You mean terms and conditions for?

Normally I don't encourage MRTA but going for MLTA because MLTA provide 3D protection which is Death,Disability and Disease

And in most case MRTA is purchase with a banker so there is flaw in the purchase because banker won't ask about your health condition to fulfill the questionnaire in the insurance form so most of the case having difficulty when want to claim due to it's consider fraud because of lack of information given.

e.g say I purchased an insurance for my medical and it is stipualted that if I were diagnosed with cancer(any type) then I would be compensated. But normally, many agents refuse to disclose the details. e.g how it will be legitimate or illegitimate for the compensation to take place

oh now I understand what u mean but there is a lot term and condition. Each one around size of a small booklet.

Maybe you could more specific on which part you wanna know or give example case so I could explain whether it's valid or not and why it is or it's not.

This terms and condition should be available in their details quotation of the insurance proposal.

amalthea,

the comission for agents who sell PA (any PA) is 25% of your annual premium. if you go directly to the insurance, tell them i dont want an agent, pls deduct the agent comission from the premium you will find that by now *most* insurances will give you a full deduction of the agent comission. i get the agent comission for all my insurances (house/health/PA/senior/etc) besides the AXA main health cause i thought agent might be usefull there. not sure if i am wasting money there but we split the 15% comission on medical so the cost is not that high.

Thank you. But frankly, I was denied of this booklet that you mentioned

For example a medical card, there should come with booklet that show all the terms in all three language, malay, english and chinese. for most case.

There is various of terms and conditions differ to each type of product. So if you don't specific what you want to know , I can;t explain all because it's too broad and too many to talk about

This post has been edited by WingDeSole: Sep 20 2010, 09:57 AM

Awakened_Angel,

sadly a lot of insurances staff/agents dont want to share the terms and conditions unless you really insist. they have to give it to you prior to signing though - if they refuse try to complain with their complaints unit / BNM. you will be given and explained the terms and conditons swiftly thereafter

the thing with insurance is this: they insure average risk. once your risk already materialised its not possible to insure you at average risk rate hence the excliusion. it wont be fair for the rest of the insured to insure a sure risk at less. they are not in the business of wasing money. its harsh but that's the way it is. what we need in malaysia is a mandatory health coverage so that everyone has a (basic) cover from birth onwards. additonal should be bought by those who can afford to do so (i.e. privat cover vs. basic goverment cover). but wait... we sort of have this currently (to some extend) with government clinic and subsidised basic health care. if its not good enough, chip out the extra money (or buy the private insurance). all we need is to put basic cover on top covering the expenditures at government clinics/hospitals and there we are. basic universal healthcare + private cover for the ones who want afford it. but basic cover should be mandatory then (i.e. no way to opt out of paying for that).

is there logic in using endowment/investment insurance for tax relief (budget 2010 allow for 1k for this and excess can be placed in the 3k for edu/medi insurance and 6k for life/epf)?

This post has been edited by lin00b: Sep 20 2010, 10:38 AM

For example, when I looked at the detailed, I felt that its not worth for me. That is why I only purchase Life and medical.

e.g. medicplus which give RM 50-100.00 per day for staying in hospital(lodging, basic amnesty exclude surgery). As IF I cant afford 50-100 aday.

e.g. a parent whose unborn baby was admitted to incubator for about RM 1,000.00 perday and you think RM 50.00-100.00 is sufficient?

and the total annual accumulation is only RM 10,000.00(max)

and how long does it take for liquidify the compensation? month or years?

lets say, only private hospitals are capable of performing such surgery? A Dr in a private surgery told me this "make sure you have enough cash in your bank before signing in this hospital(Private-cant disclose LAA), else face legal action

only plan with a retire wording on it is allowed for such 1k tax relief..excess can go for life/epf..

medical expenses is the amount of reimbursement that you can get due to medical treatment at clinic/hospital/sinseh that due to accident.

What mean?

I still not understand.

What different between RM1000 and RM5000 ?

RM1000 - RM5000 is the maximum amount you can claim from medical treatment due to accident. This should apply to all PA insurance coverage.

As example, you involve in car accident and get injury. You go to clinic/hospital, the doctor do cleaning of the wound, bandage, etc and the cost is RM300. You are suppose can claim this RM300 from the insurance company. There maybe a form that you and the doctor need to fill in to submit the claim together with the original receipt. If you are hospitalized, the hospital bill can also be claimed but up to a maximum of RM1000-5000. If you have medical card, you can choose to make claim either from your PA or medical card.

PA medical expenses usually reimburse basis. Means you need to pay first and claim later. Medical card if you go to panel hospital, usually cashless or you may need to pay some deposit first (depending on your medical card)

Thanks.

Do you mean if i have medical card(ING) and PA(Tune),then I can claim it both side.

RM300+RM300?

this amount that you mentioned is per ad hoc basis or accumulated.

this claimable amount is based on percentage calculation or anything that you can claim?

You can claim either one. Unless the PA is not enough (if hospital bill is RM5000 but your PA only cover up to RM1000), then you can claim the next RM4000 from your medical card).

Awakened_Angel,

i believe what you refer to is the payment made to you if you are confined to a government hospital. that has nothing to do with the payments - a good insurance will pay all medical costs up to annual limit and subject to reasonable and customary charges. and it is very cost efficient. for general insurance you only pay a couple of hundred RM per year and get well above 100k annual cover.

Usually per accident. You need to check with the policy.

Usually anything that you can claim. You need to confirm this with the policy.

Any good PA to recommend?

for tax relief purpose, Investment Linked or medical attached to life is eligible under which category? life or medical? or life portion life, medical portion medical?