Welcome Guest ( Log In | Register )

16 Pages « < 11 12 13 14 15 > » Bottom

Outline · [ Standard ] · Linear+

 Insurance Talk V7!, Your one stop Insurance Discussion

views
     
adele123
post Sep 27 2024, 08:35 AM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013



QUOTE(vez @ Sep 26 2024, 11:29 AM)
yes, i am wondering the fuss as well, i think for employer insurance coverage usually we deal directly with the insurance co. right and providing the info like IC needed, HR only get notify for the claims, not support for HR to decide whether is claimable or not right? because employer just provides benefit of paying annual medical insurance to cover employees
*
Yup. I strongly encourage you to go for that option instead of buying medical insurance for your kids that covers from 0. You do save quite alot if you compare it.

I am not a parent but practically speaking kids do get sick often but 20k a year should in theory be enough. Then again insurance is for the really unexpected scenario. Touch wood.

I dunno how your employer version works but for mine, i can view the name of my spouse in my app. Sudah register 3+ years ago when i joined. So can really masuk hospital and show the information from my app to the hospital if it happens.
adele123
post Sep 27 2024, 05:06 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(vez @ Sep 27 2024, 08:55 AM)
yes, my employer medical insurance also can view my kid in app biggrin.gif

but a lot insurance agent macam dont want do deductible medical insurance laugh.gif maybe takda comission, thats why asking sifus here any recommendation, i see tokio marine got, just need submit form ourself lol
*
Depends if you want match the exact deductible amount. If the deductible you want is 20k, i think AIA and Pru has. AIA has it for standalone plan. I am sure many others probably has also. Just not highly promoted.

adele123
post Sep 27 2024, 11:12 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(vez @ Sep 27 2024, 07:24 PM)
pru has but macam not selling solely prumed value with deductible according to agent, need tie with some basic plan

one doubt
let say employer covers 20k medical

if the deductible i bought is 10k, can works?

if my medical bills claim is 25k, employer medical pay first 20k, another medical plan deductible pay remaining 5k sweat.gif

tokio marine medic plus seems all are deductible 10,000
*
It works also one. Just the actual claim process may be abit ma fan.

My own policy is 15k deductible. Bought when i was fresh grad. My employer cover me 80k.

If i kena masuk hospital 100k, in theory i should claim 80k from my employer (company A) but the balance can claim from my own policy (company B).

Just that since A&B not same, need to submit paper work etc. I have not done it before obviously, but in theory la.

Ok so what you mean is you want a standalone medical plan. You can try out alternative

If you feel comfortable with tokio marine, go ahead. All same same anyway. As long as not too expensive, easy to transact.

This post has been edited by adele123: Sep 27 2024, 11:13 PM
adele123
post Sep 29 2024, 09:16 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(vez @ Sep 28 2024, 12:11 PM)
thanks for the info, i am sure mafan abit but since we only have tight budget and buy only what we need, we have to do it ourself

those expensive plan agent gao dim laugh.gif

but nowadays digital world, many things we can learn and do it ourself unlike old days that we need someone in middle
*
Yup that's the spirit I hope more people have. Actually nowadays I submit my outpatient claims via the app.

When I masuk hospital in 2023, also hospital help apply GL. Can say minimal things I need to do.
adele123
post Oct 8 2024, 10:34 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(sleyer @ Oct 8 2024, 10:21 PM)
not really understand ..
meaning deductible base on 10% i need to pay my self  from total bill hospitalization  ?  rclxub.gif
*
If depends on what you have bought.

For example deductible of 1000. In certain lingo, it is called excess. What does deductible 1000 means? Basically regardless of what the hospital bill amount is you pay 1000. Everything above that 1000 is borne by the insurance company. Of course, subject to available limits applicable

There are different type of deductible amount offered in the market. It can be 3000, 5000, 10,000 etc...

The question here you may have is what's in it for the customer when they buy such medical plans? The premium will certainly be cheaper because you borne a lot of the expense upfront, so insurance company charge you less. The higher the deductible, the lower the charges will be.

How much cheaper? Is it worth it? This is where it gets muddled.

To me, worth it. Do I practice what I say? Yes, my policy has 15k deductible. Owned it since 2014.

This post has been edited by adele123: Oct 8 2024, 10:35 PM
adele123
post Oct 10 2024, 10:48 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(1234_4321 @ Oct 10 2024, 10:01 AM)
This is what I'm current looking for, but my AIA insurance agent told me AIA only have RM 500 deductable offering, is it true?
If this is the case, I'm looking for other insurance alternative for 10% co-pay, or Rm  2000 deductible and above, so this medical plan is serve as my safety net and at the same time, manage the premium abit for the forever increasing medical price ..
*
Depends on what product you have. That could be the case. Their latest product being sold do have abit more option
RM500
RM20K
20% up to RM20K

QUOTE(jutamind @ Oct 10 2024, 08:37 PM)
Recently my ILP with medical card rider premium is being revised and I'm given 2 options by the insurance company:

1. Maintain current premium but policy might lapse earlier due to higher premium.
2. Opt for 5k deductible with new premium and policy will sustain much longer (can't recall hour many years longer)

Which is a better option to choose? Alternatively, I'm thinking about removing the medical rider and buy standalone medical card. Is this a better option than option 2  assuming that I don't have underlying medical conditions?

Appreciate the input from the insurance experts over here
*
There should be a 3rd option, which is pay the revised premium to support high charges in future.

Having said that, i would go with 5k deductible. Good amouny to start.

There is not many standalone medical plan in the market. If you dont have a policy now, buying another standalone medical plan is fine. If you already have a policy now, if you surrender buy new, it is usually not advantageous. Because you are paying new "fees" when you buy a new policy. But it really depends on the situation.

I admit i may not be explaining it well but also because i am limited by pure text, cant draw etc...

This post has been edited by adele123: Oct 10 2024, 10:56 PM
adele123
post Oct 12 2024, 05:13 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(sleyer @ Oct 12 2024, 11:17 AM)
guys need help

after googling.. got some bad review on kaotim . some comment say susah claim

same as generali  but not many review on generali
*
When can claim, no one post on social media. When cannot claim then post on social media. I am sure whatever industry you work in, it's the same right?

When you buy on kaotim, it's somewhat of a self service, since no agent to help you out. If you are not used to it, there is bound to be some problem. But for those who have employee benefit, you should be sorted of used to the insurance system per se.
adele123
post Oct 15 2024, 12:10 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(contestchris @ Oct 14 2024, 04:23 PM)
How does a high deductible standalone medical insurance work?

Let’s say I have a Group medical policy at work that covers me until RM30k. I’m hopeful of being gainfully employed for most of the next say, 20 to 30 years. To supplement my Group medical policy, I decide to purchase a standalone medical policy with a deductible of RM30k.

The idea is that the first RM30k will be covered by my Group medical policy paid for by my employer, while anything beyond that is covered by my personal medical card. My annual premium rates will be reduced by around 70% doing this.

In this scenario, assume life is perfect. Assume no changes in the Group policy. Assume that the policy renewal date matches 100%. And assume that the Group policy is under AIA while the individual medical policy is under Great Eastern. Both have cashless facilities. No exclusions or pre-existing.

How workable is this?
*
What is the definition of workable here?

Is your expectation that you dont have to pay a single cent, both the insurance companies can directly settle your bill since you say both will have cashless facility. Example 100k is the bill, then 30k is settled by AIA, and 70k is settled by GE?

If that is your expectation, in theory it should work.

The real "difficult" part is ensuring GE can handle the 2nd portion of it. 30k settled by AIA is a normal process. GE portion of the process is normal too but more rare... later hospital also blur sotong.
adele123
post Oct 21 2024, 12:26 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(ivandj @ Oct 20 2024, 02:28 AM)
Hello , Currently whats the recommeded plans for critical illness and from which vendor
*
You buy from the any insurance companies, they all will offer critical illness protection. The bigger few is likely to have standalone CI plan and CI riders. If you already have an ILP policy, you can just attach the rider to existing your current policy.

What you need to compare is usually budget and whether you prefer something with early conditions covered or only late stage. Early conditions of course less severe conditions but will cost more as well.

QUOTE(edwin1002 @ Oct 20 2024, 11:11 PM)
i-MULA 50, any good plan to buy? in medical card

Governement also subsidy RM50 every year
*
I googled. It says rm50 subsidy, does not say every year.

Looking at the list of participation, most seems to be selling life insurance. Medical is not on the list.

This post has been edited by adele123: Oct 21 2024, 12:26 PM
adele123
post Nov 5 2024, 05:19 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(lee90 @ Nov 5 2024, 03:58 PM)
I bought e-medic from AXA and recently received letter from Generali saying they will do revision due to inflation.

I checked Generali website and found that the exact eMedic plan I purchased is much cheaper there than the revised premium I’ve been quote and even lower than my current premium. I called Generali, but the representative wasn't sure why and she suggested that I might consider canceling my existing plan and purchasing a new one. LOL

anyone can explain this? old plan + loyal customer always kena charge more is it?
*
Hello. I went to Generali website and i saw it's eMedic Plus. Is yours "plus" or without plus?

Also when is your new premium due?
adele123
post Nov 5 2024, 11:49 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(lee90 @ Nov 5 2024, 06:05 PM)
Mine is eMedic under AXA.
eMedic & eMedic Plus is actually the same, the only different is emedic plus is offered by Generali instead of AXA and you can choose limit up to 150k right?
February 2025 due
*
Ok... the thing is... are they really exactly the same? Everything exactly the same? If you have done your homework then yes, you can cancel your current one and buy a new one.

So, what is the catch?

If you do buy a new one, you need to go through the process again. If you are young and healthy, go ahead. if you are not, if you buy a new one, you may be subject to new rules. They may say, oh because you are obese, i need to charge you 50% more or because you had this illness i cant cover you again.

Again, remember, please download the eMedic Plus contract read line by line. The onus is on you to read. When you buy means you agree to the T&C again.

You have few months to think... dont need to pull the trigger now.

Also i notice eMedic Plus has an option to go for RM1000 deductible. I will advice you to opt in for it. You save money from there. The discount is there because everytime masuk hospital need to pay rm1000.

But... 1000 is really not a huge sum of money in the grand scheme of things. I believe average income earner should have emergency fund more than 1000.

This post has been edited by adele123: Nov 5 2024, 11:50 PM
adele123
post Nov 7 2024, 02:28 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(blackrs @ Nov 7 2024, 11:00 AM)
» Click to show Spoiler - click again to hide... «

*
READ HERE... do not simply cancel your current medical policy

Please read the post i have written... LONG post but it will benefit you...

Switching is not always advantageous.
adele123
post Nov 7 2024, 05:05 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(limaa210 @ Nov 7 2024, 02:36 PM)
Hello, I have some questions for NEWBORN baby insurance (just basic stuff medical..)
I know that it is similar to adult insurance plan.

But, according to two agents I talked to, they said that investment linked is compulsory regardless of plans from all malaysian insurance companies (allianz,aia,ge etc.) ?? In addition to that, life insurance portion is also compulsory? As in these two components can't have value of ZERO and need to have those two portions set to minimum amount..

Are the statements above true? Because, lots of people have been saying get baby/kids insurance which is medical card only without life or Investment linked. But after talking various agents, they said no.. so abit confuse.

Thank you for your help in advance. Cheers.
*
Do you have employee benefit covering your kids? if yes, i suggest you buy for your kids later to save money.

you can buy standalone. if you buy ILP, the life component cannot be zero, but minimum can be very low. depending on the company can go below 10,000

Contoh... you can buy standalone from AIA agent. it's google-able. it's called A-Life MediFlex. For allianz, i think they have and may offer it under general license, not sure, but i think got. GE also got, google Great Medic Shield 2.
adele123
post Nov 11 2024, 07:52 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(justanovice @ Nov 9 2024, 03:04 PM)
Good point above. I would also like to hear if anyone’s agent help adjust the funds. Mine never.
*
I have both non ILP plan and ILP. The 3rd and last policy was the ILP policy.

I know what to expect, I know them well enough. ILP does have the advantage of being able to change my coverage anytime. Not that I foresee changing anything immediately. Reason I chose ILP is because I want the CI and medical coverage and adding 50k of life coverage while not needed, is also not burdensome.

Do I know the investment amounts to nothing as I get older? Yes I know. I don’t expect it to give any return, it is indeed my insurance protection.

Since I don’t expect much return from ILP, I just change my funds to 100% bond fund after I had it for one year in equity fund. Now, I think of it like a somewhat temporary bank account to deduct charges for my insurance coverage. I have other equity investment. So I play defensive. Plus the return is really not great. Probably not 1% to 2% like ramjade said but I did take a Quick Look, maybe 3% to 4% last few years for some random equity fund that I picked looked through, which is still very bad to be honest. I decided at such sad return, might as well I invest in bond fund. And I think it was a good decision for me.

So, you can change your investment. Don’t have to wait for your agent. It’s really within our control. Just find out what is the procedure from the insurance company.

adele123
post Nov 11 2024, 09:42 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(kyleen @ Nov 11 2024, 08:53 PM)
I have similar thoughts. The last few years, my ILP sustainability has gone down -10 years, but I haven't bothered to top up. I plan to top up lump sum in the (hopefully) far future, with the said lump sum earning me higher interest elsewhere. Meaning I'm just putting in enough to sustain the ILP, I don't care for any returns from the investment. In the meantime, I plan to switch to a better fund, with the hope it will increase the sustainability.
*
i used to think a better fund exist. i used to think i can pick the better fund. but after 1 year of contemplating, i realised it was not in line with my investment philosophy. after all, i am also on the ETF ship. hence the decision to just go 100% bond...
adele123
post Nov 16 2024, 06:02 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(kawa_e @ Nov 16 2024, 10:57 AM)
» Click to show Spoiler - click again to hide... «

*
If you feel 400+ is tight budget, read your letter by allianz see if they offer you options to downgrade.

If you opt for medical card that pays 0 when you masuk hospital, it will be very expensive. Very very expensive. To reduce this cost, you can opt for a medical card with deductible. Deductible is the amount you have to pay when you masuk hospital. The usual options are 300, 500, and nowadays 1000.

In the grand scheme of things 500 or 1000 is really not alot. Everytime you masuk hospital you fork out these and the rest paid by insurance company.

Honestly speaking, if you cant afford this 500, might as well save the money from insurance and go to government hospital.

Of course... this is provided allianz got provide this option for you also.

Please check your letter or ask allianz if they have some form of downgrade.

adele123
post Nov 19 2024, 08:37 AM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(kslim888 @ Nov 19 2024, 02:34 AM)
» Click to show Spoiler - click again to hide... «

*
Ok, i think you writing this at 2am kinda miss out some key things cause i dunno what you plan to do.

1) you already have A, so you want to add A1 now? So you will keep both A and A1?

2) the reason you are buying A1 is for the 150k 188 CI?

3) answer to 2 is yes, any reason you need a 800k life insurance?

This post has been edited by adele123: Nov 19 2024, 08:38 AM
adele123
post Nov 19 2024, 06:39 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(kslim888 @ Nov 19 2024, 06:10 PM)
» Click to show Spoiler - click again to hide... «

*
So general advices without going to specifics, if you dont have dependent, then 800k is high. Ya, it's for the house but if no one need to inherit the house, then you dont need the 800k life insurance. But i'm putting perspective on one extreme to make a point. But of course things also change in life so, ya...

As for CI, i actually dont know how much ci is enough. I just buy 150k when i was fresh grad, then i buy another 250k last year with early coverage. I think the amount is good enough to cover some major expense, etc. Or quit my job for a year or 2, etc...
adele123
post Nov 25 2024, 09:17 PM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(mauli74 @ Nov 23 2024, 05:47 PM)
1. Yes
2. Not so sure.

I'd love to hear more about this if anyone know how it works as I think whoever want to upgrade will be more likely to be unhealthy or more willingly to claim for more hospilization/expense since they have unlimited annual limit though with RM500 deductible.
Though they also are more health-awared.

This upgrade is offered to most of my family even with previous claim with chronic/old age illness or some "one and done".

But one of my sibiling had claimed for hospitilization with dengue as a child which I considered "one and done" , even after 20years , no "guaranteed upgrade" ever came.
Not this time either.
I am puzzled.
*
Insurance companies are not gonna offer this to the unhealthy ones. If they give you this good deal, most likely they will give it to whom they think is healthy. if you claim cancer or anything chronic, or if you are diabetic, they definitely wont give you this upgrade offer. provided of course, they know...

EDIT: typo

QUOTE(limaa210 @ Nov 25 2024, 01:21 PM)
Thank you for all your insightful replies. Another question regarding standalone as another member has mentioned below but probably hasn't got a reply, is that standalone insurance tends to get premium increase more often (yearly or every 2years), because of no ILP part to support in increase in healthcare cost these days, is this true?
*
short answer, not true.

long answer, there's alot of nuances to the differences of how standalone medical works and how ILP works which gave this perception. alot of people think the "investment portion" is supporting the increase of healthcare cost. It is somewhat helping abit but at the end of the day, you still need to pay for it. in a way, it's kinda you paying it earlier, so now you can delay the increase, but if you delay increase now, you need to pay more later.

In an ideal world, if you manage your investment well on your own, your buy ILP medical, but you pay just enough premium every month to offset the charges. but not enough enough to have alot of surplus in your "investment portion" since we keep arguing the "unit trust" all charges high fund management charge and they perform badly. this way, the company dont earn your FMC and you get the better medical coverage from the one they offer under the ILP plan. but this will be too much work. and the insurance company probably dont make it that easy for you to pay premium when you like it...

(sadly, this is true as the FMC for equity funds are 1.5% and we know this number is absurd and you average 4% 5% p.a. return, might as well i put in EPF or FD, at least FD i get 4% without the fluctuation).

This post has been edited by adele123: Nov 25 2024, 09:18 PM
adele123
post Dec 2 2024, 09:40 AM

Look at all my stars!!
*******
Senior Member
4,724 posts

Joined: Jul 2013


QUOTE(mauli74 @ Dec 1 2024, 04:32 PM)
Help me understand this.

Say if after I get medical card,
and I will be needing dialysis for the rest of my life which insurer will pay for it.
Do my premium increase due to risk change to insurer?
If not , the insurer will suck the cost by themselves?
If yes , whats stopping insurer to increase my premium slowly/suddenly all the way up to the cost of dialysis?
As other payors in perfect health can get new insurance at lower cost ,  eventually it will be all the unhealthy paying the actual medical expense , premium+fee=medical expense.
*
No, your premium dont increase because your health condition has changed. your premium however will increase if everyone else, together with you claim more than the total premium received. Why? because insurance is about risk sharing

The exception to this is the recent product launched by PruMillion Active where the customers who dont claim will pay less, customers who claim will pay abit more. However, Prudential is also transparent about the % of difference between the customer who didnt claim, and customer who did claim.




16 Pages « < 11 12 13 14 15 > » Top
 

Change to:
| Lo-Fi Version
0.0306sec    0.49    7 queries    GZIP Disabled
Time is now: 5th December 2025 - 02:57 AM