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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ramjade
post Dec 16 2024, 08:34 AM

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QUOTE(wordplay @ Dec 16 2024, 08:20 AM)
Thank for your reply guys.
Ok understand . The sum assured also meant the ward room charged for one day right , other than total amount cover per year? That what I understood from the brochure from website .
I’m considering buying AiA medical  insurance. Any lyn forumer hv licensed aia agent pls pm for proposal . Tq
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There's annual limit and room and board. Usually room and board will match how much is your annual limit.

Higher room and board = higher limit. You don't need to so much room and board. Limit is what you want.
Ramjade
post Dec 16 2024, 04:31 PM

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QUOTE(ccschua @ Dec 16 2024, 04:22 PM)
the story is too long here, is there a summary of Do and Donts in Malaysia insurance on Life and Medical insurance.
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Yes. Pay only for what you really need. All agent will push you to buy Def, ghi when you only want ABC. Becareful about it. ILP returns cannot match EPF over long term (> 10y period)
Ramjade
post Dec 21 2024, 07:00 AM

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QUOTE(contestchris @ Dec 21 2024, 03:31 AM)
Interim measures to provide continued access to suitable MHIT products

1. To help manage the impact of MHIT premium adjustments, ITOs will spread out the changes in premiums over a minimum of three years for all policyholders affected by the repricing. This measure will remain in place until the end of 2026. With this measure, at least 80% of policyholders are expected to experience yearly premium adjustments due to medical claims inflation of less than 10%.

2. For policyholders aged 60 years old and above who are covered under the minimum plan within the MHIT product that they purchased, ITOs will temporarily pause premium adjustments due to medical claims inflation for one year from their policy anniversary. The interim measures above are not applicable to premium increases that may apply when a policyholder moves to a higher age band. This will be managed separately by the ITOs.

3. Policyholders who have surrendered or whose MHIT policies have lapsed in 2024 due to the repricing can reach out to their ITOs to request for a reinstatement of their policies based on the adjusted premium under this measure without additional underwriting requirements.

4. All ITOs will provide appropriate alternative MHIT products at the same or lower premiums for policyholders who do not wish to continue their existing MHIT plans that have been repriced. ITOs that do not currently offer appropriate alternative products must make these products available to policyholders by the end of 2025. Switching to the alternative MHIT products will not require any additional underwriting or involve any switching cost. This, together with other reforms to contain medical cost inflation, will serve to avoid significant future premium adjustments.

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Item #4 is interesting, especially the bolded part. If I am reading this correctly, as an example, policyholders on the older Great Eastern ILP riders (such as SM or SMX) can "upgrade" to the newer rider (i.e. SMS) without undergoing a full medical underwriting! The benefits of the newer plan is superior, AND the premiums are lower.

Sounds too good to be true. How can Great Eastern and the rest agree to this thing? What's the catch?

Also, won't this disadvantage the existing cohort, as the bad risks from the older plans infiltrate their cohort and cause a rise in claims?
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I think the answer is simple. BNM sold us out by letting the insurance company increase say 10%p.a indefinitely. If I were insurance company also I will agree with it. Every year can increase 10% without need to get further approval.
Ramjade
post Dec 31 2024, 11:14 AM

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QUOTE(Shang123 @ Dec 31 2024, 12:46 AM)
I am 28 this year. Looking for recommendation for reasonable medical insurance (non-investment-linked) with annual limits equal or above RM1.5million (no lifetime).
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Kindly avoid GE. They don't cover for COVID. One of the lousiest insurance company. Very Chinaman like.
Ramjade
post Dec 31 2024, 12:04 PM

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QUOTE(MUM @ Dec 31 2024, 11:26 AM)
From that GE product link, I found this, ...
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Don't look at product link. All black and white are BS. Get news from the ground. Find out from friends who work in Hospitals.

QUOTE(tyenfei @ Dec 31 2024, 11:57 AM)
Base on policy T&C. GE offered opt-in campaign before.
Same thing apply to all other companies.

GE new medical policy all covered covid now.
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What campaign? AIA don't even need any campaign. That's why I switched to AIA from GE. AIA automatically covers COVID even if you are on old plan. I exercise my cooling period with GE. Not to mention GE also taking their own sweet time to refund me the money. Lol. I still remember I submit everything via email on a Thursday or Friday working hours time.

They told me 1 week later or 2 weeks later only they just received it from date of email. If ordinary mail I understand. This is email.

Anecdotal evidence, GE customer service center have more customer than AIA. At least my place. Last time when I was there. Even one guy shouted at GE, I pay so long and and so much WTH insurance decline (I don't think was medical). Enough for me to switch away.

I stop my rant here.

This post has been edited by Ramjade: Dec 31 2024, 12:08 PM
Ramjade
post Dec 31 2024, 12:15 PM

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QUOTE(hafizmamak85 @ Dec 31 2024, 12:10 PM)
What other treatments/procedures that you think should be covered by insurers but are not covered, based on ground info? Also, any ground info on what these insurers view as experimental/investigative treatments?
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All I heard was COVID GE until today is one of the companies not covering COVID. Even Prudential also cover. I don't ask much.

I ask which insurance is the least problematic to approve GL for admission?
What insurance is problematic for GL issuance or try to delay GL from being issue?
What's the issue with those insurance that make it problematic or try to delay issued of GL?

Basically I want to stay away from insurance which is problematic or trying their best not to give you a GL. Lol. I am not going to give my money to a problematic insurance company. Why want to ask so much when that are the 3 questions you need to ask cause you will want to use the insurance some where down the road.

This post has been edited by Ramjade: Dec 31 2024, 12:17 PM
Ramjade
post Dec 31 2024, 12:36 PM

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QUOTE(MUM @ Dec 31 2024, 12:34 PM)
If it is stated clearly in the T&C and if the insurer are clearly exempted/eligible to be covered as per the stated T&C, then if GE refuses to covers it,  then they (GE) no afraid omdusman financial services will ask them to comply and pay?
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How many Malaysians you know are going to go chase their money back?
Ramjade
post Dec 31 2024, 12:42 PM

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QUOTE(MUM @ Dec 31 2024, 12:40 PM)
One is enough for GE to not repeat the same "offence".
I think Omdusman will not like to see repeat of same "mistake" from GE
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Hopefully some chap with GE will make the claim for others with GE coverage.

All I know is I don't want my any trouble when I need to admit.

This post has been edited by Ramjade: Dec 31 2024, 12:43 PM
Ramjade
post Dec 31 2024, 09:10 PM

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QUOTE(YoungMan @ Dec 31 2024, 08:36 PM)
Base on your 3 questions, aside from AIA which insurance is on the reliable list?
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I can tell you the insurance that are problematic/try all kinds of ways to delay issuing GL.
GE, Cuepacs care and Micare.
Anything not on the list should be ok.

This post has been edited by Ramjade: Dec 31 2024, 09:11 PM
Ramjade
post Jan 2 2025, 01:30 PM

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QUOTE(kyleen @ Jan 2 2025, 09:11 AM)
Yes, and I refuted OP based on true experience and I made it clear 2nd point is based on hearsay, it is included as a suggestion on why some cases are delayed/rejected.
Tbh, some posters here made it sound like insurance is a money game scam where early birds reap the benefit and those that don't exit the game bears the loss. If insurance is so unreliable,  why even bother getting it ?
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For me, my friends got nothing to sell me. I trust them more than what agents sell me and they are as close as you can get to real life scenario when you need to claim. That's good enough for me. When someone got no incentive to make you buy something or sell you something, it invoke higher level of trust.

I don't want to be in position where when I do need it, I face a company coming out with all kind off issue trying to delay or deny me. IYKYK.
Ramjade
post Jan 13 2025, 06:36 PM

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QUOTE(wordplay @ Jan 13 2025, 06:01 PM)
I received proposal from AiA standalone medical room & board RM 180 and annual limit RM 180 K with deductible RM 500 each time warded

Is the annual limit RM 180K enough for cover
any major surgery medical cost ? 

For example the  room & board for RM 180 not available, only higher price room available for RM 280. So the difference amount will RM 100 for each day. In the final invoice from the hospital will be charged extra RM 100 per day plus with any amount that was fix by the insurance company or follow the hospital invoice for different amount for the room & board?
Please advise on these guys . Thank you .
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It's is enough for today day and age. 20-30 years, not so sure.

https://youtu.be/WamwaYO0ypQ?si=5LXLoDImo9FzpK4o
Ramjade
post Jan 15 2025, 09:15 PM

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QUOTE(1234_4321 @ Jan 15 2025, 08:52 PM)
Hi All,

Did any one engaged with financial advisor(FA)for insurance recommendation before?

As my insurance agent told me (of course they want you to buy from them instead of other FA), for the same coverage, the cost of insurance from various companies are more or less the same, may be RM10-50 differences only. Why am I paying the FA more than thousands to get the same advice which they could give you free. The extra money you paid to FA can pay to the insurance premium instead.
Thus, would like to ask for your experience, does it helpful and really bring out of the best value that suit to your case? and does it provide better service/insight than insurance agent?
Thank you!
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Once. Really different from any agent. It was free and as she's my friend friend. Learn a lot of things from her that agent don't tell you. But didn't sign up from her.

This post has been edited by Ramjade: Jan 15 2025, 09:15 PM
Ramjade
post Jan 15 2025, 10:38 PM

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QUOTE(1234_4321 @ Jan 15 2025, 09:38 PM)
I see, so seems like the information shared was valuable and worth to pay for it?
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They can compare multiple insurance for you at your request and show the the pros and cons of each if them. Maybe pay one time if overwhelm with selection.

That way is not bias as they don't earn commission but they are paid per consultation.
Ramjade
post Jan 18 2025, 06:37 PM

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QUOTE(X-SenZ @ Jan 18 2025, 06:11 PM)
Layman language here:
user posted image

Let's say:
I purchase medical insurance ILP for RM 250 per month and I observed there are RM 660 cash value in my portal after paying 12 months.

My medical insurance package (RM 250):
RM 3 million annual limit, no lifetime limit
RM 250 room & board
Coverage age until 90-99 years

If I looking Net Premium without Cash Value, I actually paid RM 195 per month for above benefits. While those cash value are withdrawable. Assuming that standalone medical insurance with RM 195 per month don't have such benefit in the insurance market, I actually obtained way higher coverage compared to standalone insurance (if they don't have cash value???).

If the cash value in % remains the same for many years, then I can know how much cash value will be accumulated in next 10-15 years down the road.

====================================
1. Is this logic making sense? In layman term.
2. Anyone can share your % of cash value accumulated for years? I can see big difference for medical/critical illness and life respectively from my portal.

The table above is NOT my actual plan but I just give an example for illustration.
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A good honest agent will tell you one thing. Do you expect your insurance to have cash value at the end of the insurance. At best care scenario it's zero. At worst case it's negative balance.
Ramjade
post Jan 18 2025, 08:55 PM

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QUOTE(X-SenZ @ Jan 18 2025, 06:50 PM)
"At best care scenario it's zero. At worst case it's negative balance."
This only happens if we don't pay per month while relying cash value to sustain the policy, so then cash value will be reduced in monthly basis?
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Got nothing to do with not paying. It's because the insurance cost > fund returns. Fund cannot keep up. It will come a time where insurance cost > premium paid. Hence your cash value will be minus every year to just to maintain your insurance coverage.

Of course theoretically you can have more cash value if you are willing to pay more for your premium.

QUOTE(MUM @ Jan 18 2025, 07:51 PM)
I had an ilp plan for 20+ yrs, ... I surrendered it last Nov, ... yes still hv cash value of 100+k returned to me.
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I am a saying at the end of the contract. Say at 80 years old time.

This post has been edited by Ramjade: Jan 18 2025, 10:54 PM
Ramjade
post Jan 18 2025, 10:54 PM

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QUOTE(MUM @ Jan 18 2025, 08:58 PM)
If you keep on paying on time and at the amount as requested, up till your 80+ yrs old, there should still be cash value left inside.
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Not true. Cause there will come a time where amount of cot of insurance increase is actually more than your premium paid hence every year cash value will be deducted to maintain the insurance.
Ramjade
post Jan 19 2025, 07:37 AM

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QUOTE(MUM @ Jan 18 2025, 11:04 PM)
Don't you realised that, there will be frequent premium repricing and also the age group premium hike like 51-56, 56-61, 66-71, 71-76, etc etc?
These increases will not decrease the cash value and it may increase it further too
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Frequent repricing also won't save you aka you end up with zero balance or negative cash value

Why. Here is the simple calculations.

Premiums = Investment + insurance cost + commissions if any

Now imagine if your commission is zero after say 7 years, now you are now left with

Premium = Investment + insurance cost.

Now let's get to the juicy part. If your investment can give you 3-4%p.a and your premium insurance cost is increasing at 10%p.a there will be a deficit as your investment cannot keep up. The deficit will continue to grow. So even if they reprice you to say increase 6-7%p.a, you are still getting zero cash value back.

Hope you can understand. If you see the maths behind it, it is easy to understand especially if you look at the pathetic returns of ILP.

I am talking about standard ILP that is sold and package with medical insurance. Now if you add on additional riders like additional savings plan, get ILP with participating plans, it will change the whole equation. Like participation plan from what I know, insurance company will share their profit with you. But to get that kind of plan nowadays, you need to look, it's not the default package ILP that is sold to everyday people. At least those that I have seen.

If you like ILP or think ILP is good for you, by all means buy it. It's your money. I am staying far away from anything to do with ILP. That will be my stand.

This post has been edited by Ramjade: Jan 19 2025, 07:40 AM
Ramjade
post Jan 19 2025, 08:28 AM

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QUOTE(MUM @ Jan 19 2025, 08:11 AM)
it is NOT about if I think it is good.

What is am saying is that surrender cash value is there till your are 80 yrrs old too.
It won't go missing.
Which you said its will be no more
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Do the calculations and get back to me.

If your insurance cost like RM10k/year and increasing yearly by day RM2k you are only paying RM3k/year in premium, your cash value will be minus right?

So do it for like 10-20 years and see how much cash value you have left at the end of 20 years.

This post has been edited by Ramjade: Jan 19 2025, 08:29 AM
Ramjade
post Jan 19 2025, 08:33 AM

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QUOTE(MUM @ Jan 19 2025, 08:31 AM)
Again it is not about how much or what is the roi, ...
It is about the availability of that surrender cash value till you are old.
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Go do calculations and get back to me. What cash value at 80 years old.

If your plan is life insurance different. If it's medical insurance do not expect any cash value back.

This post has been edited by Ramjade: Jan 19 2025, 08:34 AM
Ramjade
post Jan 19 2025, 08:38 AM

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QUOTE(MUM @ Jan 19 2025, 08:35 AM)
It will depleted if you did not continue to pay on time at the amount they requested
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If your ILP got medical insurance, it will be depleted. If is pure life insurance, yes you will have cash value.

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