Seriously, please stop comparing products in this forum as it only leads to useless debates.

As I had mentioned before, if you do not represent that company, you do not know how the company operates, the latest offering, the detail of the product, how the payout is going to be, what benefits it offers and much more.

Therefore, you are not in the position to comment on the product and even worse, comparing an apple to orange and say apple is better...

As a professional agent, is it your job to bash other company product or is it your job to help your prospect get the proper insurance to help him/family in time of needs?

People buy insurance from you because of your professionalism, period.

Yes of course as the rider may be needed to cover other risk/perils.

For example, the recent flood that occur, many houses does not have flood perils extension and therefore unable to claim under the contents insurance.

Case in point is not having a medical rider or accidental reimbursement rider and when accident occurs, nothing is paid to the assured.

Yes it is an added commission to the agents, but insurance is more about need based selling to cover certain risk.

PruBSN Takaful Funds

What nonsense is this, pay annually can have more cash value? Seriously that agent needs to back up his claims with facts.

No, there is no such guarantee that paying yearly can have more cash value in ILP as it depends on the underlying fund prices and the number of units bought at the time the premium is paid.

For the ILP the agent who ask you to pay annually because it secures his commission for the year and very rarely have to worry about you not paying the premium promptly, that is all.

For convenience sake, it is advisable to restrict the claims to one insurer and best option is to UPGRADE the existing medical card and not maintain 2 medical cards.

Unless during the application for upgrade, the client has other health issues which may impose Exclusion. Then it is recommended to have 2 cards. If not, best to stick to one card.

Handling of the claims with second insurer can at times be mind boggling as the second insurer will require the exact medical reports which were submitted directly to the first insurer. Ding dong here, ding dong there, which causes delay in paying the claims.

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Here is a claims scenario that you may want to consider as well...

Assuming that the first card comes with an annual limit of RM50K, while the second with RM50K deductible and RM1M limit and the surgery costs RM80K.

Since the first card is only able to provide Guarantee Letter up to RM50K, upon discharge, the client is required to pay in cash RM30K and using the original receipt, Letter of Settlement (from 1st insurer) & hospital medical reports, file a claim from the second insurer.

If both cards were from the same insurer, then it is possible to seamlessly have the second medical card to cover the hospital charges variances without having the client to fork out his own money.

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Another point to consider when getting the second medical card with high deductible is some coverage clauses. For example, older medical cards after 2003 for Cancer Treatment & Kidney Dialysis are known to Exclude Take Home Drugs, Long Term Medication and Consultation Charges (THD, LTM & CC).

If it is married together with a second medical card with say RM50K deductible, even though the second medical card do cover the THD, LTM & CC, the total Cancer claim will have to Exceed the RM50K deductible before the above can be claimed.

This post has been edited by roystevenung: Jan 3 2018, 02:05 AM

Only the receipt submitted for claims required to be original. The rest can be photocopy or certified true copy, depending on the insurer SOP.

A "pre-existing illness" is defined as an illness or medical condition that has existed before you take up the insurance.

In the above example, since you already have the insurance then it is not considered as a pre-existing illness.

Example of Pre-Existing Illness

Mr. A had a medical insurance (A) since 2007 and had an accident in 2008. A metal implant was inserted for broken leg.

In 2009 he took up a another personal medical insurance (B) and wanted to be admitted to remove the metal implant using medical insurance (B). Claims using medical insurance (B) is declined citing pre-existing illness.

He may however claim using his medical insurance (A).

This post has been edited by roystevenung: Jan 31 2018, 04:30 PM

Refer to the policy book on brain surgery. If it fits the description in the 36 CI then you should try to file a claim.

If it is a benign tumor and bur hole surgery is performed, then it may not fit the 36 CI description.

Since it has been two years, its hard to say whether it is claimable. The doctor that performed the surgery may need to fill up the CI claim form.

Why was it being rejected? The insurer will not just decline the case without any justification.

The real question is do you plan to cover the medical for your mum beyond the age of 70?

Most insurer in Malaysia is unable to accept application when a person reaches the age of 70.

CI pays to you, not your beneficiaries

Yes, credit card form. Details of the credit card holder as your spouse, while the policy details is yours.

The form can be downloaded from << HERE >>

You can then scan and email the form to Prudential Customer Service Email together with a copy of IC of Credit Card Holder (Both sides)

Of course everyone is supposed to worry about future insurance charges as it will affect the policy sustainability and longevity.

Whether the cash value is able to cover future insurance charges, i personally say no if the policy is loaded with many riders.

When one buys insurance based on "needs" one can see more clearly on the areas that needs insurance risk management.

For example death/disability sum to cover for child support, expenses, loans and when we no longer need the coverage, it can be reduced or even cancelled when we are retired or is free from these commitments/ responsibilities.

It would also help if you as an "investor" monitors the cash values of the policy and take necessary steps (switching/redirect/top up) to at least ensure that the cash values is on par with the projected cash values.

Let us not forget that most medical plans nowadays covers till age 100 (not 70) so long the insurance charges is able to be paid.

It is to be planned upfront and definitely NOT when we are retired.

Having said that, it doesn't mean that you need to "invest" in insurance but rather you can diversify your investment portfolio (stocks, properties, reits etc) so that it can cope with the future cost of insurance.

Most insurer provides a brochure with future insurance charges (not guaranteed) which can act as a guide.

Hope this helps

This post has been edited by roystevenung: May 3 2018, 02:59 AM

Both are equally the same if you only want it to serve one purpose, medical insurance.

However, do note that most insurer nowadays give more attention (add on/upgrade/revision) to medical rider that is attached to the ILP. The standalone medical plans seems stagnant and not much revision (except for the insurance charges of course).

You may want to consider to have a medical card with a high deductible to supplement to your existing card (to save cost).

That being said, it is better to have an agent to go through your existing medical card and advice the pros and cons on having a high deductible as a supplementary card. A RM20K or RM50K deductible on the second card may see a savings of up to 50% of the premium.

If you don't mind my asking, what was the hospitalization all about 8 years ago? Please state the actual diagnosis if known.

I see. As the Doctor had mentioned, it may occur again. Even if it had been declared 8 years ago, there will be an Exclusion added to the policy, which means it is not claimable.

Of course if it is declared (resulting in an Exclusion), and the problem was resolved say after 2 years (or more, depending on the severity of the problem), one may apply to remove the Exclusion (subject to approval based on the evidence at hand).

If the removal of the Exclusion is done, then the insurer should respond to the claim.

Anyway, back to your case, the Deferred GL does not mean that the claim is rejected. It only means that further investigation may be required. Just wait for the result of the investigation before deciding what to do next.

It is kind of misleading as even in whole life insurance plan, the interest/dividend/cash values is not guaranteed as it is subject to the insurer company performance. It is more of an idea for sales people to sell life insurance.

New medical card (PruMillion Med, PMM) from Pru has RM1.38m annual limit with no lifetime limit. You may contact your servicing agent on this.

One of the advantage of upgrading from your old medical card is that it does not have any waiting period. However since the PMM has just been launched last week, the upgrading will need some time for existing customers.

Yes, just launched last week.

A minimum of 14 weeks to a maximum of 35 weeks into pregnancy

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