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 Insurance Talk V2, Anything and everything about insurance

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SUSsupersound
post Dec 28 2014, 11:37 AM

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QUOTE(nujikabane @ Dec 28 2014, 11:29 AM)
Just checking, is insurance fees included / exempted from GST ?
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Insurance is a service. Sure need to pay thumbup.gif
SUSsupersound
post Jan 19 2015, 11:59 AM

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QUOTE(simonhtz @ Jan 19 2015, 10:52 AM)
Hey guys, i received a letter from GE relating to me about:-

A. GST - which I am aware of this
B. Topping RM20 bucks on my existing monthly premium

Should I be topping up the additional RM20? My current monthly premium is RM150.

Here's my current coverage breakdown:
[attachmentid=4307001]

I don't quite understand the damn letter that GE sent to me. GE lump up both details about GST and topping up RM20 into one single letter. Can't they do it in 2 separate letter?

Stingy basterds want to save cost.

Sorry about the rant, anyway, referring to the attached coverage details, should I be adding topping up the additional RM20 for the rest of my life?
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When you buying insurance, the agent that served you never tells you that :
insurance agents are getting yearly increment of 10%
they are getting 4-5 months bonus every year
you need to sponsor their European 6 star hotel with 1st class flight ticket once half yearly

Because of the above 3 reasons, your policy will self depreciate every 3 months by 5-10%.
SUSsupersound
post Jan 24 2015, 09:14 PM

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QUOTE(aromachong @ Jan 24 2015, 08:21 PM)
any insurance to prevent from being accidentally bankruptcy?
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If got such policy, I'll buy it, then simply take loan and spend money whistling.gif
SUSsupersound
post Jan 28 2015, 12:42 PM

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QUOTE(Alexis~ @ Jan 28 2015, 10:43 AM)
I have a question.
Is it true that all insurance company has this "company has the right to refuse renewal of policy under specific circumstances" terms in their policy?
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In the market there's only 1 company that don't have such clause which opened by me.
Like you buy a rm500k medical card and start claiming after 2 years that causing rm300k, if you claim 1 more time they may reject the claim as they not even making back the money from you.
SUSsupersound
post Jan 28 2015, 02:28 PM

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QUOTE(Dragonfly2014 @ Jan 28 2015, 02:07 PM)
Actually very bad for insurer reject to renew the policy.
We buy insurance because to insure something bad happen in future.
If the 2 years causing claim 300k is genuine,  insurer still should renew except finding fraud or whatever not genuine.

Lately prudential launch pruvalue med, with outpatient claim enhancement or something...
Roy can brief more?
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Nope, they have logic on releasing claims.
1. they must make certain money out from buyer
2. people that have 0 health issues they will appreciate, not people with some health issues, that's why agents are told to ask buyers not to do medical check up as this can be used as excuse to deny a claim later on
3. buy insurance are to waste money and to ensure agents can enjoy the money, not buyer getting protected
For a rm500k medical card, each month a person only paying rm200-400, after 2 years, that's only few % from rm300k medical claim. When this happens, this person are "parked" under high risk for them.
I do have friends that work for Prudential and do try to claim for an operation but rejected. It is only a rm6000 operation and stated clearly I can claim. 1 of the excuse is I never do full body check up before buying this medical card.
SUSsupersound
post Jan 28 2015, 04:08 PM

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QUOTE(Dragonfly2014 @ Jan 28 2015, 03:46 PM)
BUY INSURANCE ARE TO WASTE MONEY AND TO ENSURE AGENTS CAN ENJOY THE MONEY, NOT BUYER GETTING PROTECTED??

Hahaha..many agents will bomb blast you...hahahaha

Mind to share reason given by Prudential on rejecting the 6k claim?
If no do full body check up, how to rebate income tax huh?

Insurer should come out with more creative plan, like encourage healthy life style, yearly medical checks sponsored by insurer etc
If medical report swee swee then give la discount on premium in loyalty program or whatever...
I then no 1 not joining, coz i overweight...hahaha
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The other excuse was I'm falsifying the claim.
Why would insurance companies promoting healthy lifestyle? If we are healthy, then why we need to let doctors to cut us? And when we know we are healthy, then why we still need to buy insurance? Is all part of the chain reaction.

SUSsupersound
post Jan 28 2015, 06:15 PM

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QUOTE(Dragonfly2014 @ Jan 28 2015, 05:23 PM)
So bad to know you unable to claim, lucky the amt not so big..

Today we are healthy, doesn't mean we will be healthy for next 10 20 years...
My weight is going up down few rounds, and even a marathon runner friend got colon cancer, good that he is strong and recover fast.

Promoting healthy lifestyle will save money for insurer lo, less claim ma...
If not insurer have to pay dth claim for colon cancer 30 years earlier...lol
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Don't eat junk is a good start.
SUSsupersound
post Jan 28 2015, 07:05 PM

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QUOTE(Dragonfly2014 @ Jan 28 2015, 06:57 PM)
that is very true.

Your case alert me.
How can Prudential reject your claim because you didn't do the medical check?
Are you requested to do so when sign up?
Or you claim on first 2 policy year? Standard case?

I didn't perform medical check too when sign up years back.
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As said, we must do and submit the report to them, this is to prevent them to have excuse. But all agents will ask you to skip this.
Anyway, even with medical report, they still can deny your claim.
Prevent your self to get rich man's sickness will be the best.
SUSsupersound
post Jan 28 2015, 09:17 PM

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QUOTE(roystevenung @ Jan 28 2015, 07:27 PM)
^ 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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My policy is covered for this.
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.
SUSsupersound
post Jan 28 2015, 09:19 PM

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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?
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...
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What ever agents says, it won't be accurate. Must read the policy. But like my case, they still want to deny my claim also what can I do? Nothing.
SUSsupersound
post Jan 29 2015, 12:53 AM

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QUOTE(roystevenung @ Jan 28 2015, 10:18 PM)
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.

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... «

No, circumcision is not covered. See below.
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I know you are still trying your best to secure a business here, but my policy was bought 12 years ago.
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.
SUSsupersound
post Jan 29 2015, 12:57 AM

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QUOTE(kykit @ Jan 29 2015, 12:46 AM)
Hi,

Need help here.

A foreign citizen who already in Malaysia for short stay upto 90 days (vacation) without purchase travel insurance from home country prior departure.
Contacted few insurance companies, replied is negative. Either can only cover Malaysian,  minimum stay must be 6 mths, must have working visa, etc.

The intention is in the event of unfortunate happen and hospitalise, it can be cover full if not partly by insurance.

Any advice is very much appreciated.
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Basically an operation minimum charges will be rm4000 just for the operating theater and surgery alone will start with rm2000. Not including room rate and other fees.
So enter once will be rm7000, this is for local price. For foreigners, they maybe charging double.
Considering above, will an insurance company stupid enough to let a foreigner buy insurance?
SUSsupersound
post Jan 29 2015, 09:37 AM

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QUOTE(roystevenung @ Jan 29 2015, 01:39 AM)
Irrespective of when you bought the policy, if it is clearly stated as an Exclusion, it will not be covered. Sorry.
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You are right, that's why I concluded all agent will cheat.
But Prudential will be 1 step worst on this, saying it will be following policy but at the end still cheats doh.gif
SUSsupersound
post Jan 29 2015, 11:11 AM

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QUOTE(zest168 @ Jan 29 2015, 11:01 AM)
For older policies, Circumcision is covered if it is warranted due to repeated infection or balanitis. However, circumcision for personal hygiene reason would not be covered.

Hence, insured needs to read their contract carefully on the Exclusion portion to see what was written there with regards to circumcision, etc.
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Sorry, in all situation Prudential will deny the claim, a strong statement by specialist. He even challenged me if I appeal and able to claim, he will charge more to insurance company and give me half. Mine was medical condition.
And yes, I do read properly that time, that's why I submit the claim, but yet, an insurance company or the agent still cheated me. What can I do? Stop buying is what I can do.
SUSsupersound
post Jan 29 2015, 11:51 AM

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QUOTE(vandoren @ Jan 29 2015, 11:35 AM)
If you are confirm they are cheating, do you have proof or evidence?
There are successful case complaint to FMB or BNM.
Stop buying insurance is not a solution.

I'm not defending any insurance company but i feel that there's a need for insurance especially medical card.
It just happen this month... my colleague fell sick, went to General Hospital, hospitalized for 2 weeks, doctor said everything is fine. But he's still very sick, no choice and went to private hospital for 2nd check, diagnosed lung cancer 1st stage, within 1-2 weeks, 17K spent. Our company insurance max claim is only 25K. But he doesn't have a medical card, his kid still < 1 year old.
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Complaint already and BNM said they removed it from policy.
Nope, you are not defending them, more on trying to mislead me that medical card are good.
SUSsupersound
post Jan 29 2015, 11:53 AM

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QUOTE(Dragonfly2014 @ Jan 29 2015, 11:36 AM)
hahaha..I can actually understand the cheating impression on agent, or even on insurance company.

There are many items that is not explained by agent in detail during sign up. Some agents tried to explain but customer get no ball..lol
And some of us don't even bother to read the policy contract, tell me you read in detail and understand it well?
Disappointment and frustration come when fund is needed but not able to get help from the policy we paid for years.

I also one of the majority, not understand the insurance product I bought in younger age.
Just buy something la as elders advice to...hhaha
Recently while surveying for upgrade, only i found out i actually overpaid at beginning of policy years.
Most of the fund went to unallocation premium.
So am I also cheated? Or is it I didn't do my homework?
Just treat it as lesson learned and move on lo...
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If you really read and understand the policy's T&C(especially the term they have the rights to refuse and deny a claim), you will know you are pretty much not covered.
SUSsupersound
post Jan 29 2015, 11:57 AM

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QUOTE(adele123 @ Jan 29 2015, 11:53 AM)
As much as I support freedom of speech, this particular forummer has been around complaining EVERYTHING about insurance companies with no ABSOLUTELY NO objectivity in his statements whatsoever. It’s totally a round-about of non-healthy discussion. So, maybe just leave it at that and actually help forummers who have actual questions.
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You are right. If in Malaysia only I get cheated then for sure I'm looking for trouble. But every year there a numerous of people get cheated and come out in the newspapers. This is a fact that most people that attacked me trying to cover shakehead.gif
Suggest you try to tilt this fact first, then it will be much more easier for you guys to justify that sun rises from the West.
SUSsupersound
post Jan 29 2015, 12:08 PM

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QUOTE(vandoren @ Jan 29 2015, 12:02 PM)
How I mislead you?
If you feel that medical card is useless, what is your recommended solution to my colleague?
He's still under treatment in private hospital, he want to be back to work as soon as possible because he couldn't afford to pay for the medical bills.
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Did he seek for other opinion?
SUSsupersound
post Jan 29 2015, 12:19 PM

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QUOTE(vandoren @ Jan 29 2015, 12:15 PM)
This is the 2nd opinion after General Hospital fail to find the cause of his sickness though he had stay there for weeks.
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Then that means he never seek another opinion doh.gif
SUSsupersound
post Jan 29 2015, 01:30 PM

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QUOTE(Dragonfly2014 @ Jan 29 2015, 12:40 PM)
oiii...how agent can dont understand the policy contract!?
Must master la...in my opinion
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As said before, if read A-Z, you won't buy anymore. So agents sure will tell you the good part and "missed" the bad part.

QUOTE(Dragonfly2014 @ Jan 29 2015, 12:43 PM)
Haha...what to do, insurer need to put down black and white to protect themselves oso ma...

Understand your unhappiness and would like to share the fact based from your experience.
As forum reader, I love to know the experience shared by other...the fact that agent will not tell...lol
hmm...maybe in more positive way, see anyone can give better advice..?
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And if you really have sickness and no money, there's Jabatan Kebajikan that you can apply. So why need to buy insurance?
Allocate your self a fund for medical, like you are paying rm200 premium, keep rm200 in another bank's account. Ever since I cancelled all the policies, I already got 5 figures for medical issues.

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