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 Insurance Talk V7!, Your one stop Insurance Discussion

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adele123
post Jan 12 2024, 08:52 AM

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QUOTE(studentsurvey @ Jan 11 2024, 06:13 PM)
» Click to show Spoiler - click again to hide... «

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AIA did offer upgrade to their existing customer. probably only if you are young and healthy. but yes, it's sad that the situation is as such. before you buy the one with annual limit 2mil, i would suggest you go back to the current insurance company (the one with annual limit 120k and 1.2mil lifetime limit) which i'm guessing is GE? go through the customer service. any option to increase annual limit and lifetime limit either by adding another medical plan or change to another plan. there is a chance you should not need to change plan. if you change plan, you pay commission again.

QUOTE(studentsurvey @ Jan 11 2024, 07:04 PM)
Potential with a family i guess, is just a safety net for the remaining family members (i do have my parents as my dependent now)
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if your parents really is relying on you for survival if anything were to happen to you, then i think life insurance is fine. but keep in mind, you will have savings, EPF etc, so i think you better do the calculation proper. whether your parents need so much money or not. if you work in MNC, usually there is group term life coverage as well.

you can always buy that life insurance down the road once married with kids because maybe the amount you need is more. life insurance options are usually quite plenty, i would suggest you get 2 or 3 quotes for comparison. but probably need not rush to buy.

QUOTE(ycs @ Jan 11 2024, 07:29 PM)
thanks for the info; where to find claims history of medical insurance claims for the companies? dont think such info is published
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QUOTE(Ramjade @ Jan 11 2024, 07:35 PM)
Just search news or search lowyat or Reddit. I have shared some stories before especially with Great Eastern. It's in the news and based off my friends working in the hospital, they are among the "problematic insurance". They ask lots of questions for every small stuff. Don't get me wrong. They do give you GL but from the way they work it looks like they are trying their level best to delay your GL.

And this is not from one friend. Few friends all said the same thing. That's the reason why I bought GE, straight cancel by exercising the cooling period within 14 days of purchase to get full refund and switch to AIA.

How to avoid your insurance from declining you
1. Pay on time and in full. Don't let it lapse.
2. Be honest upon buying and declaring your illness.
3. Wait 2y from date of purchase to use insurance if you really want to be safe. If you want to find out the hard way, by all means go ahead.

Gathercare publish their claims online on their website.
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searching on the internet is anecdotal. people only complaint when they can't claim. no one say thank you when they manage to claim. the limitation of buying standalone is not much choices.

AIA, GE same same. they not gonna run away. unless one thinks what AIA offer is better than GE... and vice versa
adele123
post Jan 13 2024, 11:13 PM

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QUOTE(contestchris @ Jan 12 2024, 02:49 AM)
Question for Great Eastern agents.

Lets say I have a ILP with an attached medical rider (SMX200). My premium is currently RM200. However, the recent sustainability letter says I need to increase my premium to RM280, and the repricing letter says I need to increase premium to RM250.

I'm considering switching plans to SMS-250-D. The recommended premium by agent is BIP RM340 and GSR RM30 (for top-up premium), i.e. total premium of RM370.

1) Can I elect to maintain my BIP at RM200, and instead apportion all the recommended increase in premium to GSR, such that the GSR becomes RM170?

2) Can I elect to maintain my monthly premium at RM200 for the time being, and revisit in the future during the next sustainability letter? I have ample cash value, and for now the annual premium is around twice the total cost of insurance of the plan + riders.

Thanks!
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I'm not GE agent... nor am i familiar with the shortform you are using. i'm assuming you are doing alteration of your existing plan.

1) The proportion of premium and top up premium you want to put is entirely up to you. if you allocate more to top up, actually you can ask GE if the total still need to be so high at 370 per month. i will be honest, the reason your premium is likely being suggested at that portion is because of higher commission to them. in the 1st few years. However, top up premium pays a perpetual commission to them although a much smaller amount.

2) you can maintain 200 for the time being. but it may not be to your advantage. quoting an extreme example, say your insurance charge is 600 per month, your premium is 200 per month. every year you deficit 4800 even if your cash value is example 10k. it's like gonna gone in a 2 years. it will be not ideal. but i'm quoting an extreme example. you can request the insurance company to run a quote for you, they should give you an estimation how long it will last. even that i feel, their projections can be too optimistic at times... just give yourself sufficient buffer, monitor closely, always read notification from the insurance company. you just dont want to be in a situation where the policy lapse and you are in the hospital.

But all things being considered, insurance companies do not want your policy to lapse, they will send a lot of notification to notify you of what's going on. but i wont cut it that close. i recall awhile back, in my previous post, i did say one can do all these in theory, monitor you account value constantly, only topping up when necessary.

But i will be honest i dont recommend this. NOT unless you are really tight on budget. just pay the amount as suggested for peace of mind. i know, you let the agent earn commission, and you let the insurance company earn 1.5% FMC. but in life it's really very hard to min max everything. if you want go ahead, but i wont. i have better things to do in my life.

if want to save on premium, just ask your agent for higher deductible. 1k 3k 5k go for it... it will stretch your money longer.

QUOTE(coolguy99 @ Jan 12 2024, 07:32 AM)
I opted in last time round. And also if I am not wrong, the additional premium goes into the investment fund? The investment fund is not performing too well. I would rather invest in other places that yields better returns and perform a one time top up later.

Just my personal preference. I guess they both yield the same result - to ensure that your policy does not lapse.
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can read my post above


QUOTE(Ramjade @ Jan 12 2024, 07:42 AM)
You can choose to remain or topup lump sum to increase sustainability duration. Entirely your own choice. But it's basically blackmail. Cause you don't top-up, sustainability reduced. Hence people usually will follow to topup.
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i really hope you be more "moderate" and really understand the context of what is going on when you post. IT's NOT BLACKMAIL. if you want to call it blackmail, you can write to BNM. BNM FORCE it upon the insurance companies to do this disclosure to customer.

i know your point of view. you want to best bang for the buck. and you educate others in the forum on this. i get it. go ahead. BUT YOU HAVE TO UNDERSTAND 99.9% of the consumers out there ARE NOT you. do i think they can learn from someone like you? YES. I agree they should be more aware and educated about the financial product that they pay RM200 or whatever per month.

Back to topic. topping up is yes, to the insurance companies advantage, but it is also for consumers convenience. at the end of the day, one thing is for sure, if the policy lapse, the insurance company and the consumer will be at a loss-loss situation. there is a choice. it's not blackmail if there's a choice.

QUOTE(gedebe @ Jan 13 2024, 02:13 AM)
Just applied to GE medical card insurance with ILP for my 10 y.o daughter and was informed that during the free look period, although I could try to cancel the policy by writing in but the final decision solely lies with GE itself, they can refuse the cancellation.  Is this rule not contradicting our consumer protection?  Though I do not have any evident that there is this kind of consumer protection in our country.
https://www.greateasternlife.com/my/en/pers...s.html#freelook
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who inform you? ask them refer Financial Services Act 2013 Schedule 8 paragraph 2.

if GE agent tell you, if got whatsapp, screenshot and send to GE, complaint them about their training to agent. if NOT agent, good. dont simply listen to hearsay...

This post has been edited by adele123: Jan 13 2024, 11:17 PM
adele123
post Jan 14 2024, 09:37 AM

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QUOTE(gedebe @ Jan 14 2024, 01:56 AM)
Can even quote from the act, awesome!  Unfortunately he told me verbally but ironically he said that GE will bear the cost of health insurance even if I reject the propose policy on whatsapp.
Btw, do you think I can get an official document stating the history of premium hike, percentage and date for the past 10 years from agent.
Like investment, the historical pattern does not represent the future premium hike, but sure it is a valuable info more so if I could gather the same from a few insurances for comparison
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My guess is probably almost impossible to get this data. An experience agent may be able to help. Maybe he keep track for his past customer. But on whole, should be difficult to get this data.

But the recent hike in price is unfortunately a rebound post covid. It's not comparable as you said. At the end of the day, i think safe to say one can assume 10% a year is a point to start since that is the quoted medical inflation.

In the past, pre covid at least, the plans with co-insurance will have better claims history and better repricing history. But i think as of the situation post covid, not sure what will help what wont.
adele123
post Jan 16 2024, 10:52 AM

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QUOTE(jrshow @ Jan 16 2024, 09:34 AM)
then typically insurance like Pyramid scheme already.. i thinking if the fund alots of people pass away ..how to sustaine? what will be the end of this pool? for example my insurance promise can cover until 99 yrs old, i for sure my plan cannt have new funds come in around 30-40 years later..then how to sustance to 70 years later?
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Pyramid Scheme is a frauduluent thing. Many ppl pay, and very few gain. Hence the word pyramid. You cannot equate insurance to pyramid scheme. Insurance is about risk sharing and risk pooling. You just pay someone called the insurance company to help manage this pool.

QUOTE(Ramjade @ Jan 16 2024, 10:10 AM)
5. Consider stuff like gathercare. Not for profit medical cost sharing as backup when insurance gets too expensive.
further increase just make it more secure.
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I hope you get your facts right for Gathercare because you have been constantly promoting it. While I think it’s good to have alternatives especially cheaper ones, I think let’s be straight.
1) Gathercare does not state they are non-profit organization on their website.
2) Look at the management team or staff. Who are their staff? People with insurance or actuarial background.
3) One can try out gathercare but keep in mind a few things. What’s the sustainability? What’s the track record? What will happen to them 10 years down the road?
4) According to their website, they have 3000 people in this crowdfunding. Who are in these 3000 people? Insurance companies are dealing with customers in the numbers of 6 digit or even millions. The law of large number is I guess good enough for this case. That 3000 is nothing compared to the millions.
5) And the list goes on…


adele123
post Jan 16 2024, 12:06 PM

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QUOTE(Ramjade @ Jan 16 2024, 11:14 AM)
Go look at their FAQ. It's written not for profit.
https://gathercare.com/en/faqs/

If they are dodgy BNM would have taken them down. The fact that they won against Bnm shows that they are legit.
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Ok. I take not that they are not for profit.

I am not questioning legit or not. I read their history, BNM has investigated them when they were life engineering. They are ok.

But the points i pointed out is applicable. Even if it's a legit business or NPO everything done correctly, there is no track record to prove it will sustain in the long run. There is a reason insurance company exist. And PIDM exist as well. And BNM ensures when companies merge, policy holders remain pretty much unaffected
adele123
post Jan 16 2024, 06:22 PM

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QUOTE(contestchris @ Jan 16 2024, 06:01 PM)
Is Etiqa Ezy-Secure the absolute cheapest pure life insurance in Malaysia?

I'm seeing a quote of RM555/year until age 37, after which it gradually starts going up.

Compared to a few other companies (e.g. GE's Great Term Direct), the premium is nearly halved!
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Try fi.life also. Recently a friend bought from fi.life

Previously there is promo code from BFM. Not sure still got or not. Both this etiqa plan and fi.life will have increasing premium as you grow older.
adele123
post Jan 19 2024, 07:38 PM

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QUOTE(David900924 @ Jan 19 2024, 03:13 PM)
Hi, any Prudential agent here? I have an insurance policy PRUValue Med since 2013, came across PruMan and also PruMillion Med. I did call the insurance and they say can only upgrade to PruMillion Med. later on I saw there's an add-on booster for our current insurance as well.

Would like to know if it is worth surrender to get PruMen because of financial benefit on PruMan or go with add-on booster, just to benefit NCB RM500.

just want to upgrade since 2013
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I caveat, i am not expert on pru, but i know some surface information.

If you want to upgrade to prumillion med, you can go ahead. Ask for higher deductible option if possible. Rm500 if got. 1k better still...

As for the booster, i think you should evaluate the cost vs benefit. If i recall, alot of the benefits are very "fluff". The NCB rm500 got alot of restriction or something.

And you are paying more money to prudential, so you get rm500 back. To me, abit stupid la.

As for pruman, it is a standalone plan, that's why you cant upgrade per se. It's like changing house instead of upgrading your house.

At the end of the day the financial benefit on pruman, comes at cost. Which is not so cheap premium to you. There is no free lunch in this world. Money has to come from somewhere. Please dont looknat financial benefit from your insurance policy.

And your policy is since 2013, you would have paid off alot of initial charges. Please dont surrender and buy a new plan where possible. Especially pruman is probably not a replacement of your current plan.

This post has been edited by adele123: Jan 19 2024, 07:39 PM
adele123
post Jan 21 2024, 09:21 AM

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QUOTE(ronnie @ Jan 16 2024, 10:37 PM)
typically i know the returns are poor via insurance... does this plan also falls into the same category ?
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Short answer: yes.

Long answer: if you want high ish return, you are looking for something like this

here

Or

more discussion here in 2023

QUOTE(Jack&Guild @ Jan 20 2024, 06:46 PM)
Does insurance companies have centralise data centre for sharing information like bank ccris system? Wandering if I got rejected by A company and i went to B company, does B gona know that if i hide the history?
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Short answer: yes. Even if they accepted you with a condition, for example, something that my mother kena from another company, the other company knows. They have a list of codes to determine.

This post has been edited by adele123: Jan 21 2024, 10:04 AM
adele123
post Jan 22 2024, 11:04 PM

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QUOTE(tman2017 @ Jan 21 2024, 12:27 AM)
Hi sifu-sifu Prudential.

Need your your advice.

Can you confirm my understanding is correct based on scenario 1 below?

Scenario 1
My current policy has Med value Point - RM 1 Million
Based on policy, Prudential covers up to limit 1.5 times the Med Value Point chosen (eg 1 Million). In my case, it will be 1.5Million ( 1.5*med value point).

Let's say I have a 2 Million claims for Outpatient cancer + Dialysis treatment. The breakdown would be

First 1.5 Million - full payment by Prudential (minus Med Saver Rm300)
Subsequent 0.5 Million - Prudential will only cover 80% ( i will pay 20%).

In total - I only need to pay RM 100k only.

In short , after exceeding 1.5Million, the coverage will still be unlimited but on a 80%(prudential) :20%(customer) co-insurance basis.

Please confirm/correct my understanding?

Scenario 2
Similar claim scenario as scenario 1, but now I have added Pru Value Med Booster.

Could you please advise how the calculation works for this?

Could you confirm that Prudential will cover RM 2.0 Million in full , even though my med value point is Rm 1M?

Many thanks
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baca sini

according to this leaflet your scenario 2 is correct. after you add booster to your PVM, no lifetime limit on outpatient cancer / kidney treatment. for more info, why not reach out to prudential? i'm also just a bystander.
adele123
post Jan 23 2024, 06:47 PM

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QUOTE(Human Nature @ Jan 23 2024, 02:33 PM)
For Prudential:

When the policy holder is diagnosed with one of the critical illness, the monthly premium will be waived, correct? Until death?

Also, is this a new thing or has always been there under Crisis Cover policy taken say, 20-25 years ago?
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It's not a "given feature". It's usually an add on feature but highly depends on what you bought. So best you revisit your contract.

It is a common add on.


However if attached to an investment linked policy, there may be a situation where it does not fully waive your premium.

For example your premium is rm200 a month initially. Then this person kena ci and claim the waiver benefit.

So the insurance company pay rm200 for you. Now if your policy is attached with medical plan, which is likely for most people, you may have received notification on the repricing. For example, the company may say actually for the policy to be sustainable, rm280 per month is needed to be paid.

Given this scenario, the policy holder has to pay rm80 per month, but the insurance company will continue to subsidise rm200 per month.
adele123
post Jan 27 2024, 11:33 PM

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QUOTE(gedebe @ Jan 27 2024, 11:12 PM)
Here again the question which might been asked before, do all the insurance companies practise increase of premium due to inflation and more importantly is there a company that has the least increase in the past.  This is for ILP medical policy.
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Yes, everyone does it. Because everyone need to make money.

As to who increase the least, you probably wont get the answer. Unless you are the one at bank negara approving the medical insurance price increase.

Pre covid, what i do know is, co-insurance does help control claims hence insurance companies do reprice them less.

I have said this many times, post covid, the claims have been just horrible. Coupled with the post covid inflation. Things are just expensive.

What worked in the past may not work in future.

However, bank negara does have initiative to encourage/force insurance company to not offer medical plans without deductible/co insurance via new guideline. Minimum intended by BNM is RM500 or 5%. Something like that.

I guess for now BNM also think this may help. But long term... who knows?
adele123
post Jan 28 2024, 04:25 PM

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QUOTE(gedebe @ Jan 28 2024, 12:58 AM)
It does seem that at least to me, i am at the receiving end of the insurance companies when come to premium increase, they have a list of reasons which are even acceptable/agreeable to other paying customers. 
Am I the only complaining?
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There are enough consumer complaining that there was a slight slow down in repricing during 2020. I think BNM ask to slow down / halt then. Especially when alot of ppl having their job affected, etc...

But 2022 onwards back to normal... but i was reading about BNM blueprint 2022-2026, medical insurance is one of the key issues highlighted related to insurance industry.
adele123
post Feb 3 2024, 07:40 AM

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QUOTE(Irzani @ Jan 30 2024, 09:52 PM)
» Click to show Spoiler - click again to hide... «

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i am not aware of any, but does not mean there is not... however, given the old age, >70, very unlikely they can't even enter into one that covers accidental injury. i found something from etiqa, even that they only let those 70 or younger to buy and they cover up to age 70, contoh below, although your parents are not eligible

etiqa via maybank

QUOTE(MUM @ Jan 31 2024, 08:19 PM)
While waiting for his responses, ...
I googled and found this...
Till 80 yrs old
http://medicalinsurance.com.my/main/3173/i...roductid=142431
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the one here is not recommended by me because you essentially just get death coverage. it does not have the medical coverage caused by accident.

QUOTE(Ramjade @ Jan 30 2024, 09:56 PM)
» Click to show Spoiler - click again to hide... «

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this is NOT true. even for medical insurance, give parents over 70-year old, they are not eligible to buy now. accident insurance also can get in malaysia. dont need to go to singapore.

QUOTE(gedebe @ Feb 2 2024, 03:28 AM)
I am about to buy Aia ILP medical insurance since after surveying, it looks like it has the least premium increase among the big insurance company in M'sia though our sampling is rather small.
Also, GE has offered us double the insure amount albeit a little higher premium compare to Aia, but I heard bad things about Ge claims
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Please dont do that. that's not a buying decision i support. it's NOT advisable to surrender your current policy and buy a new one. you already paid alot of initial charges in your previous policy.

what plan do you have now? i have said this many many times, go back to your existing policy if it's an ILP, ask for changing your current medical rider to a new one if you dont have too much long-term health problem.

can you roughly let me know what's your current policy like? standalone or ILP? and medical coverage on room&board amount and annual limit? do you have other important riders like critical illness?

This post has been edited by adele123: Feb 3 2024, 07:41 AM
adele123
post Feb 4 2024, 10:13 AM

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QUOTE(tyenfei @ Feb 4 2024, 02:35 AM)
Only traditional plan which cover only LIFE or LIFE + TPD + CI is premium guarantee.

Medical Plan for sure not premium guarantee.
Especially ILP medical plan with many riders attached.
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want to correct this statement abit... 99% CI premium wont be guarantee.

while there has not been repricing on CI, no one has dared to make it guarantee.
adele123
post Feb 4 2024, 08:36 PM

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QUOTE(Irzani @ Feb 4 2024, 07:05 PM)
I see .. thanks for the explanation .. means my parents have to rely on the General Hospital until their last breath. Fortunately they are Gov pensioners. I'll try my best to save up more for future incident. At least can cover cost for early treatment and checkup via ICU at private hospital. For surgery or warded, will request reference to General Hospital.

Btw .. I've found this from MSIG ... the entry until 75 years old .. personal accident did cover fall stairs?

https://www.msig.com.my/personal-insurance/...sonal-accident/

TQ again for the advise
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I think i wrote abit too much typo in my previous post. I wanted to say given they are >70 unlikely can enter to any. And etiqa covering until 75 only.

Msig open until age 75. That is a good start.

QUOTE(Irzani @ Feb 4 2024, 07:27 PM)
user posted image
https://www.prudential.com.my/en/products-h.../prusenior-med/

» Click to show Spoiler - click again to hide... «


For this package, can it cover for the below scenarios?
This is the scenarios that I can think of my old man will faces in the current activities ...
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Pru senior med maximum is age 70 to enter. Sadly. As for your question kinda moot...

adele123
post Feb 6 2024, 03:22 PM

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QUOTE(Irzani @ Feb 5 2024, 12:13 AM)
Ok.. now I'm a little bit worried. Means the insurance company can challenge the insurance taker due to:

1. Work without any proper insurance? Mosque or Community Hall need to purchase insurance on behalf?
2. It was intentionally injury? The risk of falling stairs or gardening is high?
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My point is your parents are older than 70. Since they cant buy so i didnt bother answering whether they can claim or not.
adele123
post Feb 7 2024, 06:47 PM

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QUOTE(Worktodohelp @ Feb 7 2024, 01:23 PM)
Hi, I have questions about the payout from a life insurance policy. So my late bro had a life insurance policy with AIA and the named beneficiaries are his 3 kids, but only 1 kid has a Msian IC with a local bank account, and the other 2 have become Australian citizens and dont have a local bank account.

Will the insurance company:
Q1) pay the whole amount to the one local bank account since they are siblings?
Q2) or can they pay to their Australian bank accounts? what documentation is reqd?

Hope someone can help! Thanks
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My guess only. The insurance company will pay to all. Foreigners can buy insurance policy too, in case people forget. The key thing is the ability to proof your identity...

But i worry aia will have alot of charges when banking into the australia bank account... just a guess...
adele123
post Feb 12 2024, 09:25 AM

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QUOTE(hoonanoo @ Feb 10 2024, 07:03 PM)
So is other like Prudential any better?
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This is a public forum. Comments without statistics backing or hearsay or anecdotal are really not facts.

Regulators are there to protect consumers interest.

I have said many times, it takes more effort to deny claims than to approve claims. If it's rightfully yours, they won't simply reject.

It is in YOUR INTEREST that insurance companies don't simply pay claims too. Because if you were honest, you want the insurance companies to weed out the dishonest people. Else do you want to be paying higher premium because some people didn't disclose thier diabetes?

This post has been edited by adele123: Feb 12 2024, 10:00 AM
adele123
post Feb 16 2024, 10:44 PM

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QUOTE(ycs @ Feb 15 2024, 01:54 PM)
got AIA quote; is the comparison correct? investment link only slightly more expensive than standalone?
user posted image
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here

Download the brochure. Scroll to the end of the brochure, click their faq. Inside the faq got premium rates. You can cross verify with the number from your agent.
adele123
post Feb 20 2024, 06:07 PM

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QUOTE(WaCKy-Angel @ Feb 19 2024, 03:45 PM)
Anyone can explain how to split a claim to 2 medical cards?

Like say if fees is 50K and got 3K deductible/co-insurance can use another card to claim for that 3K amount?
The thing is both companies requests for original receipts and/or hospital reports. How do i submit only 1 original copy to both?

Also related to above, the real situation i want to ask..
I was admitted but post-admission is pay&claim and no issue for claiming post-admission.
However i want to ask does outpatient GP also considered as pre-admission? Is it depends on the policy clause?
Lets say policy does say GP pre-admission not covered, is it possible to claim this GP pre-admission under different medical card (as per 1st question)?
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I dunno the detailed process... i could be wrong... most people masuk hospital with GL nowadays anyway.

Roughly the idea is the insurance company should tell you what they cover, what they dont when they discharged via GL. You should have an invoice and receipt of the 3000 that you paid to the hospital.

From there you should be able to claim 3000 on the other policy.

Most insurance policies are designed from the same template. While years has passed, there are some changes but the basis still similar. Most of them do not cover GP visits pre and post.

But in theory, if policy A dont cover but policy B cover, you can show to policy B that you were hospitalised in you visited GP before that. But this is too theory base as 99% dont cover GP.

GP visits are via employee benefit usually.

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