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 Insurance Talk V2, Anything and everything about insurance

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TSroystevenung
post Jul 21 2015, 09:14 AM

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QUOTE(adele123 @ Jul 21 2015, 08:46 AM)
Rightfully... ALL insurance companies should honor the claim. what i understand that yes, you only have 1 copy of the original receipt but there is/should be an understanding within the claims people in the insurance companies that customers might claim from 2 companies, under some circumstances.
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The process of claiming from multiple insurer (up to the maximum bill amount) has been explained above.

In total there will be two receipts issued, one to company insurer and another issued to the client upon discharge (of which the client will need to pay by cash before filling a claim to his personal insurer).

There is no such thing that "claims people is/should have common understanding" as that is not the way claims works.

Without the original receipt the claims dept will not entertainment any payment as that will open a loop hole that the client may claim from multiple insurer on the photocopy/CTC bill amount.

HTH
TSroystevenung
post Jul 24 2015, 11:31 AM

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QUOTE(dzila_87 @ Jul 24 2015, 10:56 AM)
I purchase 2 insurance from AIA (medical) for both my child. The first one success and never have a problem so far while the 2nd one I purchase for my 2nd child have a bit problem.

I put my contact number in AIA website for agent to call since my old agent already retired and later got call by this beautiful lady. Fill the form, submit the auto deduct form, handover the birth certificate copy and later on the 2 month money has been deducted from my account (total of RM500). Call the agent one month later as I did not received any policy document from her but ignore my call and sms. Call the aia call centre and they said, cannot do anything cos u do not have the policy number. But my bank statement clearly state is from AIA.

Anyone experience this before. How I should proceed from here?
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Since it has been deducted twice, the policy should be effective.

Your best bet would be going to the AIA office personally with your bank/cc statements.

They should entertain your request with your IC as verification.

Perhaps something happen to the agent?

This post has been edited by roystevenung: Jul 24 2015, 11:33 AM
TSroystevenung
post Aug 27 2015, 06:59 AM

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QUOTE(KenYoung @ Aug 27 2015, 03:17 AM)
is this a place to ask about car insurance?

ive been driving a car under my sister's name for quite some time d... she has her own car (meaning 2 cars under her name) also but the car im driving now is under her name bcoz at the time of purchase, i cannot be owner as I was under 18...

now accumulated 55% NCD... i am named 2nd driver.
is the NCD transferrable ? or if i buy car under my name, need to reaccumulate the NCD?  doh.gif  cry.gif
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The NCD is tied to your name and not the car.
TSroystevenung
post Aug 27 2015, 09:02 AM

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QUOTE(KenYoung @ Aug 27 2015, 07:11 AM)
Thanks for prompt reply...

She now has 2 cars under her name with full NCDs...
Is it transferable to me in future?
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NCD is on your name, not the car.

Since your NCD is 55% when you buy a new car, you are entitled to 55% NCD on the new car.
TSroystevenung
post Sep 13 2015, 10:51 PM

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QUOTE(prescott2006 @ Sep 13 2015, 08:40 PM)
My current gross salary is RM4200 and from Penang. Currently I'm using the medical card from Allianz with the following details:
1. Month premium: RM200
2. Annual limit: RM100k
3. Lifetime limit: RM1mil

Recently, someone from AXA Affin suggest me to change to their package with the following details:
1. Month premium: RM333
2. Annual limit: RM1.6mil
3. Lifetime limit: No limit

He told me that with the current annual limit of 100k is not sufficient for any dread disease. What do you guys think? Do you think it's necessary?
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Your best option right now is to talk to Allianz and inquire whether you are able to upgrade on your existing medical card and _NOT_ replace it with another medical card.

You may check out my blog << HERE >> on why you should not cancel your existing policy just to get a new one.
TSroystevenung
post Sep 14 2015, 11:47 AM

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QUOTE(prescott2006 @ Sep 14 2015, 10:45 AM)
I 've gone through your blog post. Some of my replies:
1. For the waiting period, he said will help me settle the AXA policy before surrender the Allianz policy, so there is no gap between them.
2. Can you explain more about incontestability? Not very understand about this term.
3. I've never claim since I took the policy in 2011.

Based on my income, do you think RM333 is too much for an  ILP medical insurance?
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1. Please ask the AXA agent to explain how he will "settle" the bill if within two months of replacing the policy you need to claim for kidney stones which costs Rm30k.

Please get him to write a letter stating that he will "settle" the bill if that happens. If it was an offer by AXA to waive the waiting period, then please get an official letter.

Everything has to be in black and white.

In addition, since you have been paying for 4 years, starting a new policy all over will mean that the units allocation (to accumulate cash values) and the agents commission will start a new. Agent's commission is only up to six years.

Suppose you were to choose the upgrade option in Allianz, the allocation period will only start anew for the upgraded portion and not the entire policy itself.

Ps. The only way to pass the waiting period is to maintain both policy running concurrently.

The claims is paid by the insurer, not the agent. Therefore when in doubt, it is best to get a black and white from the insurer, not the agent.

2. You may google "incontestibility period" for a better understanding.

In layman terms, provided there is no fraud (during health declaration to get the policy), and the policy is over 2 years, most insurer will just pay the claim.

Suppose you were to get a policy and immediately after the waiting period is over the claim starts, it will definitely raise suspicion that it could be a pre existing health problem prior to the inception of the policy.

3. Whether or not you did any claim before is irrelevant.

Getting extra coverage means adding more risk to the insurer, therefore the insurer will have to scrutinize all applications.

I am just curious as to why you are reluctant to look at upgrading in Allianz instead of insisting to replace the policy with AXA? hmm.gif


TSroystevenung
post Sep 18 2015, 12:18 AM

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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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As mentioned earlier. please get in touch with your old agent and upgrade from him/her.
TSroystevenung
post Sep 22 2015, 05:24 PM

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QUOTE(Tsuto @ Sep 22 2015, 05:19 PM)
If it is an upgrade, does a big chunk of the premium go into agent's commision again?
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If its an upgrade with the same insurer, the agent only earns commission on the upgraded portion only.
TSroystevenung
post Sep 29 2015, 10:52 AM

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QUOTE(Avangelice @ Sep 29 2015, 10:32 AM)
Signed up for the pru access online and saw my pru savers account.

Money allotted 1800.
Pru equity price 1400.

Fuck this shit. I'm cancelling it. roystevenung what's going on.
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Most of the Equity funds has been down since early 2015.

Same goes to most funds out there.

However when the funds are down you are actually buying more units.

<< Insurance 101 >>
TSroystevenung
post Oct 6 2015, 09:31 PM

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QUOTE(OptimusStar @ Oct 6 2015, 07:56 PM)
The agent that proposed to me mentioned the Allianz plan is at fix rate. Means i pay the same premium life time.
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If the premium is fixed, why did most of the insurer ask for an increase of premium last one two year? hmm.gif

No, all insurance work on the same principle based on the attained risks. As we get older, the risk of claiming gets higher and therefore the insurance charges will also increase.

The premium is not fixed and it is not guaranteed. It is mentioned in the Sales Quote very clearly.

You may want to take a look at the insurance brochures and check the insurance charges based on attained age group.

Do note that the insurer reserves the right to increase the "insurance charges" - mostly the increase is based on claims ratio experience in order to maintain the insurance port folio.

As we get older, the insurance charges will go up (irrespective of when you get it) and the variance of the insurance charges will be deducted from your cash values (ILP) if the premium paid is insufficient to cover for the insurance charges.

Once the cash values are depleted and it is insufficient to cover the higher insurance charges, you may need to pay a higher premium if you want to maintain policy/medical card until age 90.

This is also the reason why plans that does not accumulate cash values - there is an increase of premium say once every 5 years age band.
TSroystevenung
post Oct 10 2015, 09:23 AM

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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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I will leave the GE issue to other agent.

Please PM to me your PruLink PA rider policy coverage detail (snap a photo) so that I may advice on what can be claim.

TSroystevenung
post Nov 6 2015, 10:39 AM

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QUOTE(hoodhud @ Nov 6 2015, 09:19 AM)
actually my parents bought due to that time my aunt sell it
so tot of having relatives as agent easier but now my aunt had quit and pass it to her fren
v don't really get in touch and sometimes i feel insecure with it
possible without agent?
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Understand the contents of the policy and whether you need the coverage that comes with it. If you still need it, you don't have to worry from whom it was bought.

The coverage is provided by the insurance company, and the claims are not paid by your aunt or her friend.
TSroystevenung
post Nov 6 2015, 10:47 AM

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QUOTE(hoodhud @ Nov 6 2015, 10:43 AM)
i knew and honestly i have to dig out the policy cz Idek whr my parents place it
thinking if directly deal with insurance company w/o agent will be a better choice?
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If you are having phobia to meet an insurance agent, you may ask your aunt to explain to you the coverage or deal over the counter with the insurance company before deciding what to do.
TSroystevenung
post Nov 6 2015, 11:52 AM

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QUOTE(AlissaIU @ Nov 6 2015, 11:10 AM)
huh? without an agent? Sounds so convenient but is it fine to without an agent? What if when you need some advise from the insurance company?
Hi roy, need some opinion from you. What you think about purchasing insurance online?
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As long as you know what you are buying and don't need any servicing, it shouldn't be any issue.

However, for medical claims which may requires a lot of after sales servicing, most insurer will still assign an agent to you.

Always remember to inform the people you nominate where to find the policy so that they may dig it out in the event of a claim. Same goes to EPF.
TSroystevenung
post Nov 7 2015, 09:48 AM

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QUOTE(AlissaIU @ Nov 6 2015, 05:46 PM)
You're right. Medical claims definitely need an agent for me to consult. So that, I plan to get a life insurance from this U for life and get an extra medical card from another insurance company. What do you think? Will it be cheaper compared to purchasing a whole life insurance package?
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No harm in getting quotes for both options (buy from two insurance company or all in one) before deciding which is best for you.

If it is able to give you best bang for your money, why not?
TSroystevenung
post Nov 9 2015, 10:33 AM

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QUOTE(nancynotlousy @ Nov 9 2015, 10:14 AM)
Thanks for your update. That why, I don't dare to commit too much. As children nowadays is not cheap, my salary just somehow "gamgam" for their spending. I left bit for saving only.
In fact, thanks government for setting up gov. hospital. Totally agreed with your point, that medical card is not so needed at current moment.
Anyway what is term life insurance all about? what it cover?
I just contacted my agent again, maybe he is busy or not really keen to entertain me at this moment. He told me that he is not selling term life insurance, some more he added that it is not useful for me at all. Sigh! Then he told me that he will contact me later..
Anyway i am currently 36yo.. how much estimated I need to pay for insurance per month? If I target less than RM50 is that possible? Any agent can be recommended for term life insurance?
btw got to back to work now.. doh.gif  boss call....
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Term life pays a lump sum of money to your beneficiary in the event of untimely death or total and permanent disability for a specific term, say 20 years (or up to the youngest age 25).

You may choose to nominate an adult whom will be the guardian of your kids if touch wood happens.

Also be reminded to check your EPF beneficiary while you are at it.

TSroystevenung
post Nov 9 2015, 10:50 AM

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QUOTE(singenggoulee @ Nov 9 2015, 10:31 AM)
I remember my insurance do cover with Personal Accident.Just incase I pass away, my wife and my family will cover a Million RM. If I am not wrong.
Then what the different within PA and Term life? since you claimed that it is cheaper.
Agreed with you! @Nancynotlousy.. The medical card is really important, I know it is expensive sometimes under agent. But it cover you once you met any accident. Like myself. I injured my hand when I did my gardening few year back, was sent to Pantai Hospital for a check. A night stay in hospital Pantai. Included everything, guess how much is my bill? RM2,600++. You think you can afford to pay this amount immediately, then medical card is no longer important to you already. Have to say that I am lucky because all this $$ expenses, was fully bear by my medical card.
No matter how, you still need to have at least a medical card for life.
My suggestion to you, buy medical card and no need buy term life.. you have financial problem. It save you more. I think
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A round of chemo costs in the range of Rm250k to Rm300k, but like Cherroy says it all boils down to affordability.

No point to get the medical card if she is unable to pay the premium.

Life is a little bit unfair at times but one thing is for certain is death and taxes.
TSroystevenung
post Nov 25 2015, 08:17 AM

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^ Whether the condition will be Excluded will be very much dependent on the type of surgery being perform and the medical condition.

The best course of action is to try to upgrade and if you are offered with an Exclusion on that medical condition, you may choose not to take up the upgrade and get a new policy (from the same or different insurer) with the Exclusion imposed.

Hence if there are future claims that falls under the Exclusion of the above medical condition, it is able to be claim from the old policy.

Any claims that dont fall under that medical Exclusion is claimable under the new card.

Of course it will mean maintaining 2 medical cards and boils down to your budget.

TSroystevenung
post Dec 28 2015, 03:14 PM

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QUOTE(whypurplishblue @ Dec 28 2015, 10:51 AM)
Hi,

Just a quick question to the experts  biggrin.gif

Recently admitted to non-panel hospital and trying to go through the claims process. Seems I had to get doctor to fill up a medical report form which is just a single page form. Fill up the form also can kena charge medical report fees. Is that normal?
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Yes, if you were to get admitted to a non panel hospital, the medical report is not submitted directly to your insurer.

This means that the insurer has no idea as to why you were admitted for apart from the bill that you had submitted.

You will also need to get the discharge summary, itemized billing, police report (if any), medical or investigative reports such as blood test results (if any) for the claim.

That is why it is easier to get admitted to a panel hospital.

Also if you want to claim from multiple insurer (up to the maximum of the bill), you will need to CTC the supporting documents.

For the variance bill that is not paid by the first insurer, the bill submitted to the second insurer must be original.
TSroystevenung
post Dec 29 2015, 11:09 AM

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QUOTE(whypurplishblue @ Dec 29 2015, 09:43 AM)
Thanks so much! Very much appreciated  smile.gif It does sound so much easier with panel hospitals. Sometimes when an incident happen we just goto the nearest hospital we can find before checking the panel list tongue.gif

I didn't know if someone has multiple insurers that they can claim to both? I guess that does not apply to those medical cards and more to life/critical illness type of coverages?
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You can claim from both medical card, up to the maximum of the bill. For example if the Company Med Card gives you RM30K annual limit and the bill is RM50K.

You can claim RM30K from the Company Medical Card and the balance claimable from your personal medical card.

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