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 Insurance Talk V2, Anything and everything about insurance

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TSroystevenung
post Apr 28 2014, 10:53 PM

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QUOTE(MNet @ Apr 28 2014, 10:30 PM)
other medical card u need to pay 100%.

let say allianz annual limit 65k if ur medical fee 95k.
95k-65k=30k
then total u need pay is 30k x 20% = 6k

if prudential medical card annual limit 65k if ur medical fee 95k
95k-65k=30k
then total u need pay is 30k
*
Err... no, Prudential also got PruAnnual Limit Waiver (PALW) for PruHealth. whistling.gif

Assuming you get the PruHealth with RM200 R&B plan, the base annual limit is RM75K,

1. The Co-insurance Structure for the first Rm75K are as follows:
- For Inpatient, 10% subject to a minimum of Rm300 and up to a maximum of RM1K
- For Outpatient, its 10% subject to a maximum of RM2K.

2. Above RM 75K, the co-insurance is 10% with no min or max co-insurance.

**

So for a Rm 95K bill, the calculation for the co-insurance are as follows:-

a. 10% x Rm95K = RM 1,000 (client pay), Prudential pay = RM 75K

b. On the subsequent RM20K, RM95,000-(RM75,000+RM1K)=RM19,000

RM 19,000 x 10% = RM1,900 (client pay), Prudential pay = RM19,000 - RM 1,900 = RM17,100

In Summary a bill of RM 95K with PALW

Total paid by client = Rm 1,000+RM1,900 = RM 2,900
Total paid by Prudential = RM 75,000 + RM 17,100 = RM 92,100
TSroystevenung
post Apr 28 2014, 11:03 PM

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QUOTE(MNet @ Apr 28 2014, 10:57 PM)
so need pay extra $$ to get PruAnnual Limit Waiver (PALW) for PruHealth?

mean medical card = $

PruAnnual Limit Waiver (PALW) = $

so $+$ ?

mean need buy 2 rider to get these benefit?
1.medical card
2.PruAnnual Limit Waiver (PALW)?
*
Yes, PALW needs to be attached to the PruHealth medical card. Nothing is free my friend.

As you may already know the insurance charges is not guaranteed and this is a big loop hole for the insurer to increase price when they see fit vs the claims.

What they give they will take back, only time will tell. whistling.gif
TSroystevenung
post Apr 28 2014, 11:38 PM

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QUOTE(majesticforest @ Apr 28 2014, 11:26 PM)
Since Powerlink guarantee renewal and guarantee not to increase the premium until expiry at age 90, it sounds like a good plan then. The premium for the life time limit of rm650K at age 56 is RM3,600 per annually.
*
If that is what the agent tells you, then get a letter, endorsed by Allianz that they will not increase price in future.

At least if they do in future, you can use the letter icon_idea.gif

To clarify, the monthly premium that you pay will not go up by age. However, the insurance charges will. The premium that you pay is level but the insurance charges will go up as we get older. Any variance will be deducted from the accumulated cash values. This is how ILP works.

So in a way what the agent tells you is partly true that the premium is guaranteed (unless you revise the benefits along the way).

The RM3,600 is the insurance charges at age 56 is only a projection, of which is the loophole I had mention. It is also the same for Prudential, the insurance charges is projection and not guaranteed not to go up.

This post has been edited by roystevenung: Apr 28 2014, 11:54 PM
TSroystevenung
post Apr 29 2014, 12:06 AM

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QUOTE(MNet @ Apr 29 2014, 12:01 AM)
COI will increase with age band no matter pru or allianz
*
and the COI as appeared in the brochure, it is not guaranteed.
TSroystevenung
post Apr 29 2014, 01:49 AM

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QUOTE(neshdgr8 @ Apr 29 2014, 01:24 AM)
Hi. I thought of taking UMR (ultra medic rider) from etiqa. When i read the brochure it stated there: exclusions  no 11)  which is-

War or any act of war, declared or undeclared, criminal or terrorist activity, ACTIVE DUTY IN ANY OF THE ARM FORCES, direct participant in strikes, riots and civil commotion or insurrection.

I am working in arm forces. When i told my agent about this, she replied:
Sir, tht is industrial practice. Must print in brochure as per bank negara requirement. If etiqa really didnt paid any claim, they will not accept any armed forces customers. And she mention tht etiqa has paid to families who has involved in lahad datu incident(armed foces)
So, i took initiative and call bank negara. They told me, yes, what written in brochure is true.
So, this agent is terang-terang try to con me rite?
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Question: What post are you working as in the arm forces? Will you be required to be on the battle field if there is a need to do so?

In general whatever mentioned in the brochure as an exclusion is correct.

Whatever paid by the insurer to surpass the above clauses is as a "compassionate payout". There is no guarantee that it will pay in future, well of course, unless it is a national tragedy like the MH370 that gained publicity worldwide.

For instance, IF by any chance it is proven that the MH370 is taken hostage by terrorist, the insurer is not liable to pay the claim.

But since the world is watching, I am almost certain that no insurer will want to be 'black listed' for not paying in times of such tragedy if it is in their means to do so.

Muka mesti kena jaga bro :-)

While discharging your duty and you get injury that causes Totally Permanently Disabled, the insurer is not liable to pay (well unless its like the case of MH370).
TSroystevenung
post May 11 2014, 05:32 PM

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QUOTE(MNet @ May 10 2014, 07:33 PM)
Good idea to upgrade medical card from 300 to 400?

or remain 300 medical card then buy other company medical card to mitigate the risk, incase the single company cannot claim the medical fee?
*
Yes, upgrade on the 300 to 400 if you need to. Let's not forget that you will need to service the premium until the end of the term and having 2 medical cards will be hard to maintain, especially after retirement.

Pardon my blundness but if you don't trust that the 1st insurance company will pay the medical fees, why even bother continue with the plan, right?

Secondly, if you took the second medical card, how can you be sure that the 2nd medical card will pay since the 1st one is declined? There is a valid reason why the 1st one is declined.

The insurer will not simply decline the medical claim unless there is a clear evidence of fraud or mis-intepretation of material fact leading to having the policy null and void.
TSroystevenung
post May 12 2014, 11:40 PM

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QUOTE(weirdguy @ May 12 2014, 09:39 PM)
Hello all Insurance Sifu,

I'm glad that we have honest and upfront Sifu sharing all the great knowledge and in-depth Product Information.

Sifu roystevenung, does Prudential has No Claim Bonus/Benefit for ILP+MedicalCard?

Also, what do you and others think about having two separate Policy?
One focus on ILP+Medical with Premium payable until old age. While Second on Life+CI, on Terms Insurance.
*
Yes, the plan is called PRUhealth medical rider that is attached to an Investment Linked Policy (ILP).

It is rather common to have a marriage of ILP+medical with Term insurance, be it from the same insurance company or with different insurance company (for risk diversification).

The main reason why nowadays people prefer to attached the medical rider to an ILP is because in general most of the stand alone term policy only provides cover till age 70.

With the ILP you are able to plan ahead and get covered till age 90 or even 100 (if you can afford to pay the premium).

Another reason is ILP has the ability to attach rider that waives the premium payment so as not having to worry the policy may lapse if say the person has stroke and is not able to work.

As for the Life/CI, since it is more towards income replacement, you may choose to only get covered till age 60 and terminate the plan. I may get flamed from agents but what else is new whistling.gif

Well, unless you get married late/adopt a kid late and at age 60, your youngest is still small (another reason to get married and have kids earlier wink.gif ).

After 60, you may want to swing that premium to the medical card.
TSroystevenung
post May 12 2014, 11:47 PM

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QUOTE(echoesian @ May 12 2014, 05:06 PM)
Nowadays especially when age is growing older... the whole life insurance premium is super expensive a lot of peoples are going to those investment linked insurance.. what is the cons of having big sum insured with cheaper premium ?
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First off, is there a reason to have huge sum insured, especially at older age? Life/CI is meant for income replacement during our working career while we work towards our retirement.

Upon retired, most of us working people will lose the medical benefit and had to rely on their own personal medical card.

Big sum insured with cheaper premium at older age does not exists in insurance context since insurance goes up by age based on the mortality rate.

QUOTE(MNet @ May 12 2014, 09:43 PM)
medical card will fee will increase again
*
SoS?
TSroystevenung
post May 12 2014, 11:57 PM

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QUOTE(linuxskate @ May 12 2014, 04:46 PM)
Hi. I have takaful pru medical card and company mediexpress. Do i really need to have these two or just cancel the pru. Need advice. Thanks..
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Irrespective of whether the medical card is PruBSN Takaful or from any other insurer, you should not cancel it because the moment you change job, you will lose the insurance cover from your company.

Do you know whether your company's mediexpress imposes any kind of limits that you can claim?

If you want to have the best bang for your buck, what you could do is to have a higher deductible or co-insurance to your plan in the event of a claim.

The higher deductible amount or co-insurance can help you to have a lower premium.

However, do remember that in the event that you want to claim from your personal insurance, you need to standby a higher amount.

For deductible, we have RM300, RM3000, RM10,000 deductible.

For co-insurance, 10%, min RM300 up to max RM1K (as inpatient). For outpatient it is 10%, up to a max of RM2K.

Deductible or co-insurance means you agree to absorb part of the bill thus sharing the risk with the insurer. This will definitely bring down the cost of insurance.
TSroystevenung
post May 13 2014, 12:15 AM

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QUOTE(echoesian @ May 13 2014, 12:08 AM)
Yes it is available, those plan are called investment linked plan which do not have higher bonus compared to whole life insurance plan. Comparing with the same amount of sum insured, I would need to pay double or even triple the premium for a whole life insurance.
*
Any sample quotes? Maybe post the quote here so that we can analyze it for you wink.gif
TSroystevenung
post May 14 2014, 08:54 PM

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QUOTE(ChrisGood @ May 14 2014, 01:31 PM)
Hi,

The plan that you need to pay only 20 years but provides a coverage up to age 70?. Insurers are creative, of course they have the plan you mentioned/ or similar. Certain companies do. Higher premium of course, and after the 20th year, you may come across a letter asking you to top up some premium. Do some research with those who bought these type of plans years ago when it was oven hot, typically those aged between early 40s to mid 50s now. Listen to what they say. Ask why they bought, and analyse the features.

Everyone wants a magic, cheapest plan with high coverages over long term. But the money ( cost) has to come from somewhere. Insurance is all about how much you value yourself. How much do we value ourselves today, tomm, 5 years, 15 years, 20 years from now? In today's money (premium), are we willing to allocate say just rm300 to cover myself for the next 30 years?. If the plan is fixed (buy cheap now but coverage amount is X amount), what do I do if I outlive the term of coverage and by then I find myself valuing myself even more? Willing to pay more then at my older age? Insurability is not a problem because I am super healthy then?

So may questions. So many options.

Nothing is free, nothing is cheap and very good. Every product has it's pro and cons. But the best balance amongst so many products in the market today would be the investment -linked. Prudential started this product imore than 15 years ago and competitors scorned, telling their clients that it's no good coupled with false accusations. Then now they too, embrace it. It's affordable, flexible, you upgrade or downgrade it according to your needs, drop riders you think it's no longer of use or upgrade accordingly. Buy a term for some coverage over certain years but understand the features and why do you need a term insurance, or traditional endowment if you want to diversify for savings purposes because of it's guaranteed features.

All types of plans are good if it's matches your needs.

So many gurus and seasoned financial planners/ agents here. None of us here are to cheat you in this open forum. But we need to know what are your thoughts, your dreams and your commitments. Then we can advise accordingly. Just don't be greedy because agents can smell how greedy a prospective client is and mislead one into buying something that the prospective client is emotionally attached to buying even if it does not do the client real good #cheap, attractive returns, pay less cover more etc etc.

Excellent advisors will only recommend the product if they put themselves in the prospects shoes, and buy the product they are recommending.
*
Yup, I am still paying for that so call pay 10 years and no need to pay plan from the "A" life company.

Its been 20 years now and everytime you inquire, same old grand mother story. Funds did not perform as it should, insurance charges has gone up bla bla bla. sad.gif
TSroystevenung
post May 19 2014, 08:50 PM

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Request conqu3ror to assist MNet?
TSroystevenung
post May 22 2014, 04:48 PM

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QUOTE(MNet @ May 22 2014, 04:22 PM)
not luck issue.

if the agent problem, then we as policy holder must do something.
for example make the agent life harder complain to HQ ask agent to write letter of apology ask agent to re-imburse the inconvenient fee etc

if not the the problematic agent will happy coz he think he will earn free comisen without need servicing.
*
Such agent is short sighted and do not look at the broader picture of the potential business of referral. I am sure you will not want to recommend anyone to him, would you?

Anyway, my offer still stands, if you are a Prudential client. All I ask is not cancel the policy after the transfer, otherwise I pula kena persistency issue... sweat.gif

And for crying out loud, I dont sell savings/investment plans, but insurance icon_rolleyes.gif
TSroystevenung
post May 23 2014, 11:48 AM

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QUOTE(morning06 @ May 23 2014, 01:29 AM)
I like this thumbup.gif tried once to help a friend to cancel within cooling period and the agent straight call and talk (in a bad manner) and force him to continue the policy. Too bad I lose to the agent  sad.gif , coz he dunwan any trouble from that agent  doh.gif

It will be good if more agent like roy is around and Msia insurance association do something to fix these problematic agents
*
Didn't know that we can threaten the client to continue the policy... whistling.gif

TSroystevenung
post May 23 2014, 11:56 AM

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QUOTE(weirdguy @ May 23 2014, 11:11 AM)
Hello all,

I am trying to google for correct information about Government Tax 6% on Hospital Bills.

Is all the Charges such as Day Surgery, Surgery, Diagnostic Test, Outpatient Treatment, Hospital Supplies and Services are chargeable with Government Tax 6%?

Or only Room & Board?
*
It is covered in your medical card.

Never had any clients feedback that they need to pay this except when the KPJ Hospital had a funny idea of charging clients for an additional Rm5 per bed sheet (about 3 years ago). shakehead.gif

Imagine going to a 5 star hotel room and to your horror the bed is without bed sheet!

Of course now they had stop this ridicule charge after many people starts to protest. whistling.gif
TSroystevenung
post May 23 2014, 03:45 PM

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QUOTE(tesmmo @ May 23 2014, 03:28 PM)
May I know any type of insurance can claim for dental implant or depressed disease?
*
You can try BUPA and specifically request that you want dental cover.

http://www.bupa-intl.com/for-you
TSroystevenung
post May 23 2014, 03:57 PM

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QUOTE(tesmmo @ May 23 2014, 03:54 PM)
May I know medical card can claim for dental implant or depressed disease(such as visit psychiatrist) without involved in accident case?
*
Yes its covered, but the premium is not cheap. Give them an email.
TSroystevenung
post May 23 2014, 08:04 PM

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QUOTE(adele123 @ May 23 2014, 07:00 PM)
no insurance company gonna cover those things directly. at most maybe it can be covered under your employee's benefit. but everything has limitations...

insurance aren't meant for such benefits, at least not one you can abuse. insurance companies ain't stupid.
*
International insurance do cover dental, regular medical checkup and even mental disorders. But be prepared to pay in USD thumbup.gif
TSroystevenung
post May 24 2014, 10:44 AM

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QUOTE(wongmunkeong @ May 24 2014, 06:39 AM)
From experience & talks with insurance advisers like Roy (lurking somewhere here tongue.gif) - i'd suggest go only for medical & hospitalization.
Reason:
3D (death disease disability) - for most insurers, the critical disease, by the time diagnose & get $ to try & save life... may be too late as diagnosis must be "certain stages" before can claim.
eg. cancer 3rd stage, not initial stage 1.

Another thing to consider:
IF your child stays "overseas" (incl SG & TH) for 90 days consecutively or more, better get yr child that country's medical coverage, NOT MY's coverage.
Also another learning experience for me when my child went to SG for studies.

As for amount of coverage (i dont look at the premium since it's the coverage that's important to me), personally i took:
Wanted: RM150K * (1+4% assumed inflation pa)^25 years
LESS: RM i had in emergency buffer & employer's family coverage
= Coverage per annum i bought to cover him up to post University-working life, then they can go buy their own smile.gif
Papa not billionaire thus no silver or platinum spoon <feeding> tongue.gif

Reasons:
a. RM150K - approximate changgih-enough cancer treatment pa now
b. 4%pa - inflation assumed. Yes yes - a lot of fellows will shout inflation is higher, especially medical blah blah
FYI when my dad contracted cancer 20+ years ago, the cost *4%pa inflation till now still more than covers. Advances in medical science dont mean we have to go for cutting edge (just newly developed) that cost a bomb if the "% of higher successis" minor VS standard treatment.
c. 25 years - coz no silver or platinum spoon <feeding>

Note - dont be a sucker buying as much as U can.
Insurances are risk transference tools AT A COST. That's why we pay something called a PREMIUM.
Premium = risk's cost (if U bear yrself) +admin cost to run company +agent's commissions +shareholders' profits +CEO's big fat bonuses smile.gif
Better to take just enough - then use the remaining to invest.
Dont believe me pls - just get the quotations AND ask for the total premium till 80 years old (from 0 to 80)
Look at the total premiums paid - can buy a few lives liao AND we pray we dont collect!

If my plans is aligned with my BIG BOSS' (Him) plan, i should not be needing death (yes death, not life - payout is upon DEATH), disease, disability or medical/hospitalization for my entire family by the time i retire.

Just my PoV - from one father to another notworthy.gif
BTW, congratulations & <high five> yr child is lucky to have a father that steps up & plans before needed.
Next is studies & Uni then estate planning  laugh.gif

PS: Not all insurers will insurer newborns - especially if complicated birth or below certain kg (ie went into Neo-natal ICU after birth). Again from experience heheh - had a normal birth + a very complicated pregnancy & pre-term experiences
*
Cancer if it is zero staging, it is only payable under Early CI, and not under the 36 CI Cancer definition.
» Click to show Spoiler - click again to hide... «


Nowadays, can buy during pregnancy, and in your case the medical card will start upon birth brows.gif

Of course if there is any pre-existing (for example if baby is born with hole in the heart) that will be an exclusion on the medical card.

If 'infant care' is attached, we will reimburse up to RM30K (for 2 years), see spoiler

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TSroystevenung
post May 24 2014, 12:23 PM

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QUOTE(Cubalagi @ May 24 2014, 11:56 AM)
I am a DINK. No children. I save and invest only for myself and spouse.

I guess what I am looking for is extra "income protection" (new term learned while researching this topic rclxub.gif ) in case of a critical illness which could severly impact my future income.
*
Err, what is DINK? rclxub.gif

Insurance is for protection, not for investment. There are far more better investment vehicle than putting your hard earn money into insurance for investments.

Property is one of them. Alma in Penang mainland, 5 years ago, the double story costs RM180K. Today with the second Penang bridge, upcoming Tesco, Aeon, it is RM400K.

ahchun is orang Alma tongue.gif

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This post has been edited by roystevenung: May 24 2014, 12:25 PM

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