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 Insurance Talk V7!, Your one stop Insurance Discussion

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SUSyklooi
post Aug 6 2021, 11:57 AM

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QUOTE(lifebalance @ Aug 6 2021, 11:54 AM)
Yes, covered.
*
Covered the hospitalizations cost if admitted for covid19 cases?
lifebalance
post Aug 6 2021, 12:00 PM

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QUOTE(yklooi @ Aug 6 2021, 11:57 AM)
Covered the hospitalizations cost if admitted for covid19 cases?
*
Yes
spreeeee
post Aug 6 2021, 12:04 PM

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QUOTE(yklooi @ Aug 6 2021, 11:57 AM)
Covered the hospitalizations cost if admitted for covid19 cases?
*
also if death (touchwood)?
lifebalance
post Aug 6 2021, 12:06 PM

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QUOTE(spreeeee @ Aug 6 2021, 12:04 PM)
also if death (touchwood)?
*
Yes
SUSyklooi
post Aug 6 2021, 12:10 PM

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QUOTE(lifebalance @ Aug 6 2021, 12:00 PM)
Yes
*
Thanks
Any idea "must" be from what stage of covid19 then can qualify for claims of hospitalisation?
Btw, just to confirm,... It is hospitalizations cost not just some amount of beneficial monetary compensation or support like RM10k
lifebalance
post Aug 6 2021, 12:13 PM

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QUOTE(yklooi @ Aug 6 2021, 12:10 PM)
Thanks
Any idea "must" be from what stage of covid19 then can qualify for claims of hospitalisation?
Btw, just to confirm,... It is hospitalizations cost not just some amount of beneficial monetary compensation or support like RM10k
*
QUOTE
Any idea "must" be from what stage of covid19 then can qualify for claims of hospitalisation?

As long as it's deemed Medically Necessary.

QUOTE
Btw, just to confirm,... It is hospitalizations cost not just some amount of beneficial monetary compensation or support like RM10k

Up to your plan's benefit.
SUSyklooi
post Aug 6 2021, 12:17 PM

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QUOTE(lifebalance @ Aug 6 2021, 12:13 PM)
As long as it's deemed Medically Necessary.
Up to your plan's benefit.
*
thanks again thumbup.gif notworthy.gif
thumbup.gif thumbup.gif wow, good news (for those holding those plans, with unlimited claim amount) then Stage 1 & 2 can seek to stay at private hospital instead of self paying quarantine hotel


JIUHWEI
post Aug 6 2021, 12:48 PM

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QUOTE(yklooi @ Aug 6 2021, 12:10 PM)
Thanks
Any idea "must" be from what stage of covid19 then can qualify for claims of hospitalisation?
Btw, just to confirm,... It is hospitalizations cost not just some amount of beneficial monetary compensation or support like RM10k
*
Stage 3 and onwards.

It is on a pay and claim basis.


mini orchard
post Aug 6 2021, 12:56 PM

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QUOTE(yklooi @ Aug 6 2021, 12:17 PM)
thanks again  thumbup.gif  notworthy.gif
thumbup.gif  thumbup.gif wow, good news (for those holding those plans, with unlimited claim amount) then Stage 1 & 2 can seek to stay at private hospital instead of self paying quarantine hotel
*
As long there is no medical procedures, quarantine itself may not be entitled to a claim.
MUM
post Aug 6 2021, 01:01 PM

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QUOTE(mini orchard @ Aug 6 2021, 12:56 PM)
As long there is no medical procedures, quarantine itself may not be entitled to a claim.
*
i think if when 1 "hospitalised"...then there will be procedures...like
like daily check up, consultation and some medication...
mini orchard
post Aug 6 2021, 01:19 PM

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QUOTE(MUM @ Aug 6 2021, 01:01 PM)
i think if when 1 "hospitalised"...then there will be procedures...like
like daily check up, consultation and some medication...
*
That is not medical procedures per say which can be done at the out patient clinic including simple blood test

If is that easy, many would have admitted for minor diarrhea or headache.

This post has been edited by mini orchard: Aug 6 2021, 01:21 PM
MUM
post Aug 6 2021, 02:03 PM

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QUOTE(mini orchard @ Aug 6 2021, 01:19 PM)
That is not medical procedures per say which can be done at the out patient clinic including simple blood test

If is that easy, many would have admitted for minor diarrhea or headache.
*
If diarrhea or headache, prolonged incidences cannot be admitted?
Covid19 stage 1 or 2 is "minor", cannot lead to complication to other stages?
mini orchard
post Aug 6 2021, 02:08 PM

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QUOTE(MUM @ Aug 6 2021, 02:03 PM)
If diarrhea or headache, prolonged incidences cannot be admitted?
Covid19 stage 1 or 2 is "minor", cannot lead to complication to other stages?
*
Can.

Admit at own risk. Is either claimable or reject.
lifebalance
post Aug 6 2021, 02:20 PM

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QUOTE(MUM @ Aug 6 2021, 02:03 PM)
If diarrhea or headache, prolonged incidences cannot be admitted?
Covid19 stage 1 or 2 is "minor", cannot lead to complication to other stages?
*
QUOTE(mini orchard @ Aug 6 2021, 02:08 PM)
Can.

Admit at own risk. Is either claimable or reject.
*
stop making your own theories.

It's clearly stated that it must be medically necessary.
Cyclopes
post Aug 6 2021, 02:23 PM

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QUOTE(mini orchard @ Aug 6 2021, 12:56 PM)
As long there is no medical procedures, quarantine itself may not be entitled to a claim.
*
Unless you have bought a policy recently nod.gif during promotion where you get to claim, including home quarantine.
mini orchard
post Aug 6 2021, 02:26 PM

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QUOTE(lifebalance @ Aug 6 2021, 02:20 PM)
stop making your own theories.

It's clearly stated that it must be medically necessary.
*
No theories.

We are just layman having a general discussion. Nothing about life and death.
Cyclopes
post Aug 6 2021, 02:36 PM

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QUOTE(mini orchard @ Aug 6 2021, 02:08 PM)
Can.

Admit at own risk. Is either claimable or reject.
*
AT the point of admission, when a GL is required, will be notify if the admission is permissible or its pay and claim.
JIUHWEI
post Aug 6 2021, 02:58 PM

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QUOTE(MUM @ Aug 6 2021, 02:03 PM)
If diarrhea or headache, prolonged incidences cannot be admitted?
Covid19 stage 1 or 2 is "minor", cannot lead to complication to other stages?
*
Yes of course a diarrhea or headache can be symptoms of more severe underlying illnesses.
And Covid-19 stage 1 and 2 is considered "minor" and it is also possible that if left untreated, can lead to more severe stages.

For a diarrhea and headache, we can take the steps of a Dengue infection.
First, we go to the clinic because we're showing symptoms such as (for diarrhea) exhaustion, dehydration, on top of frequent trips to the toilet; (for dengue) fever, exhaustion, pains and aches.
Then, the GP may confirm on the condition and in turn refer us to the hospital.
That's when we go to the hospital and be admitted based on the GP referral letter, and a further diagnosis by the specialist.

For Covid-19, as of now, the hospitals are filled with patients (stages 3 and up) across the spectrum of the variants.
As opposed to exposing you to the other, more severe patients (more aggressive Covid-19 variants), it is actually in your best interest to either quarantine yourself either at home or at a hotel... health-wise.

I believe rn, we have a choice to quarantine between
1. quarantine centers (i think it's free) is at the lowest tier of comfort
2. Hotel rooms
3. Your own home (highest tier of comfort).

Why do I say your own homes is at the highest tier of comfort?
- you are with your loved ones.
- in the worst case scenario, you are surrounded by your loved ones.
- someone who loves and cares for you is right there, all the time.

Can we all agree that this is the worst time to be sick and/or die?
Proper funerals cannot be held, we will be physically isolated from everyone we know and love..
Whatever rituals you may or may not have in mind will be thrown out the window, replaced by the SOP for death, handled by people who probably do not agree with the SOPs and are exhausted from handling "just another body".


mini orchard
post Aug 6 2021, 03:42 PM

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QUOTE(JIUHWEI @ Aug 6 2021, 02:58 PM)
Yes of course a diarrhea or headache can be symptoms of more severe underlying illnesses.
And Covid-19 stage 1 and 2 is considered "minor" and it is also possible that if left untreated, can lead to more severe stages.

For a diarrhea and headache, we can take the steps of a Dengue infection.
First, we go to the clinic because we're showing symptoms such as (for diarrhea) exhaustion, dehydration, on top of frequent trips to the toilet; (for dengue) fever, exhaustion, pains and aches.
Then, the GP may confirm on the condition and in turn refer us to the hospital.
That's when we go to the hospital and be admitted based on the GP referral letter, and a further diagnosis by the specialist.

For Covid-19, as of now, the hospitals are filled with patients (stages 3 and up) across the spectrum of the variants.
As opposed to exposing you to the other, more severe patients (more aggressive Covid-19 variants), it is actually in your best interest to either quarantine yourself either at home or at a hotel... health-wise.

I believe rn, we have a choice to quarantine between
1. quarantine centers (i think it's free) is at the lowest tier of comfort
2. Hotel rooms
3. Your own home (highest tier of comfort).

Why do I say your own homes is at the highest tier of comfort?
- you are with your loved ones.
- in the worst case scenario, you are surrounded by your loved ones.
- someone who loves and cares for you is right there, all the time.

Can we all agree that this is the worst time to be sick and/or die?
Proper funerals cannot be held, we will be physically isolated from everyone we know and love..
Whatever rituals you may or may not have in mind will be thrown out the window, replaced by the SOP for death, handled by people who probably do not agree with the SOPs and are exhausted from handling "just another body".
*
A simple explaination for a layman to understand instead of shooting insurance terminology.

I always believed a good agent should go down to level of a layman in explaning things instead of expecting the layman to understand terminology.
ping325
post Aug 7 2021, 09:35 AM

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Prudential Malaysia & PruBSN finally covers all covid treatment start from todays onwards , applicable to all medical cards rclxms.gif

Official Annoucement :
https://www.prudential.com.my/en/our-compan...an-coverage-en/
https://www.prubsn.com.my/en/campaigns-anno...-plan-coverage/

Some Highlight :
1. only can claim when doctor say immediate treatment / hospitalisation is needed
2. does not require any letter from KKM / government hospital anymore
3. can just walk in & subject to private hospital capacity
4. claim thru reimbursement / cashless according to your respective medical card limit

This post has been edited by ping325: Aug 7 2021, 09:38 AM

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