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 Insurance Talk V2, Anything and everything about insurance

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TSroystevenung
post Nov 22 2014, 05:55 PM

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QUOTE(Matilda C. @ Nov 22 2014, 01:00 PM)
I just notice my early critical illness plan only will pay when survive 30 days after having the critical illness. what is the reason other than the typical waiting period, the insurance company add in this survive 30 days thing? Is it common among all insurance companies that we need to survive 30 days only can claim critical illness ? too many waiting periods. very confusing.  rclxub.gif
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The reason is whenever a CI claim is being submitted, the insurer will have to verify the claim as the CI claim is not as straight forward (and evident) as compared to the Accidental Death/Total Disability cases.

Pass records of pre-existing illness (especially if the policy is still new and below the 2 year incontestability period) needs to be check prior approval for the said claim.

QUOTE(henshin7 @ Nov 22 2014, 02:02 PM)
Hi,

I'm new to this topic. Please advise.
1. Medical Card; is it enough 100k annual limit or should I opt for a highest plan of 200k?
2. Is women specific illness is really needed? I'm thinking of taking a cancer rider which include CIS gender specific instead of taking women rider. Is this ok?
3. For life insurance, for a new graduate like me who's income will increase in future,  is it recommended to take term life compared to investment linked? What I understand, term life is cheaper, but in investment linked,  you could increase your BSA  in the future.
Thanks.
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1. Whenever you join a company, normally the company will also provide you with medical coverage.

Even though it is limited (say RM30K/year?), you can use that to your advantage by adding it to your own personal insurance. This means if you were to get RM100K/yr and coupled with your company medical, you will have RM130K annual limit.

Whenever there is a need for a claim, always try to claim from your company insurance before touching your personal insurance.

For example, if the bill is RM50K, you may claim RM30K from your company insurance, PAY CASH RM20K as settlement to the hospital (during checkout) and file a claim for RM20K to your personal insurance.

The above will save you premium for buying too much insurance, especially when you had just started working. You should not spend too much on insurance since by doing so, you may have very little for investment to grow your money.

Investment here refers to buying property, stocks, mutual funds et cetra, and NOT Investment linked Plans (ILP).

2. As you may had already know, the Early Critical Illness (ECI) like Carcinoma In-Situ of Cancer is not payable in the normal 36 Critical Illness.

Hence these days, most insurer introduces the ECI to bridge this gap. Personal opinion, it is more of a gimmick by the insurer to generate more revenue. The reason why I say this is that whenever a person is diagnosed with ECI, the chances of recovery is high.

However if a person is diagnosed with a 36 Critical Illness, the chances of recovery will be slim (though not impossible from early detection).

A person wealth is from his/her health. Your ability to work to generate an income is your greatest asset. An ECI, mostly the said person will recover after 3 months and he/she is able to get back to work.

However, if a person is diagnosed with a 36 CI, most of the time, the livelihood to be able to generate an income becomes highly questionable. This is also why the insurer will only waive the insurance premium if the client is diagnosed with a 36 CI and not ECI.

This is why I say it is better to concentrate on 36 CI, rather than wasting the premium on ECI.

Of course it does not stop you from buying ECI if you want to be paid (say 30% or 50% of the sum insured of the ECI).

3. Life Insurance is only required when you have responsibility (eg, kids, house, for parents, cover for debts etc). You may keep this at minimum (or at least enough to cover for the funeral expenses - touch wood).

You may swing the coverage towards 36 CI and/or Accidents.

ILP is more flexible that if you want to upgrade the BSA later, you may do so whereas for term insurance, you will need to add on another policy. There is no right or wrong.

--
Lastly, WORK ON YOUR OWN BUDGET and NOT THE AGENT'S BUDGET.

Rule of the thumb, do not spend more than 10% of your salary on insurance.

This post has been edited by roystevenung: Nov 22 2014, 05:57 PM
TSroystevenung
post Nov 23 2014, 11:46 AM

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QUOTE(MNet @ Nov 23 2014, 11:21 AM)
roystevenung

PRU have any deductible medical card plan?
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Yes, see below:-

- Pruflexi med is either Rm300 deductible (per same disability) or zero deductible (full claim).

- Pruhealth there is option of:-
1) deductible Rm3k or Rm10k

Or

2) co-insurance inpatient min Rm300 or 10%, max Rm1k. Outpatient 10%, max Rm2k


TSroystevenung
post Nov 24 2014, 10:28 AM

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QUOTE(adele123 @ Nov 24 2014, 10:20 AM)
Actually it's quite common, even in other parts of the world. Though according to my reading (based on input by experts), it is less common now than it was...
Medical card cover all diseases except otherwise stated upfront that it will be excluded and any pre-existing diseases, etc. So, it does cover. But keep in mind medical card covers if you are hospitalised. Out-patient procedure are only covered for certain events such as accident (emergency only?), cancer and dialysis.

Now, for some (not all, some just reimburse as charged) medical cards out-patient dialysis and cancer has its own separate limit. If cancer/dialysis lifetime limit is 100k, then you used up that 100k, then it’s no more claims for cancer/dialysis, even though you could be having lifetime limit 1mil or unlimited on your medical card. 

If you are more worried about cancer/dialysis (due to family history), try going for medical card that says as charged for outpatient dialysis/cancer treatment.

PS: If there’s family history, there’s a chance one will be excluded or loaded… that doesn’t work in your favour too…

PPS, something to ponder about: Now note that it refers to outpatient cancer treatment. Now if I were to do it in-patient treatment?  hmm.gif
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Outpatient can also be used for surgical procedure (not necessarily for accidental cases only) for example cataract surgery whereby the patient goes home the same day.

Chemotherapy for cancer & Kidney dialysis is to be done as an outpatient and Guarantee Letter will not be issued even if the Doctor put in a requisition for it.

HTH
TSroystevenung
post Nov 26 2014, 10:46 AM

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QUOTE(almeizer @ Nov 26 2014, 10:34 AM)
U can PM roystevenung to help you, he's from Prudential.
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I had PMed him yesterday. Thanks boss :-)
TSroystevenung
post Nov 26 2014, 08:31 PM

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QUOTE(Dragonfly2014 @ Nov 26 2014, 07:49 PM)
Hi hi all the sifu, do u all know any of the insurance company providing self quotation system online?

It will be good for consumer like us want to find out the premium on various coverages.

Sometimes paiseh if trouble agent too much, end up not closing the sale with the agent la...
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Not that i know of, but i can start the quote system and let your fingers run loose if you wanna whistling.gif laugh.gif
TSroystevenung
post Nov 29 2014, 03:10 AM

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QUOTE(MNet @ Nov 28 2014, 10:05 PM)
Is this ILP or standalone?
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Both are ILP
TSroystevenung
post Dec 1 2014, 11:00 AM

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QUOTE(64bit @ Dec 1 2014, 01:15 AM)
Hi guys, an agent has proposed a medical card plan, highlighting the importance of annual claim limit for medical card, based on my existing plan, would appreciate your advice on this.

Based on previous posts, I noticed many mentioned about max 10% on total income for insurance. Should I be focusing more on medical card? Should I get a better medical card? Should I cancel my existing medical card?

28 yo, non smoker, mthly income ~ 3.3k, plan to get married in a year or 2

Proposed PRU Medical Card Plan:
Monthly Premium: RM160 (till 70 yo) or RM220 (till 80 yo)
Life: 15k
Hospital Room: 200
No Annual Limit, Lifetime limit: 750k

Existing GE All-in-1 Plan:
Monthly Premium: RM200
Life: 95k
CI: 80k
Accident: 30k
Hospital Room: 150
Medical Card Annual Limit: 90k, Lifetime Limit: 720k
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Stick to the existing GE plan. It is never beneficial to the policy holder to cancel an insurance plan & get a new one.

Instead of looking at insurance, concentrate on your wedding expenses, saving for baby & how to improve your income.

Geting married & having a baby these days are ridiculously expensive :lol
TSroystevenung
post Dec 5 2014, 12:48 AM

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QUOTE(QQHTJ @ Dec 5 2014, 12:42 AM)
Hi sifus,
My father possess few insurance and not sure with the policies and what is the consequent after termination.
Where should i seek for help?
And what is the consequent after terminate before due date. Will it lost ?
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Need to look at the type of policy and most importantly, the reason/purpose he bought it for.

Suggest that you+dad to sit down with the insurance agent to summarize the policy in details and let your dad to determine what would be the next course of action.
TSroystevenung
post Dec 5 2014, 10:56 PM

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QUOTE(Matilda C. @ Dec 5 2014, 01:39 PM)
Hi all insurance sifu,

I just got to know that one of my neighbour's relatives were in the MH17 plane. May I know which insurance companies in Malaysia provide claims due to terrorism? I would like to know for death, accidents or even medical claims.

Nowadays terrorism happens quite often, better to get one which covers it.

Hope all sifu can advise.
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When you travel, you can add on terrorism coverage to the travel insurance (with extra premium of course).

The basic travel insurance does not cover terrorism.

/Syukur Malaysia masih aman... whistling.gif

This post has been edited by roystevenung: Dec 5 2014, 10:58 PM
TSroystevenung
post Dec 13 2014, 08:49 AM

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QUOTE(leelee1988 @ Dec 12 2014, 03:38 AM)
prudential vs GE

cry.gif need some help here. cry.gif

Mine case 6 years ago my parents brought me a prudential medical card

-death/tpd rm50k
-36CI rm50k
-annual limit 62k
-lifetime limit 187k
-room bed 150
-plus few other raiders
-Around rm 200plus monthly

recently check back feel like the life time limits not sufficient and feel like want to upgrade mine medical card. Therefore get quote from prudential and GE agent.

prudential quote
co insurance
upgrade to annual and lifetime limit to 1m
just add rm155
monthly total will be around rm400
GE quote
no co insurance
-life 100k
-tpd 100k
-36ci 100k
-room bed 200 increase 10% every 3 years
-annual limit 1.3m
-[SIZE=7]LIFETIME UNLIMITED[/SIZE] thumbup.gif
-monthly rm 400 plus as well

Which one should i take? prudential or ge? rclxub.gif

i personally will prefer ge plan due to the LIFETIME UNLIMITED and no co insurance

what i plan to do is take up GE plan and cancel the prudential medical card after 6 months just remain the life insurance. Am i doing the correct action? any better advise what should i do with the old prudential medical card keep it ? or can just cancel it?

cause prudential the medical card if u purchase few years back the lifetime limits only x3
if purchase now x10 or x20

so what is the benefit for older prudential  medical card holder? paying same amount as new medical card holder but getting less lifetime limit. rclxub.gif
as for GE

after read back the forumer comment in GE there are alot of complaints when come to claim part from GE company. How true is it?

should i stick with prudential with slightly expensive premium for less sum assured and lifetime limits for more faster claiming process

or

try ge for a much better plan cheaper price  but risking in the claiming part in future? hmm.gif

thanks
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QUOTE(adamccc @ Dec 13 2014, 04:11 AM)
Can anyone tell me in what condition the insurance company will impose loading to a new customer? And what is the loading percentage for every condition?
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Replied in PM.

TSroystevenung
post Dec 15 2014, 05:58 PM

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http://www.thestar.com.my/News/Nation/2014...costs-may-rise/
TSroystevenung
post Dec 15 2014, 10:27 PM

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QUOTE(Dragonfly2014 @ Dec 15 2014, 08:20 PM)
Oh ok...thanks.
I guess it is also a secret recipe for insurer, thus not publish... tongue.gif
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Its listed in the medical brochure as well. Pick up any brochure, it is listed, mostly at the last few pages.

However, as you may have already know it is not only the cost of insurance that matters.

This post has been edited by roystevenung: Dec 15 2014, 10:31 PM
TSroystevenung
post Dec 15 2014, 11:20 PM

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QUOTE(Eddy924 @ Dec 15 2014, 11:00 PM)
every sifu here, what would be the main difference/ standout of prudential life vs. GE life? been about 2 years with GE, but recently the service agent quite disappointed me. Thought of switch to prudential
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What has been done cannot be undone blush.gif

On a more serious note, it is not advisable to change just because of the agent. It is never beneficial to the client to simply change the insurance policy, unless the client was being misled to purchase it in the first place.

Your insurance contract is with the insurance company, not the agent. Remember, even if you get the best agent there is, he/she is still human. If he/she stands in front of a moving lorry, its also GG.com laugh.gif

You may ask the insurer to appoint another agent if you feel that your current agent is not up to par in terms of servicing.
TSroystevenung
post Dec 15 2014, 11:41 PM

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QUOTE(Dragonfly2014 @ Dec 15 2014, 11:17 PM)
Coi of 36ci listed in medical brochure? Don't think so laa...
Yes, I understand that for medical can't compare on figures alone, no point to have unlimited life limit but can't claim at the end.

Would like to highlight to everyone here, do check your policy contract carefully with your agent what it is about if u have doubt.
I am not agent btw..hehe
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Sorry, thought you were referring to the 'medical' and not 36 CI whistling.gif
TSroystevenung
post Dec 21 2014, 11:54 PM

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QUOTE(alexooi17 @ Dec 19 2014, 01:06 PM)
Hi all sifu, I am new to insurance and I do not know what is the plan best suit my needs.
What I want to know is, is there any policy that cover 3rd party specialist that is not under hospital ?

I always do sports and I do have alot of sports injury. some 3rd party specialist will be able to treat the injuries without the needs to go under the knives and admit to hospital.

1)Will the insurance able to cover this cost ?

2) if i need to go for a MRI scan then may need to do an operation for the injuries, will insurance able to cover this as well ?

Will a normal medical card able to cover this ?

Thank you in advance.
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First off, what kind of sports do you play? Extreme sports are not covered under the normal medical card. However if its normal sports like soccer/badminton etc, then it should not be any issue.

If you are referring to 3rd party specialists as "Dr. Anwar Bone Specialist", then yes - you may claim it under Accidental Medical Reimbursement (AMR) which is an added on rider. Reimbursement means that you need to pay the bill & claim from the insurer later.

Do note that the 3rd party specialists must be a registered Doctor, not bomoh/sinseh.

Alternatively, if there is a surgery being performed, you may claim it under the day surgery (which is also based on reimbursement basis).

If the injury is more serious and there is a need for x-ray or MRI, then it is recommended that you get admitted as most of the surgery costs may easily be RM5K. If you get admitted, the insurer will issue a Guarantee Letter to the hospital.

Upon discharge, you may also need to undergo physio, which is also covered under your medical card (based on reimbursement basis).
TSroystevenung
post Dec 23 2014, 09:16 PM

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First off, the ILP insurance policy does not generate any interest. If we were to declare interest, then the policy is subjected to tax. The word interest in an ILP is totally misleading.

Depending on the premium allocation, the premiums paid will buy the policy holder units, which in turn will determine the cash value based on the NAV of the funds.

There are few factors that may determine whether there is sufficient cash value in order to pay off the insurance charges, namely:-

1. Age/gender of the person (the insurance charges will increase as we get older, especially > age 60).

2. The riders being attached to the policy, for example, if the policy is being attached with a life/Critical illness, medical rider, accident rider etc. Let us not forget that if there is a medical card being attached to the policy, the medical card needs to be maintain until age 80/90/100.

3. Funds performance. For example, if the funds invested suddenly drops due to a sudden market crash, the accumulated cash value will also be affected and if the cash value is insufficient to cover the insurance charges, the attached rider (partial lapse) or even the policy may lapse.

4. Other factors, for example GST.

Hence when the premium payment is stop the policy is under risk of being lapse anytime, at the next billing cycle.

Should the accumulated cash value is not sufficient to cover the insurance charges, some of the riders may go into 'partial lapse' and should a claim arises, the insurer is not obligated to honor the claim.

A letter / notice will be sent to the policy holder notifying him/her of the insufficient funds/non-payment.

He/she may be required to pay more than the monthly premium, known as 'top up' should the insurance charges at older age is not able to be offset by the accumulated cash value+premium paid.
TSroystevenung
post Dec 23 2014, 10:34 PM

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QUOTE(yklooi @ Dec 23 2014, 09:55 PM)
Assuming he paid initial sump I think is RM 20k and was to pay yearly that amount too.....his insurance charges is less than 1k (rough estimates)...after a few years his a/c still has about RM 22K, even though he stopped pay the yearly topup/premium
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QUOTE(yklooi @ Dec 23 2014, 09:55 PM)
I think he got the yearly reminder to pay the premium of RM 20k, but he did not pay again..
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In the above example, the policy may not lapse as the amount of RM19K is allocated for buying units. As long as the accumulated cash values is able to pay off the insurance charges of RM1K (of which it may increase along the years), the policy will not lapse, even without paying the premium.

QUOTE(yklooi @ Dec 23 2014, 09:55 PM)
so he only pay once, his a/c still have money,...will his policy lapse because he STOPPED paying the yearly top up as required?
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Just make sure that he make an instruction to the insurance company to use the accumulated cash value to pay for the insurance charges (of Rm1K).

Otherwise, the policy may also lapse come next billing cycle even if the policy has sufficient cash values to cover the insurance charges.

TSroystevenung
post Dec 23 2014, 11:00 PM

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QUOTE(yklooi @ Dec 23 2014, 10:47 PM)
sweat.gif  wow, thanks for the info.....
should he go to the office personally to do it? or he just asked his agent? I remember he said his agent asked him to do it this way...stop paying...and still get coverage..
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For any changes to the policy, the policy holder will need to sign on it, hence its best he go directly to the office.

May I ask why would anyone pay RM19K upfront when the insurance charges is only RM1K/annum? hmm.gif

Secondly, as most funds are relative to how KLCI performs, dumping in a lump sum when the market is high, it only means that your friend is buying lesser units? rclxub.gif

If he had dump in during the market is low, then it makes sense. smile.gif

TSroystevenung
post Dec 23 2014, 11:37 PM

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QUOTE(yklooi @ Dec 23 2014, 11:27 PM)
can't remember exactly, but was told something like.....the invested funds just have to make 5% pa...then enough to cover the insurance charges
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As agents we can't promise just like that because the insurance charges is not guaranteed. blush.gif

Example, this year most of the insurer had increase the cost of insurance due to MMA allows increase of up to 14%-18%

http://www.thestar.com.my/News/Nation/2014...ees-acceptable/

QUOTE(yklooi @ Dec 23 2014, 11:27 PM)
well, that was some years ago....
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Since he is going to the office, he might as well find out what is the current cash value and whether it has made the 5% pa? icon_idea.gif
TSroystevenung
post Jan 11 2015, 11:23 PM

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QUOTE(Alexis~ @ Jan 11 2015, 11:15 PM)
Thanks for the reply!
Good to know there's this 14days cooling off period.

1. if i only need one, which would you guys recommend? GELC(investment-link) or SPE(traditional), both from GE?
2. i've read up some on the post from this thread. everyone seems to say its not recommended to surrender.
I've bought savings and medical card last time and the two which was recently introduced are health and life ones.
I don't think I can afford all four. any idea on which should I keep?
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The 14 days cooling off period is only applicable for new policy. If the 15% of your income seems taxing on you, you may talk to the AIA agent to reduce where possible.

There is no point to take up another (which may appear to be cheaper) as you had paid the AIA 2 years. Since you had paid 2 years, it means you had paid the agent 2 years of commission and taking up a new plan starts the commission all over.

Not to mention that there is a Waiting Period of up to 120 days for Specified Illness.

I don't see the point of having duplicate AIA, one traditional & one savings.

And for crying out loud, insurance is NEVER for its savings element. Don't believe? Call up AIA and ask them for the savings, how much do you have in your account now?

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