Although Alopecia Areata is not a life-threatening disease. Alopecia areata is not a painful disease and does not make people feel sick physically. It is not contagious, and people who have the disease are generally healthy otherwise. It does not reduce life expectancy and it should not interfere with going to school, playing sports and exercising, pursuing any career, working, marrying, and raising a family.

Nevertheless, it's always advisable for policyholder to fully disclose all the current medical state to insurance company's underwriter for a accurate and headache-less claim in the future especially since Alopecia Areata can be seen physically. You wouldn't want future claim to be rejected aren't you?

If the underwriting department would need further clarification from the policyholder, it will issue a further query or a checkup from medical officer in panel clinic to determine the severity of the disease.

Insurance is about utmost good faith, policyholder are obligated to declare every known medical history of them to the company, or else the contract is void-able.

I personally do not have such issue happen within my client based. Nevertheless, I have nbtd and called to Great Eastern Customer Service and the Customer Service officer is recommending me to declare the smoking status.

However, I have asked Customer Service, what will happen shall the client did not declare and pass away due to lung cancer? CS told me that it is claimable with (b) option AFTER investigation to proof that the case is not non-disclosure.

However, this is the result from GE, other company might not have the same practise.

Meaning to say you are genuine(non smoker) at the time of purchase and not miss-representatives. You may call Great Eastern yourself to clarify 03-42598111.

It's all depend on the doctor and insurance company's investigation result

All the agents including part time who look like just out secondary school would also took the same exam in MII to be a legit insurance agent. Unless the person works as referrer only.

It cost RM175 for both PCE + CEILLI exam + another less than hundred bucks for takaful.

Hi,

Are you sure your RM550/month is investment link and not traditional? It looks a bit low in protection despite high premium. I guess most of your premium went into cash value

However, I'd advise if possible to increase your Critical Illness coverage and Early Payout because we do not want to continue pay the house instalment shall we are having difficulty right?

Furthermore, please check with your insurance company either you can claim the leftover bill from your company's medical card. As far as I know, some company don't allow that.

Just a simple comparison for the protection you are having with Great Eastern.

Life/TPD: RM400k / RM500k
Accident (Death/TPD): RM200k + Medical Expenses RM2k + Weekly Income RM300 / RM215k + Medical Expenses RM3k + Weekly Income RM350(Temporary Partial Disability) + Weekly Income RM1500(Temporary Total Disability)
Critical Illness: RM90k / RM500k
Early Critical Illness Protector: RM70k / RM500k
Medical Insurance: R&B RM150/day, Annual limit RM62.5k, Life Time Limit RM625k / R&B RM200/day, Annual limit RM120k, Life Time Limit RM1.2m
Hospital Cash Income: R&B RM150/day, ICU RM100/day, Surgical Procedure RM2.5k per surgery / R&B RM200/day, ICU RM400/day

Projected Cash Value by the time I reach 54 years old: RM240k+141k

Every company have their Pro and Con

Hi Spider ,

I'd advise you to request your agent to generate the "new quotation" using "ILP Calculator" for your alteration before you head to the branch.

Eventhought it can be done in Branch, but it's better for you to read through the amendment first(and you are statisfy with it) because if you have amended too low premium with too high protection(vise versa), it can't be done. You may request him to forward you via email before going to Great Eastern.

Sometimes if you straight head to branch, the Customer Service will give you a form to fill up for the alteration without checking the system whether this alteration can be approved. Upon successful amended, they will send a letter to your house. However, if the amendment is failed(too low premium with too high coverage), they will send you another form to re-submit(yeah, I know your feeling).

I wish I can help you to generate but I can't because I can only generate amended quotation for my own client due to Personal Data Protection Act.

Okay, I don't think need additional document if you are heading to the branch compare to doing it by your agent. You will need 3 forms, the CS will advise you better what form to fill up and how to fill up when you are there.

Remember to tick the "maintain regular premium", else it will increase it

Hi,

I saw your post in Finance section about insurance.

I'm a full time Unit Sales Manager from Great Eastern life Assurance, I'm sure you will soon received a lot of PM regarding insurance policy.

A few vital questions you have to ask yourself
1)Will your company continue to use your service if unexpected event happen? Will not then how is your future medical expenses?
2)Do you have enough of backup fund if unexpected event happen before age 40? Are you willing to use the backup for such purpose?
3)Buy now cheap but pay for more years. Or buy later expensive but lesser year. Wouldn't it the same? You are paying the same for both, the only different one give you protection earlier while another give you protection afterward.

For your information, Great Eastern is the winner for Malaysia Private Health Insurance Provider Of The Year 2013, http://www.malaysia-awards.com/2013gela.html and also The 17th Asia Insurance Industry Awards 2013 Life insurance company of the year. http://www.asiainsurancereview.com/index2013.html

I'm sure you are looking for a reliable and efficient insurance company recognize as multiple awards in year, 2013. Thank you in advance for your consideration and that I'm looking forward to your response.

Hi wiind,

I have to tell you the whole picture of MLTA including MRTA so that you will understand the reason why people will say MLTA is "transferable" and how it "linked" to your property.

Due to the fact that MRTA is a single premium lump sum payment, usually policyholder will purchase MRTA through the service of loan ie: bundle with the housing loan. When MRTA is bundle with housing loan, the MRTA will have to absolute assign to the bank and the bank will be the "owner" of the policy instead of you. If you settle the loan early, the bank will not transfer the ownership back to you but the bank will just surrender the policy and you will get back the surrender value which usually wouldn't worth much.

Whereas, due to the fact that MLTA is a regular premium, policyholder will purchase it either from a insurance agent or from a bank. However, most of the time policyholder will prefer to purchase it from insurance agent because purchasing from bank will fall into the same problem as above, where your policy will be attached to the bank instead of you and you have no right to alter/surrender/amend the policy.

MLTA initially stand for Mortgage Level Term Assurance, it suppose a term insurance. However, most of the agent nowadays will promote Investment link to substitute "MLTA" due to the fact that Investment link can have lower initial setup cost compare to MLTA in some case. Since this MLTA or we can actually call it Life insurance is attached to you(the policyholder), you can actually call it House A's MLTA on your own but not in paper. When House A's loan is done, you can name it to House B's MLTA on your own. Whatever the name is, the MLTA promise to payout a lump sum of payment when you leave your last word and your heir can use the money to pay off the loan.

One question we will ask ourselves, would our children use our "MLTA" to clear the debt or they will use it to buy a Lamborghini? In order to avoid that, actually you can make your Personal Insurance to "attach" to a certain property via will.

When you write a will, you may include a instruction in your will to your executor to use certain policy to payoff certain property. You can strategize your will such that all your debt is fully covered and your executor will use the insurance payout that you "attached" to the property to pay off the loan before inherit it to your next of kin.

Well, I'm sure you will still think that, your heirs might still can sell out all the houses after they inherit your property and buy a Lamborghini right? You may arrange a testamentary trust so that you will only inherit your houses to them one by one on certain age like what Whitney Houston has done to her daughter.

I'm a will writer and an insurance agent, I would able to help you to arrange for the above said arrangement shall you have the need

Old policy is always better in term of waiting period and will be more claim-proof.

We can't comment about your policy because we don't know about your age, gender, occupation and medical history.


Nevertheless, for above policy, I recommend you to look into upgrading your medical card because room&board 100 will he challenging to get a suitable room in KL, Penang and Johore. And I will suggest you to upgrade with your existing agent to preserve your medical card waiting period. I suppose that upgrading in Prudential will not start over your waiting period.

This is a long long post and if you really interested to understand about all the questions you were asking, it's a good read as I type it all by myself instead of copy from other website.

Insurance is always used to hedge for the risk in life aka. protection when unfortunate event strike into your life.

However, question like how much the insurance coverage a person should have is always a problem strike in public mind.

There are four main parts of coverage should a person look into.
1)Life, this is the money that will go into your family member shall unfortunate event striked you. It is used for clearing the debt and protection your family member by giving them a continuous unchanged lifestyle from your Life protection.
2)Critical Illness coverage, this is the money that will be given to you shall you strike with some dangerous illness and you *might* loss your job or we called it power to generate income. It is used to help you go through the toughest period where you can use this money to pay for your debt, your family's living expenses and bought any non-medical life support like massage chair, trip to relaxation etc..
3)Medical coverage, this is the money that will pay for your bill when you hospitalize. It is used to hedge for the surge of hospitalization bill, the bill will be settle directly from Great Eastern. Please bear in mind that even the card have millions inside, only the doctor are authorize to claim the money
4)Saving, this is the money that will save up for you for retirement. It is used to hedge for the risk of over living, I'm sure you want to maintain a good lifestyle even after your retirement age ain't it?
*Of course there are still a lot of other insurance risk you should look into like Personal accident, Personal Indemnity, Hospitalization income, Lady Benefit etc, but let's focus in the 4 main parts currently.

*General rule* is one should use 10% from the income to get an insurance to hedge for the medical and physical risk.

Let's say your budget is RM400/month, age 25, male, non-smoker, getting a Traditional Whole Life Participant Plan with Life+TPD+36 Critical Illness + Early Payout Critical Illness will be RM80,672 of coverage, not to mention this plan are yet to include medical card. So we should ask ourself that does RM80k+ suits my needs to hedge for my medical risk?

If the answer is no, then you should look into investment link. With the same budget and detail, with RM400/month, the person can get
1)The Life coverage of RM250,000 to cancel debt and for family future life expenses shall any unforeseen situation happens.
2)Total&Permanent Disability cash of RM250,000
3)36 Critical Illness cash of RM250,000
4)36 Early Payout Critical Illness cash of RM250,000
5)A medical card with Room RM400 with annual limit RM200,000 and lifetime limit RM2,000,000. In order to fight for inflation, the medical card room&board and annual limit will increase 10% every 3 years, it will become Room&Board RM800 and annual limit RM400,000 at the end of 30 years.
6)Great Eastern will compensate you RM200/day for each day of hospitalization.
7)It has a waiver benefit where premium will be waived if 36 CI or TPD happens.

So, you should ask yourself, which one actually suits your protection needs? I'd say Investment link always a better choice to have high coverage at initial stage unless you are looking for a coverage that will increase in the future, which is traditional.

As you also asked about saving plan(the 6 years payment and you receive cash at 2nd year thingy), you should only look at saving plan when you have yourself fully covered. The reason is, what would happen if your having financial difficulty due to health reason and you are unable to save in the saving plan? Your plan might have the risk of getting lapse and all the money you save into the saving plan *might* vanished. Thus, a basic protection is always the first priority ahead of other financial need.

The same principal which happens to MH370, if MAS didn't bought insurance for the plan and passenger, MAS have to pay every of the passanger minimum USD150k or up to USD6million which *might* face the risk of bankruptcy. But currently MAS is hedging the risk via insurance company by paying a minimum premium for every flight.

Insurance is all about hedging the risk, whereas saving money in bank is increasing in linear. A very simple example which I temporary ignore the interest would be this. Saving RM200/month, a year would be RM2400, 10 years would be RM24,000, 30 years would be RM72,000.

But what if you need emergency medical fund up to RM30,000 at 3rd year?

Setting aside a minimum of money to hedge for risk is always a great choice in view that we can't ignore the existence of medical and physical risk.

Hey bro,

Not sure you are in which plan, however, the best among the Crystal Mediplus, Crystal Sihat and Crystal Meditop up is Crystal Sihat.


I can't really quote the above medical card vs a normal medical card, as there are multiple different cards in market. Maybe it will be fair to compare it with Smart Premier Health from Great Eastern.

Head to head comparison will be Great Eastern Smart Premier Health vs Ace Jerneh Crystal Sihat.
1. No Co-Insurance vs 20% co-insurance with no capping if over room&board.
2. No claim discount -> 25% discount. vs no non-claim discount
3. Automatic 10% increase in Room & Board in every 3 years vs Room&Board stay stagnant
4. 10% increase in annual limit of medical card vs annual limit stay stagnant
5. Lifetime medical limit with 20 times of the annual limit vs lifetime limit is annual limit
6. Critical Surgery Recovery Benefit of a lump sum payment of RM20,000 vs no Critical Surgery Recovery Benefit
7. Post-Hospitalisation Treatment as long as within 180 days after hospital discharge vs 60 days Post hospitalization.
8. In hospital physician visits of twice per day vs once per day
9. Can stay in hospital up to 180 days per policy year vs 150 days per year.
10. Can stay in Intensive Care Unit (ICU) for 180 days per policy year vs 75 days.
11. Pre hospitalization coverage of 60 days, same for both
12. Huge different between annual limit, depends on the type of plan you bought.
13. Hude different in cancer and dialysis, GE is according to annual limit and Ace Jerneh is capping at monthly limit.
13. Both covered Government Tax
14. Both covered Medical Report Fees

Attached the Smart Premier Health brochure for your perusal.
https://dl.dropboxusercontent.com/u/9609565...g%20Broc_V1.pdf

Btw, I think you should have received a RM80 voucher from Great Eastern

I'd say almost all the life (non general) insurance company are providing guaranteed renewable ILP medical card. If you are getting from life insurance company, you are safe from the clause.

Just checked my system, promotional voucher sent to your wife by Great Eastern You will receive it by 2nd week of April I think.

So this time kena Allianz.

As I mentioned in previous thread, I won't mislead my client to say that the GL will surely approve for the first year, I knew there is some agent do "promise" client in such a way that "my company will approve first and investigate later". If company already paid, what's the point of investigate?

I'll still stress that all the insurance company in Malaysia will not guaranteed your GL approval for the first year of policy inforce, if the agent say so, please find another honest agent. However, if my client is clean and honest, I can guaranteed that I will be able to help the client to claim the money with no exceptional after the waiting period.

Hey Roy,

I don't really understand about your screenshot as I saw that the "registration date" was 1/10/2012 and the "decision made" is 18/12/2012 for the PruHealth hospitalization amount, not pre/post hospilization. Is this the way Prudential show GL as accepted in system?

To all,
Even in Great Eastern do approve GL within the first half of the year for illness that can't be pre-exist. However, I will surely let my client know that GL might not approve prior investigation within the first year. In Great Eastern, once the GL is issued, it won't be withdrawn.

Edit:Typo

This post has been edited by ExpZero: Apr 7 2014, 09:57 AM

Yeap, there is no clause in the policy document that mention GL will not issued for new policies even if it had surpasses the waiting period, it's the same that in the policy document do not have a clause to say that GL will surely issue after the waiting period.

Utmost good faith by declaring all the actual fact of client's physical health is definitely a must in the whole industry. However, do policyholder have the practise to return the money back to Prudential after the GL is withdrawn after discharge? Or Hospital is the one who will assign someone to collect the money from policyholder if the GL is withdrawn after discharge?

How quick Prudential for the investigation period to check for evidence of pre existing illness?

Edit: Typo

This post has been edited by ExpZero: Apr 7 2014, 01:32 PM

How if GL issued, but after 1-2months and get withdrawn?

Yes, if GE investigations reveals that it is a pre existing, the claims will also be denied, this is industry practise.

I just called over to Prudential hotline at 03 - 2116 0228, Shanti, Chen and Cui Fong is the customer service officer that served me(yes, I called three times to triple confirm about this issue).

Three of them have told me that Prudential have the waiting period of 30 days, 90 days and 120 days. In fact, 2 of them actually told me that Prudential don't cover minor illness like flu or fever.

All the three Customer Service Officer are consistent with their answer. They clarify to me that there will nothing like GL issued first without investigation and withdrawn afterwards if they found out pre-existing illness. They have triple confirmed to me that Prudential will not issue the Guaranteed letter and will decline the issuance of Guaranteed Letter after the waiting period if they are suspecting that it is a pre-existing illness.

In fact, all the Customer Service Officer told me that even the doctor said the illness happen after the policy inforce, Prudential reserve the right to investigate and declined the Guaranteed Letter. However, client may submit for reimbursement and the reimbursement may take up to 2-3months.

Please call the above number for your own clarification.

I'm here not to jeopardize Prudential, I'm just clarify that all the claim procedure in every insurance company are actually the same. I have my ex-colleague from all the others insurance company and they have told me that the procedure is actually almost the same.

I'm here to stressed out that, Guaranteed Letter is not 100% to be issued out within the first year in every companies, no exceptional.

Edit: Typo

This post has been edited by ExpZero: Apr 7 2014, 02:37 PM

I'm not sure why do Prudential's Customer Service Officer Shanti, told me about not covering the minor illness regardless of waiting period, I'm suggesting you to call the Prudential hotline and ask for clarification from Shanti.

In your paragraph 5, In the case of further investigation, there is no way that the insurer will be able to check for hospital or clinical records within an hour or two. Are you suggesting that Prudential will issue the GL, then Prudential will proceed with the investigation for 1-2months? Let's say client discharge after a week, If and only if the investigation result came out after 1-2months to be pre-existing and non-disclosure and since Prudential issued the GL and paid for the bill, will Prudential ask the client to pay back the bill?

For paragraph 4&5, in short, that means Prudential will decline for GL shall they suspecting pre-existing illness non-disclosure.

After I have cross check with 3 customer service officer, I'm pretty sure that Prudential will declined the GL if they suspect there is pre-existing. They will triple confirmed with me that such protocol of issue GL and investigation follows afterward doesn't exist in their protocol.

In Great Eastern, once GL issued, investigation will be ceased and the claim is approved, there will be no withdrawal of GL. Shall Great Eastern is suspecting the claim could be pre-existing non-disclosure, the GL will be declined and client will have to pay and claim. Investigation will start upon claim process and this exact protocol is in-line with the Prudential Customer Service Officers statement.

Just call to the hotline and you will understand the procedure and protocol of claim.