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 Insurance Talk V5!, Anything and everything about Insurance

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ckdenion
post Aug 19 2019, 09:40 PM

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QUOTE(alandhw @ Aug 19 2019, 01:35 PM)
Does it mean only one time consultation is eligible to claims for Pre-Hospitalization?
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By looking at the one you quoted, looks like only can claim first time. But i will always try to submit rather than assuming cannot be claimed. At least put in effort to file claim.

QUOTE(Gaza @ Aug 19 2019, 05:14 PM)
hi, i currently have allianz medical card (1m annual limit, no lifetime limit) with rm80k life insurance with CI & early CI.

i’m a 32 year old male smoker and i’m looking for life insurance to protect my wife & son in case anything happen to me so they can have some emergency funds like maybe rm200k-300k.

after doing some reading i think term life insurance is the one i should go for because i’m not looking for cash value to offset higher insurance cost like those medical card. but my main concern for taking term life is let’s say after 10 years if my health deteriorate the insurance can choose not to renew my life insurance? if i want guaranteed renewal have to take whole life insurance (with those cash value) is it?

thanks
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If you are not going to set it up as an independent trust fund, you can actually top up from your existing plan.

QUOTE(beyinbe @ Aug 19 2019, 05:31 PM)
Hi. I'm on Allianz power link. I've been asking my agent about procedures for endoscopy so he told me it's claimable if there's diagnosis and required for further treatment. So I asked if I got admitted will the fees be covered and he said most likely.

Today I went to do the scope procedures, only to be told that I'm getting "non guarantee" status and that I'll have to pay myself.
This is because my procedure is investigative in nature, unless it's followed by surgery I won't be able to claim. The agent did ask me to submit all bills to try for claims.

What are the chances of me actually getting reimbursed in this case? Already paid for everything and now I'm broke

Thanks
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Are you admitted? Anyway at least you try to submit your claims. Though chances of claiming is low, but at least you tried.

QUOTE(perfect10 @ Aug 19 2019, 07:11 PM)
I want to check, i had a fall and injured my hips, the ER recommended a few options,  but can i demand for chiropractic for my treatment, i am having allianz but they say have limited rm1k for chiro, but not sure how to go about it, also the dr not so helpful as they dont recommend chiro. Anyone got dr that can recommend chiro as the treatment?
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Holocene every chiro center treatment can be claimed? What are the criteria for chriro treatment claims?
ckdenion
post Aug 19 2019, 09:41 PM

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QUOTE(Holocene @ Aug 19 2019, 09:39 PM)
The chiro treatment is for post hospitalisation. It is a pay and claim.

Best,
Jiansheng
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For perfect10's case is an accidental injury. Still able to claim chiro treatment?
ckdenion
post Aug 20 2019, 12:10 AM

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QUOTE(beyinbe @ Aug 19 2019, 11:37 PM)
Yeah I was admitted for 8 hours, just disappointed that my agent couldn't tell me clearly that scopes weren't covered
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to be frank, sometimes there's cases to me that im not so certain as well. the best i can do is at least i don't conclude myself that it cannot be claimed without even trying submitting. anyway, hope to hear from your good news.
ckdenion
post Aug 20 2019, 04:25 PM

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QUOTE(beyinbe @ Aug 20 2019, 12:57 PM)
» Click to show Spoiler - click again to hide... «
now this is a very clear explanation of what is going on. looks like for your case, GL will not be approved because it is not considered as an admission. unless after all the test/scan done, you need to be admitted for further investigation/treatment/surgery, then yes GL can be issued. i have a case similar to yours, helped my client to submit a manual claim but still rejected because it is very clear that there is no hospital admission (which my client herself is clear of).

QUOTE(alandhw @ Aug 20 2019, 03:24 PM)
You are right, never try never know.
I just try to understand all the stated statements, it looks unfair to the policy holder.
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i do understand your concern. in my pov, medical insurance is not everything. it is meant to be a supplement to your risk management. most importantly agent plays an important role in handling your claims. I admit I won't know the 100% details in medical card coverage because even going through the clauses in the contract document, certain statement are still quite ambiguous. But what is within my control is, any claims I will promise my client to submit and if there is any claim rejection, at least i got an answer from company regarding the reason of claim rejection.
ckdenion
post Aug 21 2019, 11:00 AM

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QUOTE(B u B u @ Aug 20 2019, 06:40 PM)
Is there any formula/calculation to find out minimum insurance needed by a person?
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Rule of thumb = Annual Income x 10 (can be one if the simplest method)

There are 3 other methods i will use to determine
Human Economic Value (Possible income earned until retirement)
Target Replacement Income (pay an fixed amount of income every year say RM60k a year)
Need Based Analysis (most complicated with no formula)

QUOTE(Gaza @ Aug 21 2019, 01:09 AM)
Part of the reason not interested to increase the existing plan is because the available choices for investment funds are quite small and limited (mostly domestic equity centric), and performance has also been quite lacklustre on an absolute and relative basis.
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I do agree that you wanna make the best choice for the protection you want. Perhaps what you can do is identify between term and top up options and see what goes best for you. Also i will always advise to ignore the funds in insurance plans, thats y i always recommend to take low risk income funds. Insurance is for "just in case" instead of wealth growth. Wealth accumulation in the plan is a bonus should nothing happen.

Because i dont know what is the additional protection you need is for and the term of coverage needed. So i cannot identify which will be a better option though. Perhaps you can take my advice above and proceed from there.

QUOTE(Gaza @ Aug 21 2019, 01:09 AM)
Actually last time when my agent propose to have life insurance, i asked why not just top up the life insurance payout for my plan and she said something like standalone ILP life insurance cheaper than if topup the existing medical card one. Can't remember exactly why but i think it was something like because of the riders i attached maybe?
Btw, as an Allianz agent which ILP funds do you normally propose people invest in? Currently mine is 50% domestic fixed income + 50% ASEAN/MY equity.
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Regarding "standalone ILP life insurance is cheaper than top up" by the agent is a very misleading statement. Instead when you have 2 ILP, you need to pay 2 side policy fee (actually it is not much either). Not to say you cannot buy 2 ILP but you must have a purpose to do so. Say, you wanna set up a trust fund using insurance then yes it is more advisable to get a dedicated insurance plan to be assigned to the trustee, not because "standalone ILP life insurance is cheaper". Guess the agent just want you to buy new plan instead of top up.

This post has been edited by ckdenion: Aug 21 2019, 04:38 PM
ckdenion
post Aug 23 2019, 03:34 PM

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QUOTE(beyinbe @ Aug 22 2019, 11:09 AM)
1) The clinic doctor wrote gastritis in the referral letter
2) I signed up last year mid Sept

Ah I see, my scope diagnosis was non-ulcer dyspepsia and doctor gave me some medicines, next appointment in 2 weeks
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after submitting the claims, do update us what is the outcome. hope to hear from your good news.
ckdenion
post Aug 24 2019, 10:33 PM

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QUOTE(eggplants @ Aug 23 2019, 10:21 PM)
read through past few pages regarding this AIA medical upgrade which I was also offered by a new agent. They told me that even if I dont upgrade to the new one, my existing premium will increase in the next few months for everyone. Is this true or this agent is bs-ing??
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Hmm... premiums are not guarantee though. However, we as agents also didnt know when will the insurance charges be adjusted. So highly likely your agent is just wanting you to buy their latest medical card.
ckdenion
post Aug 26 2019, 08:37 PM

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QUOTE(hwachong @ Aug 25 2019, 12:13 PM)
Any advice for my dad who is retiring soon? He will need to get a medical card. Anything else?
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hi hwachong, basically your dad need to make sure future possible medical expenses is taken care of (medical card + backup emergency funds), sufficient retirement fund (can lock certain amount in FD/money market/low risk funds to avoid using the liquid cash and also to grow unused portion of retirement fund), also can do estate planning (wealth distribution and preservation).

QUOTE(FutureBuilder @ Aug 25 2019, 10:33 PM)
» Click to show Spoiler - click again to hide... «
hi FutureBuilder, you will be getting the surrender value + bonus (survival benefits and cash bonus) less any loan (i see that you have no loan amount here).

QUOTE(eggplants @ Aug 26 2019, 03:40 PM)
» Click to show Spoiler - click again to hide... «
hi eggplants, if you do upgrade (say you top up RM1,200 annual premium to your plan), the agent will get the top up portion (for this case the RM1,200) for another 6 years. I wouldn't say that buying a new plan is a bad idea however like what i mentioned previously, it must come with valid reason to buy a new plan (example for my own case, i get a dedicated 17 years term life insurance just to protect children's education fund. after they reach 18 years old, i do not need that plan anymore).
ckdenion
post Aug 26 2019, 10:02 PM

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QUOTE(limtekshi @ Aug 26 2019, 09:45 PM)
How is the premium amount calculated for each person? Does it differ for each person? or by age groups? Are premium amount negotiable?
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hi limtekshi, the cost of insurance is based on sex, age, smoker/nonsmoker, occupation risk (hope i dont missed out anything). of course different products different cost of insurance for example take R&B150 medical card vs. R&B300 medical card. Cost of insurance is not negotiable, however premium varies say an ILP that has coverage term up to 70 years old vs up to 80 years old. coverage term up to 70 years old is definitely cheaper than up to 80 years old.
ckdenion
post Aug 26 2019, 10:14 PM

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QUOTE(limtekshi @ Aug 26 2019, 10:06 PM)
I see. So if getting a quote from different agents from same Insurance company would be the exact same premium fees?
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if it's an ILP plan, the premium will vary (also depending on the choice of funds selected). if it is a whole life traditional plan, then the premium is based on the sum assured quoted. so if you get a quote from different agents from the same company, you might get different premium for ILP plans.
ckdenion
post Aug 28 2019, 06:56 PM

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QUOTE(eggplants @ Aug 27 2019, 09:49 AM)
Is there an online manual calculator to check how much my premium should be for different insurance company packages? Would like to compare and also ensure I'm not overpaying currently.
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so far there isn't any. you could engage a FAR that can quote you plans for various companies to compare yourself. or if you dont mind, you can tell us here (or PM me if you do not want to disclose) when you bought it, your age, sex, occupation, smoker no smoker, the exact benefits of the plan. the premium will be roughly there. it wont be very much different.

QUOTE(eggplants @ Aug 28 2019, 12:44 AM)
For the upgrade option. What does it mean by "recommended additional premium"? recommended but not compulsory?? Is there a way to reduce the monthly premium?

I'm currently on A-Life Link with Med Booster 150; paying rm260/month. the recommended upgrade from Med Booster 150 to A-Health would go up to rm300/month. How is that increase cost determined?
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the increase cost is determine by the revised cost of insurance after rider (benefits) changed and your current cash value.
ckdenion
post Aug 29 2019, 10:07 AM

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QUOTE(watabakiu @ Aug 28 2019, 09:33 PM)
Any insurance providers here that have international hospitalization/emergency coverage, which DO NOT need to pay-first-claim-later?
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Yes there is. Offshore insurance that offers global medical coverage.

QUOTE(woonsc @ Aug 29 2019, 07:14 AM)
I am curious too, I am working in SG, I wonder if it's worth it to get a health insurance in Malaysia or SG?
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Get a long term one in Malaysia and get a yearly renewal one in SG.
ckdenion
post Aug 30 2019, 03:51 PM

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QUOTE(alandhw @ Aug 30 2019, 08:07 AM)
Exactly insurance not everything. Agent play important role when come into claims. It make different between experience and inexperience agent. In terms of claims, not in sales.
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So long agent dont play the MIA game, I think it i very good enough. Any claims/servicing you need for your policy and your agent is there, then i think it is good enough
ckdenion
post Sep 2 2019, 03:04 PM

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QUOTE(RyoKenzaki @ Sep 2 2019, 12:07 AM)
Anyone have any recommendations what insurance company is the best at the moment?
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Everyone has their own view determining which insurance company is the best for them. When agents serve them well, that agent from that company will be the best to them. Of course if you ask this question to agents, agents will definitely tell you their respective company is the best. maybe you can tell us what are you looking for?
ckdenion
post Sep 2 2019, 05:37 PM

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QUOTE(RyoKenzaki @ Sep 2 2019, 04:17 PM)
I'm actually quite clueless when it comes to insurance. When it comes to claiming for the compensation wise, are all of them the same or there's certain company which requires more hassle etc?
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for claims, the documents needed are quite standard. maybe when it comes to claims, the duration/response time will differ between companies. So far i have good experience with AIA, Pru, GE, Allianz, Manulife, HLA (did claims for clients before).
ckdenion
post Sep 7 2019, 10:52 AM

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QUOTE(Investopedia_90 @ Sep 3 2019, 05:13 PM)
» Click to show Spoiler - click again to hide... «
very informative! thanks!

QUOTE(Jack&Guild @ Sep 7 2019, 09:39 AM)
want to ask opinion on the expert here. Recently my wife went to a private hospital to remove lump in her breast, and at the same time to also remove accessory breast. When the hospital submit requisition to AIA insurance, the guarantee letter only stated to cover the cost for lump excision. After few weeks later hospital called and confirmed that AIA did not cover the cost for accessory breast excision and we have to pay our own. I thought medical card suppose to cover all surgical fees and is it possible to complaint so that this fees can be absorbed by AIA? Thanks.
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Hi Jack&Guild, you may ask the reason why the cost of removing accessory breast is not cover. As i know it is just a surgical treatment to remove it, it should be covered. You are able to appeal, before you do that let us know the reason why company didn't want to cover that cost of accessory breast excision. Then from there only you know the reason to use to make the claim appeal.
ckdenion
post Sep 10 2019, 10:12 PM

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QUOTE(cyt808 @ Sep 10 2019, 12:35 AM)
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hi cyt808. so long you get a good agent, i believe you will hardly change even though you travel to different states. Unless you find a better agent than the existing one. icon_rolleyes.gif
ckdenion
post Sep 10 2019, 10:17 PM

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QUOTE(Chounz @ Sep 10 2019, 05:55 PM)
Hi guys, i just got to know that my medical card will be subject for fee revision for every 3/5 years.

wondering if there any medical card plan can actually lock the premium? i.e same rate i will be paying from now until I 70-80 years old?
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hi Chounz. for medical card, the charges are always non-guarantee. so yea once the charges for medical card is revised, your premium will definitely be affected.
ckdenion
post Sep 17 2019, 01:01 AM

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QUOTE(Godek @ Sep 16 2019, 12:01 PM)
Item 6 - correct nothing is permanent but at least IF increase charges will not higher than Step premium.

Item 7 - Can you recommend other investment-linked with 20 years term (52 years old), trying to survey seems like ILP only cover 70,80,100 years old.

Online Manulife I found out that offer Life + CI options. Other Online insurance providers only life coverage only. If you know other online providers with Life + CI, please inform me  smile.gif
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hi Godek. I'm amazed with the life insurance that you have plan for yourself. notworthy.gif btw you are looking for Takaful options only?
ckdenion
post Sep 19 2019, 10:55 AM

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QUOTE(Mr Awesome @ Sep 17 2019, 11:03 AM)
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Hi Mr Awesome. Indeed awesome questions asked. I'd replied your questions above based on my thoughts. Would love to discuss more on this with you. biggrin.gif

QUOTE(Mr Awesome @ Sep 17 2019, 11:40 AM)
Thank you sifu for your patience. Yes I will be back every now and then (probably once a month or every two three months. I will be working in Singapore for say 3-4 years minimum as i'll just be starting my career there.

My current insurance policy says if i come back once every 3 months it's okay...
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You can actually get a local term medical insurance there in SG. So you can terminate it anytime once you stop working there.

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