Hi, would like to ask the shifus' advice for my insurance plan.

Am thinking of switching my current investment-linked medical plan from Prudential to AIA since my current workplace is using AIA as the company insurance and I feel that AIA has higher coverage, easier claims process, plus it's linked to AIA Vitality, which I also use. Also, I feel that the reputation for AIA is slightly better than Prudential as I've been to the hospital using my AIA company card for physiotherapy, and I often overhear the admins bitching about Prudential's claims process.

Currently, have the most basic PruValue Med plan for RM150 per month (soon to be RM170 next month due to the price hike):

PruLink One Death/Disability: RM30k
Crisis Shield: RM30k
Enhanced Prupayor Basic: RM1.8k
R&B: RM200
PruValue Med Points: RM1mil
Deductible: RM300
Coverage: until age 70 (current age: 34, F, non-smoker)

Had this plan for three years already and the fund value is minimal, so I don't really care about the returns at all, just the death/disability payout, if anything happens to me (no dependents, but the money would help pay for funeral expenses, loans, etc). Since I utilize the company card, the Pru med card is just for back-up.

An AIA agent has drafted a quotation for me for both investment-linked and standalone:

Quote 1: (investment linked)

A-Plus Health

Death/Disability: RM50k
39 Critical Illness: RM50k
PA: RM100k
Annual limit: RM1.5mil
Life time limit: unlimited
Deductible: RM300
R&B: RM200 (Gold Vitality members can get this increased to RM300)
Yearly health wallet: RM1.5k, provided there are no claims for that year
Prevention benefit (health screenings/vaccines/etc): RM300/yearly
Coverage: until age 80
Premium: RM290

Quote 2:

A-PHS Standalone

Annual limit: RM1.375mil
Lifetime limit: unlimited
R&B: RM200
Yearly Health Wallet Amount: RM1,250
Prevention benefit: RM300 every two years
Outpatient physiotherapy: RM6K per year
Coverage: until age 80
Premium: RM152

Judging by the premiums, there's a difference of RM138 and I am not sure it's worth it to get an investment linked product, when I'll just be using the card as a backup card. I can always invest the extra difference in ASB/UT as well. Am quite undecided whether to go for the investment linked card or the standalone card...keep hearing that it's better to separate insurance from investment.

Also, another good thing about AIA is that it offers goodies in terms of the Vitality app, plus the prevention benefit (Prudential doesn't offer this). However, is the higher premium worth it for me to switch from Prudential to AIA? Am relatively healthy, no surgeries or claims for the past three years on my personal card. Immediate family health history is clean as a whistle as well.

Appreciate your advice. 

Thanks, CK. May I ask, would it be possible to take the standalone medical card first, and upgrade to investment linked later?

Also, forgot to add that it's possible that I migrate overseas in a few years as well. Not sure if taking quotation 1 would do me any favor if that happens.

I previously buy new ilp insurance 2.5y ago. And still keeping the old policies until now. Normally how long to keep the old policies before i terminate and surrender it?

Got some confusion on the insurance policy, hope some1 could clarify whether my understanding correct?

Let say my policy have these, and does these mean:

Critical Illness 100k
If I mhaving 1 of the declare decease, i will get 100k (various depend on the illness stage but not more than 100k)

Life - 100k
> If I pass away my family will receive 100k
> Receive 100k if I have 1 of the declared critical illness (or any?)

Hospitalization Annual Limit - 1.5m
As long as im in hospitalize, my medicine and operation cost will be covered? (Or just mentioned critical illness?)

I recently applied for  GE medical card which is great medic xtra, I declared that I have scoliosis but in the end, my case was accepted as standard. How is it possible to have no exclusion for my case?

If im hospitalized due to illness but not under any of the 36 types illness, would the medical fee still be covered?

So if i have any problem with my spine in the future is it covered or not covered?

but it is stated that ''The Company will not pay any benefit under Great Medic Xtra and
Great Extender as a result of, whether directly or indirectly caused by pre-existing illness''

So it doesnt make sense for them to pay right?

Hi everyone , nice to meet you all. Hope you guys can give some recommendation of what medical card should I go. This is gonna be my first medical card. don't have any insurance/medical cover so far.

gender : Male
smoker / non smoker : Non-Smoker
Age : 30 Past birthday
type of work (risk calculation) : low ( everyday sit in front of computer do stuff )

budget : basically around rm300 but do I need to pay so much in this age ? open for discussion.

recently saw the AXA offering 3 in1 plan,, and kinda hook on to it ,

Medical 100 k
CI 100k
LI 100k

for 85.20

it is good ? will the amount too low for my age ?
or do you guys have any other recommendation ? Thanks.

https://www.fsmone.com.my/funds/research/recommended-funds

There are actually quite a few funds out there to choose from, obviously some worse than others, and some alot better. The main point isnt that however, but:

1) ILP doesnt reduce premium, it offsets it in later years via potential profit from their linked investments

2) Standalone + personal investment may work out better than ILP. The key point of this, which some people advocate, is focus and flexibility. Without being tied to a particular insurance companies' funds, you're able to balance your portfolio whenever, and via whatever vehicle you prefer, using whatever tool you deem most transparent.
My issue with ILP (I have most experience with AIA currently):

1) Reduced visibility on earnings report. It's super hard to find details on my ILP performance specific to my investment ( I'm not talking about general fund performance, it doesnt quite reflect my DCA frequency and cost of maintenance). Maybe it is different with other insurance platform. But My AIA seems good only for policy and claims (which comes back to focus, AIA is primarily an insurance company, so this being their key objectives, definitely good that it caters well here)

2) My experience with insurance agent is that they do not rebalance your funds portfolio, nor will they actively approach you on optimising funds. That isnt their strong point after all.
So this is actually why I'm pointing out, that merely asking others to check table on "increased premium" on standalone products is very misleading. Instead of being tied to a company's unit trust funds, they could be DCA-ing into blue chip stocks, doing robo advisors, fsm unit trusts funds, etc.

Yea, those funds performed even worse unfortunately.

Hi I am new to this forum, I have a question to ask Guru.

I bought a medical plan from GE 10 years ago, the annual limit is just 100k. Recently, my agent asked me to "upgrade" to the latest plan Great Medic Xtra 200 + Extender 120 so that I can have 1.2mil annual limit. He said no need to do medical check up cause is "switching" from old plan to new plan.

What I worry is whether my future claim will be declined. To be honest, I have done a single check up in the past 10 years so I do not know whether I have hidden disease (but even so, no one in the world would have known whether I have hidden disease though).

To seek opinion from all guru about this "upgrade" without medical check - is it common and risk-free to me? Thank you in advance

Hi anyone knows Fi Life? https://fi.life/ Underwritten by tokio marine.

They provide term life insurance. RM500k coverage for RM150/month

Is it legit/

is tokio marine a reputable company?

Hi,

I wanna ask, can we use the Insurance at local gov hospital?

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?

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?

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

Thank you

Any advantage to this plan? Really that good or not?
I'm a University Student, with little knowledge on insurance, going to graduate soon in 2021 May.

My insurance agent been bugging me to upgrade to this Medical Plan, since I recently changed the ownership of my plan under my name for above 18++ from my parents name.
Because he claims economy getting worst, and insurance company won't "give" such a good plan anymore in the near future...

First time getting these type of plans. Any advice and precaution that I will need to be warry about?



https://www.greateasternlife.com/my/en/pers...quiry-form.html

The Brochure is below:

https://www.greateasternlife.com/content/da...on-brochure.pdf

Deadline is tomorrow. He say can give me 15 day cancellation. But dunno what's the T&C.

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 

As mentioned by tyenfei RM 150-200 monthly is abit over kill for my wallet lah, since Im not working now also...

Hi, do people switch insurance 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?

1. Do agent's commission reset when we switch plan from the same company?
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.

For question 2, if the newer plan is from other company, how does the window period work?

Hi guys,

Looking for some insights (better if got some claim reviews!) on insurance policy.

Right now I am thinking of switching over my 5 years old insurance plan due to the recent price hike, 20% more! Quite a burden for me given our current economic situation. Better save every penny.

Currently have 2 policy under p********l (me n wife).

Thinking of switching over to an agentless insurance. Currently looking at :

1. AXA eMedic

2. Medisavers

Both of them seems like offering good value with Medisavers offering annual medical checkup somemore.

But my concern is only 1, reliable or not especially claimwise.

I dont wanna end up being pound foolish paying for insurance w shady clause and later cant even claim.

Really appreciate if anyone who's insurance on this company and has claimed before.

Medisavers (by Lonpac) website : https://www.mxm.com.my/medisavers-3-0/

Yeah i sort of understand my own policy. It has 25k ife insurance, little portion of investment and 200k max per year w 1mil limit. Plus need to pay 200 (or 300) onboarding if warded.

When compared w the rest, seems like i am paying premium for the coverage i get. With the 20% increase some more, feels like i am burning money.

I already have MLTT to put a roof for my wife and kids. So i dont really need the life insurance part.

Thus why im looking at alternatives.

Medisavers one is a little bit of too good to be true. But no bad reviews online yet tho.

does anyone have experience disputing insurance claim before?

i hit the wall with the insurance

now submitting to the OFS.wonder if you guys have any experience with OFS?

it's like a mediator setup by bank negara when your claim is rejected after appeal to insurance.

my son after 3 years was diagnosed with a congenital condition.

initially he was admitted to pantai and doctor think it was cancer. as the situation was escalating rapidly doctors were unsure what to do for treatment and advise better for me to transfer to hukm asap

so we transferred by ambulance and because insurance was late to approve since the day before i paid for the ambulance myself

insurance now refuse to pay for the ambulance on the basis it is congenital. i said it wasn't fair to judge the claim because at that point it was still cancer diagnosis.

also i am not satisfy with the definition of congenital.

my son did not show any symptom at all and i think i like to seek second doctor opinion because it goes away after no treatment.

my son has a sudden swell at his right cheek on saturday. we bring him to paed and she thinks it was because of tonsil that push some lymph node that caused this. she has seen this condition before. so she prescribe antibiotic and the normal stuff.

on monday morning while i was feeding him i noticed the vein under his tongue turns black and i rushed to hospital and was admitted. at that point doctors think it was cancer and after consultation with ENT, she advised we better transferred to HUKM as they are more expert.

So at HUKM he was diagnosed as lymph malformation. there was no treatment because the swelling is at his airwell and very big and if we try to remove it , it will caused even more complication so doctor said wait and see.

after about a month it subsides to the point you can no longer feel it.

...and any congenital or hereditary conditions which has manifested or was diagnosed before the Insured Person attains seventeen (17) years of age;

mine says

congenital condition - any medical or physical abnormalities existed at the time of birth or manifested the symptoms later after birth or neo natal physical abnormalities developing within 6 months from time of birth.

this will include all types of hernias and epilepsy except when caused by trauma which occcured after date of certificate

so my argument  is there is no physical or medical within the 6 months.it happened when he was 3 years old.

also doctor think it was triggered by trauma.

....or manifested the symptoms later after birth