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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ramjade
post Jan 19 2025, 08:50 AM

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QUOTE(MUM @ Jan 19 2025, 08:46 AM)
On your this latest info...
That I cannot confirm.

Just a question, until when or at what age will the surrender cash value "stopped" to accumulate until it will be depleted even if the insured continue to pay for it?
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You can see on the ILP projected returns table when they make the proposal for you. Assuming you pay RM3000/month, it cannot last more than 72 years old if you use 2%p.a return by BNM. This is excluding repricing. If you don't agreed to be repriced, it will end faster around 60+.
Ramjade
post Jan 19 2025, 08:55 AM

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QUOTE(MUM @ Jan 19 2025, 08:54 AM)
Didn't they have those frequent repricing to sustain the policy duration?
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So sustain until the contract. So what what happen when contract end? Now do you see my point?

If you want to buy until 80 years old, even in proposal at 2%p.a they already put can last only until 70+. So what does that tell you about cash value even if they reprice frequently.

This post has been edited by Ramjade: Jan 19 2025, 08:57 AM
Ramjade
post Jan 19 2025, 09:06 AM

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QUOTE(MUM @ Jan 19 2025, 08:57 AM)
You surrender before the contract ends.

Like I surrendered my policy before the contract ends
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You surrender already = no more medical insurance. You buy insurance for the insurance or the cash value?
Ramjade
post Jan 19 2025, 09:36 AM

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QUOTE(MUM @ Jan 19 2025, 09:11 AM)
It is about the availability of surrender cash value till you are old before the maturity of the contract.

Not about "You buy insurance for the insurance or the cash value?"

Once you surrender, of course no more insurance coverage.
But there are many reasons why people need to do it.
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If you are just buying insurance for the cash value, it's a very very wrong way of planning.
Ramjade
post Jan 19 2025, 02:36 PM

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QUOTE(adele123 @ Jan 19 2025, 01:26 PM)
Your thought process is going everywhere and nowhere. LOL

1st of all, there is no such thing as BNM allowing repricing as a thing. In a way, nothing to do with them but of course in a way, everything has something to do with them.

If you have bought a medical policy, be it standalone or as rider to investment linked policy, within the insurance contract they would have state that, they have the right to increase price. Contractually, the insurance companies do have the right. Now, BNM role (i assume) is to facilitate these situations ensure that insurance companies are not excessively increasing price and profiteering, etc.

The repricing has nothing to do with sustaining the ILP. There is association but not causation.

Medical repricing happens because of medical inflation.
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Actually to increase premium, the insurance have to show to BNM that they need to increase premium. Only if BNM allows it they an increase premium.

All the premium increase have actually been given green light by BNM. Only issue is insurance company too greedy and want to increase it at a faster rate. Hence the big hooha.
Ramjade
post Feb 1 2025, 06:32 PM

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QUOTE(shawlife @ Feb 1 2025, 06:16 PM)
Hi, asking sifus here, is there an insurance that covered visit to clinics, gp, specialist without hospitalisation?
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Yes. It's called company insurance. Usually company covers outpatient visit, GPs. Used to have one but was discontinued guess not making money for the insurance.

So to answer your question, Yes and no. Yes. Company insurance but not all. No for personal insurance.
Ramjade
post Feb 1 2025, 06:57 PM

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QUOTE(MUM @ Feb 1 2025, 06:36 PM)
Googled and found this.
https://www.generali.com.my/medical-health/...medi-outpatient

Contact them for more details and on its availability
And
There maybe others on the net too

https://www.google.com/search?q=out+patient...mobile&ie=UTF-8
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No longer available. Only for renewal.
Ramjade
post Mar 18 2025, 12:55 PM

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QUOTE(GamersFamilia @ Mar 17 2025, 11:56 PM)
For health insurance other then prudential, which one would be the best and highly recommend?
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I will say it's AIA. Cause
1. They have lots of outpatient options available. Dengue, food poisoning, influenza, gastric, bronchitis can all be treated outpatient rather than admit.
2. They have option to give you upgrade to new plan without any new medical underwriting if you been with them for a long time and didn't claim.

Keep in mind I got incentive for you to buy AIA.

This post has been edited by Ramjade: Mar 18 2025, 01:14 PM
Ramjade
post Mar 18 2025, 01:39 PM

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QUOTE(hafizmamak85 @ Mar 18 2025, 01:17 PM)
If outpatient treatment is viable for dengue, food poisoning, influenza, gastric, bronchitis, pneumonia why even have it treated at the hospital in the first place. Something tells me even if done on outpatient basis, it would still result in RM 1k  plus claim amounts on average - all for IV drip (correct me if I'm wrong on this) medication. Why not just have it done at the GP level and pay out of pocket. This is the main issue. Kootu scheme mentality. Nothing wrong with policyholders wanting treatment but the way we're trying to sumbat everything into an insured coverage framework is really comical and doesn't serve any purpose. Just hike up the deductible /copay element to RM 5k + 10% with a max cap like 11k per annum. Medical insurance should only be marketed as a loss limiting high coverage product and not a 'cover everything' insurance proposition.

Insurers are also incentivised to cover all these small claims with high frequency because this is only product proposition within the insurer's product pantheon that allows for policyholders or consumers to feel or appreciate "the benefits" of insurance on an ongoing basis
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Better than other insurance that force you to admit for those things. By not admitting, the insurance company pay lesser Vs admitted which should be the way.

They do cover outpatient even if you seek treatment at GP for those illness.
Ramjade
post Mar 18 2025, 02:37 PM

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QUOTE(hafizmamak85 @ Mar 18 2025, 02:21 PM)
That insurance companies are saving via outpatient (whether daycare  testament or surgery), is a myth. They are all still high margin treatments/procedures. And what the hospital loses out due to lower volume in inpatient revenue, they more than make up for it via higher volume in outpatient revenue
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It's is still better than other insurance in Malaysia where they force you to admit to avoid paying the bills. Now you got option of not admit and still get the treatment you want.

You don't get that with other insurance companies. Whether it Dave the insurance company money, I don't care. I don't like to be force to be admitted just because I don't want to pay my bills.
Ramjade
post Mar 18 2025, 03:08 PM

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QUOTE(hafizmamak85 @ Mar 18 2025, 02:54 PM)
There is a simple solution. Pay out of pocket. High deductible. It's these small claims that are gunking up the claims portfolio. And why above 60 cost of insurance is so damn high.
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Sorry. I paid for my insurance and I expect them to pay for me. No out of pocket. If I want out of pocket, I wouldn't get insurance in the first place.
Ramjade
post Apr 6 2025, 07:19 AM

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QUOTE(kuganes_g @ Apr 6 2025, 04:32 AM)
Hi peoples, i'd like to get some suggestions on my situation.
I'm currently 39, non-smoker, no prior claim, clean payment.
Have 200k debt (house & car), parents to care, intending to remain single.

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


With that said, met with the new agent, and here's the options discussed.
1. maintain the same plan, don't accept repricing = 20 years
2. maintain the same plan, accept repricing (rm560 at year 5) = 24 years. Optional top up rm420. So rm980 in total to reach age 80
3. replace MediSafe Infinite - Plan 200 to HealthAssured, but sign new AssuredLink policy = rm380 while maintaining the rest as-is rm280. So rm660 in total to reach age 80
4. go look for other insurer

Honestly speaking i'm now feeling reluctant towards ILP.
But based on my limited online search, the offerings are more enticing than standalone.
So here i am, seeking your opinions on:
1. what are the recommended range i should be aiming for medical, pa, ci & life?
2. is what i have sign up worth to hold on now?
3. if yes, how better to navigate this repricing situation?
4. if not, what suggestions can you direct me to?

I sincerely thank you for your time reading, and i appreciate any response hereon!
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You need to understand that with ILP
1. You are paying for them to manage your money in hopes that they can pay your future insurance premium. In reality that is not the case. As and when the ILP is not performing and sustain losses (which is like majority of the time), you are required to add on extra into your premium to make up for the losses or else the duration covered cannot be sustained.
2. Whether the ILP is making money or not, you are losing money 1.5%p.a in fund management fees. This is excluding if your ILP have service charges (means everytime they take money from you they charge like 5%)

Life insurance is usually needed for people with dependends (kids or wife). Single people don't need life insurance. Also another way of insurance is having cash flow coming in. If you have say 6 figure of passive income coming in do you really need any insurance?

Shop around for critical life insurance. For me I found cheaper and more coverage in Singapore. This is real example. AIA offered me RM500k coverage for RM14k p.a. I found in Singapore they can do like RM1m for only RM7k p.a

Once you have insurance you cannot run away from repricing. If ILP or standalone you can opt for cheaper plan (downgrade). If you don't pay up for ILP now, your sustainability will be reduce. It cannot last as long as promise in the original contract. It's either you pay up now or pay up later. Either way you cannot run away. The only way you can control it is
1. Increase your topup for ILP now
2. Do a lump sum top up near retirement day RM50-70k topup
3. Control how the investment part perform by going standalone and EPF route as you are cutting away lousy fund performance.

Don't ask agent what you should do as they are incline to sell you things. Find independent financial advisor who are not earning via commission. That way they are unbiased.
https://nomoneylah.com/2019/12/17/personal-...ancial-planner/
Old post still relevant.

EPF perform better than majority of ILP over long term. I can't advise you. I can only tell you what I am doing. I buy standalone only and use investment money to pay for my future insurance cost with more excess than what I can get with ILP.

This post has been edited by Ramjade: Apr 6 2025, 07:28 AM
Ramjade
post Apr 12 2025, 08:29 AM

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QUOTE(cactuscch2 @ Apr 11 2025, 09:22 PM)
My agent did reply, but quite useless. It's like "Just accept the offer and wait for another increment." That's why I ignored her reply and asked GE directly. Unfortunately CS reply is also useless.

user posted image
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You can't do anything actually. The only choices you have are as below.

1. It's either you accept it and pay more premium now or
2. Keep current premium and
a. top up more in the future or
b. suffer decline in duration of coverage
3. Downgrade or remove some plans.
Ramjade
post Apr 20 2025, 02:18 PM

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QUOTE(Jason @ Apr 20 2025, 01:42 AM)
I’ve got a basic life with medical on it from GE, and it is  an investment link plan since 2017.

Agent tells me that the premium contribution would be level until I’m 100 years old as that’s what the investment portion does — to keep it level.

There’s been a premium increase of 20% 2 years back due to lack of funds or whatever and cannot sustain, and agent moved me to a new pool because I have not claimed anything. That’s what the agent said lah. To me, I’m like okay. This increase did give a bit extra benefits like higher limit which I don’t really care… I’m happy with the existing limit. 

Now I am curious
1. Is that level premium contribution legit? Like does such a thing exist and really work?
2. I genuinely don’t care about life insurance. My main need is medical coverage esp. when I am old, retired and jobless. 
3. Does GE have deductible medical coverage? Per annum? I don’t mind having deductible of RM1k ~ RM3k. Got company coverage, and I can still afford RM3k/year after retirement.

[attachmentid=11512662]
Edit: don’t really want to talk to my agent. I don’t want to Kena upsell. If anything I want to add on deductible to pull the premium down.

Edit2
hafizmamak85 thanks for sharing
Interesting read. Based on your info, all ITOs are evil. So who is the least evil where I can get guaranteed renewal up to 100 years old. With a premium that would not be raised at the whim and fancy of the ITO? It looks like we do not have a choice and at their mercy?
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Can sustain only 100 years old is only a dream. If you see the projection table by the insurance company at 2%p.a and 5% p.a (as mandated by BNM) you can see that in actual fact it cannot sustain until 100 years old. Some where down the line 70-80y time, your ILP will run of of cash value. If you don't inject say say 50-100k of cash, no way it can sustain you.

Remember with ILP you are paying the insurance to invest for you to actually able to sustain you until the age require. For them to do that they need to invest to get about the 5%p a rate consistently. Can that happen? I don't know. I have look though lots of ILP and majority can't even match EPF returns, so you tell me.

That's why I don't bother with ILP but rather than let them invest for me, I invest it myself and just buy pure insurance. No investment part from them as I feel it's not worth me paying them money if they cannot even generate a decent return. Basically in plain English why pay them when you can do a better job yourself.

If you haven't claim, you are still in luck as you can still buy standalone. Standalone is just plain insurance without the rubbish investment. You take the savings and dump it into EPF which will generate better returns than whatever the insurance company can do.

Your choice.
Ramjade
post Apr 20 2025, 05:55 PM

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QUOTE(Jason @ Apr 20 2025, 04:04 PM)
Thanks
1) Then they SHOULD not be allowed to sell ILPs saying that it will sustain the premium over the years. Knowing the answer is no due to inflation. Misrepresentation. Banks are evil but if they say you’re going to get 4% returns on your 20 year FD placement, regardless of the state of economy, in year 15 you will still get 4%! But this isn’t the case for insurance. wtf BNM

2) 😂

3) problem with agents, every time see them also wanna increase. I don’t want to increase I want to retire. Which means optimization of my expenses. Clearly agents are NOT ALIGNED to MY NEEDS. They just want to increase the premium for their pockets.
Which standalone direct to consumer medical insurance can cover up to 80? Or 100? With an annual limit of min ~RM1m and no lifetime limit. With guaranteed renewal?

The issue I have, reading the fine print, is that they start your policy at age 40, but there’s no guaranteed renewal, then they drop you off at 60 despite you have 0 claims. Then you are fked.

I’ve been looking at all the direct to consumer ones… we don’t really have many choices.

My goal is never having to use the insurance until the day I die. I think policies with >RM5 million annual coverage is perpetuating the issue of rising medical costs and stupid. Bloody hell if you need to spend RM5 million on medical bills in a year you’re probably bionic man already with all the work done to you. I rather go YOLO and live the last of my days  than to be bedridden, pissing myself off and either in pain or high as a kite.
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Only few companies have standalone medical up to RM1m coverage.
1) AIA
2) GE
3) Generali
4) lonpac -medisavers vip
Ramjade
post Apr 21 2025, 07:13 AM

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QUOTE(Jason @ Apr 21 2025, 01:35 AM)
Through agents? If possible I want to bypass agent and save on comm. Which company you bought for medical?
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If you want to buy those 200k-1m coverage without agent, not possible. For those 100k coverage can buy fully online.

Generali can be bought online via fi.life
Ramjade
post Apr 21 2025, 06:16 PM

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QUOTE(1234_4321 @ Apr 21 2025, 05:44 PM)
Since nothing much the public like us can do, what's your advise on reducing the impact for high-cost and forever increasing premium?

I've seen you've mentioned :
1. Don't take ILP Medical Plan.
I've check with a few agents, nowadays most of the available plan is ILP, not much Standalone plan available nowadays.

2. Take something with Co-Pay or "High-Deductible". (Which is not available in most of the lower tier plan)

3. Any ITO to avoid? I've seen you've mentioned GE , despite they are the cheapest in the premium.
What about the other companies, PRU? AIA?
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There are standalone available.Only agent not promoting it. You need to ask for it.
AIA, GE, Generali and lonpac have it.
For those 1m coverage above, need to use agent.

For those 100k coverage lots of options available. All can buy online.
Ramjade
post Apr 21 2025, 06:33 PM

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QUOTE(hafizmamak85 @ Apr 21 2025, 06:29 PM)
Please for god's sake, let's stop promoting these 100k products. Just get rid of them. They are not effective at stopping losses. One time kena accident,  kena 250k bill, what you gonna do then???
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They are effective for people with no money. Not everyone can afford 1m coverage.

Unless you landed up in ICU or have extensive surgery, RM100k coverage more than enough.
Ramjade
post Apr 21 2025, 07:36 PM

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QUOTE(hafizmamak85 @ Apr 21 2025, 06:59 PM)
There is no continuity of care. That is the point. It's incredibly disruptive. We don't know what level and type of care can be provided at the government facility. This happens in cancer treatment. You run out of insurance coverage then you end up in the government system and there may be issues and other complications due to this. Maybe you might not be able to continue on the same treatment plan as when you were under coverage.

It's ok, for those who can't afford it, by all means please go the government facility. But why should anyone go through this when you have insurance coverage????
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Because insurance is based off the coverage and premium you can afford. It's like if you pay for economy ticket, no way you can fly business right? Same thing la. You want business class, need to pay business class price. You want higher coverage, you need to cough up.

Its fair as in the one who pay the higher premium have access to higher coverage. it is like no way a house insurance premium have same coverage for sat a RM1m house and a 5m. Definitely the 5m will be more expensive as the insurance company is taking on more risk/payout so they demand higher premium as compensation.

If you are non profit, it's a different sorry .

Remember insurance is about you paying insurance some money to transfer the risk to them. If you don't claim they make money. If you claim they lose money. But they cannot lose money too much or else shareholder will bising. Many soveign wealth fund or pension fund have insurance in their portfolio to pay for country development or people retirement. But now insurance also wants to make money so package multiple products so that can make more money.

This post has been edited by Ramjade: Apr 21 2025, 07:49 PM
Ramjade
post Apr 21 2025, 10:53 PM

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QUOTE(Jason @ Apr 21 2025, 09:15 PM)
hafizmamak85 bruh I feel your passion, I really do. and you can champion the good fight.

Laymans like me? I still need insurance lol, whether they are evil or not. Health insurance is required because it can be crippling, both physically and financially.

Ramjade medisavers underwritten by Lonpac macam yes. But they first sell via MLM, then now Metafin, and everything is spun off by Pathlab, I don't know why they make it so damn dodgy when the product is solid.
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He memang passionate. I give him that. But can't do anything unless you are China.

I went with AIA in the end for the following reasons
1. Decent post hospitalization follow up vs generali/lonpac
2. Less problematic vs GE (you can see GE have tendency to reject claims as shown in the news. Yes news and not new.

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