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 INSURANCE TALK, ok let start

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hackwire
post May 16 2010, 06:18 PM

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but im also in dilemma now after experiencing the medical claim declined by my insurance company. Is this a good sign for me to discontinue to believe that insurance claim is not all guaranteed payment. When i read the term and condition where i suppose to make for claim in my claim form , i was require to sign for this.

QUOTE
"I undertake to settle directly with the hospital and medical service providers, all hospitalization, medical and other bills incurred in connection with my admission in the event the treatments are not covered by my insurance policies due to any reason whatsover , and if such bills have been settled by you on my behalf, to reimburse you in full together with any cost of collection (if any) incurred by youon my default of payment. I declare and acknowledge that all informathion in this form is true, complete, accurate and free from any material omission."

Signature of Patient
xxxxxxxx


So in the end, we also not cover at all even though they policy have said it did. It's contradicting too.

This is the policy that im using now.


http://www.lonpac.com/images/CarePlus_06.pdf

This post has been edited by hackwire: May 16 2010, 06:20 PM
hackwire
post May 16 2010, 09:55 PM

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u c, what is excluded in the policy is always clearly stated in the beginning and im sure people with the problems will not be able to buy any policy already. diabetic is one of it but even if the person is not having diabetic when buying policy does not mean that he cannot make any claim if he has it during the policy year.? all hospital fees n diagnostic test that confirms his disease must be borne by insurance policy too right?

How many agency agreed? Will see ?
gerl
post May 24 2010, 11:20 AM

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hi,

anyone heard of AIA Financial Guard Plus - where u pay for first 9 years but covered for 18 years?

the guy who called me up said this is offered only to selected hsbc customers and insist i'd lose out if i don't take up this offer. i already have a prudential one though, but can't help but wonder if this AIA one is any good.

thanks in advance.
vandoren
post May 24 2010, 12:29 PM

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my bf purchased Mutual Life Plus 2 Coverage. http://www.publicmutual.com.my/page.aspx?n...lus#isrn_top_01

The Mutual Life Plus 2 is a term insurance policy which protect you against;
A. Group Term Life (GTL)
B. Group Personal Accident (GPA)
C. 36 Critical Illnesses

now he is considering of purchase more for his protection, any recommend?
HHalphaomega
post May 24 2010, 02:13 PM

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QUOTE(vandoren @ May 24 2010, 12:29 PM)
my bf purchased Mutual Life Plus 2 Coverage. http://www.publicmutual.com.my/page.aspx?n...lus#isrn_top_01

The Mutual Life Plus 2 is a term insurance policy which protect you against;
A. Group Term Life (GTL)
B. Group Personal Accident (GPA)
C. 36 Critical Illnesses

now he is considering of purchase more for his protection, any recommend?
*
There're plenty of products out there to meet your needs and I would suggest you to check with your existing agent as well to see what he/she would recommend. ING, GE, Prudential etc are good companies to consider as well.

vandoren
post May 24 2010, 02:34 PM

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thanks for some agent that PM me and appreciate HH for the reply.
i'm actually asking for advise, what other coverage my bf should look for?
he's currently have Group term life, Group personal accident and CI.
so, next he should look for medical card? or....?
HHalphaomega
post May 24 2010, 02:43 PM

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QUOTE(vandoren @ May 24 2010, 02:34 PM)
thanks for some agent that PM me and appreciate HH for the reply.
i'm actually asking for advise, what other coverage my bf should look for?
he's currently have Group term life, Group personal accident and CI.
so, next he should look for medical card? or....?
*
Vandoren,

Ideally once your bf has got adequate protection for death, TPD and CI and by adequate I mean atleast 5 - 10 years of fund. The next suggestion would be to ensure he has a medical plan available for immediate use. Most medical plans out there would help you avoid paying for costly medical treatments from your pocket.

Some even use insurance as a retirement tool by way of forced savings but this is subject to your risk appetite as the returns may not be as high as investing individually elsewhere.

Hope these helps you.

HH
chew_ronnie
post May 24 2010, 02:48 PM

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QUOTE(HHalphaomega @ May 24 2010, 02:43 PM)
Vandoren,

Ideally once your bf has got adequate protection for death, TPD and CI and by adequate I mean atleast 5 - 10 years of fund. The next suggestion would be to ensure he has a medical plan available for immediate use. Most medical plans out there would help you avoid paying for costly medical treatments from your pocket.

Some even use insurance as a retirement tool by way of forced savings but this is subject to your risk appetite as the returns may not be as high as investing individually elsewhere.

Hope these helps you.

HH
*
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vandoren
post May 24 2010, 03:22 PM

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Thanks HH, great explanation!
I will pass the msg to my bf and let him to decide smile.gif
HHalphaomega
post May 24 2010, 03:34 PM

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QUOTE(chew_ronnie @ May 24 2010, 02:48 PM)
thumbup.gif
*
Thanks Chew_ronnie. biggrin.gif


Added on May 24, 2010, 3:36 pm
QUOTE(vandoren @ May 24 2010, 03:22 PM)
Thanks HH, great explanation!
I will pass the msg to my bf and let him to decide smile.gif
*
You're welcome Vandoren. biggrin.gif

This post has been edited by HHalphaomega: May 24 2010, 03:36 PM
chew_ronnie
post May 24 2010, 03:41 PM

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QUOTE(HHalphaomega @ May 24 2010, 03:34 PM)
Thanks Chew_ronnie.  biggrin.gif


Added on May 24, 2010, 3:36 pm

You're welcome Vandoren.  biggrin.gif
*
What u say is exactly true. The plan he got from Pulbic Mutual covers until 70 only. Thats also one of the limitations.
HHalphaomega
post May 24 2010, 03:56 PM

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QUOTE(chew_ronnie @ May 24 2010, 03:41 PM)
What u say is exactly true. The plan he got from Pulbic Mutual covers until 70 only. Thats also one of the limitations.
*
It's a group scheme insurance hence I suppose there's bound to be some inadequacies.

gtoforce
post May 24 2010, 08:48 PM

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hey guys
i just wanna know if maybank lifestyle security plan has the maturity feature
thanks
Lunarian
post May 25 2010, 04:46 AM

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QUOTE(hackwire @ May 16 2010, 09:55 PM)
u c, what is excluded in the policy is always clearly stated in the beginning and im sure people with the problems will not be able to buy any policy already. diabetic is one of it but even if the person is not having diabetic when buying policy does not mean that he cannot make any claim if he has it during the policy year.? all hospital fees n diagnostic test that confirms his disease must be borne by insurance policy too right?

How many agency agreed? Will see ?
*
This is true. I am an Life Insurance Agent, and this is my point of view:

If the client were to be found to be aware to have diabetes BEFORE the policy is inforced, then the Insurance company responsible has the right to reject any claims.

If it happens DURING the 1 year period especially, the company may delay the claim with a reason "Pending Investigation" which can take from 3 months till a year at most. This is because the insured 'just so happen' became ill shortly after purchasing.

If it happens over and extended period of 2 years or more, depending on the company, it can be safe to assume that the insured is not aware of the coming illness, and the company is obligated to payout as stated in the policy.


calcom21
post May 25 2010, 10:39 AM

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QUOTE(Lunarian @ May 25 2010, 04:46 AM)
This is true. I am an Life Insurance Agent, and this is my point of view:

If the client were to be found to be aware to have diabetes BEFORE the policy is inforced, then the Insurance company responsible has the right to reject any claims.

If it happens DURING the 1 year period especially, the company may delay the claim with a reason "Pending Investigation" which can take from 3 months till a year at most. This is because the insured 'just so happen' became ill shortly after purchasing.

If it happens over and extended period of 2 years or more, depending on the company, it can be safe to assume that the insured is not aware of the coming illness, and the company is obligated to payout as stated in the policy.
*
The 2 yrs period, is it applicable to all insurance co?
chew_ronnie
post May 25 2010, 11:15 AM

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QUOTE(calcom21 @ May 25 2010, 10:39 AM)
The 2 yrs period, is it applicable to all insurance co?
*
It is not actually 2 yrs. What they will do is they will do a field investigation meaning if a person bought a policy in 1/1/10 and diagnosed with cancer in 1/8/10, can he claim for cancer?

The answer is no if this person knows he had some cancer indicators while doing med checkup before 1/1/10.

The answer is yes if this person does not know he has cancer on or after 1/1/10. How? The insurance company will do a survey in the hospitals to check this policy holder/patient whether did he do a med check up or diagnostic test or whatsoever. Secondly, insurance companies will check neraby clinics (near to the house of the policyowner) to see whether he has seek any treatments on cancer related issues or not. If these 2 are clear, then there will be no issues with the claims.

Same goes to diabetic, kidney failure, heart desease...bla bla.bla.

So guess this will help u.

Thanks
Lunarian
post May 25 2010, 06:03 PM

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I agree with what chew_ronnie has said in his previous post.

As long as there is proof that the insured has suspected or have done a medical checkup which indicates that the illness may come, the insurance company has the right to reject the claim.

However, if they did provide this information, as well as the reports and related documents upon application for the policy, and it is approved, then the company will have to allow the claim.

When I said 2 years, its just a 'safety net' where the claims will be almost hassle free. For example, if the person has stage 1 cancer. It probably cant be 2 years ago. Hence, a claim should be hassle-free.
leongal
post Aug 3 2010, 10:43 AM

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I think it is best to plan for your child's insurance...I know that people will go for medical, life,personal accident, education....but if resources are limited, which should we go first?

in my opinion, I think it should go based on this hierarchy
1. personal accident - because children tend to get "hurt" more easily
2. medical plan
3. education
4. life - least important for the time being

btw, do you know how much the basic of each of these plan cost (I know it depends on sum assured, but what is the minimum sum assured)

planning to have a kid in two years time from now, thus planning the finances (so, agent please don't pm me...tis is pure discussion)
chew_ronnie
post Aug 3 2010, 02:06 PM

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QUOTE(leongal @ Aug 3 2010, 10:43 AM)
I think it is best to plan for your child's insurance...I know that people will go for medical, life,personal accident, education....but if resources are limited, which should we go first?

in my opinion, I think it should go based on this hierarchy
1. personal accident - because children tend to get "hurt" more easily
2. medical plan
3. education
4. life - least important for the time being

btw, do you know how much the basic of each of these plan cost (I know it depends on sum assured, but what is the minimum sum assured)

planning to have a kid in two years time from now, thus planning the finances (so, agent please don't pm me...tis is pure discussion)
*
I would think the other way round:
1. medical plan
2. accident
3. education
4. life
I agree that child suffer most in accidents, but if accident happens, be it major or minor, if this child is admitted to hosp, medical plan will do the job. Accident plans will give a very minimal accidental injury fees on a reimbursement basis.

Sum assured starts from 10k
Veda
post Aug 5 2010, 04:09 PM

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I've met a couple of insurance agents and want to share my experience.

Unlike many people, I did my research before calling an insurance firm and asking them to get an agent to contact me.

So I know precisely what plan I want and what is best for me.

Well, the two agents that I met are real jokers and a disgrace.

They tried their best to force investment linked plans down my thorat.

Auntie Agent 1 refused to show me the premium and benefits schedule for the plan that I am interested. She just want to show me the plan she wants to sell.

Auntie Agent 2 lost interest and has been avoiding my messages after I insisted on the plan that I want, not the plan that gives her the best commisson.

And both agents are old, fat, ugly...... I gave them a chance because I thought such people will make up for their physical shortcomings with better customer service. But no, their attitude are as ugly as their looks.



I've dealt with mortgage agents, real estate agents and lawyers. Compared with the insurance duo that I met, those people are angels rolleyes.gif


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