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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ramjade
post Mar 11 2023, 02:33 PM

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QUOTE(RiriRuruRara @ Mar 11 2023, 02:07 PM)
did you get a high price increase with this plan recently?
Hi Denion, this great medic shield you mention here does it have the co insurer thing where if you don't follow your plan you need to pay 20%?
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No price increase for great medic shield 2 cause it's new (just launched last year). Of course the increase in premium due to age will be there.
Repricing maybe if it's a super old plan already or insurance not enough to cover people in the pool.
If you take without extender, yes need to pay deducible RM300.
If take with extender, no need to pay deductible.

This post has been edited by Ramjade: Mar 11 2023, 03:55 PM
Ramjade
post Mar 11 2023, 03:59 PM

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QUOTE(RiriRuruRara @ Mar 11 2023, 03:39 PM)
Thanks, no coinsurance so it's OK if you choose to upgrade your room and just pay the extra or do you recommend to just stick to your plan if not it will be difficult with payment or the paper work later on?
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Up to you. If you upgrade room, you pay yourself the difference in the room.

If AIA and great Eastern too expensive for you, try medisavers. Issue with medisavers
1. Post hospitalisation only 60 days
2. No outpatient GL for cancer and dialysis (you need to pay and claim).

Alternatively you can look at emedic plus but limit max is only RM150k and will increase by 10% every 5 years until max 50% (RM225k). Their room is I think RM250?

You want better room
1. Pay the difference
2. Buy the more expensive plan
3. Buy cheaper insurance but higher room limit

No other way.

This post has been edited by Ramjade: Mar 11 2023, 04:10 PM
Ramjade
post Mar 13 2023, 11:14 PM

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QUOTE(jutamind @ Mar 13 2023, 09:50 PM)
Is it common for those after retirement age to remove critical illness rider/cancel CI policy, assuming medical card is still effective?
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Up to person. Different people different thoughts.
Some people just want to cover as long as they work. Cause if you got critical illness, means likely your job will be affected and likely laid off from work, hence you lose your income. So this critical illness is to cover for loss of income.
Some people want to cover for life cause pay insurance so much for what? Need to claim back the money.

Medical card confirm will use eventually.

This post has been edited by Ramjade: Mar 13 2023, 11:14 PM
Ramjade
post Mar 13 2023, 11:45 PM

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QUOTE(jutamind @ Mar 13 2023, 11:34 PM)
I understand that CI is to cover you financially in case if you have dreaded disease that might put you out of work for good or for short term.

However if you're already retired, is there such a need for CI anymore? I know this could be a personal choice but what's a good financial advice/practice for continue to pay for CI coverage for those that have retired
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Do you want to leave something for your kids? If yes then continue paying for CI. If you feel your kid enough already, no need to pay..
Ramjade
post Mar 14 2023, 03:03 PM

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QUOTE(RiriRuruRara @ Mar 14 2023, 01:24 PM)
Hi last question here, if change/upgrade current insurance plan to another plan but with same company. Do you need to start everything all over again like go take blood test, 100 days cannot make claims with new plan etc etc?
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Depend on age. If the company give you guaranteed letter, means no need new underwriting. I have only known AIA to do this for old customer who never claim before. Great eastern is never generous and so far never heard them giving such letter.

But generally waiting period starts all over and there's contestability period (1y-2y) to keep in mind.
Ramjade
post Mar 14 2023, 04:09 PM

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QUOTE(RiriRuruRara @ Mar 14 2023, 03:50 PM)
Thank you for the info.
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So if you have any illness your new plan will likely exclude that. So you need to keep your old card for that illness coverage or go to govt hospital for that illness. If this happen to you you got 3 option
1. keep the old plan and don't buy new plan
2. Cont paying the old plan and new plan (pay double)
3. Take new plan and not covered for old illness and seek treatment at govt hospital for old illness.

The general advise by insurance agents are keep both plan if you are healthy. Once the new card cross the contestability period, you can safely surrender the old plan. Depends on you and your financial capability.

This post has been edited by Ramjade: Mar 14 2023, 04:09 PM
Ramjade
post Mar 15 2023, 10:22 AM

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QUOTE(adele123 @ Mar 15 2023, 06:18 AM)
The 100 days cannot claim is not true la. The contract will usually say something like, if you change/upgrade plan, during the waiting period, they will base it on the old plan.

Unless got special offer from the company... then ^ should be in your contract of the new plan or even the current plan.
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The cooling period is in the event one gets diagnosed with stuff like diabetes, high blood pressure etc the insurance will not cover you.

If simple stuff like food poisoning, fever still cover.

But to be safe to ensure that the insurance company don't reject you, to use the insurance after the contestability period (1-2y). By then insurance usually will approve everything (depending 9n what the doctor writes)

This post has been edited by Ramjade: Mar 15 2023, 05:31 PM
Ramjade
post Mar 15 2023, 05:40 PM

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QUOTE(likitsaelee @ Mar 15 2023, 01:37 AM)
Hi, need advice here.

So my dad have been diagnosed with Wolff-Parkinson-White Syndrome, a genetic heart disease that required minor surgery in the heart. He has attended check up in public hospital and they're scheduling an operation for him.

However, the public hospital is asking us to purchase medical devices. As the public hospital cannot include the medical device fees in their bill, which is RM15k, there is no way we can claim the insurance if we do the operation in public hospital.

I wonder if the above statement is true? We could transfer him to private hospital to claim the insurance, but I feel it's quite a hassle as we already been follow up in public hospital. The treatment in private hospital will cost around 50k-80k, and his insurance limit is only 225k.

Thanks in advance!
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Maybe pay first, keep receipt to claim back from insurance company once discharge? Need to ask your agent and see.

QUOTE(Gaza @ Mar 15 2023, 05:18 PM)
Hi,

What are the reasons that cause the insurance company to revise my premiums upwards? Is it the performance of ILP funds managed by the insurance company? I was asked to increased my medical card premium contribution from RM300 to RM400+...

Which insurance companies are better are maintaining premiums - meaning their funds have better performance to help cover the future cost of insurance?

And which insurance companies are better at pricing their insurance products - meaning they take a more conservative expectation to potential ILP fund returns to cover future cost of insurance?

Or cant be helped in the sense that everyone's medical insurance premiums gets revised upwards every few years?
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Maybe your insurance is old insurance. Hence pool of money depleted. Cannot sustain the insurance policy hence increase premium.

So far from shopping, medisavers (standalone) only increase their premium by 10%. Not sure about AIA or Great eastern ILP
From what the agents told me, AIA med regular with booster and GE GMS2 + Extender (both standalone) no repricing yet, just normal increase in premium due to age.

What I heard is if funds not making money, they have to hike premium to make insurance sustainable. How true it is, I don't know as I avoid ILPs.

Everyone premium will increase with age even those on ILP. Supposedly ILP repricing happen lesser than standalone but looking at last few years of reviews (on lowyat forum and Reddit) seem the other way around. Everyone affected. AIA, GE, Allianz, Prudential

If you don't want to get repricing only alternative are
1. Gathercare (crowd sharing funding for private healthcare)
2. Own insurance fund (aka separate account for medical purpose)
-pay cash but must diligently put in money and don't use that money for something else

Btw you can read here for more info.
https://forum.lowyat.net/topic/4753108 old but still relevant.

This post has been edited by Ramjade: Mar 15 2023, 06:32 PM
Ramjade
post Mar 15 2023, 07:02 PM

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QUOTE(adele123 @ Mar 15 2023, 06:56 PM)
I know you are not from this background hence the example quoted is abit off.

If diabetes, confirm upgrade decline. Dont even need to think.

My question was specifically to answer "can he/she still claim when pending for upgrade", so i say yes, still can.
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That one sure. That's why I said simple stuff like food poisoning, fever likely can. Those that have cooling period of say 120 days IMO better wait 2y to be safe.
Ramjade
post Mar 16 2023, 12:17 AM

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QUOTE(Gaza @ Mar 15 2023, 10:05 PM)
My insurance is around 5 years old, but i think the bad market performance in the last 2 years has affected my future expected coverage. I expected ILP will have fairly stable premium throughout the policy, maybe premium increase 10% every 2-3 years but they quoted me to increase my premium payment by 50% mega_shok.gif Reason i took ILP over term medical card was those guaranteed renewal, still deciding if worth it in future. Thanks for sharing that link, will need to give it further reading - but from what i read there so far if insurance companies already know medical insurance every year 15% why cant they price it correctly in the beginning rather than hooking a customer in and then asking them to increase their premiums massively after a few years.
I believe probably due to ILP performance since i have never made claims or withdrawals. Should i do more surveys to see if other insurance can offer around the same coverage for cheaper cost or worth topping up the suggested premium?
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Btw I like this quote.

QUOTE
In a simple sense, ILP take your money, pay expenses and invest the rest.
If their investment do well (in the future), ILP pays your premium, and the rest are profit (for them).
If it doesn't, you'll end up paying any premium deficit.
So insurance company get the upside, while we shoulder the risk. How is that a good deal for us?


https://www.reddit.com/r/MalaysianPF/commen...egular_medical/
Ramjade
post Mar 16 2023, 11:14 AM

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QUOTE(Cyclopes @ Mar 16 2023, 10:19 AM)
The onus has shifted from the insurer to the insured under ILP to manage the investment/returns. And on another hand (probably the positive side) is that the cost of insuring (insurance charges) are low compared to a traditional policy, where the onus  for yearly bonus/dividend is with the insurance company.

Those who have been in the industry long, would still remember well the  traditional policies, some which pay good returns (declared bonus/dividend) which are guaranteed; but the premiums are more expensive for the same sum assured (compared to ILP)

With the introduction in ILP, traditional policies were slowly taken off the market, but if you do your homework you may find some traditional policies still available (which may/may not give good returns as previously).
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I may be wrong. But ILP seems more expensive in every way.
QUOTE
I showed my actuary friend some investment-linked plans. And he told me that they were about 22% more expensive than traditional term plans.

https://www.mr-stingy.com/choose-insurance-plan/

That's not mentioned fund charges yet at 1.5-1.8%p.a

This post has been edited by Ramjade: Mar 16 2023, 11:15 AM
Ramjade
post Mar 16 2023, 03:07 PM

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QUOTE(koja6049 @ Mar 16 2023, 01:25 PM)
well, you did not read your own link till the end:
In Malaysia, standalone medical plan have very big risks because there's no regulation. I have bought standalone medical plans for my parents but they cannot be renewed once they are past 80 years old, and my parents are bound to live beyond that.

In comparison, it would be a no-brainer to buy standalone medical plan in Singapore because the industry is well regulated. The Singapore govt practically mandated everyone, no matter the age, to be covered by medical insurance.  smile.gif
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Actually I did. I just post parts of the article.

As of now AIA and GE standalone cards are guaranteed renewal unless you commited fraud or didn't pay on time. That's why I choose standalone ve ILPs.

Yes there are stuff which standalone does not have like waiver but you can get the same benefit with a critical illness insurance anyway.

The last time cards yes not guaranteed renewal. Not today cards.

This post has been edited by Ramjade: Mar 16 2023, 03:12 PM
Ramjade
post Mar 16 2023, 03:54 PM

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QUOTE(koja6049 @ Mar 16 2023, 03:27 PM)
any clause that says guaranteed renewal? Or is it just you say i say only?  smile.gif
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Here you go. These are the standalones that I actually considered getting.

AIA
user posted image

Great Eastern
user posted image

Medisavers
user posted image

AXA Smartcare Optimum Plus
user posted image

QUOTE(koja6049 @ Mar 16 2023, 03:54 PM)
what homework? don't comment if you're not helping  smile.gif
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Don't worry. He is like that. He won't want to share information if you are not a paying customer. He will share limited or partial info but won't share everything. I will share at no cost as I have all the documents from the above companies with me.

This post has been edited by Ramjade: Mar 16 2023, 03:56 PM
Ramjade
post Mar 16 2023, 04:47 PM

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QUOTE(lifebalance @ Mar 16 2023, 04:27 PM)
I will give you 24 hours to copy paste the evidence you said that I did the highlighted part above.

Otherwise, I will get your post reported with such false accusation.

With such an attitude, you sure fit a troll & causing disharmony to a thread that has otherwise been doing fine without you.

Have a good day.
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Well you asked for it. Anyway I will stop here. It's out of topic of insurance. You are welcome to ignore my replies as I will yours.
» Click to show Spoiler - click again to hide... «

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


You are welcome to report anything you want..smile.gif

Thank you.

This post has been edited by Ramjade: Mar 16 2023, 04:51 PM
Ramjade
post Mar 16 2023, 05:43 PM

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QUOTE(koja6049 @ Mar 16 2023, 05:32 PM)
Thanks for sharing. Do you know what is the maximum age limit for these policies? The new ILPs currently is at 100 years old. The old policies my parents got was only up to 70, that's why we ran into the problems i mentioned. So far my father's lapsed first as he's past 70, we hunted around for a new standalone and only manage to get extra 10 years, premium rm5k per year, and only covers annual rm50k. It's from prudential, very expensive in my opinion. My mother's will lapse in 3 years time and we will have to start hunting again....
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If parents got pre existing condition, forget about getting insurance as they will exclude that illness and all complications related to it.

If still healthy without illness then up to you. All standalone I have shopped around covers up to 100 years old. Usually last entry is age 70. For me I won't cover myself beyond 80.

I don't have prudential cause they don't have standalone. If you want the cheapest, AXA emedic plus. No outpatient cancer and dialysis. But it's cheap and limit max is rm150k/year. I don't think your mother eligible for AXA emedic plus cause they don't accept above 55 years old. The cheapest old people insurance is medisavers with RM1m+coverage.

When old, insurance premium can be expensive say 9k-15k/year depending on age and what insurance.

Also sometime pay cash cheaper than insurance. There are anecdotal evidence that paying with cash can get discount from doctors and hospital.

Standalone cards that cover until age 99-100 with min RM1m coverage.
1. AIA A-Life Med Regular +booster
2. GE GREAT Medic Shield 2 + GREAT Medic Million Extender 2
3. AXA Smartcare optimum plus
4. Medisavers

Hope this help.

This post has been edited by Ramjade: Mar 16 2023, 05:54 PM
Ramjade
post Mar 17 2023, 10:27 PM

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QUOTE(Gaza @ Mar 17 2023, 08:54 PM)
https://howtofinancemoney.com/best-medical-card-malaysia

I was reading this and realised that insurance companies have increased annual limits to RM2-3m compared to around RM1m few years ago when i was looking to buy medical insurance. Is this because they expect RM1m annual coverage wont be enough in the next 30 years? Then in the next 5-10 years the "normal" annual limit offered by medical insurance will be RM4-5m? How to know what would be the ideal insurance limit in 30 years from now?
Do deductible medical insurance and non-deductible medical insurance share the same pool? I would imagine the claims % for deductible pool would be lower hence the lower premiums - which does make deductible option more attractive to someone like me.
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If you have friends working in hospital you know that Rm1m+ is more than enough for today market. Cause 1 admission usually cost like RM6-9k(depending on which hospital, how long you are staying and type of room). If princescott/gleneagles no need to say 😂

Operation is also enough (depending how bad is around 40-50k- if lots of broken bones or major surgery)

ICU is the killer part where 100k might not be enough for your entire ICU stay. If you are there for 2-3 days no issue. But if you are there for like 2 weeks then yes can really drain your card.

That's why for kids and young people (up until maybe 35), AXA emedic plus is more than enough. (RM100k-150k). Just my opinion. Those RM1m+ is those you want to buy for old age.

Of course this will change going forward.

Different plan, different pool. Not sure about deductible Vs non deductible pool.

This post has been edited by Ramjade: Mar 17 2023, 10:31 PM
Ramjade
post Mar 17 2023, 10:34 PM

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QUOTE(lifebalance @ Mar 17 2023, 09:02 PM)
The medical benefits will continuously enhance itself to suit the market.

It's advisable to review your insurance policy every 2 - 3 years or whenever there is a change in your lifestyle.

There won't be a One-Plan-Fits-All until you pass away.
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I think this I have to put in my stand. By you chasing the latest insurance plan, you are basically enriching the agent. Cause you are changing plan every 2-3 years. And you have to pay double insurance unless one is confidence to surrender the old one.

Not to mention if those on ILP are unlikely to surrender.
Ramjade
post Mar 18 2023, 07:32 PM

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QUOTE(JIUHWEI @ Mar 18 2023, 05:29 PM)
So there's 2 parts.

Now for Part 2.
Medical Insurance pools go by blocks.
How to identify which block are you leh? Go with the name of the plan.
So each block will have their own pool of funds, collected via COI charged to you.
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Thanks for the info. For the same plan name, is the pool same for person with plan bed 150 Vs say plan bed 250? Or 150 bed and 250 beds are separated further?

QUOTE(JIUHWEI @ Mar 18 2023, 05:47 PM)
For your dad's case, it's Rm50k to play around with. Or you can consider a new plan with say... 20k deductible?
It's an option lah.
If really got serious illness, he has RM50k until he gets transferred to gov hospital.
Gov hospitals are not that bad.
Maybe aircon not as cold, privacy not as readily available, but in terms of the equipment and expertise I have only good things to say about them.
Why leh? Done enough claims and medical report runs to see with my own eyes lah.
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Agreed. Those insurance agent fear mongering about govt hospital not good is actually bullshiting.
Ramjade
post Mar 18 2023, 07:46 PM

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QUOTE(timeekit @ Mar 18 2023, 07:30 PM)
Hi Sifus,

Following up on my previous query.
Just want to seek your opinion if the priorities of the RM is in the right place.

So recently became the legal owner of the PRU old policy and took over from my mum.
What I'm mainly concern is whether there is anything to revamp the policy to be current with the market and if there is anything that can bridge the gap in comparison with my GE medical policy. I even mention my focus now is mainly to see if I want to continue the policy or not.

Yet the priority of the RM is wanting me to update and perform minimum housekeeping of the old policy eg : appoint a nominee (in case of death), update payment mode, my marital status, nationality etc, and started to give me all kind of forms.

Yes i understand the need for housekeeping, but bro, all I want is to see if you could offer anything to revamp this policy, I may not even want to continue this policy.. after that i didn't continue the conversation, he didn't pursue messaging me further and now in limbo.

So what do you think? Is the priorities of the RM correct? What should be my next course of action? hmm.gif
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I am not sifu. But this is my experience while shopping for medical insurance.
If you got a new policy, and it's already past the contestability period, and your new insurance fully cover you (no excluded coverage), if it's me, I will terminate/surrender the old policy cause having 2 policy is redundant and wasting money.

However if you got pre existing illness that only your old card cover while your new card does not cover, I will not terminate the old card. Reason is your new card doesn't cover your illness.

Now if your new card is within contestability period, up to you if you terminate/surrender it. If you are in good health, for me I will terminate. If you are not in good health, I will keep both.

These are what I will do if I am in your shoes. Again if you want backup, sub for gathercare. It's around RM500/year (cheap in my opinion)


Ramjade
post Mar 18 2023, 10:02 PM

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QUOTE(DawnOnYou @ Mar 18 2023, 09:32 PM)
Hi, would like some advice on insurance plan (medical + life, etc)

31 years old female

I came across Prudential (PRUMillion Med with PRUMillion
Med Booster) and HLA MediShield III Rider.

The 1st is 2640 pa (from agent), 2nd is 870 pa (from brochure)

The premium difference seems quite big, and one of my concerns is the 300 copay on Prudential.

Can any one share their view on these, or have any better recommendations?

TQ
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Keep in mind prudential is always ILP. As far as I know, they don't carry standalone cards with coverage of million (I maybe wrong on that). This is what the agent tells me. I am not sure about Hong Leong as I did not get quotation from them.

For me, I am advocate for standalone cards cause I don't see value in ILPs other than making the insurance company and agent richer. Majority of ILP funds suck big time (can't outperform EPF or FD over long time).

If you want medical coverage max at RM150k/year (increasing to RM225k/year) get AXA emedic plus.
Get a life insurance from dearlife or fi.life
This option guaranteed you to be cheaper than Prudential or Hong Leong.
Cons is it's not ILP.

If you are like me who want medical to be at least RM1m, I will go with the following
GE great medic shield 2+ extender or
Medisavers (cheaper long term but have it's cons)
Likely get standalone critical illness from AIA or Prudential.
And do my own investment.

Most ILP cost min RM3k/year and above. If you want to have longevity in your coverage.

Again I only recommend standalone. No ILP recommendation from me. Not an insurance agent or anyone from the industry.

This post has been edited by Ramjade: Mar 18 2023, 10:06 PM

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