Hei sifus. Got some nubz questions.

1. For medical insurance (let's say personal, not company one), if let's say I have some reason to see specialist, do we just walk in n see? Or does it need referral from normal clinic first ? Example if suddenly stomach\abdomen severe pain.

2. What do you think of AIA H-Maximizer?. I think it's a medical insurance (not critical Illness insurance). Premium quite low. Trade off is the huge deductible for hospital admissions. Premium rm500 annual. Each admission ownpay 10k before start claiming remaining bill. 1mill lifetime coverage. 300k annual coverage.

3. What do you think of getting only medical insurance(for big treatment cost), not getting critical Illness lump.sum coverage ?

4. When agent say outpatient claims are pay n claim, does this mean walk in consultations n check up? Or its only the post n pre treatments for hospitalization admission?


Thank you for any answers.

For item number 4, outpatient bills only can claim if got admitted right? And diagnosed with problem.


Also. Normally, insurance premium will it increase with age until 80years old ? Like maybe when 70.80 years old the premium is 10k per year. While nowat 30s it is 3k per year

Hi sifu.

I tally up AIA H-Maximizer tat has a premium schedule thats increasing every 5 or 10years, till 80 years old. 30 years old rm600 per year. 80 years old rm16k per year.
Total premium paid according to that table from 30years old to 80 years old is around 220k.
It has deductible(quite high) , no co-payment.
Annual limit 300k. Lifetime 1mil

Then my other friend is using Prudential, with medical, life, and 36 critical illness. Rm288 per month till 70 or 80 years old.
Tally up.rm288 till 80 years oldnits rm170k.
Annual limit 1 mill.
Lifetime 1 mill.



How come the one with life, 36 illness and medical overall is cheaper than the one with only medical ? I don't kinda understand.

Hi all Sifus,

Nubs here got 2 stuff to ask.
Stuff (A)
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1. Employee Medical Plan (AIA), policy states that outpatient GP(Clinic) is covered cashless. Also if referred to outpatient SP(Hospital Specialist), also covered.
2. For pay and claim process, suppose to pay first, then submit e-claim later.
3. My colleague was unwell for long time(prolly half a year? lethargic, fever, heartache etc), then went to clinic few times, still cant cure, then referred to hospital.
4. Pantai hospital ran diagnostics(many tests) (no admission), and etc but ntg conclusive.
5. Got second opinion at outside clinic, and found abit diff stuff, then referred to Gleneagles hospital
6. Gleneagles ran extensive tests too. no admission
7. Found some hereditary gene stuff, not fatal, as long as jaga and take care of health.(not really sure)
8. Submitted claims to AIA.
9. Pantai stuff all claimed.
10. Gleneages stuff got declined with reason - no original receipt(there was invoice)
11. Submitted original receipt
12. Again got declined with reason - no hospitalization proof


??? Why hospitalization? This is stated in policy clearly as company aia employee benefit. Pay rm20 cost, the rest claim back..... is this normal that insurance will die die make you run 10 miles around?
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Stuff (B)
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Going to put a Prudential plan here by an agent i met not so long ago. I am 29 years old non smoker. Any comments?

Package with ILP
PRUMillion Med - rm1.38 million annual renew, unlimited lifetime, rm 300 deposit non refundable upon admission
Term Life/Disability - rm50,000
CI 36 - rm50,000
Accidental Death - rm100,000

Monthly Premium - rm238
===========================================================

the agent said

one is for death/disability. the other is if death due to accident then get extra. is that true?

A) erm…. company insurance document from aia say can cover specialist outpatient if got referral letter from clinic.... so as I understand it.... no need for admission....

Erm....
Honestly... I always think that term life is for dependents. If I don't have dependents.... I feel it is optional....
I feel CI is much more important to me.

However. I'm abit reluctant to get more. As I am reading cases of declines and etc.
If I sink a high premium high coverage but when needed is subject to company whims..... Im scared.

Or should I not?

Because a premium of a few hundred bucks every month is not within my budget. So revise down and plan to upgrade later for tpd increase coverage.

At least that's the plan.... .. .

Nope, open. LOL

Hmm

After reading the posts above. A question.
What if my monthly finances currently do not allow me to pay a premium that would have the suggested coverage of 10x annual. And etc.? What should I choose.?

I can only pay for coverage maybe just 1x annual income. . . . .

Hi,
Any comments on Tokio marine as an investment linked life\36ci\medic insurance ?
As compared to Prudential ?

Purely from a company standpoint.
Assume both agents are superb.

This post has been edited by IvanWong1989: Dec 10 2018, 11:34 PM

Another nubz question.
Thank you all for answering my insurance doubts and QQ

Hmm. For coveragea and plan upgrades , is it really an upgrade whereby existing policy remains in effect. Coverage increases. And no waiting period needed.
And illness covered will be the same as existing policy.

Ummmm..I am not sure what upgrade means?

Curious,.... can medical cards be used in Government Hospitals? (When I search for their panel list, it doesn't have the Government Hospitals listed...)

Hi, is early CI important?
The reason I'm asking is because Prudential new ILP plan Pruwith you can't add that rider .

N thinking about this factor ....