Welcome Guest ( Log In | Register )

Bump Topic Topic Closed RSS Feed

Outline · [ Standard ] · Linear+

 Insurance Talk V5!, Anything and everything about Insurance

views
     
Cyclopes
post Mar 5 2020, 03:48 PM

Casual
***
Junior Member
474 posts

Joined: Mar 2011
From: Kuala Lumpur


QUOTE(GeraGeraPo @ Mar 4 2020, 09:22 PM)
Hello, can agents recommend me medical card plan?

Female, 28, Married with one child (my dependent)
Retail sales assistant (no travelling)
Non smoker
No know health issue
Budget RM200/month

Interested with Allianz, AIA, GE

With my budget, should I get 1) standalone medical card or 2) investment linked plan where life+medical+ci lumps into one?
*
A investment link including a waiver would be more cost effective and prudent too given you have a young dependent.
lifebalance
post Mar 5 2020, 06:37 PM

Licensed Financial Planner & Financial Adviser's Rep.
********
All Stars
10,162 posts

Joined: Nov 2014
QUOTE(Piza.always @ Mar 5 2020, 06:33 PM)
I need to know what's the best insurance all the time? Im planning to get ones.

Before i got great Eastern 2 years but the agent went nowhere. I asked the hq, they said even i pick any agent, my missing agent can still get the commission. I asked to decline my account, and refund but the money they said already paid my penalty for missed pay for a week even tho i paid it double so i dont miss pay.
*
No best time actually as anything can happen to you, the earlier the better I guess as life is unpredictable.

Yeah unfortunately that's how the system runs.
Cyclopes
post Mar 5 2020, 09:12 PM

Casual
***
Junior Member
474 posts

Joined: Mar 2011
From: Kuala Lumpur


QUOTE(Piza.always @ Mar 5 2020, 06:33 PM)
I need to know what's the best insurance all the time? Im planning to get ones.

Before i got great Eastern 2 years but the agent went nowhere. I asked the hq, they said even i pick any agent, my missing agent can still get the commission. I asked to decline my account, and refund but the money they said already paid my penalty for missed pay for a week even tho i paid it double so i dont miss pay.
*
Browse financial websites such as the following for information. It also depends on your needs and how the Life Planner designs an appropriate coverage.

https://www.imoney.my
https://ringgitplus.com
GE-DavidK
post Mar 6 2020, 04:06 PM

Getting Started
**
Junior Member
123 posts

Joined: Dec 2019


QUOTE(Piza.always @ Mar 5 2020, 06:33 PM)
I need to know what's the best insurance all the time? Im planning to get ones.

Before i got great Eastern 2 years but the agent went nowhere. I asked the hq, they said even i pick any agent, my missing agent can still get the commission. I asked to decline my account, and refund but the money they said already paid my penalty for missed pay for a week even tho i paid it double so i dont miss pay.
*
Hi Piza.always, I'm sorry to hear that your agent is no longer in service. It's quite a common occurrence in this industry that many new agents stopped halfway so clients nowadays have to really make sure that their agents are committed to do this career for long term.

As for your question on which is the best insurance, there is no insurance company which is better than another. The best insurance is the insurance which is tailor made to you as different people has different standards of living and needs.

Just like banks, Maybank/CIMB/Public Bank, are they clearly better than another? I would say the only difference here is the level of service they provide, in this case, it's the agent who is serving you.
Ching Aik
post Mar 6 2020, 04:49 PM

Getting Started
**
Junior Member
58 posts

Joined: Mar 2016


QUOTE(Ching Aik @ Mar 3 2020, 04:12 PM)
Hi Sifu,

I'm 32yo / non-smoker, applied prudential since 2010 without knowing what I bought.
It was PRUlink Assurance Plan, then 2 years ago agent says mandatory splitted to below:

PRUlink Assurance Plan 100 / month
PRUlink Assurance Plan = 80k
Accident Medical Reimbursement = 2k
Accidental Death & Disablement = 80k
Crisis Shield Benefit = 80k
Enhanced PRUpayor Basic = yes
Hospital Benefit = 200 / day
PRUdisability provider = 8k / annum

PRUWith You 140 / month
PRUWith You = 10k
Payor Basic = 1.68k
PRUMillion Med = 250
PRUWith You (TPD) = 10k

I've housing loan, and planning marry soon.
*
Further to previous message, is there better protection out there provide by other plan or insurance company if I replace current policy with same Rm240/month?
Thank you.

This post has been edited by Ching Aik: Mar 6 2020, 04:50 PM
tyenfei
post Mar 6 2020, 06:24 PM

A Ku La Ma Tata
*******
Senior Member
2,230 posts

Joined: Jan 2006
From: K. L.



QUOTE(Ching Aik @ Mar 6 2020, 04:49 PM)
Further to previous message, is there better protection out there provide by other plan or insurance company if I replace current policy with same Rm240/month?
Thank you.
*
Suggest you check how much medical fees, for lifetime or renew annual. Any cap for kidney dialysis/ cancer outpatient treatment.
And roughly plan can sustain till what age.
Most importantly ensure got waiver rider.

Then only you decide need to upgrade (if available) or get new plan better.

This post has been edited by tyenfei: Mar 6 2020, 06:26 PM
ckdenion
post Mar 6 2020, 11:49 PM

Financial Practitioner
*******
Senior Member
2,866 posts

Joined: Sep 2008
From: Wangsa Maju, KL



QUOTE(Ching Aik @ Mar 3 2020, 04:12 PM)
» Click to show Spoiler - click again to hide... «
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)
» Click to show Spoiler - click again to hide... «
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)
» Click to show Spoiler - click again to hide... «
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?
Cyclopes
post Mar 7 2020, 10:14 AM

Casual
***
Junior Member
474 posts

Joined: Mar 2011
From: Kuala Lumpur


QUOTE(Ching Aik @ Mar 6 2020, 04:49 PM)
Further to previous message, is there better protection out there provide by other plan or insurance company if I replace current policy with same Rm240/month?
Thank you.
*
RM240 today may not buy you the same coverage as in 2010 as cost of insurance has increased and will change based on your age. You may want to relook/increase your coverage with additional premium if you keep your current policy.
Alternatively, you may want to explore other insurers which may still provide adequate coverage but not necessarily with all your current riders attached.
kazekage_09
post Mar 7 2020, 05:21 PM

On my way
****
Junior Member
511 posts

Joined: May 2009
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?
If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?


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?


SUSyklooi
post Mar 7 2020, 05:35 PM

Look at all my stars!!
*******
Senior Member
8,188 posts

Joined: Apr 2013


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?
If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?
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?
*
while waiting for responses,....my "BET" will be .....(could be wrong thus just BET until being corrected by SIFUs)
as long as you seek to claim from the insurance that has deductible.....the amount of deductible will first be deducted from that claims....
your example:
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....my BET is this is correct.

as my reason being form this.....
Deductible is a fixed amount policyholder pays before the health insurance company will begin paying for medical expenses.
lifebalance
post Mar 7 2020, 08:15 PM

Licensed Financial Planner & Financial Adviser's Rep.
********
All Stars
10,162 posts

Joined: Nov 2014
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?
If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?
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?
*
A deductible is where you share your cost with the insurance company by paying a fix amount upfront while the balance is paid by the insurance company.

You are right in both examples
ckdenion
post Mar 8 2020, 02:10 AM

Financial Practitioner
*******
Senior Member
2,866 posts

Joined: Sep 2008
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
*
hi kazekage, tried my best to answer your question above. hope my explanation won't confuse you biggrin.gif
kazekage_09
post Mar 8 2020, 09:54 AM

On my way
****
Junior Member
511 posts

Joined: May 2009
QUOTE(ckdenion @ Mar 8 2020, 02:10 AM)
hi kazekage, tried my best to answer your question above. hope my explanation won't confuse you biggrin.gif
*
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.
SUSyklooi
post Mar 8 2020, 10:37 AM

Look at all my stars!!
*******
Senior Member
8,188 posts

Joined: Apr 2013


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?
If the low annual limit is from insurance company A, and the high annual limits is from insurance B.... I can decide to claim from insurance B only. Knowing very well that if claim from A, it will burst its limit.

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.
*
Holocene
post Mar 8 2020, 11:54 AM

Independent Financial Advisor
*****
Senior Member
945 posts

Joined: Jun 2012


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.
*
Ckdenion explanation is accurate.

One thing to consider is your cash flow as if the 2 medical cards are from different insurance company you might need to come up with the balance before the claim is made.

However if you’re in the above situation and both the medical card is from Allianz Life Insurance you’d use the medical cards as though as it’s a non-deductible medical card. Assuming all the TnCs in the medical card is fulfilled.

Now that you’ve understood the idea, get a confirmation from your insurance companies in regards to this matter.

Best,
Jiansheng

This post has been edited by Holocene: Mar 8 2020, 11:56 AM
ckdenion
post Mar 8 2020, 12:18 PM

Financial Practitioner
*******
Senior Member
2,866 posts

Joined: Sep 2008
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.
*
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.
TSroystevenung
post Mar 8 2020, 05:05 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


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?
If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?
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?
*
Since the 1st card is already over the rm20k, the second card will pay in full.

Unless the 1st card had ceast (due to the annual/lifetime limit/term had been exhausted) then the client will need to fork out the rm20k themselves.

To some people, standing by a Rm20k for a medical emergency that may or may not happen is just small change.

Additionally it is also worth to compare getting a Rm20k deductible vs a full claim plan as the insurance plan premium will need to be serviced for as long as you want the coverage.

At age 75 to 80, the medical plans insurance charges for a full claim plan can be as high as Rm15k per year!

A rm20k deductible plan at age 60 may only cost rm3++ per mth as compared to Rm600 (or more), depending on the sustainability of the policy.

For elderly over the age of 60, do a comparison on the premium saved for 30 years and you may be surprised that having to standby the Rm20k is nothing.

Just a food for thought...
wayton
post Mar 8 2020, 05:13 PM

Enthusiast
*****
Junior Member
897 posts

Joined: May 2019
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?
If Mr A use Med Card B first can he claim the 20k deductible from Med Card A since the limit not burst yet?
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?
*
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.


ckdenion
post Mar 8 2020, 05:20 PM

Financial Practitioner
*******
Senior Member
2,866 posts

Joined: Sep 2008
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.
*
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.
TSroystevenung
post Mar 8 2020, 05:35 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


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.
*
It is not difficult to claim from more than one medical card as it is very common to do so.

Eg some company insurance covers for technician level can only claim up to rm20k per year, balance is from their personal

126 Pages « < 123 124 125 126 >Top
Topic ClosedOptions
 

Change to:
| Lo-Fi Version
0.0370sec    0.76    6 queries    GZIP Disabled
Time is now: 4th December 2025 - 03:43 PM