QUOTE(Kellicros @ Nov 3 2016, 12:03 AM)
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Well agreed, I really feel like the agent is irresponsible and I am seriously considering to have him replaced. Hope all insurance agents would take note of this: Not everyone is a regular claimant and know what to do when shit happens. I mean, I have informed my agent few days prior to every one of my appointments with the doctor, and I wasn't briefed at all!
Agent said:
"Just let the hospital know you want to claim, they will know what to do"
"All hospital love to claim so they will help you out, because they can claim more!"
"They would rather you not pay with your own money so let them do their job"
And I found out all these are non-sense because whenever I mention about my insurance claim, they told me to refer to my agent or insurer!
And when asked him if ward is compulsory, he said "absolutely", which is not the case at all, I just read my policy again, my agent has not mentioned anything about "Day surgery" at all, which is clearly printed on the policy, did he really expected me to find out myself by reading that thick book? I was in awe when my doctor mentioned to me that many of her patients with similar surgery got their GL without being warded, even though it all depends on the biopsy result.
Also, I still remember I told my agent about the lump on my leg, when I am filling the forms, his advice was to leave it out because it is not considered "serious illness", well 4 years ago the lump was small and wasn't an issue at all. Also, 4 years I have been paying my premium on-time (via auto-debit, yes 4 years, I just checked my policy), doesn't the agent get part of my money as commission? Shouldn't him be at the hospital to assist me the only one time I needed him in these 4 years? Am I asking too much?
Agents are not in the position to judge whether that issue is "minor" or "major" illness or not. It is better to declare any past history to avoid any claims in the future. anyway i know kinda late to mention about this but i hope your agent can be honest next time» Click to show Spoiler - click again to hide... «
Only after all these he decided to meet up with me.
"Ah next time(touch wood) if things like this happens, you go to GP or skin specialist to figure out what the lump is first, make sure it is claimable then only you try to be admitted in a private hospital.... bablabla"
- Very nice, you could have just told me all these BEFORE I did my surgery you *******.
Sorry for the long rants, RM2k may not be a lot of money for everyone, but it still mean a lot to me, especially with the economy these days. Also the only reason I choose a private hospital is because I thought I could be reimbursed, isn't that what a medical card is for? Would have opted for GH otherwise which would have been much cheaper obviously.
Anyway, I have passed all my documents to that said agent and I hope he does his job this time.
QUOTE(heavensea @ Nov 5 2016, 07:52 AM)
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Hi all,
my current standalone medical card, RM7XX premium/year with:
140k per annum
No annual limit <<< No lifetime limit
I'm at the end of 20s, should I keep this plan "until I'm old" (of course it will be super duper.expensive when I'm "old") or I should have change to investment link policy, RM26xx premium/year with:
1million per annum
No annual limit <<< No lifetime limit
However my agent told me that since I've done gastroscopy (the result is benign) and appendicitis operation with the standalone medical card, so the insurance company will not insured my "stomach" when I bought the new medical card with investment link (RM26xx).. she advise me to keep both which is kinda costly for.. is it truth or myth?
agent have to declare and submit ur application and let underwriter to decide. end of the day if there is any exclusion, there will be a Letter of Conditional Acceptance for you to sign and acknowledge. if you do not agree with the conditional acceptance term, u can just reject the policy and get back ur refund of premium paidthat's why I've been thinking why not I just keep the standalone medical card (for 3x years) with 140k annual limit.. but I'm also afraid of 140k is never enough for medical bills in the future.
QUOTE(heavensea @ Nov 5 2016, 08:22 AM)
Thanks for the feedbacks, do I charge for anything during waiting for apply? My agent want to charge my cc for half year premium, that's why I don't want to proceed..
yes they will charge you based on your frequency of premium (monthly,quarterly,half-yearly,yearly). minimum is 2 months premium (monthly). so what u can do is apply first and see what is the outcome. if end of the day you reject the conditional acceptance offered by the company, company shall refund ur premium.And i would keep my standalone mc only, for the rest of my life. Cons is annual limit 140k, pros is no life time limit.
QUOTE(heavensea @ Nov 5 2016, 10:23 AM)
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thanks sir,
your advise is I opt for 2 months premium to be charge when I sign the new medical card, but if I can ask for refund if I'm not satisfied that they refuse to cover my stomach health?
actually I don't understand why simply gastroscopy (result is benign) and appendicitis opetation would caused them don't exclude this in my future medical plan.. after all, gastrocopy=medical check up and appendicitis operation is very usual operation...
again agents cannot judge. the result depends on the underwriter. This post has been edited by ckdenion: Nov 8 2016, 12:44 AM