hi poweredbydiscuz, for this matter, i will help B to declare if B mentioned it. it won't be any big matter, there won't be any check-up or exclusion for case like that. to be safe, just declare.

if i remember correctly, 2 times. one is in 2019/20, then this year 1 time. SMX is released in year 2013/14. GE agent can correct me if my info is wrong.

hi Rinth, reason being insurance charges for medical is much higher than life insurance is due to the claims ratio and also medical cost in Malaysia. the high insurance charges of medical card is to cover this coverage cost. in terms of whether agent/insurance companies earn more through medical policy, it will come down to very technical term to explain and very complicated. in short, because of the high insurance charges of medical card, hence higher premium. (if got chance to meet up, then only explain to you more on the agent commission part, to explain it here will be difficult and complicated).

also your premium of RM160 will be used to buy funds (example here is the RM121.60) then the funds will be used to deduct all insurance cost+policy fees (RM74.21) then the balance of RM47.39 goes to cash value.

hope the above clarify and answers your concern

the rest goes to the agency's commission. you can actually check your policy contract document, this amount is also known as distribution cost (layman term, commission)

if you really wanna understand more, asides from your policy contract, you can also study this (commission structure). reading and go through this details is better.

also you can refer to this.

This post has been edited by denion: Sep 9 2023, 12:29 AM

Hi chinkw1, there are 3 ways:
1. servicing agent to do it.
2. do it via e-partner (customer portal)
3. walk-in to Great Eastern customer service (not sure if they have this option to do virtual call customer servicing instead of walk-in)

don't forget to make appointment with their customer service here before you go.

This post has been edited by denion: Sep 14 2023, 11:17 PM

hi chinkw1, it's very hard to comment actually. maybe you can tell us more what do you look for in a medical card? any specific benefits that you want? for example: if i go for TCM for treatment, is it covered? etc...

hi MUM, for ILP, the premium is always non-guaranteed because of these 2 main reasons:
1. fund performance that affects policy sustainability
2. non-guaranteed cost of insurance

for ILP that has medical card (rider) attached to it, chances of premium adjustment (increment) is very high because of the chances of medical card cost of insurance increment. whereby if the ILP doesn't have medical card, very low chance that the premium will have adjustment. unless the fund performance is really bad for few continuos years or other factors like premium not paid up to date.

for non-ilp life insurance, there are 2 types which is the traditional whole life and term plan. for term plan, you can refer to the premium table according to age. for traditional whole life plan life insurance, the premium is fixed throughout but traditional whole life plan usually has higher premium due to it's maturity benefit.

yes Gaza, in layman terms, you got it right

hi chinkw1, if you have the policy contract with you, do read the "Waiting period" and "Contestability Period" under your medical card section. don't just buta-buta listen to what agent said without showing you proof from policy contract document.

hi aurora97, waiting period for a medical card is 30 days and 120 days (specified illness). this is clearly stated in policy contract document, can look up for the details.

hi poweredbydiscuz, yes if it falls under non-disclosure, yes claims can be denied and policy could even get void with all premium paid refunded.

This post has been edited by denion: Sep 25 2023, 04:33 PM

if that's the case, no problem unless otherwise, say if diabetic is before the insurance inception.

if there is any doubt in the claims, then yes, GL will be declined first. if the case is straightforward and not complicated, then GL can be issued.

hi poweredbydiscuz, forummers can also feel free to elaborate more on the financial situation or the primary goal in the forum if they are willing. then agents/advisors here can provide better solution. of course there is no fixed solution/product, the more the agents/advisors know, the better the solution can be provided.

what the agency get as commission is stated in the policy contract document as "Distribution Cost". we don't earn from trailer fees though. of course, we earn from the unit trust fee if the premium paid is allocated to buy funds for cash value only (not allocated to the allocation rate aka regular top-up portion).

yeap you are right, unless it is purely selling unit trust with no insurance coverage. that will be under unit trust topic, not related to insurance products/plans already.

hi mini orchard, more like agent didn't put effort to find out. by right, you should be informed of the reason of the GL decline. btw the medical card that your spouse is currently using is already more than 20 years?

based on my experience, company got no rights to decline GL because you don't agree to the premium increment. if you don't mind to call the hotline on your medical card, you can actually call and ask. remember to record down the conversation. the reason of decline must tally with what is stated in contract document for example:
1. maybe got premium due
2. policy on premium holiday
3. condition is fall under exclusion clause
4. non-disclosure
5. contestable period (we can exclude this since you said the policy is more than 20 years old)

find out first before having the thought of cancelling the medical card and purchasing a new one after the op. if it falls under exclusion clause, then likely even you change to another medical card, same thing will occur again.

hi Rinth, insurance company got the rights to not issue GL and ask us to pay 1st claim later but not without reason, there will be a reason, need to find out either via agent or the GL hotline.

This post has been edited by denion: Oct 5 2023, 10:51 AM

yes, that's what I meant that there is a reason GL is rejected.

yes you can be correct though, it could be a daycare surgery that doesn't need admission, hence no GL can be approved. Need to check if can get pre-approved GL for daycare surgery because as I know some companies medical card can approve GL for daycare surgery provided it is scheduled beforehand and GL pre-applied before the surgery date.

there is no exclusion for lipoma. i think to be precised, this day care surgery is not covered under GL. if it's under exclusion, you can even demand for the exclusion clause from the personnel. but from my understanding, no, lipoma is not in the exclusion list.

whatever is claimable/non-claimable is exactly same as admission. yes even pre/post hospitalisation consultation/medication is claimable. btw, better to clarify, what is the medical card name that your wife has?

the plan of the name is Great ProtectLink. what about the medical card name?

is it IL Health Protector?

This post has been edited by denion: Oct 6 2023, 06:57 PM

okay, good that you have the letter. likely is due to day care surgery for lipoma excision. i did this claim before but for Prudential, also file and claim basis. so i assume the surgery is not yet done based on what you mentioned? did the size of lipoma grow from diagnosed till now (around 8 months+?)?

if the GL isn't approve, there is no co-pay because you need to settle the full bill first. then file and claim only the RM300 will be deducted out during the reimbursement.