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 Insurance Talk V7!, Your one stop Insurance Discussion

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WaCKy-Angel
post Oct 3 2023, 04:16 PM

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QUOTE(MUM @ Oct 3 2023, 04:10 PM)
Just got this from my neighbour...
He told me he only made 1 time payment of premium for 3-4 years value....( cannot remember)
Then he stopped paying it.
The agent says since the insurance charges is low, ...the ilp can sustain it for many years...
Now after 10 years, ...he had to either top up all the past premium outstanding or annual premium for reinstatement...

The agent said, better cancel since the current insurance charges is very high
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Lol 70K?

How many years he paid already? Cash value can sustain for 10 years kinda very good.
WaCKy-Angel
post Oct 3 2023, 05:25 PM

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QUOTE(ronnie @ Oct 3 2023, 04:53 PM)
maybe one shot... as the payment is made until his yearly commission range lo.
Or else agent wont ask. evil agent
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30K upfront? Now it sounds like those forced-loan insurance thingy.

U take a "loan" from insurance and after 10 years u get back XXX amount + interest (while enjoying insurance protection)

If the policy is not terminated by 10 years (and withdrawed) can auto extend while deducting the cash value.


I attended such thingy like last year hotel. There alot hnnghhh amoi agent explain the plan to u.
Ayam calculated macam very good plan somemore they give free hotel voucher (voucher with Lexis hotel picture)

Even i ask for 2nd meetup also the hnnghhh amoi agent ok lepak at cafe explain more details to me.

Eventually i realised that 30K wont get back lel. Overall rugi compared to putting i FD.

This post has been edited by WaCKy-Angel: Oct 3 2023, 05:30 PM
WaCKy-Angel
post Oct 4 2023, 02:10 PM

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QUOTE(adele123 @ Oct 4 2023, 12:44 PM)
There is alternative #3. Which i personally is somewhat doing.

My 1st policy i bought as fresh grad is 120k annual limit. That was 9 years ago. Instead of cancelling and buying new, i bought another plan with another company, which carries rm100k deductible.

If comes a situation where i need more than 120k limit, i have a separate plan covering me.
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Deductible can nego? I thought its fixed, some companies ficed RM300 or 10% of total payable.

But wouldnt it be cheaper to cancel old policy and buy only 1?
Unless u have pre-existing condition.
WaCKy-Angel
post Oct 4 2023, 02:45 PM

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QUOTE(Ramjade @ Oct 4 2023, 02:34 PM)
With that kind of super high deductible her medical insurance is super cheap. I am definitely sure if this.
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How to go about asking for so high deductible?
Quite interesting
WaCKy-Angel
post Oct 4 2023, 03:20 PM

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QUOTE(Ramjade @ Oct 4 2023, 03:18 PM)
Look at the insurance plan and see if they have deducible. Some deductible are from RM300 up to RM100k+. Reason for so high deductible is so that you use your company insurance first before using your own insurance. If your company have medical insurance.

Mine previous company had no medical insurance (chinaman company)
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Yea i know but usually deductible are fixed according to the plan.
Didnt know can customize
WaCKy-Angel
post Feb 19 2024, 03:45 PM

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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)?
WaCKy-Angel
post Feb 20 2024, 09:50 PM

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QUOTE(adele123 @ Feb 20 2024, 06:07 PM)
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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Yes GP can claim under employee benefit, but how about if unemployed? Or GP limit exhausted?

I guess have to check the policy to know GP pre/post covered or not.
WaCKy-Angel
post Feb 23 2024, 02:00 PM

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QUOTE(JIUHWEI @ Feb 23 2024, 09:51 AM)
The first set of original receipts, you take and go claim it from the first policy.
The first policy will then issue a settlement statement, detailing what was paid and what wasn't. For example, the 3k deductible or co-insurance.
If the 3k is a deductible, yes you can take the settlement statement that shows the deductible payments made to the hospital and claim it from the second policy.
If the 3k is a co-insurance, then no you won't be able to claim a co-insurance payment from the second policy. Because it is a co-insurance.

However i want to ask does outpatient GP also considered as pre-admission? Is it depends on the policy clause?
Yes, with a referral letter that led to the eventual hospitalization, up to the periods stipulated in the policy contract.
Eg: 30 days, 60 days etc, before hospital admission,
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Thanks now i know how it works.

This company medical card under GE says they dont cover Pre-hospital medication and GP consultation.
I went back to the GP request for receipts for all visits period of 1 month for the same illness before the admission end up GE says all not covered.
Can still claim these using personal medical card?
user posted image


It says "subsequent consultation" by GP and Pre-medications not covered.
user posted image
WaCKy-Angel
post May 27 2024, 11:45 AM

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I'm surveying medical card for my 5 years old son.

Don't think need Life Insurance or CI.

Standalone cheaper or IPL cheaper?
WaCKy-Angel
post May 27 2024, 11:57 AM

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QUOTE(MUM @ May 27 2024, 11:50 AM)
Many had said, standalone has much lower cost as you did not participate or subscribe to join their investment plan, which cost extra money.

But there are limitations and cons for standalone plan too
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Can advise what is the limitations and cons?
Other than if high claim they might reject renewal?
WaCKy-Angel
post May 27 2024, 01:29 PM

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QUOTE(MUM @ May 27 2024, 12:11 PM)
Googled and found these. Hope they can provides you with some info

Before you decide on a medical card, here are 5 factors to consider to help you make the right decision:
https://www.comparehero.my/articles/medical-cards-healthcare

https://www.imoney.my/articles/standalone-m...card-comparison

Image of source of some cons is from....
https://qoala.my/en/blog/personal-protectio...e-medical-card/
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Rider also face premium increment lor.
WaCKy-Angel
post May 27 2024, 02:07 PM

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QUOTE(MUM @ May 27 2024, 01:41 PM)
Yes, but the steepness of increase which one will be more? (especially when nearer to retirement age?)
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Bruh my son just 5 years old. I dont expect to keep tied to 1 single policy/company until his retirement age.

I'm thinking when insurer ask for premium hike i would survey for other companies that gives similar or better protection at the similar price, take whichever cheaper.
As long as no serious illnessess that nrw company may reject right?
WaCKy-Angel
post May 27 2024, 05:56 PM

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QUOTE(adele123 @ May 27 2024, 04:20 PM)
yes, in theory yes. if you buy standalone where the yearly commission to the agent is the same, sure.

buying insurance plan is not like shopping for the cheapest postpaid plan out there. if you bought IL plans, and keep changing plans, it will hurt you because you keep paying the charges over and over again. the charges are designed to be high in the initial years, and lower later.

understand what you are buying and understand the pros and cons of switching.
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If u all remember last year i posted my son's 3-in-1 policy from P insurance.

Tl:dr version

Auto debit failed due to CC fraud so might missed 1-2 mths premium after that enrolled new card and had no issue for a while, until suddenly received final reminder policy gonna lapsed.

Asked P what happened they just say autodebit failed but checked the CC no prob no barred no overdue etc...

Nvm re-enrolled again and paid extra 1-2 mths premium during enrolling.

Few months later again get reminder policy going lapse again.
Asked agent she just ask to topup another 8 months to avoid same issue.

What i dont (still) understand is why cant i just let the available balance amount in ILP to cover the premium? Even until RM0 i don't mind.

But lastly i think that is how ILP policy works. I need to topup back thodr missed monthly premium.

So i give uo the policy coz i think not worth it to topup back 8 months plus the 4-5 months that i had already topup earlier.


So here im surveying for new medical card only policy.

WaCKy-Angel
post Oct 2 2024, 11:25 AM

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I done endoscopy (upper enteroscopy) last week and need to go back to follow up.
Just wondering this follow up is considered post hospitalisation or outpatient specialist claim?
WaCKy-Angel
post Jan 10 2025, 11:37 AM

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My current Life Insurance premium is RM378/month bought it since 2018.

Just wondering if switch company would it be cheaper?


Life Insurane quite simple right? Dieded then get payout..
I think the investment part that bear some effect if return not good then less return?
anything else that need to be considered before switching?
WaCKy-Angel
post Jan 16 2025, 04:11 PM

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QUOTE(nicktee89 @ Jan 15 2025, 11:05 PM)
Please never ever choose HLA for your medical insurance or whatever insurance. It happened on my case that I have submitted the required documents on 2023, yet process my claim until today, and there is not status update on their side, I have to go and chase them every week and they ask me fill all stupid questionaire?

user posted image

user posted image

What?? I feel ridiculous that I paid the premiums and I have to do all these paperwork in order to take back my claim?

So, please avoid choosing HLA as what ever insurance, what a joke dragging you for 1 year, and after one year ask u do all these stupid works.
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Looks like they are trying to deny ur claim by pointing out u have existing illnesses.

Mind to share what illness u claiming?

Btw u bought directly from HLA or thru agent? If thru agent why is the agent not helping on your claim?

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