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 Insurance Talk V6!, Everything about Insurance

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lifebalance
post Jul 31 2020, 04:14 PM

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QUOTE(driftkids @ Jul 31 2020, 04:08 PM)
Hi, would like to ask sifus here about recommendations for investment link policy for life/total permanent disability/ci

Age 32 non smoker

1.waiver in case of having CI/TPD
2.annual limit may be 1m++
3.lifetime unlimited
4. Cover till min 80
5. Life/ci/tpd payout 300k
6. Single room 300

Better to take deductible 1k for reduce monthly? And roughly how much premium will increase over time?

Budget around annual premium of 3k

Thank you.
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Taking an ILP now will lock in the premium that you need to contribute that is recommended to sustain until certain age i.e your case, you want until 80 years old. However should there be any medical repricing over the years by the insurance company, they may recommend you to increase your premium payable in order to maintain the same original sustainability (80 years), otherwise you may be advised by the insurance company that your term would have been shortened / reduced ((say dropped to until 75 years) due to the increase in cost of insurance if you refuse to top up the difference recommended by the insurance company.

Now, moving back to your main inquiry, having deductible will definitely reduce your cost of insurance incurred for your hospital & surgical benefit (which a lot of people would call it the "Medical Card").

However most of the famous companies nowadays will allocate up to 300 as a deductible instead of 1,000, some other options are 5,000 - 100,000 deductible.

Based on what you are requesting, it's kind of impossible to get the said benefit for 3,000 yearly. You may need to increase your budget or reduce the benefits / terms of the policy i.e 70 years instead of 80.

This post has been edited by lifebalance: Jul 31 2020, 04:18 PM
lifebalance
post Jul 31 2020, 05:14 PM

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QUOTE(driftkids @ Jul 31 2020, 05:11 PM)
Hi, thanks for the reply...roughly how much will be the premium based on this if wan to maintain the condition?
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Sure, let me check it up for you, do you prefer to add on with 300 deductible or without any deductible ? or would you prefer to know the difference in the premium between these 2 ?

Edit*

I've decided to get both figures for you

it will be around 675 monthly without the 300 deductible, 625 monthly with the 300 deductible.

This post has been edited by lifebalance: Jul 31 2020, 05:53 PM
lifebalance
post Aug 1 2020, 07:13 PM

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QUOTE(driftkids @ Aug 1 2020, 06:57 PM)
Thanks alot for sharing
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Sorry adjustment, the figures are reduced to 570 monthly and 630 respectively
lifebalance
post Aug 1 2020, 08:48 PM

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QUOTE(tan71500 @ Aug 1 2020, 08:37 PM)
user posted image

Hi everyone, i have question about AIA A-Plus health medical card. It is specifically mentioned in the brochure that ''specialist consultation'' is covered. Does this means General Practitioner consultation is not covered? and does AIA cover consultation by more than one specialist? Thanks in advanced
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Part 1 of your question:
Payment will not be made for clinical treatment (including medications and subsequent consultation after the Disability is diagnosed) or where the Insured Person does not result in Hospital Confinement for the treatment of the medical condition diagnosed.

Part 2 of your question
The number of consultation payable per day is limited to one (1) consultation of no more than one (1) Specialist per day.
lifebalance
post Aug 1 2020, 09:26 PM

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QUOTE(tan71500 @ Aug 1 2020, 09:17 PM)
For part 1, ''Payment will not be made for clinical treatment (including medications and subsequent consultation after the Disability is diagnosed)'', what is the meaning of ''clinical treatment''? means treating the disease without hospitalization?

For part 2, so lets say we have several scenarios :
Scenario 1: One GP and one specialist on the same day--> can claim specialist only but not GP
Scenario 2: One GP and one specialist on different day --> both can claim
Scenario 3: One GP and two specialists, all three on different day --> all can claim

Is my understanding correct? Thanks in advanced
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Clinical = Clinic, it's clear cut, if your treatment in a clinic did not require you to be hospitalized thereafter, any clinical fee incurred will not be entertained by the insurance company.

You can't simply engage with another specialist when you're already consulting an existing specialist unless it's been referred to by the existing specialist that you're engaging. What you're seeking for is a Second Medical Opinion which is not be covered by the insurance company under this Plan.

As for your question on frequency of claim.

For any clinical fees you have incurred within the 60 days prior to Hospitalization with GP, you may file back a claim with the insurance company.

During the time before you're admitted to hospital, you may have consulted a specialist for his medical opinion and resulted in you being recommended to be hospitalized. The fee incurred for the consultation with the specialist will also be covered within the 60 days.

This post has been edited by lifebalance: Aug 1 2020, 09:35 PM
lifebalance
post Aug 1 2020, 09:36 PM

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QUOTE(tan71500 @ Aug 1 2020, 09:35 PM)
Oh i see, If i consult a GP first, then the GP refer me to a specialist, and the specialist refer me to another specialist, all 3 consultation can claim right if hospitalization is required? thanks
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Yes, otherwise after all the consultation and find out there is nothing and you're not hospitalized. Then you're not able to make any claims.
lifebalance
post Aug 2 2020, 10:36 PM

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QUOTE(tan71500 @ Aug 2 2020, 10:19 PM)
For allianz medical card (medisafe infinite +), it specifically mentions immunotherapy , hormonal therapy and targeted therapy are covered under outpatient cancer treatment. Does this means for other companies like prudential and AIA, these 3 therapies are not covered?
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Subject to approval. Since its not mentioned explicitly, the insurance company you've mentioned may say that they will not cover for it.

Though so far it's on case to case basis
lifebalance
post Aug 3 2020, 10:24 AM

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QUOTE(glitz2z @ Aug 3 2020, 10:01 AM)
Hi everyone,

Happy Monday!

Would need advise on the insurance plan quoted by an agent last week to me.

user posted image

First concern: Was wondering if the monthly premium if too high for this ILP (anyone has similar package?) I know that standalone medical card and critical illness policies are definitely cheaper but I have done so much reading/checking and most independent websites recommend that Allianz Medisafe Infinite+ as one of the best choices for medical card but it's a rider type.

My focus right now is only to have better coverage for medical card and critical illness. I already have a few insurance that have higher payout for Life/TPD.

Another insurance agent from GE (a friend) mentioned that nowadays most insurance will always focus on selling ILP to customers for all-in-one package (since it's the trend) and of course, at the end of the day, it's the most commissions agents can get when selling ILP.  dry.gif He did quote me a similar package for GE to match the coverage by Allianz but the monthly premium is higher at RM575 and I need to top up / pay extra since I wanted early payout for critical care, whereas Allianz already have payout at all stages.

Second concern: Allianz definitely have the holistic package but unsure how fast they process guarantee letters and claims.
Thank you!
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Good morning,

You will need to check how long is the sustainability of the policy compared to GE.

Allianz does provide a much more comprehensive coverage compared to GE in terms of overall benefits.

However the Cost of Insurance will be much more higher in comparison. GE will on a high side as well since they’ve done a repricing recently and have experience up to 40% increase in cost.

Again I am not able to comment much until I know you myself better in terms of existing policies, risk that you may need to cover & your other plannings.

As for reliability in claims, I believe most of the life insurance company follows the same protocol to ensure the policy holder gets their payout on time. When it comes to admission of hospitalization, it will depend sometimes on the hospital’s side to file in the claim request to the insurance company as soon as possible for the insurance company to respond and check a few things with the policy holder
I.e
is the policy holder covered for such procedure / illness ?
Is the policy still active?
Is the policy holder excluded of such claims
Before they can proceed to issue any guarantee letter.

This post has been edited by lifebalance: Aug 3 2020, 11:20 AM
lifebalance
post Aug 4 2020, 12:49 AM

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QUOTE(TomRiderss @ Aug 4 2020, 12:48 AM)
Hi everyone, what is the best insurance?
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Best insurance is the one that is tailored to your personal risk planning.
lifebalance
post Aug 4 2020, 01:02 AM

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QUOTE(Kiminohu @ Aug 4 2020, 12:55 AM)
Hi Everyone,

I really need your advice.

I am hepatitis B carrier, got from my grandparents then to my mom then to me.

I'm currently on follow up with hospital and taking medicine. My liver is recovering and i was undetected for so long already.

I wish to take insurance soon. So have few questions:

1. I don't plan on claiming anything related to my hepatitis b related disease in future. Should i declare and why?

2. If i don't declare, let say i want to claim/req GL for other illness, will they find out about my hep b? and will it cause problem to my claim for other illness that is not related to hepatitis b?

3. If i'm caught that i don't declare, what would happen?

4. GL is issued within minutes to hours, how do insurance company check on the medical background?

5. Say i'm currently following up on hep B with hosp A, but i want to req GL on other illness with hosp B. will insurance company know my medical record in hosp A?

6. will my premium become high if i have hepatitis B?

7. with my condition, which insurance package you think would be the best
Thank you in advance guys!
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For Hep B patients, Your application ranges from Loading / Decline depending on your Liver Function Test results.

1. It’s already pre-existing, the hospital already has your records. You can’t go under-declared, if you choose to do so, don’t blame for any claims rejected in the future or your policy cancelled by the insurance company for non-disclosure.

2. of course, liver function tells a lot

3. As per 1. Answer

4. Hospital records / other insurance companies, you can’t cheat the system.

5. Data / Records are shared nowadays in a cloud system.

6. Definitely.

7. I would say apply first and see if the insurance company are willing to accept you then only alter the plan from thereafter.
lifebalance
post Aug 4 2020, 01:11 PM

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QUOTE(TomRiderss @ Aug 4 2020, 12:48 AM)
Hi everyone,

May I know, what is the best insurance for my dad that is age of 66 this year?

Perhaps with lower premium with good coverage.

He is healthy but diagnosed with glaucoma.

Thank you
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I see you changed your post.

Since your dad has glaucoma, your dad's new insurance will exclude all complications related to both eyes. The rest are covered (provided he's healthy).

For someone at his age 66 years old,

Room 500
Annual Limit 980k
No lifetime
Premium Yearly 3600
lifebalance
post Aug 6 2020, 12:22 AM

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QUOTE(JSZE @ Aug 5 2020, 12:14 PM)
Hi, not sure whether this is the right place to ask. I have a medical card given by company which covers Outpatient GP & SP. I would like to do an xray for chiro purpose but I know that will not be covered by insurance. Is there any way I can get the xray to be covered by insurance? Perhaps visit SP to get them to recommend xray?
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Get a diagnostic done through the proper flow for the claim process.
lifebalance
post Aug 6 2020, 09:27 AM

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QUOTE(Vincentccw @ Aug 6 2020, 09:15 AM)
Was talking to an insurance friend about medical premium sustainability, both of us own a medical card from AIA and her insurance sustainability dropped from 78/77 all the way to 70 yrs old in just one year and mine dropped 2 yrs. Was wondering if you guys face the drastic dropped in your insurance sustainability recently?
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QUOTE(Vincentccw @ Aug 6 2020, 09:19 AM)
To add on I applied my medical card from AIA around 6 yrs back. I remember when I first started the sustainability was 78 yrs old if I remember correctly
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Medical repricing is bound to happen over the years and sustainability of the policy will be reduced. This applies to both term and ILP

I'm sure you've received some notification letter from AIA to do necessary top ups to maintain the original terms of the policy otherwise you will have deemed to understand that your policy will end sooner than later.

Recent increase in cost of insurance will be from GE.
lifebalance
post Aug 6 2020, 09:49 AM

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QUOTE(Vincentccw @ Aug 6 2020, 09:43 AM)
Yes I'm aware of that but does the 'drastic' drop happened to all other insurance companies, as the  drop is quite drastic, even my AIA insurance agent surrendered her own AIA medical policy and sign up with another insurance company. Dropped 7 yrs of sustainabilities in 1 year is no joke.
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Low investment return can also be a factor in ILP.

That being said, you have the freedom of choice to choose to change the funds within the policy that it's investing especially it is related to the economy performance.

If you feel that the insurance company you're subscribe to is just expensive as a whole, you are free to choose to move to another company that offers a more affordable plan.

Anyways what's your main point of asking this?
lifebalance
post Aug 6 2020, 10:16 AM

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QUOTE(Vincentccw @ Aug 6 2020, 09:58 AM)
The point is I want to know if there is a more affordable medical premium out there compare to AIA. I know couple of staff working for the company and they are making a fuss that the AIA insurances are generally pricier than other insurance companies.
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Sorry I don't know you personally unless you want to share more about what you're covered at the moment and how much you're paying at the moment and what's the sustainability.

icon_rolleyes.gif
lifebalance
post Aug 6 2020, 08:11 PM

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QUOTE(tan71500 @ Aug 6 2020, 08:08 PM)
Hi guys, i found that hong leong assurance is offering a medical card with 2.5 million annual limit but the room and board is just rm200. HLA is the only company offering such high annual limit with 200 room and board. Sounds too good to be true, is there anything i should be aware of here?
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Why do you even need 2.5m Annual Limit in the first place?
lifebalance
post Aug 6 2020, 09:28 PM

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QUOTE(tan71500 @ Aug 6 2020, 08:57 PM)
yes thats what i'm afraid of. will there be hidden charges?
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There will be extra cost of insurance incurred on top of the normal plan since it's an optional rider, otherwise the base annual limit will follow as 1 mil, 1.5 mil or 2 mil.

Goes back to my original question whether you need such a high annual limit or not.

There are no hidden charges.
lifebalance
post Aug 6 2020, 09:28 PM

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QUOTE(tan71500 @ Aug 6 2020, 08:57 PM)
yes thats what i'm afraid of. will there be hidden charges?
*
There will be extra cost of insurance incurred on top of the normal plan since it's an optional rider, otherwise the base annual limit will follow as 1 mil, 1.5 mil or 2 mil.

Goes back to my original question whether you need such a high annual limit or not.

There are no hidden charges.
lifebalance
post Aug 6 2020, 09:32 PM

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QUOTE(yuunasue @ Aug 6 2020, 09:31 PM)
Hi, may i know is there any Life Insurance or TPD able to purchase for next age 64 and 62 ?

Currently have stand alone medicard.
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Yea all the insurance company can offer as long as they are not age 71 and above.
lifebalance
post Aug 6 2020, 09:56 PM

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QUOTE(yuunasue @ Aug 6 2020, 09:50 PM)
Thank but i quick check few company entry age Max 60 ?
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Term insurance are limited

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