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 Insurance Talk V4!, Anything and everything about Insurance

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meme00
post Sep 28 2018, 03:06 PM

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Hi all,

I'm looking for medical insurance primarily and potentially life insurance
Which company has the best medical insurance coverage overall?
lifebalance
post Sep 28 2018, 03:35 PM

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QUOTE(meme00 @ Sep 28 2018, 03:06 PM)
Hi all,

I'm looking for medical insurance primarily and potentially life insurance
Which company has the best medical insurance coverage overall?
*
There is no best, only the right policy that suits your need after knowing that you need to cover for yourself
wongmunkeong
post Sep 28 2018, 03:57 PM

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QUOTE(jinchuan815 @ Sep 27 2018, 05:05 PM)
recently i have 2 quotes from 2 different insurance company (name: P and G) for my 1-year old baby girl. surprisingly there is a big different on the quotation and i am checking with the agent (G) on some of those question.

Just to ask si fu here, is the quote below suspicious:
P: life 100k, TPD 100k, critical illness 100k (200k after life assured reaches age 25). No medical card. Total premium RM200/mth, which RM50 will be allocated to investment linked account.

G: Life 500k, TPD 500k, critical illness 500k. No medical card. Total premium RM250/mth

(ok i edited the cash rebate as it should not be the focus)
*
er.. serong / off tangent a bit ar..
those are life, dread disease & disability insurances for your baby girl? not medical & hospitalization?

If so, can share the reason(s) for covering life, dread disease & disability instead of covering the risk of medical & hospitalization cost?
Just worried i may have missed something in covering my kids coz i've no life insurances on them / not much - forced to have a bit of life insurance but majority is skewed to medical.
cherroy
post Sep 28 2018, 04:55 PM

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QUOTE(wongmunkeong @ Sep 28 2018, 03:57 PM)
er.. serong / off tangent a bit ar..
those are life, dread disease & disability insurances for your baby girl? not medical & hospitalization?

If so, can share the reason(s) for covering life, dread disease & disability instead of covering the risk of medical & hospitalization cost?
Just worried i may have missed something in covering my kids coz i've no life insurances on them / not much - forced to have a bit of life insurance but majority is skewed to medical.
*
Kid doesn't need a life insurance.
Life insurance is for the financial pillar of the family, whereby you insured against the loss of financially if the bread winner died or cannot generate income to the family.
This is a life insurance for.

lifebalance
post Sep 28 2018, 04:59 PM

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QUOTE(cherroy @ Sep 28 2018, 04:55 PM)
Kid doesn't need a life insurance.
Life insurance is for the financial pillar of the family, whereby you insured against the loss of financially if the bread winner died or cannot generate income to the family.
This is a life insurance for.
*
hmm.gif well I beg to differ though, there are so many stories of kids getting cancer and other health complications and their parents crying for donation in the papers.

Medical insurance is still important for a kid.
cherroy
post Sep 28 2018, 05:14 PM

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QUOTE(lifebalance @ Sep 28 2018, 04:59 PM)
hmm.gif  well I beg to differ though, there are so many stories of kids getting cancer and other health complications and their parents crying for donation in the papers.

Medical insurance is still important for a kid.
*
Read my statement properly.
Life insurance is needless for kid.

Even if you have 1 mil life insurance, life insurance is not going to pay a single cent for those medical bill.

lifebalance
post Sep 28 2018, 05:18 PM

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QUOTE(cherroy @ Sep 28 2018, 05:14 PM)
Read my statement properly.
Life insurance is needless for kid.

Even if you have 1 mil life insurance, life insurance is not going to pay a single cent for those medical bill.
*
I understand what you mean, however life insurance term kind of overlap with an overall life insurance coverage including medical card and other benefits, would be good to spell out as "death/permanent disability benefit" otherwise people would just assume that their kids don't need any life insurance.
kok_pun
post Oct 1 2018, 11:13 PM

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Kids do not need life coverage.

To the parents the lose of a child wouldn’t cause them to suffer financially albeit some funeral expenses (which would be a one-time cost)

But kids need 36 critical illnesses coverage. Should one of the critical illnesses befall on the kid, one of the parents need to leave their position to take care of the kid full time. Hence, it is important to buy this after medical insurance.
MUM
post Oct 1 2018, 11:19 PM

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Parents needs 36 illness more than kids.... Should one of the critical illnesses befall on any one of the parent, one of the parents need to leave their position to take care of the spouse full time, house and kids daily routines. Hence, it is important to buy this after medical insurance.....

which one of the age group got more chances of having one of the 36 illness?

mktan78
post Oct 3 2018, 01:20 PM

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QUOTE(:3mushy:3 @ Sep 18 2018, 10:13 AM)
I've always thought that I don't have to reasonably  worry about medical as long as I'm employed, and just pay for life insurance. Of course, the company's insurance coverage is pretty extensive.

I'm looking for other opinions on this matter.
*
Employer medical insurance will cover preexisting conditions?
What if one decide to change job, will this cause more reasonable worries than peace of mind?
Or, stay employed with same employer for sake of medical insurance coverage?
Then, what happen when retire, no need medical insurance protection at age 55 etc ?
If employer (one still stay employed with same company) decide to change insurer, what is the impact to insurance coverage especially under preexisting conditions ?

GE sifus,

For GE SmartMedic Xtra, NB, was told by agent that for first 2 years, no cashless benefit, e.g. any medical claim has to be via "pay first, claim later".

Is this true ? I'd yet to receive policy, so unable to ascertain if this is mentioned in the contract.

GE sifus,

Also, let say GE SmartMedic Xtra, assuming opted SMX200 with R&B RM200, was told that should during admission we opted for room & board exceeding RM200 (let say upgrade to a room more than covered by insurance entitlement), then it's not about paying the "excess" of the covered RM200 under SMX200 but it'll incur co-insurance of 20% of total-bill including post-hospitalization treatment (also subjected to co-insurance of 20%), is this true ?

This post has been edited by mktan78: Oct 3 2018, 01:46 PM
Ewa Wa
post Oct 3 2018, 04:46 PM

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QUOTE(mktan78 @ Oct 3 2018, 01:53 PM)
GE sifus,

For GE SmartMedic Xtra, NB, was told by agent that for first 2 years, no cashless benefit, e.g. any medical claim has to be via "pay first, claim later".

Is this true ? I'd yet to receive policy, so unable to ascertain if this is mentioned in the contract.
*
Not all admission GL (Guaranteed letter) will be declined. If declined then customer will need to pay the medical bill 1st. Then reimburse later. Why declined bcoz company has the right to do the investigation to make sure the illness was happened after the 120days waiting period. Pls get more advice from ur agent regarding the waiting period.

The waiting period applied to all insurance companies.

Thankyou.

QUOTE(mktan78 @ Oct 3 2018, 01:58 PM)
GE sifus,

Also, let say GE SmartMedic Xtra, assuming opted SMX200 with R&B RM200, was told that should during admission we opted for room & board exceeding RM200 (let say upgrade to a room more than covered by insurance entitlement), then it's not about paying the "excess" of the covered RM200 under SMX200 but it'll incur co-insurance of 20% of total-bill including post-hospitalization treatment (also subjected to co-insurance of 20%), is this true ?
*
Not true, excess room and board pls pay the room different only.
mktan78
post Oct 3 2018, 05:13 PM

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QUOTE(Ewa Wa @ Oct 3 2018, 04:46 PM)
Not all admission GL (Guaranteed letter) will be declined. If declined then customer will need to pay the medical bill 1st. Then reimburse later. Why declined bcoz company has the right to do the investigation to make sure the illness was happened after the 120days waiting period. Pls get more advice from ur agent regarding the waiting period.

The waiting period applied to all insurance companies.

Thankyou.

*
Sorry, this was for New Born (baby). Will the waiting period be longer than 120-days e.g 730 days (2-years) ? Was told, for first 2-years of the baby's age, proceed to pay-first claim later.
bamuti
post Oct 3 2018, 08:12 PM

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Hi. I got my new medical insurance in end jun 2018. The waiting period is 120 days which is end oct 2018. I just got diagnosed with cancer. I know the new insurance will not cover my treatment since it was diagnosed during waiting period. I have my old medical card that I can use for this treatment. My question is will the new insurance be void or called off by insurer since I got critical illness during waiting period ? Will I be fully covered after 120 days by new insurance although I got cancer during waiting period ?

Appreciate expert answer since I do not wan to waste money on new policy only to be void in future. Thanks
lifebalance
post Oct 3 2018, 08:26 PM

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QUOTE(bamuti @ Oct 3 2018, 08:12 PM)
Hi. I got my new medical insurance in end jun 2018. The waiting period is 120 days which is end oct 2018. I just got diagnosed with cancer. I know the new insurance will not cover my treatment since it was diagnosed during waiting period. I have my old medical card that I can use for this treatment. My question is will the new insurance be void or called off by insurer since I got critical illness during waiting period ? Will I be fully covered after 120 days by new insurance although I got cancer during waiting period ?

Appreciate expert answer since I do not wan to waste money on new policy only to be void in future. Thanks
*
since this is a new policy, you should declare it to the insurance company and get their opinion
Play247
post Oct 3 2018, 11:04 PM

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Asking on behalf of a relative here, she is a 25 year old non smoker lady. She was diagnosed with mental health issue i.e. Schizophrenia two years back. Is she still eligible for any medical card in the market now or is it too late for her to get one? No other health issue besides that
egapz
post Oct 4 2018, 07:43 AM

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Hi, I think I need LYN members to help me out with this case. 2 days ago, my child was admitted (because of acute bronchitis) to a private hospital, which is one of the many Prudential's panel hospital. I bought this policy end of July 2018.

Before my child was admitted, I contacted my agent to double confirm whether my child was eligible to use the medical card. The agent mentioned many times it has been more than 30 days since the waiting period is over. So without any hesitation, I registered my child at the admission counter.

The medical card was declined. So, I just proceeded with registration anyway because of my child's condition. I told my agent what was going on and she was clueless for a moment. I, of course was not happy with this situation.

Later that day, she called me back and informed that there is this policy of 90 days investigative period (??????). The insurance company needs to see and screen this case before proceeding to claim. (Why was I not informed by the agent before this? is she not a competent agent?)

I called the customer care line, (let's call him Paul), Paul said my child's policy is not under Hospital Alliance whereby the policy needs to be at least 90-day old in order to use the medical card. If it's still under 90 days, and more than 30 days waiting period, I can reimburse the claim.

So, my questions here are:

1) Is my agent competent? It seems that she is clueless what is going on.

2) Maybe Paul is not competent?

Any Prudential insurance agent can give some feedback on this matter? Thank you.




lifebalance
post Oct 4 2018, 09:41 AM

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QUOTE(Play247 @ Oct 3 2018, 11:04 PM)
Asking on behalf of a relative here, she is a 25 year old non smoker lady. She was diagnosed with mental health issue i.e. Schizophrenia two years back. Is she still eligible for any medical card in the market now or is it too late for her to get one? No other health issue besides that
*
Can't say much since it's a mental disorder, you could ask her to apply for the insurance and see what the insurance company has to say.

QUOTE(egapz @ Oct 4 2018, 07:43 AM)
Hi, I think I need LYN members to help me out with this case. 2 days ago, my child was admitted (because of acute bronchitis) to a private hospital, which is one of the many Prudential's panel hospital. I bought this policy end of July 2018.

Before my child was admitted, I contacted my agent to double confirm whether my child was eligible to use the medical card. The agent mentioned many times it has been more than 30 days since the waiting period is over. So without any hesitation, I registered my child at the admission counter.

The medical card was declined. So, I just proceeded with registration anyway because of my child's condition. I told my agent what was going on and she was clueless for a moment. I, of course was not happy with this situation.

Later that day, she called me back and informed that there is this policy of 90 days investigative period (??????). The insurance company needs to see and screen this case before proceeding to claim. (Why was I not informed by the agent before this? is she not a competent agent?)

I called the customer care line, (let's call him Paul), Paul said my child's policy is not under Hospital Alliance whereby the policy needs to be at least 90-day old in order to use the medical card. If it's still under 90 days, and more than 30 days waiting period, I can reimburse the claim.

So, my questions here are:

1) Is my agent competent? It seems that she is clueless what is going on.

2) Maybe Paul is not competent?

Any Prudential insurance agent can give some feedback on this matter? Thank you.
*
seems to me that your child has a history/pre existing illness in the area that you've mentioned. Whether it was declared or not and what was underwritten between you and the insurance company is not mentioned so I shall not comment out of assumption until you describe the story.

with regards to your claims, it seems your scenario happened while the new policy is within the cooling off period so probably that's the reason why your claim was rejected.

You should check again with your agent / insurance company on this on how to proceed further
TSroystevenung
post Oct 4 2018, 10:52 AM

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QUOTE(egapz @ Oct 4 2018, 07:43 AM)
Hi, I think I need LYN members to help me out with this case. 2 days ago, my child was admitted (because of acute bronchitis) to a private hospital, which is one of the many Prudential's panel hospital. I bought this policy end of July 2018.

Before my child was admitted, I contacted my agent to double confirm whether my child was eligible to use the medical card. The agent mentioned many times it has been more than 30 days since the waiting period is over. So without any hesitation, I registered my child at the admission counter.

The medical card was declined. So, I just proceeded with registration anyway because of my child's condition. I told my agent what was going on and she was clueless for a moment. I, of course was not happy with this situation.

Later that day, she called me back and informed that there is this policy of 90 days investigative period (??????). The insurance company needs to see and screen this case before proceeding to claim. (Why was I not informed by the agent before this? is she not a competent agent?)

I called the customer care line, (let's call him Paul), Paul said my child's policy is not under Hospital Alliance whereby the policy needs to be at least 90-day old in order to use the medical card. If it's still under 90 days, and more than 30 days waiting period, I can reimburse the claim.

So, my questions here are:

1) Is my agent competent? It seems that she is clueless what is going on.

2) Maybe Paul is not competent?

Any Prudential insurance agent can give some feedback on this matter? Thank you.
*
If it is over 30 days and below the 90 days, the admission is based on reimbursement basis, whereby the client need to pay and file claim. After 90 days the admission can be via Guarantee Letter.

So keep all the original receipts, tax invoices, discharge summary & medical reports. Paul is right.

This post has been edited by roystevenung: Oct 4 2018, 10:54 AM
egapz
post Oct 5 2018, 10:52 AM

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QUOTE(roystevenung @ Oct 4 2018, 10:52 AM)
If it is over 30 days and below the 90 days, the admission is based on reimbursement basis, whereby the client need to pay and file claim. After 90 days the admission can be via Guarantee Letter.

So keep all the original receipts, tax invoices, discharge summary & medical reports. Paul is right.
*
Thank you for the input and reaffirmation Roy. Appreciate it very much.
SwarmTroll
post Oct 6 2018, 03:55 PM

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My current life insurance has a quarterly premium of RM180, and a payout of RM50K. Does this sound overpriced or could perhaps do better?

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