Welcome Guest ( Log In | Register )

Bump Topic Topic Closed RSS Feed

Outline · [ Standard ] · Linear+

 Insurance Talk V4!, Anything and everything about Insurance

views
     
flintbatu
post Aug 1 2017, 11:58 AM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
Hi sifus,

Would appreciate kind advise on my situation

Male, 48 years old, non smoker, class 1 occupation

Current plan:
Prudential medical card participating
Board RM150
Annual limit: 50k
Lifetime limit: 1 mil
Deductible: RM300

Life: 50k
CI: 40k (early crisis defender) , 40k (late stage)

Current premium: RM290

I was offered to upgrade to no lifetime limit, annual limit of 1 mil and others remains the same with additional payment of RM110 (up to 80 years old) and another option to 70 years old at RM80.

My question is that any difference between 70 and 80 years limit besides the cost? Any input would be appreciated.

Thank you in advance.


flintbatu
post Aug 1 2017, 01:47 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(JIUHWEI @ Aug 1 2017, 12:29 PM)
Just take it. Up to age 80.
*
Thanks Jiuhwei for the prompt advise.

You mean that even if I choose the plan up to 70 years, which I can save RM30/month, it's still better than the plan up to 80 years old?
flintbatu
post Aug 1 2017, 01:49 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(lifebalance @ Aug 1 2017, 12:02 PM)
You're basically doing a top up on your policy to ensure your policy is able to sustain until 80 years old with that additional funding

Which may or may not depending on the fund performance return as well as increasing cost of insurance in the near future.

There is no difference besides the cost for age 70 and 80.
*
Keith,

Once again you're a life savior and being kind with your response/advise.

Even if I take the 70 years old plan, it's advisable not to take the 80 years old plan? Any cons in doing so as I can save RM30/month. Thank you
flintbatu
post Aug 2 2017, 10:43 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(ckdenion @ Aug 2 2017, 01:13 AM)
reply above! wink.gif
*
Thank you so much. It's clearer now!

QUOTE(kok_pun @ Aug 2 2017, 06:32 PM)
It's a steal. Go for it.
*
Thank you so much. Appreciate it.

QUOTE(MONICA88 @ Aug 2 2017, 10:45 AM)
The extra of RM 30 is to cover the higher medical card cost for 71-80 years old
I will advise you to cover up to age 80.this is because the life expectancy for male is 75 and female is 78.furthermore if you choose until 70 years old.later when you are 70 years ols,you are not able to extend again to 80 years old.
*
Thank you Mimi for the advise. Would get the 80 years old plan.
flintbatu
post Aug 4 2017, 04:15 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(Jesse1889 @ Aug 3 2017, 04:47 PM)
HI There,

yours plan may be is Pru Flexi Med.

1. it is advisable to upgrade to unlimited annual limit and lifetime limit which are 1 mil, 1.5 mil, and 2 mil  subjected to your health condition is good.

2. Second option, you can add a 2nd medical card with 20,000 deductible while remain the same Pru Flexi Med.

There are some difference and no difference between 70 yrs old and 80 yrs old.
1. the similiarity is : both medical insurance charges at the age of 70 and 80 is same.
2. the difference : the premium for 80 years old might be a few ringgit higher compare with 70 yrs. so, it gathers more saving. 
however, both of these two points on above I advice to opt for 80 yrs old because the cash value at 80yrs old is much more higher than 70 yrs old. hence, it will extend the medical card period until age 80 yrs old.
[attachmentid=9014428]
*
Hi there,

Thank you so much for the explaination. It's so much clearer now. The premium for 80 years old is substantial, but looking at your illustration, a better choice.

As for the second option, I'm not sure whether getting a second card will save me some money. Actually, I'm in a dilemma as I know my 50k on life/TPD and 40k + 40k Critical illness is not giving me the protection should anything happened to me. If I do upgrade to 80 years old (RM110) and upgrade my life to 100k (RM12 x 5), then I'm looking at a monthly premium of RM290 + RM170 which would be a burden!

Unable to decide really!!!
flintbatu
post Aug 4 2017, 04:19 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(JIUHWEI @ Aug 3 2017, 11:14 AM)
Not to say better or not.

But the fact is that between 60-80, that's when people usually retire and discover all sorts of conditions that require medical attention.

So I am encouraging you to take up the longest possible you can get.

That being said, yes, there are plans that covers up to age 100 in the market now.
However, it will cost you quite a bit to take it up as a new application.
If cost is a factor, then just take up to age 80.
*
Hi there,

Once again, thank you for the advise. Point taken and it looks like 80 years old is the way to go!!

Appreciate it.
flintbatu
post Jun 17 2018, 04:46 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
Dear all,

I am facing a serious problem with my medical insurance policy and hope someone can give me advice on this matter. My insurance agent didn’t disclose I had an operation about 8 years ago. Last 2 weeks, I was hospitalized for two days and the insurer refuse to issue a GL since the doctor mentioned that it had something to do with my previous hospitalization (I went to the same hospital and there had all my record). My agent is going to submit a claim and if the insurance company still reject based on non disclosure, he will submit an appeal. I have doubt that my claim would be entertained by the Insurance company. I have being paying for 8 years for this policy and I have bought also a policy for my kid where I am the payor. Currently, I am paying RM450 for my insurance and another RM190 for my kid Insurance. Can anyone provide me with suggestions of what to do now. I am already 49 years old and is very worry now. Thank you in advance.
flintbatu
post Jun 17 2018, 06:51 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(lifebalance @ Jun 17 2018, 05:34 PM)
Since it's a non-disclosure and there is evidence that you've been hospitalize for the same treatment, then the insurance company have all rights to reject your claim on the ground of non-disclosure.

However, as for your child's policy, it won't be affected in anyways, however, if there is a waiver premium rider, it'll be affected if your operation is related to cause Death/TPD or 36 Critical Illness.

Chances are for your existing policy will be reviewed by the insurance company and may put exclusion on the operation related part. Or they may void the policy totally.

Which is why it's important for you to disclose all possible information before you apply for the insurance.

All the best.
*
Keith,

Thank you for the advise. I know my situation is not at all great. Whatever not disclose by my agent is academic now. I am looking at other option beside continuing with my existing policy and my kid too. Can I get another insurance policy?

I am in a dilemma as I believe my option is limited with my advancing age. I am going to lose out much if I surrender my policies now. Any other advise?

Thank you in advance




flintbatu
post Jun 17 2018, 10:08 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(roystevenung @ Jun 17 2018, 09:26 PM)
If you don't mind my asking, what was the hospitalization all about 8 years ago? Please state the actual diagnosis if known.
*
Hi Roy,

If my memory didn’t fail me, if was for an intestine blockage. During the recent hospitalization, the doctor diagnose as it might happened again as the post operation spot it prone to the same injury. However, I was discharged after two days of observation when the doctor did a time lapse x ray and liquid flow through small/big instestine without any problem , just a bit slow.

Thank you
flintbatu
post Jun 18 2018, 05:09 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(roystevenung @ Jun 17 2018, 10:50 PM)
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.
*
Roy,

Thank you for the reply. Just keeping my finger crossed! It was a bad experience and I am partly responsible for not checking throughly on the policy given to me. Will see how it goes after the investigation by Prudential. I am also from Penang!
flintbatu
post Jun 18 2018, 05:12 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(ckdenion @ Jun 18 2018, 12:42 PM)
as of now since the GL is rejected, just proceed what you can proceed with. only after treatment is done then only submit the claim manually and it will be subjected to company's investigation.

as for your kid's case, just ask agent to write in and declare.
get another insurance policy for medical or life? you can definitely get another insurance policy, must remember to ask agent to declare then it will be fine. then see what will be the conditional of acceptance for the new insurance policy.

for your existing policies, i think it is very difficult for us here to give you advise as we do not know the detail of your policies. best is to maintain them first. wink.gif
*
Hi there ckdenion,

Thank you so much for the reply. Will do as per everyone advise. Submit the claim and wait for the insurer investigation. As for my kid policy, will get my agent to write in once the investigation is completed.
flintbatu
post Jun 21 2018, 06:51 PM

New Member
*
Junior Member
29 posts

Joined: Jan 2016
QUOTE(kok_pun @ Jun 21 2018, 02:53 PM)
This is a good case study. But based on Financial Act 2013 write up, on grounds that material facts was not presented at the time of inception, be it intentionally omitted, or unintentional, should not be contested after the duration of 2 years aka "non-contestability period" (see attachment, cited from pg 164 of Financial Services Act 2013 FSA2013) UNLESS insurer has proof that it was a material matter that should affect the insurer's decision in accepting the insurance proposal.

In layman term, if you already have the knowledge that you have certain medical conditions that might hinder the acceptance of your proposal by the insurance company; and; should you not disclose such information and the policy is in inforcement for a full 2 years or more, the insurance company must pay the claim proceedings (aka non contestability period, this period is shorten to 1 year for Great Eastern, and is called indisputability period). However, if such omission forms a part of material matter and that the insurance company is able to provide such evidence that could affect the decision in the acceptance of the life to be assured in the first place (for this instance, more than 8 years back), the insurance company reserves the right to reject any claims and terminate such policy.

For unrelated conditions, it is matter to debate. For instance, you have had hearing loss and you did not disclose such material fact, but you suffered a TPD caused by a road accident yesterday, there are grounds for you to debate should you wanted to claim for TPD. but the common protocol from the insurance company is your policy would be terminated due to non disclosure. You may appeal your case after that.

Given your scenario, you suffered from the same illness that you (or you agent) omitted to disclose in your proposal 8 years back, in my professional opinion, it is a little hard to fight with the insurance company. But as pointed out by GunMetalX, there is no harm in trying to appeal on the case on the grounds that your agent failed to disclose such material fact. Please get your evidence ready such as your conversations with your agent, communication emails etc. When you receive your policy, it is your duty to check the contents in the policy to make sure it is the same as per what you have declared and take necessary actions such as freelook or amendments should the disclosure is not align with what you declared to your agent.

Good Luck
*
Dear Ben,

Thank you so much for the kind information. I am partly responsible and not going to play the blame game. Keeping my finger crossed even though it looks bad at the moment. Thank you for sending me a PM too! Very kind of you.

Have a wonderful day!


Topic ClosedOptions
 

Change to:
| Lo-Fi Version
0.2056sec    0.20    7 queries    GZIP Disabled
Time is now: 13th December 2025 - 12:09 AM