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 Insurance Talk V7!, Your one stop Insurance Discussion

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lifebalance
post Oct 5 2021, 04:10 PM

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QUOTE(WaCKy-Angel @ Oct 5 2021, 03:44 PM)
ohh that is how it works ya.

So how to claim back? like i mentioned official receipt (total 100K bill although only claim 40K) only issue one and submitted to company card insurance liao.
accept duplicate meh?
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Request from the insurer that you've made a claim with. They'll provide the doc.
lifebalance
post Oct 5 2021, 04:32 PM

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QUOTE(WaCKy-Angel @ Oct 5 2021, 04:13 PM)
Cool learnt new things liao..
Oh next question.
I have 2 medical cards.

1st card company card have deduction/co-insurance (not sure which term suitable) due to R&B above rate so insurance only reimbursed around 90% of the bill.
Can i use the 2nd card to claim the balance of above?

p/s: that time i didnt know got co-insurance of 10% if above R&B rate. I thought i only need to fork out the balance of the R&B spent.

Why i use company card to claim? I have this perception that company card insurance premium not bourne by me if the premium increased not really affect me so i will use company card to claim 1st.
Is that correct perception?
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Can
lifebalance
post Oct 6 2021, 09:45 AM

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QUOTE(CoolStoryWriter @ Oct 6 2021, 09:30 AM)
Nonsense. Insurance agent nothing more than car sales man or property house agents..

Once the technology is here be prepared to lose your job, although highly unlikely on the medium term (5-10 years).

As long as there's an intermediary in the insurance value chain, insurance will be expensive. If I eliminate the agent as part of the value chain, I believe my premium should reduce by 10-20%.

And about needing help...if I kena accident teruk most likely I won't call agent first, I will call ambulance, then go hospital the cashless admission can help. Not much paperwork needed.

And call the careline insurance to claim, he/she can work virtually

What's different between calling insurance careline and agent? Both are the same people anyway. .
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Cool story thumbsup.gif
lifebalance
post Oct 6 2021, 09:56 AM

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QUOTE(lamode @ Oct 6 2021, 09:54 AM)
thanks for the info, but just to clarify, i think you meant claim back 60k from personal card?  unsure.gif
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Yes, that was what the sentence meant.

or if you want, it can be reworded to "claim back 60k from the 100k personal card".
lifebalance
post Oct 7 2021, 09:25 AM

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QUOTE(kenloh7 @ Oct 7 2021, 08:48 AM)
Hi agents, is it true that upon changing of a new medical rider plan attached to my ILP, my plan is considered a restart? Which means I am subjected to more scrutinized investigation for 2 years upon starting of the policy?

And also if let's say I just want to upgrade my room and board from RM200 to RM300, am i subjected to this 2 years period also?
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No
&
No
lifebalance
post Oct 7 2021, 09:41 AM

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QUOTE(kenloh7 @ Oct 7 2021, 09:36 AM)
Thanks. So this only happens when it's a brand new policy purchase? an upgrade or medical rider change is not?
my agent asked me to get a new plan and cancel my old card after 2 years. Which means I will be holding 2 medical cards to co-exist during this period. (actually this is GE SMX to SMM rider plan change)

I also quote another reply from here regarding the 2 year period
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Yes, only when you start a new policy.
lifebalance
post Oct 7 2021, 09:51 AM

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QUOTE(kenloh7 @ Oct 7 2021, 09:49 AM)
hmm means my agent is only thinking of their self benefit (to buy 2nd plan from them) and giving me wrong info saying that i will be at higher risk of rejection if i claim in this 2 years time. Glad i asked here first.
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cool2.gif you're welcome.
lifebalance
post Oct 7 2021, 12:20 PM

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QUOTE(1tanmee @ Oct 7 2021, 11:31 AM)
I intend to withdraw some money from my Prudential (Conventional) ILP plan, but my servicing agent says that there's a need to check for sustainability report? Errr just why is this, since I am paying the premium regularly through direct debit.
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Sorry but I'm not here to educate your agent how to do his/her job.
lifebalance
post Oct 7 2021, 02:38 PM

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QUOTE(kenloh7 @ Oct 7 2021, 01:56 PM)
Thanks for ur reply. My SMX 200 plan is only having 132k annual limit. But why is ur colleague GL rejected? And ur colleague is holding the old card as her co-exist card, therefore is able to fall back on it?
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Because you'll be subjected to the same waiting period of 120 days for the new upgrade. If any claim arises during the waiting period, it will fall back to your previous old plan benefits.

QUOTE(wong_86 @ Oct 7 2021, 02:25 PM)
Question,  if upgrade from existing medical card Prumed (2009-2017) to Prumillion, is there still required 120 days waiting period? Within this period, is there any coverage?

Now the proposal approve, but i didn't declare 2019 and 2021 blood test result, i need to concern ?
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For PruMed to PruMillion Med, you'll be subjected to 30 days waiting period for the new upgrade. If any claim arises during the waiting period, it will fall back to your previous old plan benefits.

Just declare accordingly and provide any reports to show if there is any abnormality, otherwise, don't have to if everything is normal & just some yearly check up.

This post has been edited by lifebalance: Oct 7 2021, 03:18 PM
lifebalance
post Oct 7 2021, 03:29 PM

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QUOTE(kenloh7 @ Oct 7 2021, 03:19 PM)
that's good also, SMM+SMMP is about 14% higher cost than SMX+SE, with almost similar benefits.
if i did claim in the 120 days waiting period, what will happen to the new plan which i purchased? will be rejected/put this particular illness under exclusion list?
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For that matter, it'll be up to the insurance company if they are pushing for any investigation on your claim request.
lifebalance
post Oct 8 2021, 09:46 AM

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QUOTE(abdz @ Oct 8 2021, 09:15 AM)
hello there.

just want to ask. I am in late 30s. Want to subscribe to medical card for retirement use only as now medical being covered by company I work now. Is it possible?
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Yeah there is.
lifebalance
post Oct 9 2021, 11:06 AM

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QUOTE(steventyy @ Oct 9 2021, 10:54 AM)
Hi all,

About the deductible card, if I choose high deductible amount due to company provide medical benefit, then what if the benefit no longer available due to policy change/change company. What can I do?

Let say I choose a card with 20-30K deductible now, I don't think I can cover the amount if 1st card not available. Please advise.
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You can apply with the insurance company to reduce the deductible amount (subject to availability) & subject to your health status.

Otherwise, pick a deductible amount that is suitable for you over the long term.
lifebalance
post Oct 9 2021, 11:57 AM

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QUOTE(steventyy @ Oct 9 2021, 11:42 AM)
thanks for the info.

Since most ppl will get health issue when old especially during retirement, so the company might reject you due to that. Really helpless if in that situation.
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There are retirement options whereby you'll need to wait till age 55 - 60 before your plan can be converted back to zero deductible. This would be a feasible choice.
lifebalance
post Oct 9 2021, 09:57 PM

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QUOTE(Aghi @ Oct 9 2021, 09:44 PM)
Hi, a agent from HLA tell me the same thing some critical illness will take long time to develop so better after 2 years then no problem to claim.
If after 4 month which is the waiting period then company will investigate.

Lets say a person very healthy and no any symptom during the 4 month period then on the 5th month suddenly got pain and see doctor and he said cancer
So will have problem when wan claim for medical and CI coverage?
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You consent the insurance company to investigate on any claims that is filed.

If you have done all declaration and have nothing to hide. There is no need to be concerned about after the 4th month waiting period.

It doesn't matter if the policy is 5 or 10 years later, if you did not disclose your information truthfully. Your claims can still be rejected.
lifebalance
post Oct 11 2021, 01:47 PM

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QUOTE(Aghi @ Oct 9 2021, 10:13 PM)
Tq [email=lifebalance]lifebalance[/email]. As long we declare everything honestly then no problem right.
But what will the company investigation based on?
Lets say the doctor said this cancer already must have for the past 1 year (which would be before i take this insurance), but just now only giving symptom. Can this affect?
Or is it better i do a full medical check up and keep it as prove.

Sorry asking so detail because as we all know cancer is a complicated b**ch.
This thing may not be detect during health screening and might only give effect after second stage like that.
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You should answer all the questions that is guided the agent during the application.

Of course, if you think you're really healthy and wants a medical record to prove it to the insurance company, that will be the best case scenario since you got a hardcopy evidence.

Doctors will be able to tell when you roughly got a disease based on your symptoms.

And IF you got symptoms, don't tell agents that you're "healthy" because a normal person would not have those kind of symptoms in the first place. So if you're sick, just say you're sick, I don't see what it can benefit you by lying about your condition when it's not helping your insurance application.
lifebalance
post Oct 13 2021, 06:04 PM

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QUOTE(kuehsm_91 @ Oct 13 2021, 04:59 PM)
Hi I'm a working in government clinic, turning 30 soon. still single.
I'm not a sole breadwinner in the family.
Would like to know what kind of insurance should i possess at this age.

Currently have
1. Great Eastern Medical card, and a
2. Zurich life insurance that insured small amount purchased during childhood.


I got 2 AIA plans from PB telemarketer:
1. PB CI Protector and
2. PB Care Plus Plan, which can claim up to 6k per personal accident case
Are those plan necessary?  confused.gif 

Please enlighten me!
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Talk to an agent to further understand what you have & see what you can improve.
lifebalance
post Oct 15 2021, 07:39 PM

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QUOTE(branstark @ Oct 15 2021, 07:22 PM)
Does anyone have experience on how to terminate insurance? Been with Zurich for 1 year and decided to change to AIA this month. Contacted my Zurich agent for termination last month, but response is too slow.

Can advise on how to terminate faster (to avoid more monthly contribution) and what is the common lead time for insurance company to terminate our insurance? More than 1 month?
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Contact Zurich for the procedure smile.gif
lifebalance
post Oct 23 2021, 07:40 PM

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QUOTE(jayreekazin @ Oct 23 2021, 03:00 AM)
Hi, does anyone know whether medical report fee is claimable from insurer when we submit claims report ?

Specifically, i bought a CI attached together with my house loan/mrta with AIA. Now when i am making a claim, they request for all sorts of supporting and many doctor statements (so far already more than 5). They also asked me to provide the original copy of the receipt (for the medical report fee) to them. Would they ask for the receipts eventhough it is not claimable? I understand normally it is not claimable or am i wrong ?
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You're being investigated, therefore you're required to submit the additional document to be reviewed.

Complaining this matter to BNM will not help. Everything has a process, living in a microwave era where you expect everything to be instant, skip from A to Z instead of going through A - B - C ... Z.

If everyone wants to have their way on claims done, might as well make BNM as a claim department, everything deal direct to BNM is answerable sounds good?

I'd suggest you to be more patient and comply with whatever they ask for and it'll get by faster than you procrastinating and nothing is progressing

This post has been edited by lifebalance: Oct 23 2021, 07:53 PM
lifebalance
post Oct 25 2021, 11:35 AM

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QUOTE(jayreekazin @ Oct 25 2021, 11:13 AM)
Complain because i submitted my claim form+ supporting to PBB and they hold it for 1 month because they forgot to submit to AIA. When i call them to ask for status, then only they realised they forgot to submit. Because commission earned but so servicing. Because forcing people to buy CI and taking credit card for your loan to be approved is also against bnm regulation. Not because need to do claims investigation.
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Unfortunately, banassurance doesn't provide much of a service, bankers are required to get a license to sell you the banassurance and that's pretty much it. The commission paid to bankers are peanuts, the bank earns majority of it. So unfortunately for you, you'll just have to DIY this on your own.

QUOTE(jayreekazin @ Oct 25 2021, 11:16 AM)
Yea similar case, mine so far 3 months plus already 😭. Did you try to submit the receipts for documentation costs to them last time?
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There is no time frame for the insurance company to respond to you in a investigation case. They can hold onto it as long as possible until the investigation is complete.

As I said earlier, the faster you comply with any outstanding documents, the faster you can chase on any outcome, otherwise, the ball is on your side to comply with whatever that is outstanding and the insurance company can argue that you didn't submit all the requirement document to process the claim.
lifebalance
post Oct 27 2021, 11:13 AM

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QUOTE(a8dee @ Oct 27 2021, 02:54 AM)
user posted image

Saw this in my insurance proposal from Prudential. Is this normal for new applications? I'm applying Life+Medical+ILP for my children, noticed this at the end of the proposal. Does it apply only to Prudential or other insurance providers charged for this as well?
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Yes this is normal, you can look through the entire Appendix on what are the charges is applicable within the policy that you plan to buy.

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