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 medical insurance cost sudden increase 29%, normal !?

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Natsukashii
post Nov 26 2024, 08:01 PM

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QUOTE(nexona88 @ Nov 26 2024, 07:53 PM)
The insurance companies said because of medical inflation & cost... Whatever...

But they keep getting profit by the multi million or even billions per year...

But the client premium keep increasing y-o-y

When initially sign contract, should be covered till end... Not every year keep increasing
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Private hospital also talk about cost up cost up

Meanwhile, news, KPJ Healthcare Bhd , which operates 29 hospitals in the country, as well as one each in Bangladesh and Thailand, posted a 61.9% increase in net profit to RM75.88 million for the second quarter ended June 30, 2024 (2QFY2024), from RM46.88 million a year earlier, on higher revenue.

Sos: https://themalaysianreserve.com/2024/08/28/...terim-dividend/
nexona88
post Nov 26 2024, 08:36 PM

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QUOTE(Natsukashii @ Nov 26 2024, 08:01 PM)
Private hospital also talk about cost up cost up

Meanwhile, news, KPJ Healthcare Bhd , which operates 29 hospitals in the country, as well as one each in Bangladesh and Thailand, posted a 61.9% increase in net profit to RM75.88 million for the second quarter ended June 30, 2024 (2QFY2024), from RM46.88 million a year earlier, on higher revenue.

Sos: https://themalaysianreserve.com/2024/08/28/...terim-dividend/
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Everyone benefits except those paying premium $$$.... On losing end.. keep increasing only....

Expect next year KKM facilities to be super overload compared now (which already maximum capacity)
MUM
post Nov 26 2024, 08:45 PM

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Yes now very crowded.
Last evening sent my old relative for complaint of difficulties in breathing.
Reach hospital emergency section before 5pm, ...exit with some medication at 12 midnite
7 hours wait...if it was heart failure, die already by then I guess
nexona88
post Nov 26 2024, 08:57 PM

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QUOTE(MUM @ Nov 26 2024, 08:45 PM)
Yes now very crowded.
Last evening sent my old relative for complaint of difficulties in breathing.
Reach hospital emergency section before 5pm, ...exit with some medication at 12 midnite
7 hours wait...if it was heart failure, die already by then I guess
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One ofy neighbor got leg infection...

Went around 2pm, out around 1am next day... Pharmacy closed, need to come back 8am... Since their operation hours 8am - 11pm only...

Keep giving some medicine only... Infection no improvement even after 2 weeks... Finally paid own $$$ in Private Hospital... 10day stay comes to around 20k++

Doctor even can say, because you paid own pocket... It's cheaper... If not, under insurance.... Minimum 30k whistling.gif

Cisne
post Nov 28 2024, 10:46 AM

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QUOTE(nexona88 @ Nov 26 2024, 08:36 PM)
Everyone benefits except those paying premium $$$.... On losing end..  keep increasing only....

Expect next year KKM facilities to be super overload compared now (which already maximum capacity)
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These are the signs, government going to remove the subsidy from the public healthcare gradually.

I just pondering, 1 day, when insurance has become too expensive for the public, what will happens to the healthcare sector ? Without the traffic, the healthcare sector will suffer also eventually.
MUM
post Nov 28 2024, 11:03 AM

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If and when that happens, ....Medical tourism will be further promoted by the private hospitals

Ramjade
post Nov 28 2024, 11:10 AM

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QUOTE(Cisne @ Nov 28 2024, 10:46 AM)
These are the signs, government going to remove the subsidy from the public healthcare gradually.

I just pondering, 1 day, when insurance has become too expensive for the public, what will happens to the healthcare sector ? Without the traffic, the healthcare sector will suffer also eventually.
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Private company still have medical insurance for staff. Corporate medical insurance is not the same as ours.
Their is based off how many people you cover and how much your staff use. So if you got more staff and your staff always use the insurance then next year bill will be higher (supposedly).
contestchris
post Nov 28 2024, 05:15 PM

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QUOTE(Ramjade @ Nov 28 2024, 11:10 AM)
Private company still have medical insurance for staff. Corporate medical insurance is not the same as ours.
Their is based off how many people you cover and how much your staff use. So if you got more staff and your staff always use the insurance then next year bill will be higher (supposedly).
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It's not supposedly, it is precisely how it works. Staff medical insurance falls under GHS (hospitalisation) and GPC (outpatient - specialist and clinics). They are annually renewable with non-guaranteed rates. If claim rates for a given company are too high, it will be reflected in their next year renewal, be it if the renew with the same insurer or a different insurer.

GHS is also usually a bit more lenient as it covers pre-existing illnesses.
anzen600
post Nov 28 2024, 10:12 PM

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actually ah the day will come when commoners can no longer afford insurance, (particularly after 60yo), even for 20k ktards nia. Public health care now oso super loaded, cant imagine few yrs down the road.. byk scary eh. life expectancy tambah only applicable for those helang and peasants will just wait n tanam 6 feet under eh.
Ramjade
post Nov 28 2024, 10:49 PM

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QUOTE(anzen600 @ Nov 28 2024, 10:12 PM)
actually ah the day will come when commoners can no longer afford insurance, (particularly after 60yo), even for 20k ktards nia. Public health care now oso super loaded, cant imagine few yrs down the road.. byk scary eh. life expectancy tambah only applicable for those helang and peasants will just wait n tanam 6 feet under eh.
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That's why buy insurance must plan to be able to pay it at 70-80 years old time.
nexona88
post Nov 29 2024, 12:17 AM

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QUOTE(anzen600 @ Nov 28 2024, 10:12 PM)
actually ah the day will come when commoners can no longer afford insurance, (particularly after 60yo), even for 20k ktards nia. Public health care now oso super loaded, cant imagine few yrs down the road.. byk scary eh. life expectancy tambah only applicable for those helang and peasants will just wait n tanam 6 feet under eh.
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One way to avoid all this hassle is to eat healthy during younger days...

Stay healthy with activities....

See Japanese people...
Long life, less health issues....

Food intake very important
Cisne
post Nov 29 2024, 06:19 AM

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QUOTE(Ramjade @ Nov 28 2024, 11:10 AM)
Private company still have medical insurance for staff. Corporate medical insurance is not the same as ours.
Their is based off how many people you cover and how much your staff use. So if you got more staff and your staff always use the insurance then next year bill will be higher (supposedly).
*
The corporate insurance pool & domestic insurance pool of fund need to be separated. One is heavy usage and one is light usage. Asking the light usage group to share the burden of premium increase due to heavy usage group may sound not logical.
Ramjade
post Nov 29 2024, 07:27 AM

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QUOTE(Cisne @ Nov 29 2024, 06:19 AM)
The corporate insurance pool & domestic insurance pool of fund need to be separated. One is heavy usage and one is light usage. Asking the light usage group to share the burden of premium increase due to heavy usage group may sound not logical.
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Corporate and domestic is likely separated.

The issue is personal insurance, people are abusing it and they don't offer outpatient coverage. If they have outpatient coverage, lots of stuff no need to be admitted. I believed lots of people would rather stay at home than stay in hospital.
contestchris
post Nov 29 2024, 09:12 AM

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QUOTE(Cisne @ Nov 29 2024, 06:19 AM)
The corporate insurance pool & domestic insurance pool of fund need to be separated. One is heavy usage and one is light usage. Asking the light usage group to share the burden of premium increase due to heavy usage group may sound not logical.
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It's separated, don't talk nonsense. In fact different products have different pools. E.g. current GE ILP medical rider called SmartMedic Shied has a separate pool from the older plan, SmartMedic Million. Each plan usually have their own separate pools. Within the same plan there can also be separate pools - e.g. separate for policyholders with deductibles, and those without deductibles

Cookie101
post Nov 29 2024, 10:38 AM

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QUOTE(anzen600 @ Nov 28 2024, 10:12 PM)
actually ah the day will come when commoners can no longer afford insurance, (particularly after 60yo), even for 20k ktards nia. Public health care now oso super loaded, cant imagine few yrs down the road.. byk scary eh. life expectancy tambah only applicable for those helang and peasants will just wait n tanam 6 feet under eh.
*
This is somewhat true. Those medical / hospitalisation care insurance is above 3k after 60yo

QUOTE(Ramjade @ Nov 28 2024, 10:49 PM)
That's why buy insurance must plan to be able to pay it at 70-80 years old time.
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Can only plan it up to 50 lol! After that either live or die in government hospital. No one planning a 3k insurance premium after 60. Down the road it probably will double to 6k or even triple. If insurance going to take up such huge chunk then it’s definitely going to be a problem for majority of people. Retirees probably spend 10-15k for living expenses excluding fancy cars/holidays etc. most don’t live that way anymore.
The unlimited limit or 1million limit seems to be issue because insurance company likes giving those high limit and considered it as premium purchased whether u use them or not. Those limits causes the insurance to hike so much.

Unless insurance companies practice easy approval and transparency on their rules, it’s kind of hard.
Many hospitals change their billing after knowing you are claiming insurance. Like a relative who is dengue patient for a week in a private hospital costs 3.3k only. After saying going to claim insurance it became 7.5k
She was like oh ok… nvm. Claim insurance ma. No use also need to pay premium yearly. Might as well claim directly. Don’t want trouble self submit. Later got rejected.
Ramjade
post Nov 29 2024, 02:52 PM

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QUOTE(Cookie101 @ Nov 29 2024, 10:38 AM)
This is somewhat true. Those medical / hospitalisation care insurance is above 3k after 60yo
Can only plan it up to 50 lol! After that either live or die in government hospital. No one planning a 3k insurance premium after 60. Down the road it probably will double to 6k or even triple. If insurance going to take up such huge chunk then it’s definitely going to be a problem for majority of people. Retirees probably spend 10-15k for living expenses excluding fancy cars/holidays etc. most don’t live that way anymore.
The unlimited limit or 1million limit seems to be issue because insurance company likes giving those high limit and considered it as premium purchased whether u use them or not. Those limits causes the insurance to hike so much.

Unless insurance companies practice easy approval and transparency on their rules, it’s kind of hard.
Many hospitals change their billing after knowing you are claiming insurance. Like a relative  who is dengue patient for a week in a private hospital costs 3.3k only. After saying going to claim insurance it became 7.5k
She was like oh ok… nvm. Claim insurance ma. No use also need to pay premium yearly. Might as well claim directly. Don’t want trouble self submit. Later got rejected.
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I did. I planned to make my insurance last until 80 years old. Yes. Even with 5 figure of insurance premium with 100% buffer build in.

This post has been edited by Ramjade: Nov 29 2024, 02:55 PM
nexona88
post Nov 30 2024, 05:51 PM

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https://www.thestar.com.my/news/nation/2024...g-medical-costs

Blaming on Medical inflation Cost Rates....


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