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 Insurance Talk V2, Anything and everything about insurance

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ExpZero
post Sep 17 2015, 09:14 PM

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QUOTE(aijiet @ Sep 15 2015, 09:06 PM)
May I know how much premium for medical senior citizen?
For my parents, born in year 1954, 1956, no illness n good medical check up record
Thanks
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Age 60 and age 62 will still be able to get medical protection. The price might be step due to the risk involved is higher.

QUOTE(aegis6503 @ Sep 17 2015, 03:21 PM)
need someone to advice on my current AIA policy. is almost 8 yrs since 2008. it is an investment linked excelcare plus rm200 per month. the medical annual limit is rm115k only. shall i upgrade it or change new insurance plan?
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I have attached a photo from senseofmoney. The medical card is good however there are a few restrictions like co-insurance, kidney dialysis and cancer chemotherapy limitation. Most of the medical card nowadays do not have such restriction. nod.gif
user posted image
ExpZero
post Sep 24 2015, 08:31 PM

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QUOTE(-ZeN- @ Sep 22 2015, 04:35 PM)
To all experience Sifu here,

I gotten offered by Citibank a *AIA ESSENTIAL LIFECARE, that is monthly around RM90. I was planning to review it when the policy come and to see want to really proceed or not. However, i think the policy never came, or lost, and i drag until like more than 6 months already on it.

So i wanted to cancel it for cost saving and use the fund to get a retirement scheme instead. What should i do and how to cancel it? usually is there a lock down period or anything?
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I'm currently having an agent who were working in AIA as telemarketer, this is the exact product he is selling. It's a traditional non participating whole life plan covering life and TPD.

Since you never receive the policy, you can always write a letter to AIA and tell them that you are looking forward to exercise the 15 days free look period. They will have to fully refund all the premium paid by you. You can try to give a call to AIA's call centre at 1300 88 1899 or Citibank call centre 03-2383 0000 (KL)

It would be much advisable to get your insurance from reliable insurance agent in order to get a proper and sound advice including the service for you when you needed the most. nod.gif

This post has been edited by ExpZero: Sep 24 2015, 08:34 PM
ExpZero
post Oct 3 2015, 12:24 AM

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QUOTE(tonytyk @ Oct 2 2015, 06:34 PM)
Which medical card is the most attractive in the market now?
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It's very depending on the personal preferences and the availability of the agent. It's like which car brand is the best, some like Toyota, some like Honda, some like Perodua etc nod.gif

However, in summary
GE/ AIA: Annual limit high, unlimited lifetime limit, no co-insurance
Prudential: med value point, after med value point 20% co-insurance, optional deductible.

There is some other fringe benefit for comparison too. However, you can't go wrong with these 3 giant companies. hmm.gif
ExpZero
post Oct 3 2015, 12:48 AM

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QUOTE(enduser @ Oct 1 2015, 11:32 AM)
Guys, can give advised for situation like this,
1. my family members, 15 yrs old & already got medical card for 2 yrs
2. met an accident while driving a motorcycle.. unfourtunately he is driving without licence
3. now received treatment at gov hospital
4. Can he use the medical card for treatment at private hospital? Dunno can use/claim using the card or not coz of driving without licence....
*
I have so far never have any client in such case but I've read the whole medical card's exclusion list and do not see any unlawful activities are excluded. nod.gif
ExpZero
post Oct 3 2015, 12:49 AM

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QUOTE(lowyat_forum @ Sep 29 2015, 04:50 PM)
Hi there, would like to get some advice here. Can anyone explain the severity with the exclusion clause of lumbosacral spine and any complications therefrom? I just wish to know what kind of disease/sickness that insurance company can deem not claimable due to this clause. Of course the obvious one are surgery related to the spine, but what are the less obvious one that we should take note of?

Reason for lumbosacral spine exclusion is because the person had bad pain, so some dr recommended to do MRI and see very very mild and slight slip disc, but no physio required, just lifestyle change, now fully recover, no more back pain, but of course insurance company don't care.
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You might can't get direct answer from the forum due to your question is too specific. You might as well talk to the doctor and they will have experience either the company will approve or not since they have previously surely help the client to claim.

However, I've one client felt and disc slipped, no surgery has been done and only physiotherapy has been done. All the MRI reports and bills are fully claimed. This example might not too relevant to your case, I hope it helps. nod.gif
ExpZero
post Oct 5 2015, 08:20 PM

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QUOTE(wil-i-am @ Oct 5 2015, 05:41 PM)
Great Eastern Takaful launches i-Great Ameen plan
http://www.nst.com.my/news/2015/10/great-e...reat-ameen-plan

Anyone know how does tis plan work coz intend to subscribe for my parents?
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This is a plan protecting life coverage only, it accepts all type of existing illnesses that the life assured have. nod.gif

QUOTE(tonytyk @ Oct 5 2015, 06:45 PM)
Am considering Standalone vs ILP Medical plan, which is better?
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Both are different according to your needs.
1)Standalone unable to attach waiver rider, we still have to pay for the premium no matter what is happening.
2)Standalone might(depend on company) have lesser benefit.
3)Standalone do not have cash value, policy might be easier to lapse if we skipped the premium.
4)ILP have higher investment risk
5)ILP have higher initial premium.

Do your own judgement laugh.gif

ExpZero
post Oct 6 2015, 01:41 PM

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QUOTE(tonytyk @ Oct 6 2015, 08:49 AM)
Is it generally maximum age for standalone medical plan higher than ILP?
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Depends on the company, generally ILP will have higher maximum age

QUOTE(tonytyk @ Oct 6 2015, 09:22 AM)
Currently, I have comprehensive medical coverage by company. Any individual standalone medical plan or ILP with high deductibles, and can be converted to zero deductibles later years after I left the company?
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Some forumer is advising this earlier, you may check previous posts. However, GE do have a deductible plan that is very affordable at RM100/month.

QUOTE(tonytyk @ Oct 6 2015, 11:25 AM)
Standalone Medical plan cannot be purchased for those above 70, is that the same for ILP?
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Depends on the company, generally ILP have higher entry age.
ExpZero
post Oct 7 2015, 01:14 PM

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QUOTE(OptimusStar @ Oct 6 2015, 06:04 PM)
I am currently on SM from GE and I been approached for Allianz Powerlink.  Both are ILP's.

I found that for 15 ringgit more, i am able to enjoy higher Death Benefits, Higher Critical Illness, Same accident benefits , same room and board and same amount of life time coverage .
The plus point i noticed from Allianz, is there
1)no co-insurance , GE has a 10% capped at 5000,
2)the Critical Illness payout is independent from the DB, in GE is it from the same pool as I understand.
3)They also cover for outpatient dialysis and cancer treatment meanwhile GE doesn't if i am not mistaken and
4)10 year more in coverage upto 90 years old , while GE is up to 80.
5) More panel hospitals compared to GE
6) No annual limit

The cons
1) No hospital daily cash allowance
2) No Smart Assist

I have been paying the GE policy for sometime, 5 years already , is there anything I should consider if i plan to switch to Allianz? Appreciate the help given.
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1)GE are having no co-insurance medical card as well.
2)You may increase your sum assured to double or we have different plan to cater your need to seperate the limit.
3)GE are covering this even in your current policy
4)GE up to 80 years old.
5)Very subjective, GE are welcoming 9 new panel hospitals in today circular dated 30 September 2015
6)Annual limit more than 500k isn't an important issue anymore.

The benefit of upgrading in Great Eastern will be able to waive your waiting period, which means you will be able to use your medical card right after upgrade. However, there will be a conditional waiting period which means, if there is any hospitalization within 1 month from the upgrade, the benefit will follow the old medical card's benefit.
ExpZero
post Oct 9 2015, 11:45 PM

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QUOTE(Lord_Penguin @ Oct 9 2015, 12:02 PM)
I got some confusions here with the basic coverage (even after several reading), any sifu willing to clarify the following scenarios (I will use different characters as different scenario)?

1. If Ali has met a serious accident, under what circumstances can he claim the Personal Accident (PA) sum assured?

2. Continue from above, if Ali has claimed the above PA, are the coverages of Critical Illness (CI) and death/TPD still valid?

3. If David has met a serious accident and lost 2 eyes, can he claim both PA + TPD at the same time?

4. If Michael has been diagnosed with 1 of the CI and been declared by the doctor officially, understand that he will be receiving the sum assured, then my question is, are the coverages of PA and death/TPD still valid?

These questions may be common, but I've been confused. Hope I could get a clear answer notworthy.gif
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1)You may click the attachment for PA's definition according to the severity from Great Eastern, do note that the definition is different according to companies. Furthermore, if Ali has bought also weekly benefit, he will be compensated with a certain amount of money according to the week of MC given by the doctor.
Attached Image

2)Yes in most circumstances, however, please read the official quotation.

3)Yes in most circumstances, however, please read the official quotation.

4)Some Critical Illness plan do accelerate the basic sum assured(as known as Life/TPD protection). If you have claimed for the 36 Critical Illness, then your sum assured will be reduced accordingly. If that's the case, then your Life/TPD protection might be dropped to zero. Some Critical Illness plan do not accelerate and thus it has no such limitation. Critical illness plan with accelerate basic sum assured is cheaper with lower Cost of Insurance.

In both cases, PA doesn't affected if it's on different rider.
ExpZero
post Oct 10 2015, 03:58 PM

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QUOTE(on2920 @ Oct 10 2015, 12:10 AM)
Hi, I have a query on claims eligibility and need some input:

I have a whole life policy from GE (Multicare WL) with PA rider (Comprehensive Accident Benefits), which is still an active policy.

I had a fall recently and went to a specialist clinic to fix my knee. This 'event' should be considered as under PA coverage, yes?

Per the agent, she said GE will only pay if there is a medical leave advice (MC) from the doctor for 7 days. I do have the MC but it is for 4 days only. Can I still do the claim, will GE pay?

I was not aware of this type of condition/exclusion as this policy is now 20 years old.

Does Prulink's PA rider has this type of condition/exclusion as well? If not I might claim from Pru instead.

I do already have all the supporting docs (xray, ultrasound, doctors report, receipts, etc).
Thanks in advance.
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You should be able to claim the medical bill under Comprehensive Accident Benefits rider.

What your agent are saying is actually weekly benefit, which is standard across the industry where you will be able to claim "MC" if it's more than 7 days as pocket money compensation.

QUOTE(Catoblepas @ Oct 10 2015, 11:30 AM)
May I know which insurance can claim early stage of critical illness ?
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Almost every companies are having Early Stage of Critical Illness, you may talk to your insurance agent to know more about it nod.gif

QUOTE(epie @ Oct 10 2015, 12:30 PM)
takaful ikhlas is offering no annual limit and huge lifetime limit with their new plan
r&b rm200 with 1million lifetime limit
any comment in this package?

i'm thinking to switch from prubsn to takaful ikhlas
currently my r&b only rm100 with 50k annual and 150k lifetime limit
but i got cash allowance of rm150/day

please advice
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It's always advisable to remain on your existing insurance company to avoid the waiting period. However, the market are having plenty of medical cards having annual limit as high as few millions and unlimited lifetime limit too. nod.gif
ExpZero
post Oct 11 2015, 11:28 PM

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QUOTE(on2920 @ Oct 11 2015, 10:06 PM)
Thanks ExpZero, I can see what you mean from this "pocket expenses" in the CAB rider. Maybe she thought the 7 days minimum MC will also apply to claim the benefit.

Snapshot below from policy (#c and #d)
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Can you take previous and next page?

In order to claim for accidental medical reimbursement (If there is any), your date of accident and the date of receipt(as known as the date of you visiting the clinic) must be within 24 hours. Do let me go through your claim form before submitting to Great Eastern.

QUOTE(epie @ Oct 11 2015, 10:13 PM)
what if I had a heart attack within that 1month period? i consider it very risky to live without protection even for 1day

i have double confirm with my agent..insurance wont honor my medical card...need to w8 for 1month in case og upgrade
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I'm not sure about Prudential BSN. Under Great Eastern and Great Eastern Takaful, if you are upgrading your medical card, we are having Conditional Waiting Period of 1 month.

Conditional Waiting Period which means you still can claim for any disease/illness within the waiting period but the benefit will fall back to the previous card's benefit. After 1 month, all the medical benefit will follow the new one. nod.gif
ExpZero
post Oct 17 2015, 10:25 PM

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QUOTE(~~5ive~~ @ Oct 16 2015, 11:38 PM)
Hi there. Any Great Eastern agent here?

I am trying to surrender the investment link policy i have, is there any online form available to be downloaded?

Thanks
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I may send you a surrender form via email if you need it. Well, that's the reason of surrender it?
ExpZero
post Oct 18 2015, 11:57 AM

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QUOTE(ftan @ Oct 18 2015, 05:32 AM)
I bought GE standalone medical few years back and recently switched to their medical investment link plan. GE didn't allow two plans to be in effect together. Had to cancel the standalone card but they would cover the transition period of switching.

I didn't know about the 2 years thingy. Thx for the info.
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Cancellation of standalone medical card is a standard procedure because there is no point to own 2 medical cards. Yes, GE will cover the transition period of switching and it will take effect immediately under conditional waiting period of 1 month.
ExpZero
post Oct 19 2015, 07:13 PM

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QUOTE(alvinji87 @ Oct 18 2015, 10:35 PM)
hi guys

wan to ask..anyone know bout this

my wife apply car loan 36k for 9 years from RHB.. the agent said due to below 30 y/o ...he said need to buy a Takaful Group Credit Family Plan (HPRTT)..the insurance said is cover the sum 36k...and single contribution bout RM212..

is it necessary or confirmed need to purchase? single contribution means pay only once la?
wan make sure is the agent wan sell more products or what...

Thanks
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There are some banks are doing insurance for car loan, I have a few clients who have bought them for the sake of protection. Single contribution of about RM212 and you are get covered for the value of the car, I think it's not bad laugh.gif

QUOTE(Eng_Tat @ Oct 19 2015, 04:26 PM)
hi, i hv a question if we have multiple PA insurance - if death occur we are able to claim all?
i.e.
comp1 25k (buy from bank due to loan)
comp2 250k (company PA)
comp3 500k (personal)
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Yes, for non-reimbursement basis insurance like Life/TPD/36CI/PA, you will be able to claim from multiple companies. For reimbursement basis insurance like medical card, you will only be able to claim up to the receipt amount. nod.gif
ExpZero
post Oct 21 2015, 12:43 PM

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QUOTE(Eng_Tat @ Oct 19 2015, 08:07 PM)
thanks alot. how many types of insurance there are? i only have my homes covered by mrta.

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


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

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Whole life Participating - Protecting you for whole life and you are paying the premium whole life, basically participating mean the company will declare cash bonus to your policy. Customizeable with Life/TPD to 36 Critical Illness to Early stage 36 Critical Illness.
Whole life Non Participating - Protecting you for whole life and you are paying the premium whole life, basically non-participating mean the company will not declare cash bonus to your policy. Customizeable with Life/TPD to 36 Critical Illness to Early stage 36 Critical Illness.
Mortgage Reducing Term Assurance - Single premium life coverage for debt cancellation purpose and usually is finance into loan.
Endowment - This is known as saving plan, pay the premium for certain year and the policy will mature over the certain year. This kind of policy tend to have high cash bonus and maturity benefit but with low protection.
Term - Protecting you for a certain period and you are paying the premium for a certain period, basically term is a non participating plan it means the company will not declare cash bonus to your policy. Customizeable with Life/TPD to 36 Critical Illness to Early stage 36 Critical Illness.
Investment linked - It's running on "investment unit" and insurance chargers, return are non guaranteed but usually are the cheapest solution. Highly customizeable plan with life/TPD/36CI/Early 36 CI and medical card.

Confuse? You may talk to an insurance agent, he will review your existing policy and your needs

QUOTE(cherroy @ Oct 19 2015, 09:07 PM)
If anything happened on the car, car insurance is taking care of itself.

While, I don't see a need to cover the "value of the car", as it is a depreciation asset to start with.  laugh.gif

While for the purpose of cover yourself over the car value (just in case died, then nobody pay off the car loan), I don't see there is a need either.
You died, nobody drive the car, nor bank can chase you the car loan monthly repayment anymore.  laugh.gif
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It's depend on the individual financial planning because some of the family do plan to leave their vehicle to their family member. When one's kick the bucket, some family member only own a single car and shared by the whole family and they wish their car to be able to inherit and live their life with minimum amount of insurance premium which they can afford currently.

This post has been edited by ExpZero: Oct 21 2015, 12:44 PM
ExpZero
post Oct 24 2015, 05:31 PM

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QUOTE(tonytyk @ Oct 24 2015, 11:10 AM)
GE no lifetime limit is new? It seems not well coomunicated to all. Is GE octkd annual limit shared with the medical plan?
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In fact, GE is the first company launched high annual limit extender with unlimited lifetime limit

GE OCTKD is within the annual limit. When ones medical card OCTKD is separated from annual limit, it's actually called inner limit, inner limit is actually a limit within a limit. Not many company are having inner limit in their medical card, you may refer to the below definition or you google up inner limit.

QUOTE
An inner limit is exactly that - a limit within a limit. For example, you may hold an All Risks Property / Business Interruption upto total sums insured (hypothetically say £10m) however, there will be certain elements of cover which insurers will want to cap - i.e. Denial of Access (non damage) at £1m. So if the insured is unable to access their premises for whatever reason and incur a loss - the maximum the Policy would pay out is £1m for this event.


http://www.answers.com/Q/What_does_inner_l...insurance_means
ExpZero
post Oct 25 2015, 01:16 PM

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QUOTE(tonytyk @ Oct 24 2015, 09:45 PM)
Is GE OCTKD limit fixed or can be pre-defined by insured or insurer? Also does GE medical plan is of investment linked type or available for standalone too?
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GE OCTKD limit as per annual limit, we do not impose inner limit. GE medical plan are available in both investment linked and standalone, however, investment link benefit is much superior.
ExpZero
post Oct 28 2015, 03:49 PM

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QUOTE(nujikabane @ Oct 26 2015, 09:50 PM)
Hmm, they are both still generating income;
one of them income not fixed, but the other is a civil servants (earning monthly income).

The breadwinner of the family is the mom, and basically they rely on her income to make ends meet.
They still have 2 kids in college, and 1 still in school.

They are both fairly in good condition, but I am afraid that should they fall ill (hospitalized, and/or requiring surgery), it may make a huge dent in the financial of the family.

Any other advise ?
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cherroy is giving you sound advice.

If one of your parent are civil servant, they might be having a good government hospitalization protection. I will make it simple for you by answer the question below.
1)Do your parent is having comprehensive medical coverage from government hospital?
2)Are you willing to fork out RM10,000/year for both of your parent medical insurance?
3)Do your parent leaving adequate of fund to you shall they pass away?

If the answer is Yes-No-No, then I'm advising you to get Critical Illness + Life coverage for your parent instead of medical protection as your parent can get medical protection in government hospital whereas if there is really some critical illness of pre-mature death happen, you will be compensated with some quick cash for better financial management. Critical Illness with Life protection plan are generally lower premium comparing to medical protection, which we called it income protection. nod.gif


QUOTE(pobox @ Oct 28 2015, 11:00 AM)
ExpZero Dude. What's the difference between extender and extender-max?
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It's similar but Smart Extender must be accompanied with a medical card(Example: Smart Premier Health, Smart Medic or Smart Medic Xtra) whereas Smart Extender Max can be bought individually.

QUOTE(dhanin @ Oct 28 2015, 02:06 PM)
Hi all,

How much the premium for 500k insurance coverage for the 1 year old baby?
Please share
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Since the baby do not have any financial impact on the family, why would you need such high insurance coverage for 1 year old baby? Insurance company will only approve the application with special request from you. nod.gif
ExpZero
post Oct 28 2015, 04:03 PM

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QUOTE(pobox @ Oct 28 2015, 03:56 PM)
I read somewhere that for Max, every time you claim (within a year) you must fulfill the deductible quota. But the Extender no need because the deductible is derived from the principal policy's annual limit. As long as the principal annual limit is hit, every subsequent claim within that policy year will be paid by the rider.

True or not?
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Yes, you are right. Both Smart Extender (SE) and Smart Extender Max(SEM) are having deductible, which means that the rider are not taking claim from the deductible amount. Since SE must accompanied with a medical card with the annual limit is same with the deductible amount, so the deductible amount will be absorbed by the medical card and the client need not to pay for the deductible amount.
ExpZero
post Oct 28 2015, 05:04 PM

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QUOTE(pobox @ Oct 28 2015, 04:11 PM)
What I mean is, let me give you a scenario:

1.
1-Jan > Heart related surgery with complecations. Bill shoot to 200k

Let say normal annual limit is 100k. So the rest of the bill will be taken care by the rider.
2. Then
1-May > Appendix surgery. Bill is 10k
So, under SE, the claim no problem
But, under SEM, this bill cannot claim because the 2nd bill also must fulfill the 100k deductible even though it's within the same policy year.
Right or not?
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Both SE and SEM will approve second claim. The deductible is per year not per event.

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