer Treatments, while not affecting the yearly limit.

AIA's newest medical plan has a lifetime limit allocated for Outpatient Cancer Treatment (chemo among others) and Kidney Dialysis.
Depending on the selected plan, it ranges from 750k - 1.95mil (A-Plus Med + A-Plus Med Booster).
The Outpatient Cancer Treatment and Kidney Dialysis do not affect the annual limit.

More details here:
A-Plus Med
A-Plus Med Booster


How much is the dialysis estimated cost?
Here is a news article detailing the costs and subsidies by gov:
http://www.thestar.com.my/News/Nation/2013...s-not-approved/

Another article that details the costs among other woes of dialysis patients.
http://www.thestar.com.my/story/?file=%2f2...alth%2f20906482

This post has been edited by JIUHWEI: Oct 20 2015, 04:03 PM

AIA has medical and personal accident plans (takaful as well!) for the whole family (husband + wife + up to 4 kids)!

To insure at the value of the car is pretty subjective.

On insuring the "value of the car"
You can insure it at "market value" or "agreed value".

Market Value
The sum insured follows the current market value of the car.
For example, in January, my car is worth 100k. By December it is worth 80k.
So I insure my car in January, with a market value at 100k. Come December, I went from hero to zero really fast, and suffered a total loss.
Car insurance pay me: 80k - which is the market value of the car in December.

Agreed Value
The sum insured may be slightly higher than the market value, but it remains the same value for the entire policy year.
For example, same scenario as above, total loss in December.
Car insurance pay me: 100k - which was the agreed value.

For the purpose cover self over the car value... If we're really pinching it, there's no point to tighten your belts to afford another 100k of life insurance.
Instead of focusing solely on the perspective of covering liabilities, maybe consider the surplus coverage as a means of wealth creation for the spouse and kids. After all, 100k can take care of the car's value now. But some years down the road, the car value depreciates, our loan is slowly being paid off as well. The difference between 100k sum insured and 50k(assumption) car value is 50k. The situation of being over-insured by 50k on your life, is it REALLY something to go bonkers about?

Like I said, if you're gna force ourselves to afford to cover against our car value, don't do it at all.
If as a result of affording the installments, you will have to tighten your belt, maybe it is not the right time for the car yet.

On medical/hospital insurance, yes, AIA premium does sound like it has to be very much higher.
However it is priced very competitively against not only GE, but other insurers as well.

Some may say yes, some may say "why separate?"

To each their own concerns and considerations.

But here's what I can contribute from my experience:

For young (25-33), single working adults, they will consider taking up annual limits over RM 1mil.
To them, separate or not, it really doesn't make a difference because it's a million ringgit! Annually!

However, for people with family and kids, or retirees, the premium is on the high side and they would probably just do an upgrade on their existing policies.

Maybe something without the "smart extender" or the "med booster", bringing their annual limits to around the range of 150k-200k, and adding 200k-300k OCTKD on top of that, is somewhat sufficient. Those who have been through the journey with a close friend or a family member may take up more, mainly due to fear of the family's finances among the major concerns. After all, the inflation rate is cutting our throats, let alone medical inflation rates.

While all that is worth considering, and quite frightening, affordability should still be on the top of your objectives.
And if you can afford it, maybe think about "do I need a million bucks a year?"
Crunch through all these before meeting with a planner, tell him/her exactly what you need, so in the situation of an upsell attempt, you can fact-check him/her behind your mind and go "do I need to continue spending time with this guy?"

If you have an agent that you have been working with for years and you feel comfortable with him/her, maybe go back to them for a review.
If you're considering an agent for the first time, you may want to bring your existing policies to his/her attention, so both of you know exactly where you are, and where to go from there. It should always be an inclusive process.

Table of premiums not included in brochure?

Would be good for everyone here if you can provide table of premiums as well.

For the readers who are comparing between plans, there is really no end to it.

It is a super competitive market, and the difference in products are minute.
There is really no such thing as "the best plan" because insurers will always be coming up with plans relevant to the times.

The best we can do together, is to:
1. get insured
2. with the product that is up-to-date and relevant to your objectives

Remember, an agent is to assist you in the process of planning and purchasing.
Instead of going against the agent and make it difficult for both parties, maybe try working together with your agent. The process can be and should be something to be enjoyed.

I don't discount that there are rogue agents in the marketplace, so pick an agent who you agree with, and get to know the agency too if possible. That should help you to decide if you want to move forward with that particular agent. =)