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 Insurance Talk V5!, Anything and everything about Insurance

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ckdenion
post Feb 28 2020, 07:42 AM

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From: Wangsa Maju, KL



QUOTE(CPURanger @ Feb 26 2020, 11:16 AM)
I really an insurance noob and hope is the right place to ask. Thanks in advance.

1) Recently I have done angioplasty operation due to coronary artery block. Basically insurance (Prudential) have cover all the costs. No problem with that. My insurance agent told me that I can further claim for critical illness which my policy covers. When I asked my doctor, he says he need to look at my policy to make a report/statement because according to him, some policy might be different. My problem is, I lost my policy after moving to another house which is years ago. I asked my agent, my agents says critical illness policy is similar, should not be a problem.

Does the doctor really need to look at the policy ? How does this type of claims usually works ?

2) According to to customer service, my policy document is not available online. Need fill up the form "Statutory declaration for loss of policy" get it stamped and reprint at costs of RM 30. According to them, need to go Putrajaya to stamp it. I do not know where exactly to stamp such document.

Which government department exactly ? Is this can be done at commissioner of oath ? I am staying in Shah Alam, can this be done in Shah Alam or PJ ?
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hi CPURanger, there you go.
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ckdenion
post Feb 28 2020, 04:30 PM

Financial Practitioner
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From: Wangsa Maju, KL



QUOTE(echoesian @ Feb 26 2020, 12:09 AM)
cash benefit
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hi echoesian, for Critical Illness cash benefit (or payout benefit), so long you bought a plan that covers "Critical Illness Payout Benefit" then yea, all companies have this benefit. Unless you are referring to plan that covers specifically during pregnancy (baby still in the womb till born), then at the moment only AIA, Great Eastern and Prudential have it.

QUOTE(teridoz23 @ Feb 28 2020, 12:37 AM)
» Click to show Spoiler - click again to hide... «
hi teridoz23, you can opt for something better (assuming Premium is 475/month)

Up to 70yo
Life:255k
CI:250k
PA:120k
Minor Injuries:2000 per accident
Payor:36 illness or TPD beared by insurance company
Hospitalization income:150/day
Medical Card Coverage:1mil/year and no lifetime limit
Cancer/Kidney= subject to medical limit and no lifetime limit
R&B:150
Co-insurance:no co-insurance and no deductible

rm475/month

Hope it helps. wink.gif
ckdenion
post Feb 28 2020, 11:28 PM

Financial Practitioner
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2,866 posts

Joined: Sep 2008
From: Wangsa Maju, KL



QUOTE(seancl85 @ Feb 28 2020, 06:40 PM)
Does such plan can cover cancer early stages. Now new insurance still cover up to 36 only?
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Hi seancl85, some insurance companies covers 39 (AIA, Manulife), 45 (GE), 43 (Prudential) and 36 (Allianz). For early stages, then need to have additional critical illness rider that covers early stages.
ckdenion
post Feb 29 2020, 12:43 PM

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From: Wangsa Maju, KL



QUOTE(Secret Hunter @ Feb 29 2020, 03:48 AM)
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hi Secret Hunter, if you are to compare these 2 currently, i will recommend you to get the AIA one and also go for its AIA Vitality program. It will benefit you more for its program's perks. Also sustainability till 80 years old seems fine to me too. when it reaches its term, you can opt to extend the coverage till 99 years old at that time (of course it comes with premium top-up at that age).

QUOTE(seancl85 @ Feb 29 2020, 04:09 AM)
Thanks Ck. In that case can I sum up GE is better then or have to consider others?
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hmm, I wouldn't judge who is better through that. if you are to compare rider that covers early stages, then more or less every companies cover every main CI stages. If you want to look into the very comprehensive ones, Allianz is the one that you can look into.
ckdenion
post Mar 6 2020, 11:49 PM

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QUOTE(Ching Aik @ Mar 3 2020, 04:12 PM)
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hi Ching Aik, are you looking to actually upgrade your Prudential medical card to the latest one (PruMillion med)? guess that the reason why agent split it into 2 plans mainly is because
1. want you to have their latest medical card which is the PruMillion med.
2. only the new ILP policy namely PruWith You can put in that latest medical card rider.

If that is your intention, it looks fine to proceed. Else you can re-evaluate your current financial risk and needs before proceeding with any changes. also it is possible to change agent, do you have any friend that you know of who is a Prudential agent?

QUOTE(GeraGeraPo @ Mar 4 2020, 09:22 PM)
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hi GeraGeraPo, with that budget, you can get an ILP with medical and life with CI insurance since you have a child.

QUOTE(Piza.always @ Mar 5 2020, 06:33 PM)
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Hi there Piza, the best insurance is the one that fits your needs. you are asking to surrender the 2 plans you have with GE? what is the current planning for you since you didn't manage to surrender both that policies?
ckdenion
post Mar 8 2020, 02:10 AM

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From: Wangsa Maju, KL



QUOTE(kazekage_09 @ Mar 7 2020, 05:21 PM)
Hi can anyone enlighten me on the concept of deductible?

For example number 1:

Med Card A : annual limit 50K
Med Card B: annual limit 1.2M with 20k deductible

Mr A hospitalized and the total bills comes RM 150k. If Mr A use Med Card A first, the first 50k bills will be paid by Med Card A and the remaining RM100k balance will be covered by Med Card B but Med Card B will only approved for RM80k only and RM20k Mr A must pay in cash. Is my understanding right?
in this case, since the first 50k of the bill is already claimed from Insurer A, when you submit the balance of the claims to Insurer B, the first 20k deductible is already fulfilled, so Insurer B will pay the remaining 100k.

If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?
yes the 20k deductible can be claimed from Insurer A.

For second example, let say:

Med Card C: annual limit 20k
Med Card D: annual limit 100k with 5k deductible.

Mr B hospitalized and total bills comes RM 7k. No problem for using Med Card C since it will fully covered.
But can he use Med Card D and claim the first 5k from Med Card C?
yes you can. this is the exact same scenario with the above 2nd situation wink.gif
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hi kazekage, tried my best to answer your question above. hope my explanation won't confuse you biggrin.gif
ckdenion
post Mar 8 2020, 12:18 PM

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From: Wangsa Maju, KL



QUOTE(kazekage_09 @ Mar 8 2020, 09:54 AM)
There is a school of thought out there that said the annual limit must be burst first then only you can use 2nd card. This means it wrong right?

So your explanation make more sense since whichever card that Mr A choose to use first doesn't really matter because the outcome is same and that is his bill is 100% covered by both of his card.
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It is not necessary for the first medical card annual limit to be "burst" first. I have do multiple claims whereby say

MedCard1: 10% co-ins
MedCard2: no co-ins

Client admit using MedCard1. Pay the co-ins. Claim the co-ins from MedCard2.

Of course they could be different different situation. For me usually what I do is just claim (try luck in this case). That's where I learnt frrom.
ckdenion
post Mar 8 2020, 05:20 PM

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From: Wangsa Maju, KL



QUOTE(wayton @ Mar 8 2020, 05:13 PM)
Why want to buy so many medical insurances.

In theory, yes, claim A, then rest claim B, and another rest claim C.

In reality, you may have lot of troublesome to claim them due to paperwork and procedures in the process of claiming.
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hi wayton, different people have different reasons doing so. So far those that i came across have 2 medical cards reason being that when they get their 2nd medical card, they have pre-existing condition whereby there is exclusion on the 2nd medical card. They don't mind keeping 2 cards. of course those that have no pre-existing condition, most likely they will just go for the new card and dispose the old one.

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