Welcome Guest ( Log In | Register )

Bump Topic Topic Closed RSS Feed
4 Pages < 1 2 3 4 >Bottom

Outline · [ Standard ] · Linear+

 Insurance Talk V3, Anything and everything about insurance

views
     
kokkit3
post Apr 28 2016, 10:41 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(cybermaster98 @ Apr 28 2016, 10:33 AM)
You have answered your own question. You should be aware that both are not stand alone criterias. They are linked. There is no annual limit but it also needs to match the overall lifetime limit.

If you cost is RM 1.6mil, you are still limited by the lifetime limit. So your actual claim is limited to RM1.5mil only.

Refer back to my post and see the difference between the new Prudential plan vs the AIA plan.
*
Dear,

I totally understand. I want to point out that no annual limit, then there is a life time limit is misleading! No annual limit means unlimited annually! But there is a life time limit! Meaning annually its limited to the maximum of a lifetime limit! Which in this case its 1.5mil, 1.5 mil it self is a limit, how can there not be limit?
kokkit3
post Apr 28 2016, 11:26 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(cybermaster98 @ Apr 27 2016, 04:37 PM)

Updated Prudential plan:

Monthly premium: RM870
Room & Board: RM200/day
Hospitalisation income: RM200/day (normal), RM400/day (ICU)
Pre Hospitalisation: 30 days
Post hospitalisation: 90 days
ICU: 30 days
Annual limit: None
Lifetime limit: RM1.5mil
Death/TPD benefit: RM350,000
Critical illness benefit: RM350,000
Outpatient cancer & dialysis treatment: as charged but subject to overall lifetime limit
Medical cover until age 100
Death benefit until age 100
Co insurance RM300 flat rate.
Surgical procedure benefit up to RM10,000 per procedure
Dear,

The general terms of "NONE" is "NO" therefore the general understanding of none annual limit is NO ANNUAL LIMIT.

In this case Annual limit should be "Annual limit: Lifetime limit" or "Annual limit: 1.5 mil (same as lifetime limit)" and not ""NONE"

Please alter if there is any typo else the above is a misleading quotation!
kokkit3
post Apr 29 2016, 09:52 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(zest168 @ Apr 28 2016, 04:59 PM)
It is better to have a plan without an annual limit but with a lifetime limit.
*
Dear,

Annual is 1 year, life time is 99 years. So it is not a better plan to half no annual limit but with a lifetime limit. Misleading where annual limit falls back into life time limit (lifetime limited)

It is always better to have a high annual limit and no lifetime limit. Therefore claims can last a life time!!! Where as a lifetime limit, limits your claims in a life time!

How long do you life? No one knows, thats why life time unlimited is the advantage unless you only live for a year, which falls back to the mention limited claim 1 year (lifetime) only 1.5 mil.

Put it in a scenario, 1.5 mil medical bill in a year.

No annual limit, lifetime limit 1.5 mil
I live 30 years, how much can I claim a year? 1.5 mil, after 1.5 mil? Can I claim some more in that year, next year, next next year? Answer is no. Then bye bye for this medical plan.

High annual limit (lets say 1.5 mil), no lifetime limit
I live 30 years, how much can I claim in a year? 1.5 mil, after 1.5 mil?
Can I claim some more in that year, next year, next next year? Answer is, that year no, next year yes, next next year yes! Because there is no limit in a life time. Medical plan still continue.

Nuff said…
kokkit3
post Apr 29 2016, 09:56 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(Ryannate @ Apr 28 2016, 07:17 PM)
English problems. No limit means infinity. Since the lifetime limit is 1.5mil then put annual limit is 1.5mil.

Or can use annual and lifetime limit is the same.
*
Dear,

You are correct but when that particular person is hospitalize don't gamble on the English dictionary for your life. Everyone knows no limit means infinity but the second clause state otherwise instead.
kokkit3
post Apr 30 2016, 02:13 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(daranzone @ Apr 30 2016, 01:11 PM)
Dear Everyone

What is the best insurance for 2016 for personal
*
Dear,

It depends on what insurance coverage are you looking for.

1 Medical
2 Income replacement
3 Debt cancellation
4 Saving for retirement / for children education
5 Protection / inheritance

Also depends on what coverage you currently have…
kokkit3
post May 5 2016, 10:23 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 4 2016, 11:06 PM)
Nope, from what i understand, the Extender only kicks in after you pay up 60k or 120k deductible meaning down the road when your medical limit is fully utilised. You have to probably fork out the 60k to 120k cash first then the rest paid by the extender.

Not sure how it works though you might want to read the policy medical card benefit.
*
Dear,

You are not sure how it works but yet you comment? Meaning you do not not know what you are typing!

Please do not mislead other forumers here as what you have quoted "Not sure" comment.

Based on the example:

Smart Medic Extra is a medical plan, it has an annual limit of RM90,000 (SE90k for RM90,000, SE120k for RM120,000, SE160k for RM160,000)

Smart Extender is a rider, it allows you to add this rider to existing GE medical plan. No lifetime limit.

Smart Extender Max is a rider, it allows you to add this rider on to any other medical plan in Malaysia.

Therefore there is the word "deductible"

Give a case study that some one holds an A company medical plan it has an annual limit of RM60,000. Purchase a Smart Extender Max rider from GE.

The medical bills come out to RM30,000 + RM30,000 + RM30,000 = RM90,000. That person would be able to claim the first and second RM30,000, total RM60,000 from A company medical plan. Due to its low annual limit, the third claim would not be allowed because it has exceeded its annual limit. That person need to pay the third RM30,000 by cash then reimburse back with GE's Smart Extender Max. GE will pay the third bill RM30,000. The deductible means total RM90,000 would need to deduct the first and second RM30,000, total RM60,000 then balance RM30,000 will be reimburse paid by GE.

Down the road on the same year, if there is any additional claim, that person cannot claim from A company medical plan any more because it has reached its annual limit. But able to reimburse claim from Smart Extender Max.

It is the same for some one who is holding a GE medical plan and add in Smart Extender Max rider.

Reason to have Smart Extender Max is to allowed other older medical plan (old medical plan has very low annual limit and lifetime limit) in the market to enjoy latest lifetime unlimited coverage.


kokkit3
post May 5 2016, 10:32 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(vez @ May 4 2016, 11:02 PM)
thanks for the info

i notice there is other plan as well like 120K plan
meaning that if it is SE120K plan, have to reach 120k from original medical card only can claim from extender?

e.g.?: 130k claim in a year, 120k from original, 10k from SE120k plan? am i right?

then why peoples said it is lifetime no limit  biggrin.gif
after that finish all the allocate limit from original medical card, then all claim from extender?
*
Dear,

Based on your example, If you add in Smart Extender rider into Smart Medic Extra medical plan, its annual limit is RM1,200,000 not RM120,000. RM1,200,000 is refreshed annually, no lifetime limit.
kokkit3
post May 5 2016, 10:40 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 10:28 AM)
Lol in your long winded essay, how different is that explanation from my simplified version ?
Just say, if the claim is 90k, 60k is paid by medical card, 30k under extender.

How am I in anyway misleading the people ?

Anyways by your explanation, I would be more terrified if I have to still fork out 30k while I'm hospitalized and get it reimbursed later, what if I don't have RM30k on hand ?
*
Dear,

The examples above is based on your own scenario and other forumer's query. Please have a wider view. Smart Extender Max allows to ride on any other medical plan in Malaysia. I find that a plus point. The RM30,000 have to fork out due to annual limit.

Old medical plan is in fact has a low annual limit. How do you deal with it?
kokkit3
post May 5 2016, 10:49 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 10:38 AM)
Now why tell 1/2 truth about your product ?

The annual limit is 120,000 (Original Medical Card) + 1,080,000 (Extender Rider)
1. Medical card subject to 1,200,000 life time limit
2. Extender (Subject to RM120,000 deductible up to RM1,200,000 annual limit with no lifetime limit)

Question:
1. If my claim for that year, cost RM150,000 and fully claimed the medical card of RM120k + 30k from the extender, and on the same year, I need to go through a major surgery, and claim another RM200,000. Will I be able to use the same medical card and claim the 200k ?
a. Will I be subjected to the RM120k of the extender deductible? Since I've made claim earlier for 150k and the extender requires atleast RM120k deductible to claim from it.
*
Dear,

Correction on your statement: 1. Medical card subject to 1,200,000 life time limit
1. Once you add in extender, no lifetime limit as i have already stated. Fully stated not half stated.

Correction on your statement: It is Smart Extender Max, not Extender
2.It allows to add on to other company medical plan including AIA thus deductible from AIA then reimburse from GE. No lifetime limit.

To answer your question.
If you do not know the difference between the two please ask wisely! Seriously.

1. Already stated Smart Extender SE120k annual limit is RM1,200,000 you wont have problem claiming the total RM350,000.

a. ANNUAL LIMIT RM1,200,000 no lifetime limit.


kokkit3
post May 5 2016, 11:00 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 10:44 AM)
You didn't answer my question, what if I don't have RM30,000 on hand to pay the medical bill first and then wait for it to reimburse from your company later on ?

How we deal with it? We basically cover the amount in full and don't ask clients to pay for anything extra or upfront first other than those not covered in the medical card benefit.
*
Dear,

Person A, buys medical plan A, from company A, 20 years ago. Has an annual limit of RM60,000. (older plans has low annual limit)

Person A warder 3 times, medical bills cost RM30,000 each. Total RM90,000.
Person A can claim first RM30,000 and second RM30,000 total RM60,000 from company A. The third RM30,000 wont be able to claim due to reason it has reached its annual limit.

If you have RM60 how do you pay for 3 items worth RM30 each, total RM90? Like it or not you got to borrow. Money dont fall from the sky.

The solution, Person A can purchase a rider from company GE. This rider is name Smart Extender Max, it allows a deductible amount (deduct RM30,000 + RM30,000 total RM60,000 from company A) (of coz deduct else can claim twice???) then what ever balance (RM30,000) reimburse claim.

Imagine this person A is 50+ years old, you expect person A to change medical plan? Chop from company A and change to other company in order to get higher annual limit and no lifetime limit? It is not advisable. Therefore the rider above comes in.

kokkit3
post May 5 2016, 11:11 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 11:05 AM)
doh.gif bro why you bring  the story so far away, I just wanted to know how the "Smart Extender Max" can solve the customer issue if they are short of cash at that time. Not everyone has 30k all the time, what about if it's more than 30k ? 100k ? 200k ?
*
Dear,

The issue happen some time ago as their old medical plan has a low annual limit. What can you do if you own an old medical plan with low annual limit?

Get people aware of the latest medical plan with high annual limit and no life time limit. Thats all. Smart Extender Max wasnt born long ago. Its a new plan.
kokkit3
post May 5 2016, 11:32 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 10:57 AM)

*
Dear,

Correction on your statement: 1. Medical card subject to 1,200,000 life time limit
1. Once you add in extender, no lifetime limit as i have already stated. Fully stated not half stated.
clearly you don't understand your product well, your medical card will still have life time limit subject to 1.2m
Your "Smart Extender Max" is subject to no lifetime limit with deductible on the original medical card limit

This sentence "still have life time limit subject to 1.2m" no stated by me. I already said with Smart Extender Max, annual limit is RM1,200,000, no lifetime limit.


https://www.greateasternlife.com/content/da...Max%20(Eng).pdf

Please read page 5 point number 19 clearly stated, Overall Lifetime Limit : No limit. No subject to anything as said by you.


Correction on your statement: It is Smart Extender Max, not Extender
2.It allows to add on to other company medical plan including AIA thus deductible from AIA then reimburse from GE. No lifetime limit.
- answered in 1.

To answer your question.
If you do not know the difference between the two please ask wisely! Seriously.

1. Already stated Smart Extender SE120k annual limit is RM1,200,000 you wont have problem claiming the total RM350,000.
is my question too confusing? let me rephrase it carefully for you.
a. Medical Card policy year 1/1/2016 - 31/12/2016
Customer A claim 150k on 1-Feb-2016 on the medical card.
Customer A claim again another 200k on 1-Aug-2016 on the medical card.
Since the customer has exceeded the RM120k annual limit on the first claim and claim 30k from the "Smart Extender Max"
On the 2nd claim for 200k, will Customer A have to fork out RM120k and the remaining 80k to claim from the "Smart Extender Max" since the Customer A has fully utilized the medical card annual limit on the first claim.

1. Already stated Smart Extender SE120k annual limit is RM1,200,000 you wont have problem claiming the total RM350,000.
kokkit3
post May 5 2016, 11:37 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(kokkit3 @ May 5 2016, 11:11 AM)
Dear,

The issue happen some time ago as their old medical plan has a low annual limit. What can you (lifebalance) do if you own an old medical plan with low annual limit?
*
Dear,

Kindly please answer my question.

Thank you.
kokkit3
post May 5 2016, 12:13 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 12:11 PM)
You sure ? I will give your company a call to check out.
*
Dear,

Brochure pun sudah kasi lagi mau apa? Of coz i am sure. Are you sure? After all you are not so sure right?
kokkit3
post May 5 2016, 12:16 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(lifebalance @ May 5 2016, 12:12 PM)
If you have an old medical card then just upgrade the amount to the newer one subject to whether your health is still good.

Does your smart extender max able to apply for people with health problem as an add on rider when they have an old medical card ?
*
Dear,

Any one can apply of coz it is subject to medical condition, as it is a medical plan.

AIA can accept medical plan for people with medical condition without terms?
kokkit3
post May 5 2016, 12:31 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(vez @ May 5 2016, 12:22 PM)
what is the different btw smart extender and smart extender max from GE

kinda confusing, btw i am not planning to buy, just my friends colleagues mentioned about it and i don think want to ask their agent later they come find me biggrin.gif

i notice prudential is more competitive biggrin.gif as my friend intro to me previously

just my 2 cents, it always depends on what we need i feel
*
Dear,

Smart Extender - For existing GE medical plan or new GE medical plan owners to add in extra rider.

Smart Extender Max - For other insurance company medical plan owners in Malaysia to add in extra rider.

Both riders allow owners to enjoy high annual limit, no lifetime limit.

https://m.youtube.com/watch?v=fJIt4K9WqSA


kokkit3
post May 6 2016, 12:02 AM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(wjchay @ May 5 2016, 10:34 AM)
Which medical insurance can pay online using credit card, Other than using jompay and auto debit?
*
Dear,

GE OCBC allows policy holders to enjoy annual premium return while pay monthly via (IPP, Installment Payment Plan) credit card without charges.

https://www.ocbc.com.my/personal-banking/Ca...tern-cards.html
kokkit3
post May 10 2016, 12:02 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(chelsea2013 @ May 9 2016, 02:01 PM)
Is there a Co-payment in GE?
*
Dear,

Yes there is co insurance but it is not recommended as even a 10% of today's medical bill is high not to mention future medical inflation. Any specific coverage you are looking at?
kokkit3
post May 12 2016, 02:41 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(alandhw @ May 11 2016, 10:04 PM)
Any idea what is Great Eastern "Great Saver Rider" about?
*
Dear,

We call it GSR, means you got loading. Mostly due to health condition.
kokkit3
post May 12 2016, 02:45 PM

Getting Started
**
Junior Member
78 posts

Joined: Jul 2013


QUOTE(ric1234 @ May 12 2016, 01:54 PM)
Anybody know whether it is possible to switch between non-cashless & cashless for any medical card?

Can possibly use 2 different medical cards at a time?
*
Dear,

You can upgrade your current medical plan to a cashless one but it depends on your current insurance co or purchase another one from another insurance co.

One can own as many medical card from different insurance co but you can only own one medical card from one insurance co. Thus if you have 2 different cards at one time it will have to be from two different insurance co. Claim wise we have discuss here in this forum before, only one receipt is given to you thus you are able to claim from one of the two medical cards.

4 Pages < 1 2 3 4 >Top
Topic ClosedOptions
 

Change to:
| Lo-Fi Version
0.0831sec    0.32    7 queries    GZIP Disabled
Time is now: 8th December 2025 - 09:48 PM