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 Insurance Talk V6!, Everything about Insurance

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ckdenion
post Dec 29 2020, 11:15 PM

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QUOTE(Oklahoma @ Dec 29 2020, 10:18 PM)
hi ck, are there any medical insurance that covers general practitioner visit/ clinic?

If not all insurance only covers hospital treatment, what is the minimum amount needed to claim insurance?
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so far i only know those medical insurance under employee benefits (group medical insurance by employer) covers gp/clinic visit. there is no minimum amount needed to claim insurance under hospitalization/surgical situation. smile.gif
ckdenion
post Dec 30 2020, 10:34 PM

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QUOTE(Oklahoma @ Dec 29 2020, 11:29 PM)
Ok then if this the case, how to know when I can call agent and claim insurance? As long as I'm hospitalized? How about outpatient at hospital? Because sometimes for simple flu I also go hospital and check.
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In this case, you just need to keep in touch with agent. Just ask agent whenever you feel like it. It’s agent’s responsibility to help you in this area.

QUOTE(coolguy_0925 @ Dec 30 2020, 06:05 PM)
Hello, just had a thought over the following topics and wanna see if you guys can help to clarify

1. Say this person has an ILP which the life assurance that pays RM200k and the current fund value is RM20k. Say touch wood this person died, so the nominee will get RM200k + RM20k? Fund value will not burnt I suppose?
Look at the “death benefit” table over the years then you will know. Some pay sum insured + cash value. Some pays sum insured OR cash value whichever higher. If you want to be sure, can snap shot a few pages of the policy contract document or clarify with your agent.

2. Is premiium holiday applicable to all ILPs? And does customer have to apply for it or can just skip paying premium assuming the fund value is adequate for few years of premium. Can the insurance provider reject this and force us to continue paying premium? Because during MCO it was required to apply to defer premium payment due to COVID-19 and only those can prove that they got affected will be approved. Just worry if I skip like 2 months of premium then will have problem or rejection for claiming etc. next time
premium holiday is applicable to ilp plans. You can apply for it or policy status will automatically turn to “premium holiday” status after x months of no premium payment. Insurers can force you to pay any due premium when you wanna make alteration to the policy benefits say add/remove riders. For premium deferement due to COVID is kinda like special case unlike premium holiday. Have to check with the TnC from your insurer. Just the 2 months due wont cause any claim problem unless your policy is new say within 1 year perhaps.

Thank you
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Hi coolguy, hope the above reply helps.
ckdenion
post Dec 31 2020, 01:27 AM

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QUOTE(Mike.Chang @ Dec 30 2020, 11:01 PM)
» Click to show Spoiler - click again to hide... «
hi Mike, if so ngam you wanna get the latest medical card from GE, then yea it is a good grab. btw what is your current plan?
ckdenion
post Dec 31 2020, 01:52 AM

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QUOTE(Mike.Chang @ Dec 31 2020, 01:38 AM)
My parents signed me up for "MULTICARE - WHOLE LIFE WITH SPECIAL CASH BONUS" as a baby.
Until now the thing pay for itself.

Only cover life/death. No Med Card, my agent urge me to get one Med Card as mentioned as the promo plan.
I do not really get all those insurance terminologies yet so bare with me ah  rclxub.gif

As mentioned by tyenfei RM 150-200 monthly is abit over kill for my wallet lah, since Im not working now also... sweat.gif
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yea Mike, i think it is better for the agent to talk this to your parents instead. unless you already got your job and you will wanna take this responsibility yourself.
ckdenion
post Jan 2 2021, 07:20 PM

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QUOTE(prescott2006 @ Dec 31 2020, 11:42 AM)
Hi, do people switch insurance plan or provider from time to time? I mean like phone plan, when a better plan come up, we will just switch over. How do we make such decision? What are the cons?
usually this only happen for medical cards but not frequent. how you make decision it really depends, because it could be due to agent most likely. benefits wise it is competitive and you don't regularly change due to benefits. there is no cons, only thing is have to take note new medical card has 4 months waiting period and 2 years contestability period.
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1. Do agent's commission reset when we switch plan from the same company?
so long you bought a new plan, agent have commission from the new plan again.

2. Is there any window period between the old plan and new plan? Mean if I caught any disease in the window period, I cannot claim from either plan.
do you mean waiting period for new plan? if you are referring to that, 120 days waiting period (for medical card) and 2 years contestability period.
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For question 2, if the newer plan is from other company, how does the window period work?
it works the same. so long you bought a new plan (irregardless of insurance companies), the waiting period applies on the new plan. check out the waiting period based on which benefits bought. for example medical card for 120 days waiting period, certain critical illness 30 days and some 60 days. Check the policy contract documents for details
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hi prescott, tried my best to answer you above. wink.gif

QUOTE(coolguy_0925 @ Dec 31 2020, 10:39 PM)
It is Prudential and their customer service just replied my e-mail saying application for premium holiday is not available anymore dry.gif
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in that case, if it is necessary then just stop premium payment will do (note: not encouraging you to do premium holiday ya biggrin.gif ).

QUOTE(hioniq @ Jan 2 2021, 12:47 PM)
Can anyone advise how to claim 2 medical cards? I bought new medical card with deductible 10k, so when admitted the first 10k I want to claim my company medical card, then the balance claim to my my own personal medical card.

So what is the procedure? Should I admit with my company medical or personal?
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hi hioniq, in that case

1. Admit using company card
company card covers the treatment, if there is any excess, then only file a manual claim to your personal medical card. (submit claim form, with original receipts, company medical card Final Guarantee Letter, and bank direct credit form)

2. Admit using personal medical card
personal medical card only covers anything once bill exceeded 10k. then you file a manual claim to your company's insurance. (submit claim form, with original receipts, Final Guarantee Letter from personal medical card, and bank direct credit form)

by the way do you have any idea how much is company medical card's annual limit?

This post has been edited by ckdenion: Jan 2 2021, 07:23 PM
ckdenion
post Jan 2 2021, 08:24 PM

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QUOTE(coolguy_0925 @ Jan 2 2021, 07:43 PM)
Thanks for your input

The max I will skip will only be 1 or 2 months in order to utilise the cash value because it is too high now instead of me keep forking out cash from my end in this kind of effected economy

Just don't want them to later come out with all sorts of funny things like charge me interest (like putting the policy into Auto Premium Loan / APL) or denying the claims if required
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1 or 2 months wont go into premium holiday. or you can try to make partial premium payment instead. i advised few of my clients to do that for those who faced financial difficulties. ILP won't have APL so dont worry about that. smile.gif
ckdenion
post Jan 2 2021, 08:58 PM

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QUOTE(hioniq @ Jan 2 2021, 08:40 PM)
Thanks ckdenion for the answer, my comp annual limit is 15k. In this case I better use my personal to admit so I just need to pay 10k upfront and claim back from my company insurance manually
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yeap, if thats the case, you can use your personal medical card for admission. then file manual claim for your company insurance to claim the 10k. smile.gif
ckdenion
post Jan 15 2021, 09:50 AM

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QUOTE(anhydrous @ Jan 15 2021, 07:32 AM)
Dear experts,

what kind would be my Life insurance, TPD and PA coverage if i am willing to pay about 2500 - 3000 MYR per annum?

40yo, non-smoker, no pre-existing
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hi anhydrous, just Life (death/TPD) and PA coverage?
ckdenion
post Jan 15 2021, 09:50 AM

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QUOTE(Holocene @ Jan 11 2021, 09:56 PM)
Any providers here that can underwrite a life insurance coverage equivalent to an MRTA with a term of 10 years do get in touch.
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bro, GE has it. but i forgot whether can go till as low as 10 years or not. i bought 17 years one.
ckdenion
post Jan 16 2021, 02:51 PM

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QUOTE(jacky1678 @ Jan 15 2021, 02:36 PM)
here is for your reference.

u may do comparison for other insurance company dude.

https://medisavers.my/wp1/wp-content/upload...rs-leaftlet.pdf 
just look at your PAsaver 2# , price is show at bottom  in Annual ,  if u r damn rich  , maybe u can look at PASaver 1.

Cheer  cheers.gif
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yo jacky, nothing wrong promoting medisavers. i do refer some of my friend to get it from medisaver for those with tight budget. only thing to clarify is MXM is not an insurance company and it's not regulated under LIAM and BNM (correct me if im wrong). thanks for sharing info, at least we know what's available in the market. icon_rolleyes.gif
ckdenion
post Jan 19 2021, 09:40 AM

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QUOTE(GreenSamurai @ Jan 18 2021, 06:41 PM)
» Click to show Spoiler - click again to hide... «
hi GreenSamurai, if just the medical card, definitely less than 300/month you can get one. smile.gif

QUOTE(Phonzy @ Jan 19 2021, 06:08 AM)
» Click to show Spoiler - click again to hide... «
hi Phonzy, confusion is because of type of claims. whatever that is covered now is giving only the daily allowances if admitted to hospital due to covid or death due to covid. it is different in terms of covering the medical bill when you go for covid treatment. as of now, it is still uncertain whether medical/treatment expenses is covered by medical card if admitted to private hospital.
ckdenion
post Jan 19 2021, 06:46 PM

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QUOTE(prophetjul @ Jan 19 2021, 01:49 PM)
Anyone has the Medisavers medical card? 
How is it like?
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hi prophetjul, mind to ask in more detail? you can check Medisavers medical card benefits here.

QUOTE(plurbuddyskuppy @ Jan 19 2021, 03:04 PM)
Hi, everyone can help me to roughly quote for my family of 3.

1. Me, 31, non-smoker, office worker, no critical illness
2. My wife, 31, non-smoker, housewife, no critical illness
3. My son, 3, non-smoker, no work, no critical illness.

currently, my company support all famili members under medical card, PA & Life insurance for me.

Thank you.
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hi plurbuddyskuppy, by "no critical illness" stated, you mean you do not want critical illness insurance/benefits or your family members have no critical illness history?

QUOTE(digilife @ Jan 19 2021, 04:54 PM)
GE medical card insurance till what age is not Auto renewable ?

65 ?
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hi digilife, what is the GE medical card name that you are referring to? because older one does not cover beyond certain age. newer ones can be renewable up to age 99 once coverage term reached.

QUOTE(eeesiang @ Jan 19 2021, 05:46 PM)
» Click to show Spoiler - click again to hide... «


Hi guys, was browsing thru the thread and found a point which perked my interest.

Could anyone further explain on what exactly does the 2 years of contestability applicable to?
Is it based on the type of insurance or the circumstances?

Something like:
(1) Standalone medical plan to ILP and vice versa? (changing the type of insurance plan)
when you replace your standalone medical card with ILP medical card rider (within the same company), likely there is no contestability period/waiting period. by right you should receive a notice when you do so. (do check with your insurance company because it may varies)

(2) Switching ILP from company A to company B? (switching to another agency)
so long its a new policy, contestability period applies to the new policy. (even if you buy a new policy within the same company)

(3) Changing same type of insurance plan under the same company, e.g. ILP1 to ILP2, Medical card 1 to medical card 2
(from my understanding in previous post, some companies do offer waiver of waiting period in (3) subjected to T&C?)
this only applies to medical card replacement. changing from ILP1 to ILP2 (ILP2 is still a new plan bought, so contestability still applies).
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hi eeesiang, contestability period means that period where insurance company can investigate the claims before approving, if there is any dispute/non-disclosure, then company can reject the claim or void policy.
ckdenion
post Jan 23 2021, 10:45 AM

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QUOTE(netcrawler @ Jan 22 2021, 10:46 PM)
My insurance already matured for about 6 years. If I surrender the policy, how much would
I get back the money? Add all below or only Net Surrender Value?

Net Surrender Value: 50200.20

Survival Benefis  Balance: 14040.20

Cash Bonus Balance: 18010.00
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hi netcrawler, if you surrender your policy, you will get the amount of all 3 combined less any premium due + loan interest on premium due smile.gif
ckdenion
post Jan 23 2021, 05:04 PM

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QUOTE(netcrawler @ Jan 23 2021, 11:29 AM)
Now Im confused. Some said will get only net surrender value. Any GE agent can clarify? I dont see any clause says the policy will mature upon 87 years old. What I know i only have to pay 10 years that i already completed. Its in 16 years for the policy. Will i get 3 combined?
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yes netcrawler, you will get all 3 combined. you get the figure from your eConnect right? if i remember correctly, you try to see if you can request for "Discharge Voucher" of the plan. the Discharge Voucher will state the amount you will get upon surrendering the policy.

I do agree the term Net Surrender Value here is confusing. The Net Surrender Value is the fraction of amount deduced from your basic sum assured (not including any bonus be it survival bonus or cash bonus). I'd done this many times for GE policyholders and I'm ex-GE agent. So yet that's why i know. Just recently helped my friend's father out on this matter too wink.gif

QUOTE(Zellwong @ Jan 23 2021, 11:33 AM)
Wanted to check if my plan's ok

Rm300
Life 100k
CI (early) 100k
CI (late) 100k
Med 150
Waiver

(Sustain 30-34 years)

29y/o, this looks ok?
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hi Zellwong, if possible, increase the premium slightly to make sure it sustain till at least age 75. if really thats the max budget, yeap this plan's benefits look ok. wink.gif

of course it will be better if you provide much more detail like - whats the medical card name (if you dont mind screenshot the benefits from the illustration and upload it here, that will be better)
ckdenion
post Jan 23 2021, 10:32 PM

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QUOTE(myrancid @ Jan 23 2021, 09:42 PM)
Hi,

Which life insurance is good in 2021? I plan to buy online on their website.
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hi myrancid. your question is too wide. perhaps you wanna be more specific? life insurance is very straightforward, just paying either death benefit or TPD benefit. is this what you are looking for?
ckdenion
post Jan 23 2021, 11:45 PM

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QUOTE(rocketm @ Jan 23 2021, 10:48 PM)
Does MyCTF claim for covid-19 test (first time) is still accepting claim?

Does individual with life insurance able to enjoy this benefit?

How high the possible to get claim if having medical and CI insurance with complete document for submission?
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QUOTE(rocketm @ Jan 23 2021, 11:21 PM)
My father life insurance is having CI with it. He has claimed for CI before so now left the benefit payout if he survive more than 30days then the insurance company will pay 25% of the initial sum insured to the beneficiary when claim death benefit (touch wood).

When I see his online statement it is stated as life insurance. So, having this insurance allow my father to qualify to join this covid-19 claim?
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hi rocketm, just file the claim and submit since there is no harm and no fees incurred. smile.gif the steps is very simple and it takes less than 15 minutes to submit the claim.
ckdenion
post Jan 24 2021, 09:21 PM

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QUOTE(myrancid @ Jan 24 2021, 12:44 AM)
How about both?
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Life Insurance itself already has Death Benefit and TPD payout benefit as what I mentioned earlier. also you can provide more details for us here to generate proposal for you. Age, gender, smoker/non-smoker, occupation

QUOTE(netcrawler @ Jan 24 2021, 05:29 PM)
Thanks for the explanation. I had checked the the policy and it's indeed matured at 87 yo. Shall heed your advice and keep it for longer possible. Meanwhile, I have another policy from GE, supposing to only pay 14/15 years and thereafter the cash bonus generated would be able to pay off the premium? However, an agent told me to continue paying premium as the bonus generated may not able to pay of premium after few years? Also should i surrender this policy, how much would i get back the money? Already pay for 20 yo. The return seem not impressive

GE Supreme Living Care

Net Surrender Value : 21,239.96
Cash Bonus Balance: 12,849.52

Annual Premium: 1,457.00
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hi netcrawler, whether to surrender or not, it really depends on what your concerns are. we can't simply ask you to surrender solely because the return isn't impressive. the main concern when it comes to insurance is to mitigate certain financial risk that we might face should uncertainties happen. have you discuss this with your GE agent though?
ckdenion
post Jan 24 2021, 09:41 PM

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QUOTE(netcrawler @ Jan 24 2021, 09:38 PM)
I have few policies with GE, plan to surrender one but no hurry. If I stop paying premium, would it affect my cash bonus or policy lapse?
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it depends what plans they are - Traditional (participating plan) or ILP (non participating plan). if your plans have bonus, then it belongs to traditional plans.

for traditional plans if you stop paying premium, when you surrender, it will be total amount less any premium due + any premium due interest. the policy will only lapse if whatever amount inside goes to 0 because of large amount of premium due.
ckdenion
post Jan 25 2021, 10:53 PM

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QUOTE(netcrawler @ Jan 24 2021, 10:42 PM)
» Click to show Spoiler - click again to hide... «
ignore what agent told you about how many years you need to pay (payment term). refer to the payment term in eConnect, that wont go wrong. last time one of the ways agent sell this plan is asking you to pay x years and let the amount inside pay itself until end of policy which i think it is not so transparent.

When you stop paying premium, if supposedly you still need to pay, then by stopping premium payment, company will "pay" for you and charge interest on the amount due. so end of the day when there is payout from the policy, it will less the amount you owe + interest accumulated. by the way it is better you screenshot your policy details from econnect (if you dont mind, and you can censor off some sensitive data). better in that way so can give more appropriate advice.

QUOTE(alandhw @ Jan 24 2021, 11:06 PM)
» Click to show Spoiler - click again to hide... «
hi alandhw, i dont see the benefit in bundling together though. you can add comprehensive PA benefit in your existing ILP insurance policies.
ckdenion
post Jan 27 2021, 09:05 PM

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QUOTE(wykoh2 @ Jan 22 2021, 04:15 AM)
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hi wykoh2, yeap basically they will cover expenses if admitted to private hospital due to COVID. reason being is because their medical cards do not have this exclusion clause that excludes "communicable disease that requires quarantine by law"

COVID-19 falls under this exclusion. so without this exclusion clause, there is no right AIA can reject the claim due to exclusion. but there are a few TnC applies.
- from what I know, you cannot just simply want to seek treatment for COVID from private hospital. you need to go to government hospital and if government hospital refers you to private hospital, then only this treatment can be submitted for claims.
- there is no cashless claim facility for admission due to COVID-19. in another words, you must pay all the bills incurred then only submit it to insurance company to claim (subject to Reasonable and Customary Charges). for example certain items wont be cover like doctors PPE suit, face mask face shield and etc...

QUOTE(dragonlady @ Jan 27 2021, 01:12 AM)
» Click to show Spoiler - click again to hide... «
hi dragonlady, I wont say that AIA is doing marketing gimmick. more like agents are the one who use this point to do marketing. AIA has to cover because of the reason above i stated to wykoh2

QUOTE(taiping... @ Jan 27 2021, 04:22 PM)
Really? No catch?
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hi taiping... not to say catch... more to TnC. can refer to my reply above.

This post has been edited by ckdenion: Jan 27 2021, 09:10 PM


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