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...