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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ewa Wa
post Jun 12 2021, 08:14 PM

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QUOTE(Oklahoma @ Jun 12 2021, 05:52 PM)
Hi any agents can give free advise on what's the best Life + Medical + CI coverage combination?

Life - Is there a formula on whats the best coverage amount?

Medical - Im going for RM300 as room and board...since most private hospital in KL/Selangor is around RM300 for a single bed. RM1.5mil annual limit and unlimited life time. Coverage year until 60, renewable afterwards, with highest deductible (since employer cover too), and retirement option

CI - Is there a formula on whats the best coverage amount?
*
2 ways of doing:
1. Really calculate ur current financial responsibilities the amount u should get insured.

Or

Rule of thumb- which we called agak agak. Life is annual income 10times and 5time for CI.
ntdote
post Jun 12 2021, 11:08 PM

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QUOTE(Cyclopes @ Jun 11 2021, 09:40 PM)
Without going into the merits of your decision or it's consequences;  you can maintain your current ILP, reduce your Sum Assured, cancel riders that you do not want, look to upgrade to a better medical plan. This may reduce the premium too based on revised policy.

Concern: Your wife may be subject to underwriting for upgrade/new plan. But there are occasional periods where upgrade is offered by the company without further underwriting, you may want to check with you Life Planner/Customer Service.
*
Thank you sir for your response.

To recap my current medical card benefit as below:

Annual limit = 110k
Liftime Limit = 330k
Premium = 1238
Room and board = 180

I checked at AXA. Compare to a quotation i got from AXA online below:

Annual Limit = 1.5mil
Lifetime limit = No limit
Premium = 1000
Room and board = 350

The difference is so huge, AXA benefit is so much better and cheaper too.

My problem, since my medical card started in 2006, is there any "practical benefit" to keep this AIA policy to avoid issue with new policy like no coverage for pre-existing illnesses etc ?

Or is there an option with AIA to upgrade my existing policy (keeping the year 2006) rather than to terminate and then sign up with the latest AIA medical card, again the issue of pre-existing illnesses etc?

Thanks.
lifebalance
post Jun 12 2021, 11:39 PM

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QUOTE(ntdote @ Jun 12 2021, 11:08 PM)
Thank you sir for your response.

To recap my current medical card benefit as below:

Annual limit = 110k
Liftime Limit = 330k
Premium = 1238
Room and board = 180

I checked at AXA. Compare to a quotation i got from AXA online below:

Annual Limit = 1.5mil
Lifetime limit = No limit
Premium = 1000
Room and board = 350

The difference is so huge, AXA benefit is so much better and cheaper too.

My problem, since my medical card started in 2006, is there any "practical benefit" to keep this AIA policy to avoid issue with new policy like no coverage for pre-existing illnesses etc ?

Or is there an option with AIA to upgrade my existing policy (keeping the year 2006) rather than to terminate and then sign up with the latest AIA medical card, again the issue of pre-existing illnesses etc?

Thanks.
*
Unless you have a pre-existing illness, then you'll probably want to weigh whether to add on another medical card to increase the coverage for the rest beside the pre-existing.

Another method is to add on a deductible medical card to supplement the existing card that covers a pre-existing illness.

Otherwise, if the above doesn't applies, you're free to choose whether to move on with AXA or stay with AIA and get the latest coverage.
ntdote
post Jun 12 2021, 11:59 PM

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QUOTE(lifebalance @ Jun 12 2021, 11:39 PM)
Unless you have a pre-existing illness, then you'll probably want to weigh whether to add on another medical card to increase the coverage for the rest beside the pre-existing.

Another method is to add on a deductible medical card to supplement the existing card that covers a pre-existing illness.

Otherwise, if the above doesn't applies, you're free to choose whether to move on with AXA or stay with AIA and get the latest coverage.
*
Thank you sir for responding.

I've only done colonoscopy and MRI scan since policy started, nothing was diagnosed. I am not aware of any pre-existing illnesses, just a concern that it may pop up sometime later leaving myself in limbo not covered by either the old and new policy.

The existing 110k/330k limit is a joke though for the amount i'm paying. I would be against keeping this card if there are no real consequences (please do advise if any), which I may not be aware of.
ntdote
post Jun 13 2021, 12:28 AM

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I found a clause for the AXA medical cover, which may be the answer to its lower premium.

5. Co-Payment

If you are hospitalised at a Room & Board category that is better and cost more than your eligible benefit, you need to
bear 20% of the cost of all other eligible benefits described in the Table of Benefits. If the Room & Board is of the
same category but cost is higher than your entitlement, you need to pay the differences in Room & Board only.



The room n board eligibility is RM350 (Standard Single Bed). I just have to always choose within the eligibility to avoid the 20% co-payment right?

Under what other scenario would this co-payment clause be triggered?

Would there be times where it would not be under my control, for example lets say hospitalised in ICU which costs more than the eligible RM350? Would ICU falls under the room and board?
lifebalance
post Jun 13 2021, 12:40 AM

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QUOTE(ntdote @ Jun 12 2021, 11:59 PM)
Thank you sir for responding.

I've only done colonoscopy and MRI scan since policy started, nothing was diagnosed. I am not aware of any pre-existing illnesses, just a concern that it may pop up sometime later leaving myself in limbo not covered by either the old and new policy.

The existing 110k/330k limit is a joke though for the amount i'm paying. I would be against keeping this card if there are no real consequences (please do advise if any), which I may not be aware of.
*
whistling.gif got a better proposal out there.

QUOTE(ntdote @ Jun 13 2021, 12:28 AM)
I found a clause for the AXA medical cover, which may be the answer to its lower premium.

5. Co-Payment

If you are hospitalised at a Room & Board category that is better and cost more than your eligible benefit, you need to
bear 20% of the cost of all other eligible benefits described in the Table of Benefits. If the Room & Board is of the
same category but cost is higher than your entitlement, you need to pay the differences in Room & Board only.
The room n board eligibility is RM350 (Standard Single Bed). I just have to always choose within the eligibility to avoid the 20% co-payment right?

Under what other scenario would this co-payment clause be triggered?

Would there be times where it would not be under my control, for example lets say hospitalised in ICU which costs more than the eligible RM350? Would ICU falls under the room and board?
*
What is Upgraded Room and Board Co-Payment?
A co-payment shall apply when the Covered Member is confined to hospital at a Room and Board rate that is higher than the plan purchased
Cyclopes
post Jun 13 2021, 06:43 AM

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From: Kuala Lumpur


QUOTE(ntdote @ Jun 12 2021, 11:08 PM)
Thank you sir for your response.

To recap my current medical card benefit as below:

Annual limit = 110k
Liftime Limit = 330k
Premium = 1238
Room and board = 180

I checked at AXA. Compare to a quotation i got from AXA online below:

Annual Limit = 1.5mil
Lifetime limit = No limit
Premium = 1000
Room and board = 350

The difference is so huge, AXA benefit is so much better and cheaper too.

My problem, since my medical card started in 2006, is there any "practical benefit" to keep this AIA policy to avoid issue with new policy like no coverage for pre-existing illnesses etc ?

Or is there an option with AIA to upgrade my existing policy (keeping the year 2006) rather than to terminate and then sign up with the latest AIA medical card, again the issue of pre-existing illnesses etc?

Thanks.
*
Good morning.
As you reference is to a medical plan only, other than current health condition, there should be no reason to not apply for a different insurer if you feel you get a better cost/benefit. But do read and understand the overall benefits offered, all medical plans are not necessarily the same. Please re-read my previous post, I have mentioned on other options available from AIA too.
yuunasue
post Jun 16 2021, 02:00 PM

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Hi all, can help me quote estimate monthly premium for Prudential Million Med medical card? low budget..

YOB:1998, female, non smoker. office job

1. Life insurance -50k
2. CI- 50k (36 Illness)
3. Medical card
4. With waiver of premium

lifebalance
post Jun 16 2021, 02:12 PM

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QUOTE(yuunasue @ Jun 16 2021, 02:00 PM)
Hi all, can help me quote estimate monthly premium for Prudential Million Med medical card? low budget..

YOB:1998, female, non smoker. office job

1. Life insurance -50k
2. CI- 50k (36 Illness)
3. Medical card
4. With waiver of premium
*
160 - 500
ckdenion
post Jun 16 2021, 11:15 PM

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Joined: Sep 2008
From: Wangsa Maju, KL



QUOTE(Oklahoma @ Jun 12 2021, 05:52 PM)
» Click to show Spoiler - click again to hide... «
hi Oklahoma, there is a exact formula but there is a simple rule of thumb to follow for example 10x your annual income for life and 5x annual income for CI. this is just a general rule of thumb and it doesn't equate solving all financial worries that you have. best is really to consult an advisor on this.

QUOTE(yuunasue @ Jun 16 2021, 02:00 PM)
» Click to show Spoiler - click again to hide... «
hi yuunasue, it will range between 200-300 monthly

This post has been edited by ckdenion: Jun 16 2021, 11:16 PM
ping325
post Jun 16 2021, 11:27 PM

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859 posts

Joined: Feb 2008


QUOTE(yuunasue @ Jun 16 2021, 02:00 PM)
Hi all, can help me quote estimate monthly premium for Prudential Million Med medical card? low budget..

YOB:1998, female, non smoker. office job

1. Life insurance -50k
2. CI- 50k (36 Illness)
3. Medical card
4. With waiver of premium
*
hi yuunasue , better to choose life 100k rather than 50k , because 100k from prudential got discount.
and the finalise quotation difference is very small if you choose 50k vs 100k.
yuunasue
post Jun 17 2021, 03:16 PM

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QUOTE(ping325 @ Jun 16 2021, 11:27 PM)
hi yuunasue , better to choose life 100k rather than 50k , because 100k from prudential got discount.
and the finalise quotation difference is very small if you choose 50k vs 100k.
*
Thank received your DM. will check and revert later.
joe8489
post Jun 17 2021, 05:04 PM

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any good Prudential agents here can advice on:

Pruhealth
Pruguard family..

lifebalance
post Jun 17 2021, 05:19 PM

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QUOTE(joe8489 @ Jun 17 2021, 05:04 PM)
any good Prudential agents here can advice on:

Pruhealth
Pruguard family..
*
What advise are you looking for?

PruHealth is an attachable rider to PruWith You

PruGuard Family is a plan offered under company insurance.
ping325
post Jun 17 2021, 06:18 PM

Prudential Advisor
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859 posts

Joined: Feb 2008


QUOTE(joe8489 @ Jun 17 2021, 05:04 PM)
any good Prudential agents here can advice on:

Pruhealth
Pruguard family..
*
Pru health is just one of the medical cards , you cannot just purchase pru health you need to purchase the basic plan first then attach this medical card into it.

Or you can study from official url first ?
https://www.prudential.com.my/en/products-l...ion/pruwith-you
muok
post Jun 18 2021, 02:37 PM

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Hi,

If you have claimed for an illness before, can you buy a new plan after that?

Thanks.
lifebalance
post Jun 18 2021, 02:39 PM

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QUOTE(muok @ Jun 18 2021, 02:37 PM)
Hi,

If you have claimed for an illness before, can you buy a new plan after that?

Thanks.
*
Depends on what kind of illness (major / minor).

From that, the insurance will either exclude, loading, postpone, reject or approve your application.
owllo
post Jun 18 2021, 04:23 PM

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any general insurance ppl here? Need help to pass the PCEIA exam... failed 3 times already.. anyone can send me past year questions?
lifebalance
post Jun 18 2021, 04:35 PM

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QUOTE(owllo @ Jun 18 2021, 04:23 PM)
any general insurance ppl here?  Need help to pass the PCEIA exam... failed 3 times already.. anyone can send me past year questions?
*
if you fail, most probably you'll need to brush up your understanding on the basic of general/life insurance from the notes otherwise you'll give the wrong advise to your clients.

Get your upline who is recruiting you to help you on the tuition.
tyenfei
post Jun 18 2021, 04:39 PM

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From: K. L.



QUOTE(muok @ Jun 18 2021, 02:37 PM)
Hi,

If you have claimed for an illness before, can you buy a new plan after that?

Thanks.
*
if claimed critical illness. then no luck for standard critical illness plan.
let say you claim none cancer related illness, then still got chance to get cancer only special plan.

medical plan will subject to underwriting . loading or exclusion may apply. worst scenario .. reject.

other type still got chance. especially plan under campaign and "no medical underwriting" require.

Don't give up. Ask around. Agent can't decide your status. Submit and see what insurance company reply.

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