My client just 1 1/2 months with Prudential medical card just got admitted to Island Hospital for dengue.

PM me yr family details. Recently PruBSN had launched HealthEnrich.

Need details of date of birth, gender, smoking status, occupation, estimated budget and email address. Thanks

Yes, do note that if its a pre-planned operation, you may also get the agent help to inform the insurance company to issue the GL in advance.

This is particularly useful if the admission was during the holidays.

Also, do note that GL issued can be cancelled at your request. GL issued by the insurer may also be cancelled by the insurer if there is an evidence of miss declaration of the medical condition.

For example, during policy inception, the medical condition was not declared OR the medical condition is found to be of congenital issue, eg sinusitis due to narrow nasal passage.

Hospital will collect a small deposit (ranging from Rm300-Rm500) depending on the type of insurance plan that you get. Plans that comes with co-insurance or deductibke means the client agrees to share the bill 10% or a min Rm300, maximum Rm1k.

If you dont have a valid medical card, the deposits could be as high as Rm5k for a more serious surgery.

The deposits will be used to offset from the bill upon discharge from the hospital. Plans that comes with co insurance however is EASIER to be maintained especially at older age > 60 because of the LOWER insurance charges.

Unless you go to the hospital for a major operation every year, the co insurance actually saves you the premium. In short plans that is full claim means that you are already paying the co insurance up front with the higher insurance charge.

When it comes to insurance, there is no free lunch, anything that sounds good there will be a catch somewhere.

This post has been edited by roystevenung: Sep 27 2013, 10:46 AM

Agent does not issue GL but the insurance company. The deposit can also be paid within 24 hours of admission.

Once GL is issued, for example if the hospital bill costs Rm20k, it will be paid from the medical card, the insurance company directly to the hospital. You dont have to standby Rm20k to get admission.

If your friend is genuinely want to help, then it does no harm to do a review and to provide a second opinion on what you were having.

It also gives you an idea of whether what your agent is telling you vs the benefit as written in the policy document is accurate and based on your current and future needs.

From the outcome of the meet, ultimately you decide what needs to be done. Just tell off your friend if he or she is pushing products rather than studying whether what you have matches your needs.

To cancel the policy, all you need to do is bring the policy document to any Prudential office. For security reasons and to protect the policy holder,the agent is not authorised to cancel the policy on your behalf.

When you buy a policy, you are actually buying the associated cover, be it coverage against life uncertainties like death, accidental death and total disability, critical illness or hospitalisation. Buying a policy means you are tranferring these risk to the insurer.

Should any of the above happens and you are buying coverage for it, the insurer will pay out the claim (subject to its T&C), of course.

The policy is already 3 years, and the waiting period is already over

Should you were to surrender you will not be able to file a claim with the insurer shoukd these events happens. Best of luck

For medical, say if you have multiple medical card with an annual limit of Rm50k each. Should the hospital bill is Rm80k, you can claim Rm50k from insurer A and the balance from insurer B. It is a very common procedure.

For example, the company you worked with may provide medical cover of Rm30k and should the above scenario happens, you can claim the variance from your personal medical card.

For death/critical illness/accidental death/total disability, if you have 5 policies, you / your spouse can claim all of it. This is also why it iw important to let your beneficiaries know where you kept the policies and from which insurer to claim from.

This post has been edited by roystevenung: Oct 20 2013, 07:24 AM

When you receive your yearly statement from the insurance company, the life and critical illness portion can be exempted from tax up to a maximum of rm6, 000 including your portion of EPF.

As for the medical portion, you can lump it into the medical portion, up to a maximum of rm3, 000.

See below for item 21 & 24.
http://www.hasil.gov.my/goindex.php?kump=5...3&unit=1&sequ=1

Item 23 max rm3, 000 is mostly into savings. It is an annuity plan or better known as Private Retirement Scheme.

Interest rates? Btw, that post you are replying to is dated 2006

Isn't it a good thing?

Surrender value is the projected amount of what you may get back. Of course the more should be better, no?

Or perhaps you are referring to the premium that you need to pay has increased?

Do you have the letter or anything from the insurance company that prompts you to ask question here? You may PM me if its inconvenient to show here..

Summoning ExpZero for GE

Every health conditions needs to be declared no matter how old the event was. This is especially true if there was admission or records being recorded. It is then up to the underwriters to look at the case and issue or call for medical reports.

If they do so, let them check/investigate. Even if it takes time. At least you know for sure if the policy is accepted, you'll have a peace of mind that it will not be declined due to non-declaration.

If not declared it will be a basis for claims declination should the insurer later found out and contest for withholding vital information that may impact the policy inception/premiums.

It is the duty of the agent act as the underwriter's ears and eyes and to write all information gathered from the client in the proposal form, especially on the health declaration.

As a client, if you had declared it to the agent and the agent did not write it in the proposal form, you may call the customer service to inquire whether it will be an issue in the near future. Get a written confirmation from the insurance company, never oral.

Suddenly lemah lutut, ppl call sifu

I had PM him, thanks boss

If you would like to look at Prudential Ladies plan, give me a buzz

What I mention is the absolute truth, and nothing but the truth. Failing to declare, may result in rendering the policy null and void - especially something that may have an impact on how the policy is being underwritten.

Of course you do not have to declare if you had flu/fever and go to the clinic unless you go to the clinic like >10 times a year?

During application they can only do surface check from the available database, not only the insurance company database but also the data stored in LIAM.

If the prospect name comes light up like the Christmas tree, then the underwriters may flag out as a requirement to the agent for the prospect to declare.

Insurance is a contract of utmost good faith, whereby the client is required to be truthful in the declaration. If you look at the health questions carefully, it practically covers from head to toe.

This is why when meeting up with client we hqve to take our time to slowly go thru with them and not simply tick the NO column.

During the application of the tpd (total permanent disable) policy the lasik procedure may have been excluded until it has been performed.

In short, whatever issues that is already known you need to declare, and when you do declare - the risk will be assessed.

If it is approved without any exclusions, then yes, TPD is claimable.

Do note that agents are not medical doctors so please correct me if I am wrong in any way.

The health questionnaire on the proposal form would have picked this up (if any blood test was done before to determine this condition) if the agent explained thoroughly each and every question being ask.

It is not up to the agent to say whether the medical condition needs to be declared or not. It is what questions are being asked and how it is being answered.

Subsequently the underwriters may call for a medical exam by the attending Doctor to determine the severity of the medical condition.

Depending on the outcome of the medical exam the cover may be accepted as it is, accepted with exclusions or loading, or rejected.