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 Insurance Talk V4!, Anything and everything about Insurance

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TSroystevenung
post Oct 21 2017, 11:19 PM

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QUOTE(smallyfry @ Oct 21 2017, 10:22 PM)
I have two different statements from a few insurance agents about TPD and medical card.
Some agents ask me to get two policies:
Policy (1) with very high death/TPD payment
Policy (2) with very low death/TPD payment but with high medical coverage
The reason is, if i claimed TPD, I claim from Policy (1) so that my medical coverage will not be terminated. Policy (2) will run as normal with payor waiver until the day i die.

Some agents told me it doesn't matter. One policy is enough, eventhough if I claim TPD, my medical coverage will not be terminated with the payor waiver.
So, I am confused, which is correct.
*
The Policy 1 pays upon Death/TPD, and it does not affect whether your medical coverage will or will not be terminated.

The Policy 1 pays to you (or your named beneficiary upon death) so that you can have money to sustain your lifestyle in the event of a TPD. If you are TPD, and unable to work, who is going to pay for the bills, food, clothing, daily expenses?

QUOTE
eventhough if I claim TPD, my medical coverage will not be terminated with the payor waiver. ...
Policy (2) will run as normal with payor waiver until the day i die.


The statement above is very misleading especially when it comes to waiver of premiums.

In the event of a waiver claim, the premium is waived, but the insurance charges for the medical card will keep increase as you grow older, therefore if there is not sufficient cash value in the policy to cover for the higher insurance charges, even if you are TPD, the policy will need to be 'top up' or risk having the policy to lapse.
lifebalance
post Oct 21 2017, 11:40 PM

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QUOTE(smallyfry @ Oct 21 2017, 10:22 PM)
I have two different statements from a few insurance agents about TPD and medical card.
Some agents ask me to get two policies:
Policy (1) with very high death/TPD payment
Policy (2) with very low death/TPD payment but with high medical coverage
The reason is, if i claimed TPD, I claim from Policy (1) so that my medical coverage will not be terminated. Policy (2) will run as normal with payor waiver until the day i die.

Some agents told me it doesn't matter. One policy is enough, eventhough if I claim TPD, my medical coverage will not be terminated with the payor waiver.
So, I am confused, which is correct.
*
It will still be the same even though it's a separate policy.

Policy 1 and 2 will combine on the payout for Death and TPD

Policy 2 will maintain upon claiming for TPD with waiver of premium to be continued to be paid by the insurance company until a certain period of time depending on the tenure that you sign up for.

However, if death occurs then Policy 1 and 2 will proceed to make the full payout and will be terminated by the insurance company.

An example of illustration would be
Policy 1 - Death and TPD 500,000

Policy 2 - Death and TPD 20,000
a. Medical Card
b. Waiver of Premium.

Should Death or TPD happens, the total payout would be 520,000.
Should TPD happen, Policy 1 will make a payout and terminated; Policy 2 payout for 20k but maintains due to Medical Card & Waiver of Premium kicks in.

With regards to
QUOTE
my medical coverage will not be terminated with the payor waiver.

Payor Waiver means that the premium is just being continued to be paid by your insurance company.

However, should the future cost of insurance > your account value, you may have to top up to make up the difference otherwise your policy will lapse.

QUOTE(watabakiu @ Oct 21 2017, 10:33 PM)
What's up with MAA Takaful? sudah bangkrap?
*
Last I know they were still existing
d3ck
post Oct 23 2017, 08:46 AM

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Hi all,

Please help me to give an input between these 2 quotations that I receive from an agent. It's between AIA & PruBSN. Still, cannot decide which one should I go for. I want to go for more protection compare to investment/saving. Here is the table that I made for comparison;


user posted image


For AIA
PRO:
More coverage/protection

CON:
Coverage/protection only up to 30 years (when I'm at 57 y.o)
Critical illness coverage only for certain severity

For PruBSN
PRO:
Longer coverage/protection (up to when I'm 80 y.o)

-----------------------------------------------------------------------------------------------

Here screenshot from the quotation

AIA

user posted image
user posted image
user posted image


PruBSN

user posted image
user posted image

-----------------------------------------------------------------------------------------------

All the comparison is from what I saw. I'm looking for advice from you guys to point me what I miss between these two. Maybe point me "what if" situation if needed. Thanks you
daimon
post Oct 23 2017, 10:02 AM

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hello,

i'm interested in AIA Vitality (because of the benefits including FF)

as i know I need to have certain plan with AIA only able to enjoy AIA Vitality...

currently i'm with Allianz and paying RM200 (medical card) a month.

Can I know is there any same plan in AIA as well?

lifebalance
post Oct 23 2017, 10:41 AM

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QUOTE(d3ck @ Oct 23 2017, 08:46 AM)
Hi all,

Please help me to give an input between these 2 quotations that I receive from an agent. It's between AIA & PruBSN. Still, cannot decide which one should I go for. I want to go for more protection compare to investment/saving. Here is the table that I made for comparison;
user posted image
For AIA
PRO:
More coverage/protection

CON:
Coverage/protection only up to 30 years (when I'm at 57 y.o)
Critical illness coverage only for certain severity

For PruBSN
PRO:
Longer coverage/protection (up to when I'm 80 y.o)

-----------------------------------------------------------------------------------------------

Here screenshot from the quotation

AIA

user posted image
user posted image
user posted image
PruBSN

user posted image
user posted image

-----------------------------------------------------------------------------------------------

All the comparison is from what I saw. I'm looking for advice from you guys to point me what I miss between these two. Maybe point me "what if" situation if needed. Thanks you
*
I can't really give you any feedback to ascertain which policy is better just by comparing on products alone without understanding a single thing about your background, finances, and future plans.

Just by the chart above can't really say much because a policy is suited individually based on after doing a financial health check (FHR).

The general idea is to make sure you're covered sufficient 10x of ur annual income for death/tpd.

Medical card with booster to cover the increasing cost of hospitalization (1 mil)

Waiver of premium is good to have in case of disability or 36 Critical Illness, your premium is continued to be paid by the insurance company while you need not worry about paying the premium while recovering for a period of time.

Critical Illness atleast 2x -5x of ur annual income


QUOTE(daimon @ Oct 23 2017, 10:02 AM)
hello,

i'm interested in AIA Vitality (because of the benefits including FF)

as i know I need to have certain plan with AIA only able to enjoy AIA Vitality...

currently i'm with Allianz and paying RM200 (medical card) a month.

Can I know is there any same plan in AIA as well?
*
There are similar plans available to meet your budget, feel free to check with any AIA agent / AIA website.

This post has been edited by lifebalance: Oct 23 2017, 10:44 AM
watabakiu
post Oct 24 2017, 03:01 AM

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Any Gibraltar BSN agent around? PM me pls
ckdenion
post Oct 24 2017, 02:51 PM

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QUOTE(daimon @ Oct 23 2017, 10:02 AM)
hello,

i'm interested in AIA Vitality (because of the benefits including FF)

as i know I need to have certain plan with AIA only able to enjoy AIA Vitality...

currently i'm with Allianz and paying RM200 (medical card) a month.

Can I know is there any same plan in AIA as well?
*
what is the benefits in the Allianz plan? plan benefits are very similar just that what benefits are you focusing on. most insurance plans are very similar already. so definitely u will get something similar in AIA as well. perhaps you can compare to your Allianz plan.
JIUHWEI
post Oct 24 2017, 09:02 PM

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QUOTE(daimon @ Oct 23 2017, 10:02 AM)
hello,

i'm interested in AIA Vitality (because of the benefits including FF)

as i know I need to have certain plan with AIA only able to enjoy AIA Vitality...

currently i'm with Allianz and paying RM200 (medical card) a month.

Can I know is there any same plan in AIA as well?
*
I don't recommend that you cancel your existing coverage just cuz there's AIA Vitality now.
You can join AIA Vitality on its own too. https://www.aiavitality.com.my/vmp-my


Unless you're looking into a larger sum life insurance coverage, then it's something of significance and you may explore the benefits with aia vitality.

I strongly discourage you to terminate your existing insurance coverage.


daimon
post Oct 25 2017, 08:46 AM

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QUOTE(JIUHWEI @ Oct 24 2017, 09:02 PM)
I don't recommend that you cancel your existing coverage just cuz there's AIA Vitality now.
You can join AIA Vitality on its own too. https://www.aiavitality.com.my/vmp-my
Unless you're looking into a larger sum life insurance coverage, then it's something of significance and you may explore the benefits with aia vitality.

I strongly discourage you to terminate your existing insurance coverage.
*
Thank you, i thought i should have an AIA insurance plan then only I can add on AIA Vitality and enjoy its benefit
lifebalance
post Oct 25 2017, 09:42 AM

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QUOTE(daimon @ Oct 25 2017, 08:46 AM)
Thank you, i thought i should have an AIA insurance plan then only I can add on AIA Vitality and enjoy its benefit
*
Sorry I would like to amend that you are UNABLE to enroll as a AIA Vitality Member if you're not a AIA policy holder, the person above made a mistake in giving wrong info.

This post has been edited by lifebalance: Oct 25 2017, 02:07 PM
JIUHWEI
post Oct 25 2017, 11:07 AM

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QUOTE(daimon @ Oct 25 2017, 08:46 AM)
Thank you, i thought i should have an AIA insurance plan then only I can add on AIA Vitality and enjoy its benefit
*
The side benefits are amazing rewards for staying active.

But the real reward come in the form of a Cover Boost.
That's what you should be looking into.
Mahao
post Oct 26 2017, 06:23 PM

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Question:

Can someone with autoimmune disease buy medical card? I know there will be exclusion but to what extent? Or does it mean that someone will not be able to safeguard themselves from critical illness due to the nature of the disease?

Experienced agent kindly advise, would appreciate them a lot. Thank you.
lifebalance
post Oct 26 2017, 06:29 PM

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QUOTE(Mahao @ Oct 26 2017, 06:23 PM)
Question:

Can someone with autoimmune disease buy medical card? I know there will be exclusion but to what extent? Or does it mean that someone will not be able to safeguard themselves from critical illness due to the nature of the disease?

Experienced agent kindly advise, would appreciate them a lot. Thank you.
*
I'm assuming you're referring to Hepatitis, this depends on what type

I need to ascertain the duration/date of infection of the disease, current blood test (LFT) to check on markers of liver or biliary tract disease through the various liver enzymes, past and current treatment required (if any) and other related symptoms/ complication or risk factors such as family history of liver cancer.
QuickSilverV3
post Oct 26 2017, 07:38 PM

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From: Namo Amitabha
Dear Insurance Experts,

I have a rather complicated situation here where I am desperately in need of a medical coverage. To cut it short, 9 years ago I was diagnosed with Arnold Chiari Malformation & Syringomyelia upon my hospitalization where it almost ended my life. I suffered from numerous neurological symptoms which was very intense. I have had a number of procedures for my treatment including a nerve decompression surgery known as Occipital Cervical Fusion & Thracheostomy. Although such conditions were treated but it does not completely recovers me, I am still left with a number symptoms that yet to subside.

I did apply for a coverage 1-2 years later after I encountered such misfortune but was rejected and then had given up. Now I am panic as I have witnessed a number of tragedies that happened to the people around me recently.

I am not covered individually by any insurance company, the bill was settled by my father with his own money approximately paying 70% of the total bill and the remaining by his company medical coverage for employees children until the age of 23 but now I am 25.

By any chance can I still get covered medically? Some agent told me that one of my disorder falls under the Critical category so it is impossible for me to get insured. Just want to check further whether if its true or do I still have hope.

Thanks.

This post has been edited by QuickSilverV3: Oct 26 2017, 07:38 PM
lifebalance
post Oct 26 2017, 07:44 PM

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QUOTE(QuickSilverV3 @ Oct 26 2017, 07:38 PM)
Dear Insurance Experts,

I have a rather complicated situation here where I am desperately in need of a medical coverage. To cut it short, 9 years ago I was diagnosed with Arnold Chiari Malformation & Syringomyelia upon my hospitalization where it almost ended my life. I suffered from numerous neurological symptoms which was very intense. I have had a number of procedures for my treatment including a nerve decompression surgery known as Occipital Cervical Fusion & Thracheostomy. Although such conditions were treated but it does not completely recovers me, I am still left with a number symptoms that yet to subside.

I did apply for a coverage 1-2 years later after I encountered such misfortune but was rejected and then had given up. Now I am panic as I have witnessed a number of tragedies that happened to the people around me recently.

I am not covered individually by any insurance company, the bill was settled by my father with his own money approximately paying 70% of the total bill and the remaining by his company medical coverage for employees children until the age of 23 but now I am 25.

By any chance can I still get covered medically? Some agent told me that one of my disorder falls under the Critical category so it is impossible for me to get insured. Just want to check further whether if its true or do I still have hope.

Thanks.
*
Hi there

I am just assuming that you've tried to apply with multiple insurance company previously and they've rejected you.

Unfortunately I don't think your case can be helped to get a medical card.

My only advise is that you continue to use your father's company insurance until you're 25 and get him to enroll you as one of the employee within the company to continue under the company coverage.
cringe
post Oct 26 2017, 11:04 PM

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Any Insurance Agent in this thread would like to explain this situation?
Accident doesn't covered 100%?

My batchmate posted this in her Facebook post

user posted image

If you don't understand her Malay language, read my quote post. TQ

QUOTE
Hi to all insurance agents out there..  Tidak kira la dari Preudential, Takaful, AIA, Great Eastern and others.

Hari ini saya mahu beritahu sedikit. I'm currently working at Private hospital in Billing Department.

Dear agent, masa you promote your medical card to your client, please inform awal awal  pada mereka apa yang polisi you cover like jenis penyakit yg macam mana, jenis ubat yangg macam mana, give the details to your client/customers.

If your client took the insurance that cover all of them, then it's okay, no problem, tapi kalau mereka yang tidak tahu dan tiba tiba ada ubat atau penyakit tu insurans yang mereka ambil tu tidak cover, end up mereka kena bayar, tidak pasal pasal kami pula yangg dituduh mengenakan bayaran mahal disebabkan mereka terpaksa bayar sejumlah wang bagi ubat atau penyakit yangg insurans mereka tidak cover.

Dan saya sering diajukan dengan soalan, eh kenapa pula tidak cover? Kalau tidak cover ,kenapa ejen saya tidak beritahu saya pun? See? Nampak tidak???

AGENT TIDAK BERITAHU. PENTING YA WAHAI EJEN2 sekalian untuk MEMAKLUMKAN APA YANG POLISI ANDA TAWARKAN.

Tidak guna mereka ambil medical card tu kalau tidak berfungsi. Dan yang lebih kasihan, insurans mereka yang declined.

Macam kes saya petang tadi, patient pasangan suami isteri, mereka terlibat dalam kemalangan, dan tiba masa finalize bill mereka, insurans declined. Datang mahu bayar dengan saya, mereka hanya mampu bayar RM400. So apa tindakan hospital kepada mereka?

Patient terpaksa la sign surat jaminan untuk lunaskan bayaran sendiri secara tunai sebelum tarikh yang ditetapkan, kalau tidak terpaksa la berdepan dengan tindakan undang undang ..


Medical card memang penting, tapi adalah penting juga pengetahuan client utk ambil tahu apa polisi insurans tu cover, dan adalah penting juga utk ejen beritahu secara details mengenai polisi yg mereka tawarkan. Jangan hanya kejar komisen, keuntungan semata, tapi ingat, polisi yang anda tawarkan adalah jaminan utk client anda dan juga memudahkan urusan pihak hospital juga.


https://www.facebook.com/shoei.cikin/posts/...262?pnref=story

This post has been edited by cringe: Oct 26 2017, 11:08 PM
lifebalance
post Oct 26 2017, 11:56 PM

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QUOTE(cringe @ Oct 26 2017, 11:04 PM)
Any Insurance Agent in this thread would like to explain this situation?
Accident doesn't covered 100%?

My batchmate posted this in her Facebook post

user posted image

If you don't understand her Malay language, read my quote post. TQ
https://www.facebook.com/shoei.cikin/posts/...262?pnref=story
*
I'm not saying what she posted is wrong neither am I saying she is right because this is really one sided story because she assuming all insurance policy are given the same condition / benefits without knowing what is covered behind the policy.

Her accusation on trying to generalise all insurance agent are out to make money again. It's akin to saying all Chinese are dirty just because they don't wash their bottom after doing their business.

Again I'm not going argue with you on what she said is right or wrong but I just feel that it's uncalled for to give general allegation just because she works in some private hospital billing department which makes her to right to open accuse everyone in the industry. Again she's trying to create an awareness but trying to pull down the industry is not going to do her good as well.

Firstly does she know what is behind every patient Insurance policy whenever they want to make a claim and waits for the guarantee letter to be issued?

Secondly,
Is she able to publish evidence that all patient as you claim 100% are rejected for accidental claim with the hospital she works with? If not, where is she getting all these info to say so? Does she know what she say can be used against her for the accusation?

Again let me emphasise that if a person wants to bring up a case, make sure its back up with proper evidence of statistic. Not just because of 1 to 2 cases, then we acknowledge that everyone is facing that problem.







ckdenion
post Oct 27 2017, 12:01 AM

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From: Wangsa Maju, KL



QUOTE(cringe @ Oct 26 2017, 11:04 PM)
Any Insurance Agent in this thread would like to explain this situation?
Accident doesn't covered 100%?

My batchmate posted this in her Facebook post

user posted image

If you don't understand her Malay language, read my quote post. TQ
https://www.facebook.com/shoei.cikin/posts/...262?pnref=story
*
when it comes to claims, definitely will have cases like that. perhaps agent mis-selling.

first thing first, what are the plan bought by the patient/client. really need to check properly. i do come across friends that thought their insurance covers medical bill. end up after going through policy, it is not as what its promised. if there is any case that your friend need help (provided can reach out to the patient and call to the insurance company to ask clearer together), im willing to help.

lately settled a case for my friend whereby her agent submit her claim get rejected. asked me to check her case and bring her to company to submit the claim again. Claim is then approved and received. smile.gif
cringe
post Oct 27 2017, 07:35 AM

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QUOTE(lifebalance @ Oct 26 2017, 11:56 PM)
I'm not saying what she posted is wrong neither am I saying she is right because this is really one sided story because she assuming all insurance policy are given the same condition / benefits without knowing what is covered behind the policy.

Her accusation on trying to generalise all insurance agent are out to make money again. It's akin to saying all Chinese are dirty just because they don't wash their bottom after doing their business.

Again I'm not going argue with you on what she said is right or wrong but I just feel that it's uncalled for to give general allegation just because she works in some private hospital billing department which makes her to right to open accuse everyone in the industry. Again she's trying to create an awareness but trying to pull down the industry is not going to do her good as well.

Firstly does she know what is behind every patient Insurance policy whenever they want to make a claim and waits for the guarantee letter to be issued?

Secondly,
Is she able to publish evidence that all patient as you claim 100% are rejected for accidental claim with the hospital she works with? If not, where is she getting all these info to say so? Does she know what she say can be used against her for the accusation?

Again let me emphasise that if a person wants to bring up a case, make sure its back up with proper evidence of statistic. Not just because of 1 to 2 cases, then we acknowledge that everyone is facing that problem.
*
If the customer having some critical illness that doesn't covered, I still can accept it, but the person involved in ACCIDENT. Something that people can't avoid it want to involve in it.

So that's why I'm quite curious to know is it true or not that when person is involved in accident, the insurance doesn't covered everything.
Ewa Wa
post Oct 27 2017, 10:44 AM

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QUOTE(Mahao @ Oct 26 2017, 06:23 PM)
Question:

Can someone with autoimmune disease buy medical card? I know there will be exclusion but to what extent? Or does it mean that someone will not be able to safeguard themselves from critical illness due to the nature of the disease?

Experienced agent kindly advise, would appreciate them a lot. Thank you.
*
There are few types of Auto Immune eg: SLE? Panniculitis? and is the person still under medication and treatment? If still under medication then medical card application will likely declined. If fully recovered for few years subject to approval.

This post has been edited by Ewa Wa: Oct 27 2017, 10:48 AM

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