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 Insurance Talk V3, Anything and everything about insurance

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JIUHWEI
post Jul 13 2016, 01:01 PM

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QUOTE(smartinvestor01 @ Jul 13 2016, 12:44 PM)
Dear all,

Do you ever heard about this MXM International company?

They are started to go aggressive in promoting their medical card which was claimed to be one of the best in the market.

I just want to know.. is their policies issued underwritten by the qualified insurance company?
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Their medical policies are underwritten by LonPac Insurance Bhd (formerly London & Pacific Insurance Bhd).
Their life and critical illness policies are provided by MCIS Zurich.

Hmm... why macam pinjam and tampal here and there wan? Any MXM agents here care to clarify further? hmm.gif
JIUHWEI
post Jul 13 2016, 09:51 PM

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I see someone terasa sangat...
JIUHWEI
post Jul 15 2016, 03:41 PM

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QUOTE(Ryannate @ Jul 14 2016, 10:53 PM)

For MXM, I personally went to their talks 4 times before I make my decision. Why 4 times? Because I want to make sure whatever they told me, I need verification from most famous insurance company senior group levels. Found out they all admitted silently. I even got about 9 insurance companies quotation to compare.i asked all senior to explain all the content in the policy, found out what I been telling, only few knows to explain but won't explain to their clients if they don't ask. I even make appointments to meet the Ceo of some company to explain to me.

I don't trust human words, I trust knowledge. That's why I said lots of agents are not knowleable but used their harsh way to cover it.
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Confirmed. The next supersound is here.
JIUHWEI
post Jul 18 2016, 12:22 PM

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QUOTE(simpleguyme @ Jul 18 2016, 12:10 PM)
Hi, i want to know on the baby insurance as below

If the 7 months old baby sick and need hospitalize for few days and the mother need to accompany the baby for few nights.
How did the insurance cover the mother expense for those nights with baby?
What kind of charge will be impose to the mother during the stay? Will these charge cover insurance?

appreciate someone can explain this.
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Personal experience, here's how it works:

The baby's hospital bill will be covered by the baby's hospital insurance.
The mother staying over to accompany the baby will not be charged for those nights with baby.
No charges on the mother staying to accompany baby.
Same like if we stay overnight to accompany someone in the hospital, there's no charge.

Daily guardian benefit is available in most medical insurance providers.
JIUHWEI
post Jul 19 2016, 06:15 PM

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QUOTE(epie @ Jul 19 2016, 04:39 PM)
i am male 37 this year and non-smoker
I strictly need TAKAFUL with coverage for death only, no investment etc
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Sure. I can do that for you.
Do you have any preference or other specific requirements?
JIUHWEI
post Aug 8 2016, 10:13 AM

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QUOTE(MNet @ Aug 7 2016, 06:34 PM)
What is aia vitality all about?
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QUOTE(lifebalance @ Aug 7 2016, 09:11 PM)
AIA Vitality is a programme where you get rewarded for being healthy. This programme had been used in Africa for the past 20 years.

In this programme you get to know more about your health, improve your health and enjoy various rewards ranging from discounts up to 50% on air tickets, free movie tickets, gym membership, health check up and etc for only RM10 per month at the moment.

How do you join AIA Vitality ?
- To join AIA Vitality, you must be a life insured or person covered under an eligible AIA life insurance or takaful plan.

More info and FAQ @ https://www.aiavitality.com.my
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Just to add onto it,

AIA Vitality is a program with 3 main goals:
1. Know your health,
2. Improve your health,
3. Get rewarded!

In Know your health, members can go to participating health test outlets to get their health check done. Partnering vendors include selected Guardian pharmacies and BP labs, at a discounted rate only available to AIA Vitality members.

In Improve your health, we can work on the areas needing attention according to the results from step 1, or do some daily exercises that we are already doing to maintain/improve our general well being. Partnering vendors such as Fitness First, Reebok, Fitbit and Garmin are also offering special discounts starting at 25% up to 50% only available to AIA Vitality Members only.

In Get rewarded, AIA Vitality members get to enjoy discounts on airlines such as Air Asia, E-magazine subscriptions, and on Marriott and Berjaya hotel stays of up to 50% according to your Vitality status!

Further elaboration on Vitality status:
There are 4 levels: Bronze, Silver, Gold, and Platinum.
Long story short: the higher your Vitality Status, the better discounts you get! thumbup.gif

JIUHWEI
post Aug 19 2016, 12:52 PM

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QUOTE(kazekage_09 @ Aug 19 2016, 12:14 PM)
Thank you for a very clear explanation. But one of the agent is very senior agent lol....
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That's quite sad to hear that a senior agent is resorting to misleading you.

But as a rule: every rider comes with a cost.

I know the feeling tak sedap cuz the feller told you it's "free" but actually semua included already.
It's a principle thing.

Maybe in the future, you can pick from among the agents here.
Semua kat sini dah kena grill sampai hangus dah! laugh.gif
JIUHWEI
post Aug 20 2016, 10:24 AM

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QUOTE(Brainy_Panda @ Aug 19 2016, 11:25 AM)
nowadays AIA & GE have unlimited claim..how it works?
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QUOTE(lifebalance @ Aug 19 2016, 12:07 PM)
It's not unlimited claim, there is an annual limit that you can claim within the limit. Once it's exceeded then you'll have to top up for yourself. This also depends on what type of package you took with the insurance company.
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Here's how it works:

There are two things to note,
a) the Annual Limit
b) the Lifetime Limit

a) The Annual Limit
This refers to the total claimable amount per year.
Both AIA and GE are offering Annual Limits upwards of Rm1,000,000.
What this means is the insured can claim up to Rm1,000,000 in hospital bills every year, with accordance to the boundaries of coverage.

b) The Lifetime Limit
This refers to the total claimable amount in this lifetime (sampai usia 100 atau meninggal dunia, whichever comes first).
Both AIA and GE are offering no limit.
What this means is klu every year claim Rm1,000,000, you can really help our local economy by siphoning out saturated money from big insurance companies.


*For further details, please refer to AIA agents like myself and lifebalance, or GE agents.
Or you can download a copy of AIA brochure here: A-Plus Med & A-Plus Med Booster <<< click on the product name


JIUHWEI
post Sep 3 2016, 09:07 AM

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QUOTE(lifebalance @ Aug 31 2016, 12:15 AM)
1. Only if your policy said so, otherwise for latest AIA policy, there is no such clause.

2. Yes, just pay the additional RM1
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Need to pay the GST for RM1 too.

So total is RM1.06 biggrin.gif
JIUHWEI
post Sep 8 2016, 09:17 AM

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QUOTE(SGSuser @ Sep 8 2016, 08:53 AM)
hi guys just a couple of questions here on investment linked policies

1. is the account value equivalent to the surrender value?

2. will partial withdrawals(not to the extent of causing policy lapse) affect the sum assured or any other benefits of the policy?
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1. Yes.

2. No it will not affect your sum assured and any other benefits of the policy.
It will, however, affect your policy's sustainability.

By sustainability, it means how long the policy can sustain with the cash value within the policy.
JIUHWEI
post Sep 14 2016, 02:38 PM

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If 7000/year is breaking your bank, then the coverage and the premium is either not right for you, or there is no real reason for you to buy.

I am an insurance agent and I have these questions:
At age 68, why is the person still buying life insurance?
What is it that the candidate is concerned about to be thinking of life insurance at age 68?
Is life insurance really relevant at age 68?
JIUHWEI
post Sep 21 2016, 09:03 AM

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QUOTE(gotham11 @ Sep 20 2016, 12:31 AM)
Hi... anyone can advise how insure their solar pv panel n inverter for household? If yes, hiw you do that? Can top up to the housing insurance like fire and bulgary?
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Yes, you can include it into your fire insurance and burglary.
Talk to your agent for further clarification.
JIUHWEI
post Sep 25 2016, 09:14 AM

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QUOTE(adele123 @ Sep 18 2016, 06:45 PM)
there's no really 'standard'. As he has explained, it's a guide. but guides are just guides. it can not be the same for every individual.

Actually he didn't mention basic coverage first or medical card first. and if you are breadwinner for your family. Just the options available to you.

Few questions i like to throw-out before you jump into buying insurance (PS, i'm not an expert in insurance planning and financial planning, just happen to be familiar with insurance products)
1) what's your budget? how much can you fork out a month for insurance? (sounds like your budget is kinda tight)

Will your savings be reduced if you purchase insurance? If your savings rate is being reduced, what impact it has on your future long-term goal (retirement, education for your children?).

2) since you mentioned your wife is working, so, if touch wood anything happens, your wife still have income. the question is, how much you want to leave behind for your family? what about paying off the house loan (if any) so that your wife does not have to worry about it?

Don't forget your EPF is also left behind for them.

3) next, if touch wood anyone in your family has minor/serious illness and needs to be hospitalised, is there money to pay for it? are you willing to opt for government hospital instead?

Since your wife is working, is she covered for medical benefits by her employer? Does she have any term life insurance provided by her employer?

If you have a tight budget, you do have to choose between getting coverage for yourself alone, and for your kids.

To be continued... need to makan.
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Those are very good questions to ask. And I would like to add on to that.

Questions to ask yourself before buying insurance:

Q: Why are you buying insurance?
Q: What is the purpose that you want the insurance policy to serve?
Q: Is there a specific term for the mentioned purpose?

JIUHWEI
post Sep 26 2016, 05:43 PM

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QUOTE(plumberly @ Sep 26 2016, 09:18 AM)
I have been wondering why insurance company will only accept claims for in-patient treatment and not for day patient treatment. For patient's medical claim, doctor may state treatment is in-patient and thus charge a bigger bill. OK for the patient as the insurance company is paying for the bigger bill. Not really the case.

* patient does not incur higher cost with the in-patient bill
* insurance company pays the bill
* doctor gains extra $$ for no extra work
* insurance company profit is less, increase insurance premium
* patient pays higher premium

I may be wrong with my logic above, patients pay more in the end with the in-patient policy.

See The Star article below.

[attachmentid=7610001]

Can someone in the insurance field help me on why only in-patient claims?

Only the more serious treatments (ie in patient) are covered?

I had a not-so-nice encounter with this day & in-patient thing at the medical center here recently.

Cheerio.
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A good rule-of-thumb/guide to whether or not an admission/treatment is claimable (applies to day procedures as well):

1) There is a treatment done, and the treatment is medically necessary.
Examples: dengue, slip disc, cardiac arrest, broken bones, injury due to accident, organ transplant, all critical illnesses, etc.
Some cosmetic advertisements that I noticed on the radio recently are marketing their procedure as a "treatment" for freckles and/or dark spots. These are categorized under aesthetic procedures and are not claimable.

2) What constitutes an injury due to accident:
It is sudden, violent, and/or external impact.
Examples: I waving goodbye to my uncles and aunties. Smart sibling of mine slam the car door shut. My fingers broken.
Verdict: it is sudden, it is external impact. Claimable.

3) Majority of rejected claims are due to incomplete documents.
Example of documents: medical report, claim forms, original receipts, itemized billing, credit card deposit receipt (if applicable).

Is this helpful? Let me know!
JIUHWEI
post Sep 26 2016, 09:47 PM

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QUOTE(plumberly @ Sep 26 2016, 07:21 PM)
Many thanks.

AA
What about something which develops overtime and later needs treatment, say, skin rash which later gets infected?

BB
I pick my nose and later bleeding internally?

Thanks.

P/S  Wonder why do some clinics at the start ask whether payment is by cash or via claim? Don't think it is because  they need to know for their payment process.
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laugh.gif

AA: As long as the treatment is justifiable for a treatment at the hospital, it will be claimable.
Let me share with you my personal experience with a client: She was rushed to the ER, but GL was declined citing procedure can be done as an outpatient. So she paid and later on I proceed to process the claim for her.
All documentations were complete and the claim cheque was delivered few weeks later.
Client happy, I also happy.

BB: Maybe you want to turn it down a notch with the gold digging sweat.gif
But if it was really serious and require stitches from your inner nostril membrane, technically it is a self-inflicted injury and rightly written in the policy self inflicted injury is excluded.
But you don't so straight arrow tell the doctor you gila korek la. I also dunno how to taichi this one... But you taichi with the doctor lah. Janji the doctor buys your story. whistling.gif

P/S: Individual medical cards usually only cover hospitalization and not clinics.
But take for example you are holding a corporate card and it includes clinic visits. By cash you can bring the receipts back to your HR dept to process the claim. By medical card, it'll be charged straight through and you won't have to part with that RM50-55 for any period at all.

Did I do a good job at answering your questions/concerns? Let me know! thumbsup.gif
JIUHWEI
post Sep 27 2016, 09:46 AM

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QUOTE(echoesian @ Sep 26 2016, 10:54 PM)
For an Investment-Linked Insurance for 1mil, GE vs AIA which one is better?
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Both company also very strong, really.
You can buy from either companies and sleep very well at night.

Do you know any friends/relatives who are agents in both companies?
I am sure they can present their case better for you, simply because they know you better.


JIUHWEI
post Sep 27 2016, 10:18 AM

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QUOTE(you90 @ Sep 27 2016, 08:49 AM)
The value of COI increasing every year is also estimated only? Do you see a healthy level if table illustrate COI>premium at the 8th Year? By then fund value shall use to keep the protection running and fund value is something non guarantee.

Is this an important consideration?
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COI > Premium at the 8th year is... confused.gif
Why ah? How old is the person insured? Male or female? Smoker? Job description? Medical history?

A: The cash value generated comes from your premiums to feed the 1) COI 2) amount invested into units. Since you also can see the COI is pretty high already, how low can the premium be for an ILP?

It is never the case where you rugi if you pay more. Try asking your agent to put a higher premium and then look at the difference in the projection. That cash value (+/-5%) is after all, your money.


Do you see a healthy level if table illustrate COI>premium at the 8th Year? By then fund value shall use to keep the protection running and fund value is something non guarantee.
You also already see that the cost is catching up to the premium very quickly already. Meaning to say there is not much in the fund value to begin with. And how far do you want the little bit of fund value to carry the policy with your ever-rising COI when it is obvious that it is unsustainable at all?
You pay more for a sustainable policy, ok kan?
Klo just squeeze the agent lidat, everything want cheap until cannot cheap anymore, he/she try very hard to do things the right way also very susah to get your business. After get your business you receive letter from company asking to top up, you cincang dia lg... matilah dia kan?

Unless you want the agent to manipulate the projected amount to let you see what you want and make you feel good la.
Everyone also like "cheap, nice, good". Siapa x nak kan?
But let's be fair and reasonable la.

ok bro? thumbsup.gif
JIUHWEI
post Sep 27 2016, 10:27 AM

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QUOTE(you90 @ Sep 27 2016, 10:13 AM)
Meaning the figures stated in the table of the policy still can be used as a solid reference to see if COI > premium in a short period of time or not, right?
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Yes.
However, the company reserves the right to adjust the COI upwards or downwards depending on the market portfolio.
They won't charge you kao kao cuz you claim a lot. It will affect the general public's portfolio.
This statement is directed at individual policies. Not the case for group policies.

Example:
Let's say company x has 1mil customers. Next year they naik RM1mil COI across the board. What it means for each of the customer is RM1 increase in COI. This is the general idea.


JIUHWEI
post Sep 29 2016, 11:00 AM

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QUOTE(LostAndFound @ Sep 29 2016, 10:57 AM)
Hi, is this the right place to ask for advise on level of coverage suitable for myself (as compared to what I already have previously purchased)? Now end of year thinking of analyzing my insurance coverage with family.
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Here is a place where you will get very generic answers..

Is better for you to call your agent and do a review with him/her nod.gif
JIUHWEI
post Sep 30 2016, 10:07 AM

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QUOTE(LostAndFound @ Sep 30 2016, 09:56 AM)
Thanks Holocene, those sort of ballpark figures are very helpful.

Additional follow-up questions:-
1. How do multiple policies generally stack up? For life I assume each pay out sum assured, and its just about the hassle of doing multiple claims. For medical can a person maintain multiple policies? Is there a benefit (for eg. I think if you've claimed a policy against one illness you're no longer protected against recurrence, so a second policy could cover that if at a later date it recurs, especially talking about cancer).

2. How to factor in employer's insurance coverage?

3. Life insurance of non-working/earning family member, any benefit/use?
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3. Final expenses, and a little bit of savings.

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