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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ewa Wa
post Jun 8 2021, 10:28 AM

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QUOTE(Oklahoma @ Jun 8 2021, 10:19 AM)
Interesting...in an ILP, am I able to set different maturity dates? For life I set at 60 years old and medical 85?
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For GE u can only set age 70, 80 or 90. Other insurer I'm not sure but pretty sure the same, Company A can go at the age of 60. Correct me if I'm not.

This maturity date is known as "sustainability age'" set by BNM for the insurance companies to follow starts in Jun 2019.

If your Life and Medical in the same plan then u cant have separated sustainability age.

This post has been edited by Ewa Wa: Jun 8 2021, 10:30 AM
Ewa Wa
post Jun 8 2021, 05:52 PM

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QUOTE(Irzani @ Jun 8 2021, 05:33 PM)
Thank you. But medical policy is for hospitalization right? Any chances it would cover outpatient? Or perhaps, any chances I can go to their favorite clinic, deal with the clinic .. whenever, they show up and provides their IC's, they don't need to pay anything. All the expenses to be automatically charged on my card.

I'm trying to encourage them to go to clinics whenever they feel sick or want to see Dr. Without the card, it is quite impossible for them to go to the clinics like what they frequently do when I was in the previous company. It's "tak apa" or "sikit je" or "tak mahu menyusahkan" attitude.

If I'm with them 24/7 ... then, there is no issue, I'll myself bring them to the clinics or hospitals and pay for the expenses.
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If go under ur group insurance also unable to do so because most group insurance expired at the age of 65.

Go to the favorite GP and do the arrangement for them is the only way.
Ewa Wa
post Jun 9 2021, 02:54 PM

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QUOTE(joe8489 @ Jun 9 2021, 02:33 PM)
dear sifus,

any advice for Family Medical Plan?

for H (1984) W (1989) and 2 daughters (2015 n 2019)

currently i'm paying RM 860 for all the above medical cards (with ILP and some small death / tpd / CI benefits)

looking at some family medical cards, some costs only between RM 250-550, but of course without ILP and small death / tpd / CI benefits)

perhaps for the death / tpd / CI benefits, can buy under a better policy?

kindly advice.
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Average premium for 4 ppl is ard RM200+-/person. Just that all policies are in ILP package.

death / tpd / CI benefits, most critical is for you to top up for urself since u r the provider for the minor children.
Ewa Wa
post Jun 12 2021, 08:14 PM

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QUOTE(Oklahoma @ Jun 12 2021, 05:52 PM)
Hi any agents can give free advise on what's the best Life + Medical + CI coverage combination?

Life - Is there a formula on whats the best coverage amount?

Medical - Im going for RM300 as room and board...since most private hospital in KL/Selangor is around RM300 for a single bed. RM1.5mil annual limit and unlimited life time. Coverage year until 60, renewable afterwards, with highest deductible (since employer cover too), and retirement option

CI - Is there a formula on whats the best coverage amount?
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2 ways of doing:
1. Really calculate ur current financial responsibilities the amount u should get insured.

Or

Rule of thumb- which we called agak agak. Life is annual income 10times and 5time for CI.
Ewa Wa
post Jun 25 2021, 11:10 PM

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Based on my own claim experience, real case happening.

Total Hospital Bill: RM60K++ (6 days admission on accidental injury)

This client company group insurance (G company) 40K limit.

Admitted hospital 4 days bill came across RM38K++ so nervous and call me how? What to do? Not allow to discharge yet.

Solution is call to hospital GL department quickly discharged the bill on group medical insurance for these 4 days which was RM38K++.

Then re-admit with his personal/ private / own medical card (P company). Note his card with deductible amount of RM300 only. So the remaining RM12K was claimed on his own medical card with (P com).

Do note if any one of you keen in signing up a huge deductible amount of medical card check with the respective insurer whether is reimbursement basic or directly GL issue. Some is reimbursement some is GL. Reimbursement you may want to reconsider else self prepare some spare cash to settle the bill 1st.


Ewa Wa
post Jun 25 2021, 11:19 PM

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QUOTE(jutamind @ Jun 25 2021, 12:35 PM)
Seeking opinion on the need for early CI given the Premium is much higher than normal CI.

How often in real life that claims come from diseases apart from the main 36 diseases?
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Early CI much easier to claim compare to the 36CI. That's the possible reason of higher premium.

This type of policy has 100-180 conditions from the 36 CI.

consider this scenario: 1 kidney total failure could proceed for early CI claim whereas 36 CI definition is 2 kidneys total failure only claimable. chances of claim is so high same as the premium.

This post has been edited by Ewa Wa: Jun 26 2021, 12:14 PM
Ewa Wa
post Jul 1 2021, 02:18 PM

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QUOTE(magicnox @ Jul 1 2021, 01:37 PM)
Hi sifus,

I was approached by an old friend (lol) who's a GE agent. Was introduced to the SmartProtect Legacy Max.

My friend sent me a quote as per the photo below:

- Assuming I'll be paying RM 500/month
- Pay for 30 years

user posted image
I'm 25 this year, non-smoker. I already have my own medical card (RM 300/month coverage 1.5 million with AIA) - was just wondering if this plan is ok or should I just politely decline my friend. I would really appreciate any expert opinions as I'm not so well versed with ILPs.

Thank you smile.gif
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Basically this is a Life and CI plan. Life is for death and CI payout as income replacement.

High life coverage is needed in the event of acquired new house loan? new addition of member (baby) or some money for old age parents if the Death happen.

Critical illness is an income replacement in the event any 45 types of CI happen and unable to back to work for the next 3-5 years. No right or wrong to pick this policy just have a look into the you own needs. ultimately insurance is a risk transfer tool.

Just wondering ur AIA 300/m with 1.5mil coverage is for life coverage or annual medical limit? If medical limit then is for hospitalization claim only.
Ewa Wa
post Jul 1 2021, 05:18 PM

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QUOTE(grace_ong @ Jul 1 2021, 04:03 PM)
Dear ckdenion, sorry I still confuse about the admission process of option A, could you pls help me clarify?  rclxub.gif

Is it I use the company medical card to issue GL first, then when reach 70k, I request the hospital to separate bill, then I call my own insurance to issue GL, then claim the subsequent 10k on own medical card?  confused.gif  confused.gif  confused.gif
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Do check with those insurance company that offer high deductible amount can issue GL? Some unable to issue GL and based on reimbursement. If unable to issue GL then u might fork out the balance 1st.

In my experience, my customer issued 2 times GL (company and personal) but his personal card without any deductible amount.
Ewa Wa
post Jul 4 2021, 03:05 PM

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QUOTE(z800r @ Jul 3 2021, 06:44 PM)
Hi. Need a suggestion for medical card + critical illness + tpd.

At the moment i already subscribed w a cheapo medical card that covered up to max 150k per year. With the cost of everything gone up, so i think i need to get a better ones w a better coverage.

Anyone can suggest me which one is good.

Also, better if the plan can be applied online. Looking at manulife manuez-med now. Prudential must get an agent to ask first/ get quotation. Etiqa too can be applied online
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Those online medical card max limit ard 100K-150K per year due to non underwriting, if u r looking for 1mil-3mil annual limit then u need to go through insurance agent.

This post has been edited by Ewa Wa: Jul 4 2021, 03:06 PM
Ewa Wa
post Jul 6 2021, 04:26 PM

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QUOTE(geekoC @ Jul 6 2021, 03:48 PM)
AL= annual limit
coverage for about 500K to 1 million?
left about 1-2k after minus expenses, commitments etc
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188 condition for early CI https://www.greateasternlife.com/content/da...re-brochure.pdf

Multiple claim on cancer, heart attack and stroke.


Ewa Wa
post Jul 8 2021, 02:39 PM

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QUOTE(koo89 @ Jul 7 2021, 09:14 PM)
Hello All,
Just wondering what is the difference of standalone and ILP medical card?
I got offer from my agent. Surpsingly the premium of standalone medical caard is higher than the one of ILP medical card. Is there something wrong or is typical industry practice to charge higher price on standalone medical plan?
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I think u r referring to the cost of insurance for ILP medical card and the premium for Standalone medical card. Premium for standalone medical card is slightly higher than the cost of insurance ILP medical card which u see on the surface.

After some calculation I've done, I found out that Standalone and ILP for my G company is about the same.

use the formula below:-

Add the "unallocated premium + medical plan Cost of insurance (COI) & u must use the most minimum premium to go on." in fact about the same.

very technical to explain in words but this is what my research after ur post.




Ewa Wa
post Jul 8 2021, 02:42 PM

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QUOTE(ping325 @ Jul 7 2021, 09:23 PM)
hi koo89, the information too brief....

1. Standalone medical card
-I assume there is a RM5000 life + medical benefits
*Due to regulation there must be life attached to it , insurer can set a minimum amount like 5k*
2. ILP medical card
-This can also be RM5000 life + medical benefit
-Difference is this can add on rider & have cash value inside

Both have to see the maturity date / sustainability / term duration in order to judge further which one is higher price.
There must be some benefit / coverage difference.
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Ping,

probably Pru doesn't have any standalone medical card.

Standalone cant attach life inside rclxub.gif Standalone is like a every year burn cost medical plan. No cash value and nothing only given a medical plan.

No sustainability. No premium after the grace period then policy lapse straight. So need to take note and make sure premium on time if u r going for standalone medical card.

This post has been edited by Ewa Wa: Jul 8 2021, 02:50 PM
Ewa Wa
post Jul 8 2021, 04:27 PM

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QUOTE(ping325 @ Jul 8 2021, 03:06 PM)
hi Ewa , actually got...one of example as below...
https://www.prudential.com.my/en/products-h.../prusenior-med/

I attended an online seminar last year , talk given by bank negara personnel , they mentioned they enforce all plan must include life benefit inside be it standalone , ILP , term or whatever.
This is because they want their family member at least can use that money for funeral / other purposes. Insurer can put a min amount like 5k.

Some they write on the brochure , some didn't write but embedded inside policy documents.
All prudential plan minimum have a 5k life attached to it , else it cannot be sell.
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Mayb on certain plans but in general standalone is without any life attached. Read abit on ur Prusenior is like 5K compassionate benefits instead of life.

Mayb later years standalone will be giving compassionate benefits.
Ewa Wa
post Jul 8 2021, 05:12 PM

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QUOTE(ckdenion @ Jul 8 2021, 04:57 PM)
hi koo89, in order for us to give you more accurate explanation, it is better if you have both illustration shown by the agent. wink.gif
hi ping, thanks for the info provided. btw whats the entry age for the plan attached? like you said this is a standalone medical plan and cannot attach life insurance to it. the death benefit embedded in this plan is more like a compassionate benefit stated in the brochure. so far some standalone medical card from other companies got no death benefit, commons one are accidental death benefit. maybe it will be enforced soon in the coming new standalone medical card.
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bro, got read ping's post brochure? 45yo la.
Ewa Wa
post Jul 9 2021, 03:55 PM

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QUOTE(renjiv2 @ Jul 9 2021, 02:22 PM)
hi all sifu here, im glad tat i found got tis thread here. actually i dunno much abt the insurance & benefit but during the MCO stay at home i study & learn a bit of wat my insurance cover.  sweat.gif before i ask anything plz understand a bit my detail below....

i got few existing GE insurance as the product breakdwn below

1. MULTICARE85 = sum assured 35K.  [yearly annual =RM6++]
2. ENHANCED SUPER LIFE + REDUCING TERM RIDER PLUS WITH TOTAL AND PERMANENT DISABILITY BENEFITS = sum assured 25K each covered. [yearly annual =RM6++]
3. GREATMEDIC CARE 2 = sum assured RM150, limit balance 90k.  [yearly annual =RM9++]

currently 38yo, single, low risk job, non smoker. healthy but got hepatitis b (jz recent year find out, confirm tat i dont have whn i purchase all the insurance above)

recently my agent call & offering me a new medical insurance plan as below
SMARTPROTECT ESSENTIAL 3 12k
Premium waiver RM3+++
Critical Illness 100k
SmartMedic Million RM150
GREAT SAVER RIDER (this were add on for cover hepatitis B)
Has this plan underwritten d? Great saver rider was due to policy loading

the plan coverage period till 41y & yearly annual cost abt RM4+++
means plan sustain till age 70 and auto extend upon 70yo.

the only different new plan compare wit all my current existing is no premium waiver covered but higher payout cover & it double the yearly annual fees. mayb my age & risk effect the premium high sweat.gif

here the question:
1. does my existing insurance enough to cover? (is ok even no hepatitis cover as the last chk no serious issue atm)
  based on ur financial responsibilities to calculate how much u need.

2. do u think the new plan have better coverage?
better coverage on the medical portion as GMC2 annual limit is too low definitely need a change there.

3. let say if i take the offer, surely GREATMEDIC CARE 2 will cancel it after 2 year. how abt the other 2 plan? shud i cancel or keep so i can utilize all the repayment?
    Let ur new policy underwrite 1st, hepatitis B might loading or exclude or reject. If just loading u can replace it directly without the need of holding 2 medical cards

the other 2 plans pls remain, traditional plans are good plans. Just top up how much u need in a new plans.

btw, my monthly income jz enough to pay off my repayment if i take the new plan.

plzz give me ur opinion, advice & enlighten my dilemma to take the offer or not. bcoz if i dont take the offer, afraid the coming year (whn the economy better) will not get the better premium payment. notworthy.gif  notworthy.gif 

sorry for the long read, thank you & appreciate.  notworthy.gif
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I think the agent who approach u a new plan didnt do a policies review to clear all ur questions. Policy review is really important.


This post has been edited by Ewa Wa: Jul 9 2021, 05:33 PM
Ewa Wa
post Jul 11 2021, 06:34 PM

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QUOTE(perfect10 @ Jul 11 2021, 02:14 AM)
not sure if this place is a good place to ask for price comparison, we are planning to get a standalone medical card for my mom. Already got a quote from AIA, just looking to see if got agent can help give other option with Prudential and Allianz? It's cause we had good experience with this two company too.

Pm me and I will let u know the details.
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https://www.greateasternlife.com/content/da...er-brochure.pdf

refer to this brochure from GE standalone medical card.
Ewa Wa
post Jul 12 2021, 03:35 PM

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QUOTE(sadukarzz @ Jul 12 2021, 03:20 PM)
Here there sifu sifu sekalian, I had an existing policy (not sure if standalone insurance/with medical) with GE which my parent enrolled for me back when I was a kid. They paid for a duration of time then stopped paying (got some sort of balance that self sustains).

Now that I would like to review it, and to make my decision whether to continue paying (as the balance is low); or to make the decision to let it forfeit.

I have quite little knowledge on the technicality of the insurance world at the moment so go easy on me in regards to the terms. I had just gotten my policy number from GE CS, but they need me to submit some ctc'd hardcopy details / forms etc to update my details.

Meanwhile, if I am going to forfeit the existing GE one (I also have another active one with HLA), i am considering to enroll another one for myself / GF (apart from GE).

our details:
-PII related pls pm me to get details
-both working with private company
-both non smoker
-no medical history (she has allergies but nth apart from that)
-typical health condition (borderline high cholesterol), the rest okay
-budget per month = around 200

hope im providing enough info, otherwise can reach out to me thanx
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1st thing 1st is review ur existing policies b4 forfeit them. I strong believe old policies do have good value. based on wht u mentioned pay for a certain duration should be Par traditional plan.

If u need help in updating ur details to GE do let me know.

This post has been edited by Ewa Wa: Jul 12 2021, 04:25 PM
Ewa Wa
post Jul 12 2021, 03:39 PM

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QUOTE(aronron33 @ Jul 12 2021, 03:01 PM)
Waiting period of Cashless admission for medical card is 2 years?
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So the medical plan u r getting is cashless admission or reimbursement admission?

If the medical plan u r getting is cashless admission then the agent should be referring the medical plan will encounter GL declined in the 1st 2 years. The reason is company has the right to do investigation on the policy b4 claim payout is made.


Ewa Wa
post Jul 13 2021, 02:56 PM

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QUOTE(aronron33 @ Jul 13 2021, 10:16 AM)
Oh i see coz i heard an agent told me for 1st 2 years there is no cashless admission must be reimbursement admission...
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Not all admissions but like cancer treatment might face GL declined when policy inforced within 2 years.

Do look into this https://www.greateasternlife.com/content/da...er-brochure.pdf

This post has been edited by Ewa Wa: Jul 13 2021, 03:28 PM
Ewa Wa
post Aug 2 2021, 07:45 PM

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QUOTE(1tanmee @ Aug 2 2021, 05:07 PM)
Thanks for the number! Got my wife to call, and the response is the same sad.gif said that the policy is 3rd party, and forever cannot transfer. the only way is if the policy holder (my wife) passed away, only then can I request for the ownership to be transferred. How la like this. i don't trust it fully, coz later if really when passed away, then say still cannot transfer, meaning i will lose all the coverage..
My wife has call the customer service, and the person say cannot, coz 3rd party sad.gif
We bought the policy under her name because she can claim tax, like i cannot coz i work in gig economy (and salary below requirement for tax)
Well, not the case with mine- tried but say cannot sad.gif
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Yes, the information given by the customer service is right. Your wife can't transfer the ownership back to you and she can't absolute assign the policy back to u as well If it’s a Takaful plan. Do find out what type of plan u r having now.

No worries, I have done a case like your situation. Policy owner passes on and inform company by submitting the necessary documents e.g: death certificate, sign a Statutory Declaration with CTC from commission of oath then successfully transfer back to life assured.

This post has been edited by Ewa Wa: Aug 5 2021, 02:29 PM

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