Insurance Talk V2, Anything and everything about insurance
Insurance Talk V2, Anything and everything about insurance
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Jan 11 2015, 11:38 PM
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#141
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
^ Even if the cooling off period is over, cut loss now is better than paying it for a lifetime
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Jan 13 2015, 09:06 AM
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#142
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
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Jan 28 2015, 07:27 PM
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#143
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
^ Circumcision is not covered in any medical card. Please read the EXCLUSIONs. Therefore the procedure is not claimable.
Whether there is a need to do medical exam (ME) is depending on the health declaration during inception of the policy. Upon submission of the case & there is health declaration, the underwriting will advise whether ME is required as they need determine whether it is a preexisting condition and/or whether loading is required. |
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Jan 28 2015, 10:18 PM
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#144
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(Dragonfly2014 @ Jan 28 2015, 08:13 PM) If underwriter not request for ME, then how insurer can reject the claim because there was no ME done before? Not everything is covered in the medical card, and the circumcision procedure is one of them. It is clearly stated in the Exclusions of the brochure.Have to see case by case? Roy can brief more on outpatient part on newly launched pruvalue med? I watch the YouTube, it is quite different than what is in the market, with it we don't need high protection on ci, can I say so? Only outpatient is not clear... Whether there is a need for CI depends on whether you are able to 'stop work now' and still continue to spend as if you are healthy. The Day Care Procedure here refers to (may be added from time to time) » Click to show Spoiler - click again to hide... « QUOTE(supersound @ Jan 28 2015, 09:17 PM) My policy is covered for this. No, circumcision is not covered. See below.Guess you are a Prudential agent, if yes, don't try to cheat me as my friend that was my agent said the company will deny this claim even it is written in the policy. So the company does not cheat, but the agent will cheat to secure a business. Attached thumbnail(s) |
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Jan 29 2015, 01:39 AM
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#145
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(supersound @ Jan 29 2015, 12:53 AM) I know you are still trying your best to secure a business here, but my policy was bought 12 years ago. Irrespective of when you bought the policy, if it is clearly stated as an Exclusion, it will not be covered. Sorry.For all the policies I bought and cancel before, I can conclude that there's no insurance agent(including you) that won't cheat and mislead to make fast money. |
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Jan 30 2015, 07:51 AM
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#146
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
If it was 5 years ago, and the report is clean, you dont have to worry about it. Just declare & submit it.
Family history as long as its not genetically transferable is not an issue. There will not be a loading unless the person applying has develop the disease, eg, hypertension, raise sugar level, etc Genetically transferable here refers to both parents are thalassemia carriers, then it may warrant a Medical Exam on the person applying for the coverage. |
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Feb 1 2015, 09:42 AM
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#147
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(Irzani @ Jan 31 2015, 09:46 PM) My 62 years old mom have a diabetes and need to take insulin everyday. She's a pensioner but quite active to attend outside religious classes every weeks. Sorry but no insurance is able to accept diabetics especially medical. Agents who says you can try is just lying to you and you will end up paying for the premium for something which is not claimable.So far, she can speed walking for a few rounds in the park almost every morning and for the past few years, she's never have any issues such as faint due to low sugar, low on energy, headaches and etc which is quite norm for a diabetics patient. My question is whether she's qualify for any insurance/medical card (probably for hospitalization in the future)? She's already got gov pensioner card which earned her the best ward in the gov hospitals inclusive outpatients card (private hospitals - sons benefits), however I'm wondering if if there are other alternatives for in patient benefit for elders? Tq P/s: Agents .. please do not pm me Diabetics is exclusively excluded due to if it is not control may lead to blindness, amputation of limbs & even kidney failure. |
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Feb 1 2015, 10:13 AM
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#148
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(JustcallmeLarry @ Feb 1 2015, 10:02 AM) Haha us I did see some say they need do medical. So you saying it's ok I didn't have to do medical??? If you have done the medical prior to getting the insurance application, then you have to submit it. Even if you did not submit it, if the result shows nothing, you don't have anything to worry because the insurer cannot use it against you. However, if the results shows something, you may want to write in to the insurer to declare it as an omission. Not only medical records are required, but especially any medical conditions is required to be declared. Upon declaration at inception, the underwriting will decide whether there is a need to pursue the case further, be it by Medical Exam by the attending Dr, or just get the attending Dr to fill up a form to further understand the health condition of the assured. |
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Feb 1 2015, 10:53 AM
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#149
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
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Feb 1 2015, 01:50 PM
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#150
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(JustcallmeLarry @ Feb 1 2015, 11:04 AM) Nope. It was clean. Also i just remember 3 month ago b4 i started working also they took my blood test came out clean also. But they didn't give me any copy of the test. Then you need not worry. Even if the insurer were to check your records it will come up clean. |
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Feb 13 2015, 02:49 PM
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#151
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
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Feb 13 2015, 06:45 PM
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#152
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(PPZ @ Feb 13 2015, 03:13 PM) due to some personal reason with the agent which i cannot continue the service with the agent. Residing area also one of the reason Your coverage is with the insurance company, and not the agent. You may ask for a change of servicing agent if you still need the coverage.Cancelling a policy and getting a new one is not in your best interest. |
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Feb 14 2015, 08:35 AM
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#153
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
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Mar 10 2015, 10:18 PM
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#154
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(rachel_xxx @ Mar 10 2015, 10:10 PM) wah thats very bad. If you are a Muslim and warrants what you buy is of Syariah compliance then by all means go for the Takaful Insurance as it provides you with a peace of mind.Any other insurance company you`ll recommend? Btw, I`m still looking for clarification on takaful v conventional esp on their profit sharing thing. =) Thanks. When you pay the 'contribution' in Takaful insurance, the insurance company will not invest in any funds/business that is considered 'haram' or unknown sources. Hence should there be a claim, the 'donation' given is of a known source. As for conventional insurance, the insurer is able to invest in a variety of funds. |
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Mar 11 2015, 12:01 AM
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#155
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(rachel_xxx @ Mar 10 2015, 11:50 PM) noted on the syariah investment. Beside this? cos they have profit sharing, so do they have loss sharing? The term "investment" means there is a risk of profit or loss. Investments are never guaranteed. Buying insurance is definitely not for investment as there are various charges involved, agent commission, admin charges, cost of insurance. By the way, what has car insurance have to do with profit sharing? |
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Mar 11 2015, 09:50 AM
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#156
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(adele123 @ Mar 11 2015, 08:58 AM) interesting question. the profit sharing part. well, supposedly there is this profit sharing in general takaful as well, i.e. your car insurance. If it is given back, it is normally in the form of discount or rebates on yr next renewal.i'm not familiar, so bear with me. based on what i know (and read) there will do whatever calculation, determine if there is surplus or not. i know another company (not etiqa) in their FAQ, they mention, they do give out if there is surplus. but if say the amount is less than RM10 per policy holder, it will be donated to a charity instead. or something like that. so it's NOT mandatory that there is an amount to be pay out to policy holder. ALSO, i'm not even sure how the payout mechanism works. if they do pay out, do they give you a cheque, or just deduct next year's premium? but since out motor insurance profit margin is low, do they give out in the first place? |
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Mar 11 2015, 08:51 PM
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#157
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(plumberly @ Mar 11 2015, 08:26 PM) Just sharing one recent troublesome experience .... If the policy is still in force, then you only need to update the new Credit Card details.I have a medical insurance with XYZ for about 3 years now. I changed my credit card last year and I forgot to update the auto credit card payment for that insurance. I got a letter stating my premium was over due for about 2 months. Only then I realised the resulting problem with my cancelled card. Instead of just paying for the over-due premium, I have to fill in forms and the insurance company will re-assess my insurance. Quite some paper work involved. So, if you are using your auto credit card payment for your insurance, make sure that you will inform the insurance company and update with your new card payment to avoid all the extra paper work. Any one out there with similar experience? Cheerio. If the policy has lapse due to insufficient cash value due to no payment, a reinstatement of policy shall apply. You may want to check the address as stated in the insurer system if you did not receive any notifications on the failed attempt on your old credit card. Do note that should a policy were reinstated the Waiting Period shall apply from the reinstatement date. |
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Mar 11 2015, 09:39 PM
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#158
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
^ Question is, why didnt you receive any notifications for the failed attempt on your credit card?
As per SOP, a letter will be issued when that occur or insufficient units to offset the insurance charges (if ILP). This is why I advise you to check the address as stated in the XYZ system. |
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Apr 16 2015, 09:14 AM
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#159
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
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Apr 19 2015, 03:09 PM
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#160
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Senior Member
2,173 posts Joined: Jan 2012 From: Butterworth, Penang |
QUOTE(frosteer @ Apr 18 2015, 07:20 PM) I have encounter a special case lately. The hospital admission is for a medically necessary, it has nothing to do with whether the policy is 2 years. A friend of mine got his insurance claim rejected. He went to clinic due to a very bad headache, and the doctor actually wrote a letter and refer him to hospital. In the hospital, he went for some scan, and then admitted to hospital. During admission, he wanna use his medical card but the GL was declined. After that, he received a letter from the company notifying that they cannot pay the medical bill on his behalf basically they think the issue can be resolved without being hospitalized. I've heard that when a policy is new, like 2 years, company sometimes will decline GL first, but they will pay once they investigate and confirm the case is genuine. And in this case, my friend case was totally being rejected. But my question is he got the refer letter from doctor (clinic) to get hospitalized in the first place. It is a professional advice from a doctor for him to get hospitalized. I think it is a very good proof that he need urgent and higher level attention than usual headache case but his case got rejected totally...... So far, I've encounter some case where my own clients was hospitalized but all went through smoothly. I have never encounter any case where the GL is declined, thus I'm not sure is this considered normal? Plus, it is from another company, so it is a little it hard for me to follow up this case. My friend agent based in another state and she seems like not willing to take the effort to help my friend. haiz..... she directly ask him to use company medical card and ask him to forget about this matter as he is entitled to claim from the company medical benefit. My fren has lost his confidence in insurance now..... to him now it is not the issue whether or not he can claim the medical bill back but if this card is so useless to him, there's no point for him to continue paying for it. What do u guys think? Do you think this case is a norm in the industry? coz I myself do not feel it is justice for the company to reject my friend's case. Your friend's case, since his admission is only for checkup, then the bill is to be paid by him as this is considered for investigation purpose. Please read the Exclusions of the medical card. Unless there is something found that causes the headache (for example a tumor), then the admission for removal of the tumor will be covered together with the CT scan. If your friend is still having severe pain, go ahead and pay for the checkup or if he is worried of the cost, get it diagnosed at GH. For the surgery, he may opt for it to be done at private hospital via GL. |
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