What is given when you first sign up for the policy is an initial projection.

Just like your nasi lemak aunty never guarantees to sell you her nasi lemak the same price for the next 40 years.

Hence the reason why insurance companies includes a clause that the premium may be adjusted from time to time should there be any adjustment required to maintain the initial projection by topping up onto the premium

It is really a bad experience with Manulife.

First, I applied medical insurance for my sister who is OKU. They claimed that OKU is OK as long as is good health. The process was going through and then did blood test etc and found to be anemia and hypertension. They rejected the medical insurance with reason to come back and reapply again after 1 year.

Then I wanna go for life insurance with them and they do not wish to offer as they claimed that my sister is Intellectual Disability in which her IQ is same like child about 15-16 yo.

So kia su company, better don't do insurance business la.

It's just a matter of offer and acceptance.

You show up by offering them with such health condition and offer to pay x amount, it's up to the insurance company whether to accept your offer with the risk involved.

If they don't want to accept, you got nothing to lose since you didn't pay them the premium. They also didn't lose anything by not offering your sister the coverage.

In this scenario you've given, you're more in the mercy of the insurance company to accept a sub standard condition rather than the insurance company is asking for your business.

If this company didn't work out with you, go try another company. Don't keep hard feeling about it.

You are right but of course there was something happened between me and the underwriter.

They asked to get latest blood test when they found out the blood test report that she did in 2019 has anemia issue. Then I asked the underwriter that if the latest blood test report showed the same issue without improvement, will you accept the offer or reject?

If you accept, then I bring her to do blood test.
If you reject, then no point to waste my time and your money to do the test.

Then the underwriter gave direction to do the test... and at the end, rejected.. so you see how the attitude is

bought since 2011 together with a prucash, around 21 yo i think. the benefit as in the attachment. not sure about most of the riders actually, i only know the max room per night charge, max limit and year i will be insured.

that time just sign only because helping 1 retired neighbour. i did cancel 1 of the policy with her because cannot afford it. bad decision signed too fast.


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Insurance business is a pooling of premiums to pay for policy holders claims. If medical claims increase substantially, it has to be met by increasing premium collection. Even LIAM is concern over the increase in the premium and cites increase is the high medical costs as one of the reasons.

That why, some Insurer come out with those guaranteed acceptance plans which no underwriting required. These is specially design for OKU. This kind of polices only issue on certain period to cut down the risk.

My job as teacher is done. Concept translated.

Yes. Rm6000 was just an example of your possible COI after this letter.

Yes. Shortfall deduct from your fund. Your number of units will decrease. The additional units you have is accumulated since the 1st day you started paying.

Note: while i have to admit the most technical people may say my explanation is not 100% technically correct but i think you grasp the main points i want to highlight which is more important than being able to technically explain every aspect of your insurance policy.

I am sort of facing the same problem as you but with aia. With our parents getting older, finding replacement is hard. So sometimes gotta just stomach first. My regret is not buying a deductible plan or co insurance plan for my mother to reduce cost of insurance when she was few years younger. < 60 and > 65 is huge difference from insurance perspective. Sigh sigh. Now is likely too late for me too.

Yes, BUT from all the posts of people complaining about this don't they indicate something?

The agents had somehow "forgotten" to made us aware of this when they signed us up making us thinking it is like a package that we paid xxx forever every year for xxx lifetime limit

Let's see if I can change my policy before I turn 40 and see if for the similar amount of premium I can get better deal

Agree if the commitment in premium is too high then no point stressing our life but better cancel some of them

I had seen some family like big chuck of their income were allocated in paying insurance premiums which I personally think it would be too stressful for this kind of budgeting

I am just wondering, didn't they already set us xxx amount of annual and xxx amount of lifetime limit?

So even if the medical cost increased doesn't mean we can spend beyond the limit agreed

Why increase our premium? We finished up the RM200k lifetime limit then goodbye mah

Terima kasih cikgu! If the agent took the effort to explain like how you did I will understand but too bad she is not a competent agent

Actually the letter did mention another option for her is to convert into a deductible plan

And since you mentioned about deductible plan, mind helping to explain a bit teacher? ha ha

I read that deductible medical plan is like you have to fork out, for example, RM6,000 for a treatment before the bills will be covered by insurance but I still can't see the whole picture of it

Actually it's quite simple. Example deductible rm5000 (i think it's usually per year, or per disability, not per admission). If hospital bill is rm8k, then the good children like us bear 5k, 3k borne by insurance company. But if the bill is like 60k, then the insurance company will bear the 55k. From a simple perspective, 5k we can makan. 60k is hard to makan. It is a stop loss strategy in a way.

These type of plan is cheaper because you makan some on your own. Also mean you wont simply claim. Insurance company like people who dont simply claim. Not that they dont want you to claim, they dont want people with slight fever or food poisoning treat hospital like hotel and treat the insurance company like water fish.

mind asking,...for this type of deductible insurance, the premium can also rises anytime the insurance company think that the cost of insurance has increased,..... just like they increase the premium of those non deductible plan too?

This is also another option too! It sounds like co-insurance but co-insurance is 10% cap at RM1k

This current plan also we paid RM1k each time when she did TKR, once for each leg due to co-insurance

Well will explore into this when cannot tahan the premium anymore, thanks!

This post has been edited by coolguy_0925: Oct 14 2020, 07:10 AM

Yes. Still the same. But frequency tend to be lower relatively. And when the something is cheaper, 20% or 30% of it is a smaller number.

Hi, I plan to buy a medical card insurance for my family.
I have ff in my list:

AIA
Benefits Details Coverage
Hospital Room and Board (120 days per year): RM150/day
Overseas Hopital Room and Board (120 days): RM300/day
Annual Limit: RM500,000
Lifetime Limit: No Limit
Deductible (Co-insurance): 0 Deductible
In Hospitalization: As Charge
Pre Hospitalization (dianosis, test, consultations, medications) 60 days prior
Post Hospitalization (Diagnosis, test, consultations, medications) 120 days post
Daily Cash Allowance at Government Hospital RM100/day
Home Nursing Care (RM3,000 per confinement) 180 days max per lifetime
Accidental Outpatient As Charge
Accidental Outpatient Follow Up 30 days
Outpatient Kidney Dialysis / Cancer Treatment Up to 1 mil per Lifetime
Emergency Overseas Medical Evacuation and Repatriation USD 1 mil
Premium RM2,094.00 annually

Allianz
Age 43
Monthly Premium RM246
Annual Premium RM2952
Annual Limit (No Life Time Limit till 100 ) RM850K
Sum Assured Death & TPD RM10K
Room per day RM150
Lodger Benefit Daily RM75
Genomic Cancer Test RM10K


which one is better for these 2 providers? or is there any other medical insurance provider better than this?
my major concern is I realised if the specialist doctor ask to do some test like MRI or Scan, once result is fine then the insurance won't reimburse or pay for it!!! but if the test found out something then will this become pre-existing??? so if this is the case why get medical card insurance?
Agent told me it really depends on how doctor write in the report. Again will the doc be kind enough to cooperate with you just for the reimbursement or payment?

All I need is medical card that I just can swipe and worry free to have it get reimburse / pay or not, worry free for pre-existing or not... Is there any medical insurance provider like that?????
So far I can see is all insurance company just want to earn money from me while I don't get much benefits on it.

any advice?

If you've applied for the insurance with all the declaration and the insurance company have accepted your declaration with no exclusion, then you're fully covered within their benefits that they offer.

As for things like MRI/Scan/whatever test, if the reading is fine then you'll have to bear for it since there is no hospitalization.

If thereafter there are findings then if you have an insurance policy, it will be covered.

If you've done some check before applying for the insurance and they've found out abnormalities, then they may exclude that particular area based on the diagnosis.

As for which insurance between these 2, both are quite good.

First, the agent you’re engaging really undersold Allianz’s medical card. 🙃

You can compare each plan and see which has the benefits that attract you the most. I personally know which plan I’m going for XD.

If doctor “helps” you then chances are you will have a pre-existing condition on your medical records in the future.

As to insurance company just wanting to earn money from you, technically they do as they are a for profit entity. The benefit you get is that in the event of a hospitalization you will be covered. You are transferring the risk to the insurance company.

At least for Allianz, every year you don’t claim you can get some refund on the Cost of Insurance, so that’s something.

Best,
Jiansheng

I m pity Manulife to treat me as lulu to offer me this plan:-



This post has been edited by jack2: Oct 14 2020, 09:10 PM

hi jack2, the plan you quoted above is not something you want. so you can ignore the offer. the agent offer you or company offers you?

The agent helped me to appeal with the Co and the Co reviewed the appeal and provided this offer that they can offer.

Anyhow, MSIG accepted my sister's application with some exclusions on medical side and I accept the exclusion as it is fair to both of us.

This post has been edited by jack2: Oct 14 2020, 09:16 PM

okay, glad to know that your sis got some offer for medical coverage.