To answer your question, (assuming i didn't misunderstood, your question seems weird in a way)
1. Yes, some of the diseases covered does overlap (explanation below). I assume you mean 36 CI.
2. No, just because adding gender specific product doesn't mean they remove the disease covered under 36 C

I don't know what you mean by 'packages'. It has been quite a while that insurance companies provide riders for female illnesses and usually comes with an optional maternity/pregnancy benefit. in fact, there's also standalone plans.

not that many actually has the male insurance product. the only one that i know of is Allianz Man Guard.

Yes, if you were to compared the CI illness and the lady's product, there might be overlap. Again, take allianz product Lady Guard. Overview, it covers Female Cancer and SLE (lupus), CIS and other things. Under the normal 36 Critical Illness product, one of the 36 is indeed Cancer and SLE. However the conditions of payment defined under the 36 CI may be different from the lady product.

example is the cancer. 36 CI - cancer, it's only claimable if it's late stage, etc... (i don't remember, need to dig out my policy contract). but with the lady product, i think it should be able to cover early stages as well, again depends on the actual definition of the company, i'm giving a very generic overview.

yes they want to earn more $$

Say, the illness can only happen to guys; e.g. prostate cancer, or 'ball' inflammation which requires surgery.
Are these kind of gender specific illnesses included in the insurance policy,
or is it only made available to those who have the riders for 'male illnesses' ?

Prostate cancer is not covered by ordinary medical insurance?
Ovary/cervical surgery is not covered by ordinary medical insurance?

cherroy I believe he is commenting on Critical Illness coverage and not medical coverage

I have received a call from AXA affin for the above proposal as well.

Below attached the cancer definition for 36 Critical Illness (not early critical illness), I don't see the exclusion of male/female organ part.


Furthermore, Early critical illness coverage specifically mentioned to cover female illnesses.

Ty for the clarification.

This post has been edited by cherroy: Jun 26 2014, 12:49 PM

So, Prudential sent a letter today wanting to increase the policy premium citing the usual 'healthcare treatment have been increasing in recent years'...

While I can understand an increase (yes, we are aware since we read the terms before signing up stating insurance companies can increase the premium when they foresee a need to do so,)although not being particularly happy about it, did Prudential consider:

1) Senior citizens and pensioners who are already paying very high monthly premiums.
2) Increase of RM15.23 per month (multiply that by 12 months and you know how much extra you're paying). Why not just increase it a little if you ever need to do so?
3) Being 'good enough' to 'offer' a new lifetime limit of additional RM30,000 with that increase in monthly premium. Senior citizens, don't be fooled by this 'genorousity',senior citizens do not need this additional life time limit as they are already old, instead, perhaps increasing the sum assured would be more useful.

Prudential's premium is relatively high compared to e.g. Allianz and it's coverage only mediocre.

People have different opinions when it comes to insurance, I'm not a senior citizen but my mother is. I am very happy to have chosen Allianz. Eventually, one day, Alllianz may also increase their premium (to be neutral in this argument, they did that in the past and they could do it again) BUT their coverage/plan/benefits give you the best value for your hard earned money IMHO, at least for now (let me qualify this statement) - but at least I'm happy to enjoy wider and better coverage with Allianz while I still can . Prudential is being faced with very high claims from it's user base hence their high premium.

This post has been edited by abhipraaya: Jun 26 2014, 01:38 PM

Every company have different strategic and marketing, there is no right or wrong.

Pricing are not only including annual limit, lifetime limit. It's including number of panel hospital and underwriting guideline(which affect pretty much the claim experience from the pool fund).

Great Eastern may not be the cheapest for initial premium but when we reviewed back Smart Medic which launched about 6 years ago, the pricing is remain until today. I can't guaranteed that the pricing will remain thought out our life, but at least we don't increase the pricing every few years according to the past experience. The fundamental ideology of the company is very important to provide sustainability of pool fund and premium price.

One of the reason is our strict underwriting, I just lost a case to another insurance company where the client had a cyst in ovary, removed on 2012, and Great Eastern insist to impose an exclusion on ovary but one of the insurance company accepted the client as standard. If you are healthy and you are sharing the same pool fund with "higher health risk" person, definitely the claim experience will be higher due to higher risk of relapse. You should expecting an increase of premium when the pool fund depleted.

This post has been edited by ExpZero: Jun 26 2014, 01:27 PM

My friend apologised when he found out premium rates for term is high compared to first world countries.

Here we charge at least 15% more than omputeh country. So buy term and invest the rest not really applicable since 15% goes down the drain (i mean to insurance company pocket) at the get-go.

Cost of insurance esp medical insurance has increased very sharply over the years. As we all know, insurance premiums are calculated based on risk pooling basis. Hence in order to maintain cost every policyholders have their role to play so that their premiums are not increased drastically.

Policyholders should adopt some basic best practices:-

1. Do not admit to a hospital if the condition can be treated as out patient. Of course this is not easy as we are not doctors, and also is it in the interests of the doctor to get you admitted so that you can be closely monitored. So, most of us will listen to doctor's advice esp the patient is our child. Ask doctor the severity of the condition and necessity with hospital admission before deciding whether to get admitted or not.
2. Show concern with the doctor on the hospital charges, scrutinize and negotiate with them on the fees as if you pay it from your own pocket. Do not think that just because you have a medical card, it is Ok to pay whatever that is charged because ultimately when claims experience deteriorates then premium will be increased.
3. Ask for second opinion on options for treatment, this is good for own health.

Medical insurance plans are great plans but policyholders have to do their part to ensure that the premiums can be maintained. Insurance companies are actively trying to manage costs of claims and this task is much easier to be managed if policyholders work hand in hand.

While not trying to justify for the increase, the increase only affects older policies.

Secondly the increase was last done in 1997. That is 17 years of not increase.

The Rm15.xx/mth may be burden, but do you know that any admission for a senior citizens on average costs > Rm10k these days?

A simple procedure like appendicitis costs RmRm8k-10k. This was < Rm5k in the year 2000.

Do help to file an official feedback to customer.mys@prupartner.com my on this.

The lifetime limit increase do serve a purpose for those whom are not able to upgrade their policy due to illness.

It boils down to the sustainability in a long run.

BTW please help to feedback to customer.mys@prupartner.com.my to get your feedback heard.

Edited due to Typo:

This post has been edited by roystevenung: Jun 26 2014, 04:13 PM

Thank you roy, probably I might send a feedback to Prudential... I hope consumers let their grouses be heard, and at the same time, also take note of their responsibilities as outlined by zest168 above.

I'm not against the increase, but I feel anything more than RM10 becomes a burden...

We will be having this conversation again say 10 or 20 years later on the 'other' policy.

What the insurer gives, it will need to take back. Only time will tell. It does not operate like a charity body.

If it cannot sustain, then the only option is to bungkus!

On a related note, has anyone seen the doctors at the clinics lately?

ILP medical card rider subject to 6% GST

faster say TQ to government

Wondering;
Will my COI increases if I have made a claim in my insurance?

Nope, COI won't be affected by claim. But some insurance company do have clauses said company reserve the right to revise the co-insurance cap and right to withdraw the medical plan/rider as a whole.

Possible as COI will increase if insurance make some loading into your COI.

How long u sell insurance bro?

Are you new in selling insurance bro?

COI= CO-Insurance? hahaha

unker roystevenung please come explain what is COI

COI=Cost of insurance

http://uppix.com/f-Haha53af82b60016e084.jpg

Individual claims experience will not affect much the COI, unless everyone else starts claiming which affects the pool of funds.

Insurance company is the custodian to the pool of funds.

Medical insurance for most of the insurance is a losing business.

I just wonder do I really step on something or what.

Or you just like me too much. ;D (PS: I married)