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 Insurance Talk V6!, Everything about Insurance

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adele123
post Jan 19 2021, 11:28 PM

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QUOTE(ahleemaju @ Jan 19 2021, 10:23 PM)
hi, want to ask about disclosure duty

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for no medical underwriting product, do i still need to disclose my medical history? (the policy have no medical question)
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They ask, you answer. They didnt ask you cant answer.

But if you young and healthy i suggest you dont buy plans without underwritinf.
adele123
post Jan 20 2021, 01:14 PM

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QUOTE(ahleemaju @ Jan 19 2021, 11:40 PM)
the 1.1(b) also added 'other than question in this proposal'
i have medical history, that's why i go for these 'offer' that meant for peoples like me, but still they like to add these blunt paragraph that appear they with accept my insuring yet reject my claim in future with word play.
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if your medical history not very serious, i will still recommend go for normal plans. just need to do medical check up only.

i know about 1.1(b) being your concern, but in theory it should not affect you. because they dont underwrite you, so it does not "affect" their decision in accepting you.

but your point is legit, it's just rarely i have seen ppl actually do read the application form. so kudos to you.


adele123
post Jan 27 2021, 10:50 AM

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QUOTE(dragonlady @ Jan 27 2021, 01:12 AM)
What AIA is doing is merely a marketing gimmick. Inside your policy it will state hospitalisation benefits. For example if you go to government you get for example rm60/day allowance. Or if you go to private hosp you get rm200 allowance. Now they just turn it around and say you get covid coverage. It’s a pay and claim basis coverage and SUBJECT to “reasonable and customary charges”. So if your bill is rm40k for instance but what is considered reasonable and subject to customary charges is only rm2k for example. So the other rm38k come out from own pocket la.

Always know what your financial rights are. Have an awareness of the timebombs in your policy.
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erm... you dont need to paint it so black. your example abit too "melampau".

insurance companies dont cover you less just because it's pay and claim basis. this is the mindset of the general public but no basis.

if someone has nothing to hide, insurance company dont cheat you. the purpose of RCC is just to avoid exorbitant charges. so you should question the hospital if they charge you RM200 for 10 biji panadol right? this is what insurance companies want to avoid.

and no, it's not gimmick even if it's pay and claim. the word reimbursement is written all over your insurance contract.

the earlier forms of medical insurance is probably without medical card and pay and claim basis or the more canggih word, reimbursement.



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