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 Insurance Talk V3, Anything and everything about insurance

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coolguy99
post May 5 2016, 09:34 AM

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150-200. Is the plan that I stated at the top standard?
lifebalance
post May 5 2016, 09:36 AM

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QUOTE(coolguy99 @ May 5 2016, 09:34 AM)
150-200. Is the plan that I stated at the top standard?
*
waiver of premium should be added on to avoid paying premium upon tpd or 36 CI.

other than that, perhaps 36 CI benefit.

Premium abit on the high side for so little benefits.
BuddyALSJ
post May 5 2016, 10:03 AM

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QUOTE(coolguy99 @ May 5 2016, 09:09 AM)
Got a quotation for ILP at 200 per month that has 45k DB, 150 BR, 900k annual limit and no lifetime limit. The coverage is whole life. Is this standard guys?

Btw I am 29 years old and non smoker. Have no prior medical history too.
*
Here's me laying out the facts again laugh.gif

On top of all recommendations that you get from different companies,
there's also another vital part that you need to look at beyond the benefits/premiums.

Although some can be cheaper or more expensive or some can have less benefits, you have to look to the policy that you sign with the company. In that, I mean the contract you agree on how a certain company rules over your life insurance. Their term's and condition.

Personally? The clauses that they can even put in the policies are insane.


*Oh, let me add that I actually know people that suffered from this ridiculous clauses.

**I should really copy paste this paragraph lol sweat.gif

This post has been edited by BuddyALSJ: May 5 2016, 10:07 AM
lifebalance
post May 5 2016, 10:11 AM

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QUOTE(BuddyALSJ @ May 5 2016, 10:03 AM)
Here's me laying out the facts again laugh.gif

On top of all recommendations that you get from different companies,
there's also another vital part that you need to look at beyond the benefits/premiums.

Although some can be cheaper or more expensive or some can have less benefits, you have to look to the policy that you sign with the company. In that, I mean the contract you agree on how a certain company rules over your life insurance. Their term's and condition.

Personally? The clauses that they can even put in the policies are insane.
*Oh, let me add that I actually know people that suffered from this ridiculous clauses.

**I should really copy paste this paragraph lolĀ  sweat.gif
*
stop confusing people with your statement.

You're indirectly saying insurance policies T&C are absurd without any concrete evidence.

another supersound in my ignore list

This post has been edited by lifebalance: May 5 2016, 10:11 AM
coolguy99
post May 5 2016, 10:18 AM

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QUOTE(lifebalance @ May 5 2016, 09:36 AM)
waiver of premium should be added on to avoid paying premium upon tpd or 36 CI.

other than that, perhaps 36 CI benefit.

Premium abit on the high side for so little benefits.
*
I forgot to mention that waiver of premium is part of the plan as well as the 36 CI. There is also a 100 per day hospitalization allowance added on top of it.
lifebalance
post May 5 2016, 10:20 AM

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QUOTE(coolguy99 @ May 5 2016, 10:18 AM)
I forgot to mention that waiver of premium is part of the plan as well as the 36 CI. There is also a 100 per day hospitalization allowance added on top of it.
*
ic, then it's pretty standard, feel free to get some other quotes from other companies as well.
kokkit3
post May 5 2016, 10:23 AM

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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.


lifebalance
post May 5 2016, 10:28 AM

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QUOTE(kokkit3 @ May 5 2016, 10:23 AM)
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 +Ā  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.
*
Lol in your long winded essay, how different is that explanation from my simplified version ?

QUOTE
"The medical bills come out to RM30,000 +Ā  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. "


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 ?

This post has been edited by lifebalance: May 5 2016, 10:30 AM
kokkit3
post May 5 2016, 10:32 AM

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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.
wjchay
post May 5 2016, 10:34 AM

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Which medical insurance can pay online using credit card, Other than using jompay and auto debit?
lifebalance
post May 5 2016, 10:38 AM

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QUOTE(kokkit3 @ May 5 2016, 10:32 AM)
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.
*
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.

This post has been edited by lifebalance: May 5 2016, 10:40 AM
kokkit3
post May 5 2016, 10:40 AM

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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?
lifebalance
post May 5 2016, 10:41 AM

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QUOTE(wjchay @ May 5 2016, 10:34 AM)
Which medical insurance can pay online using credit card, Other than using jompay and auto debit?
*
You pay online with VISA or Mastercard for AIA Medical Card, not sure about the rest.
lifebalance
post May 5 2016, 10:44 AM

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QUOTE(kokkit3 @ May 5 2016, 10:40 AM)
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?
*
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.
kokkit3
post May 5 2016, 10:49 AM

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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.


lifebalance
post May 5 2016, 10:57 AM

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QUOTE(kokkit3 @ May 5 2016, 10:49 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


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.


a. ANNUAL LIMIT RM1,200,000 no lifetime limit.
*
This post has been edited by lifebalance: May 5 2016, 10:57 AM
kokkit3
post May 5 2016, 11:00 AM

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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.

cybermaster98
post May 5 2016, 11:05 AM

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QUOTE(BuddyALSJ @ May 5 2016, 02:04 AM)
You might want to get that agent to quote you one with waiver. Without waiver just doesnt really make sense for me.
As I look into certain vital points for a comprehensive plan.
There's some elements that your agent HAVE TO put in for customers own benefit(customer may not know how important somethings are)
If you refer to the earliest post which has V6 of my Comparison Table, the waiver has been included.


Attached File(s)
Attached File  Insurance_Comparison_Table_V6.pdf ( 180.32k ) Number of downloads: 70
lifebalance
post May 5 2016, 11:05 AM

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QUOTE(kokkit3 @ May 5 2016, 11:00 AM)
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.
*
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 ?
kokkit3
post May 5 2016, 11:11 AM

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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.

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