QUOTE(life4 @ Aug 12 2024, 12:08 PM)
In Klang Valley only in Klang and HQ- Jalan Ampang. No other branch. Insurance Talk V7!, Your one stop Insurance Discussion
Insurance Talk V7!, Your one stop Insurance Discussion
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Aug 12 2024, 01:58 PM
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#81
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
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Sep 28 2024, 03:50 PM
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#82
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
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Oct 10 2024, 04:48 PM
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#83
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(1234_4321 @ Oct 10 2024, 11:18 AM) Bcoz high deductible payment eg RM5k and above will stop a lot of ppl simply admitting to hospitals due to unable to claim. If you did a minor surgery eg endoscopy mayb cost abt RM 5k. Then u can’t claim insurance although u owned a medical card.. Then this type of medical card will not loop into repricing (increase premium) so frequent by the insurance companies due to the claim ratio is relatively much lower than those low deductible or no co payment medical plan. This kind of plan definitely is cheaper than those with low deductible RM300/500. |
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Oct 16 2024, 08:03 PM
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#84
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(contestchris @ Oct 14 2024, 04:23 PM) How does a high deductible standalone medical insurance work? I’ve a claim experience where the group insurance limit is about RM30k. Client was admitted due to work space accident. I’ve informed the hospital billing department that the group insurance limit is RM30k. So when the bill reaches about 29k then hospital discharge the bill. Let’s say I have a Group medical policy at work that covers me until RM30k. I’m hopeful of being gainfully employed for most of the next say, 20 to 30 years. To supplement my Group medical policy, I decide to purchase a standalone medical policy with a deductible of RM30k. The idea is that the first RM30k will be covered by my Group medical policy paid for by my employer, while anything beyond that is covered by my personal medical card. My annual premium rates will be reduced by around 70% doing this. In this scenario, assume life is perfect. Assume no changes in the Group policy. Assume that the policy renewal date matches 100%. And assume that the Group policy is under AIA while the individual medical policy is under Great Eastern. Both have cashless facilities. No exclusions or pre-existing. How workable is this? Then reapply GL from his personal insurance which has no deductible amount and with cashless facility. Those high deductible do read up their terms and conditions. Whether cashless facility is offer or based on reimbursement. |
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Oct 17 2024, 05:00 PM
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#85
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(hafizmamak85 @ Oct 17 2024, 11:48 AM) This is very important. I was under the impression that those with GL facilities and with co-payment will still have GL issued but with the added co-pay / deductible caveat. Am I mistaken? Do all co-pay deductible policy claims have to be done on reimbursement basis? Usually GLs are issued in batches of something like RM 3000. First GL, second GL.......final GL Hospital is very realistic. If ur medical card deductible is RM300-500. Usually they will ask for a deposit of RM500-1000. If ur deductible is RM30k, 50k? I’m not sure how the hospital do the checking to it 🫣. GL can be issued or reimbursed depend on the product terms. 2 times GL: initial GL and final GL for admission process. This post has been edited by Ewa Wa: Oct 17 2024, 05:01 PM |
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Oct 21 2024, 02:52 PM
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#86
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(ivandj @ Oct 20 2024, 02:28 AM) This is the latest critical illness plan from Great Eastern with 188conditions and multiple claim on cancer, stroke and heart attack. https://www.greateasternlife.com/content/da...re-brochure.pdf |
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Oct 21 2024, 02:54 PM
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#87
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(edwin1002 @ Oct 20 2024, 10:53 PM) Hi, Any medical card recommend? Then you need a plan at least give you 1mil annually. I have one medical card - RM100k (axa now changed to generali) just RM456 annually. Recently my colleage went hospital, 2 weeks ady utilised more than RM75k after that go to government hospital. Any good medical card got higher limit and better "PRICE"? https://www.greateasternlife.com/content/da...2-brochure1.pdf |
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Nov 19 2024, 03:37 PM
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#88
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(Theta5302 @ Nov 18 2024, 09:55 AM) Wondering those with standalone medical card ,does this kind of insurance cover immunotherapy and hormone therapy? When ask customer from fi life they can't seem to give me direct answer and even when refer to the product disclosure ,refused to give me clear answer. it was quite funny actually lol. Do note that, as I know cancer treatment: chemo therapy is dripping, finish dripping then balik. No overnite. No inpatient required Immunotherapy is giving prescriptions (pills) or injection. No overnite. No inpatient Targeted therapy is giving prescriptions (pills) for 1 month. No overnite no inpatient Hormone therapy is giving prescriptions (pills) no overnite no inpatient Inpatient cancer treatment when surgery required eg remove tumor etc.. therapy usually take home pills. 💊 I’ve read a policy contract from HL* is based on reimbursement. Above therapy is not cheap. Recently my customer claim target therapy for breast cancer about RM15-20k per month on the prescription (pills) and GL is granted. Theta5302 liked this post
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Nov 19 2024, 03:52 PM
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#89
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(contestchris @ Nov 19 2024, 11:51 AM) Hi guys, This post has been edited by Ewa Wa: Nov 19 2024, 03:55 PMI'm considering getting a high deductible medical plan (RM20k or RM30k) for my dependents. The logic behind this is: 1. For the next 20 to 30 years, I expect to be gainfully employed most if not all of the time. As such, work would already provide some form of medical coverage via GHS for my dependents. Risk that we unable to calculate is the health risk. What IF your dependents hit by some CRITICAL Illnesses, unable to get a medical card in future. There’s the regret here. Although kids are generally healthier but still have risk… 2. Cost containment. Plans with high deductibles then to be more affordable and also then hit with repricing, tend to have lower quantum of increases. This is because the pool for deductible plans usually comprises of a healthier cohort. You are right, this kind of plan is hardly kena repricing. You can save a lot in these 20-30years. 3. Even in the event I am unemployed temporarily, I will have sufficient liquid assets to pay the deductible if the need arises. Good you have the liquid cash but will it be painful for u to pay the hospital bill when come to claim? My concerns are: 1. Are there cashless plans that allow this? The ones I have seen clearly mention that if I select the deductible option the cashless facility is withdrawn. There’s a reason for not able to offer cashless. Insurance Company need to do a check b4 paying the bill. Usually reimbursed basic. 2. Can the deductible.amount be claimed from a typical GHS policy? Yes. Use the GHS policy 1st, then excess amount by reimbursement on high deductible policy. 3. Can 2 GLs be issued, first for GHS policy and then for top up cover from the individual medical plan? No GL is issued for high deductible plan as per question 1. 4. What am I missing? What are the other potential drawbacks to this, aside from what I've already mentioned above? Good luck Thanks! |
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Feb 5 2025, 09:33 PM
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#90
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(ryan18 @ Feb 5 2025, 09:23 PM) I suffered a concussion(accidentally bang my head into a steel banner) in hometown during CNY holiday What u need to do is submit the claim, no body here can answer u able to claim or not. Just submit and let the claim officer to decide.1 day after impact, rushed to local hospital kerajaan due to post concussion symptoms since my hometown no private hospital (no demand). Dr did CT scan, blood test, all ok so was discharged after few hours 1 week after that I return to KL, had some bad post concussion symptoms so went to specialist in private hospital . Did CT, ultrasound, blood test, eye testing. Again all ok I have Pru Acci Guard and I also bought tripcare360 from Etiqa for this trip. Would I be able to claim for these costs or unfortunately my silly mistake of walking and banging into steel banner will cost me thousands . I asked my Pru agent and she mention as long as accident should be able to claim |
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Aug 18 2025, 03:17 PM
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#91
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Junior Member
685 posts Joined: Jul 2012 From: Kuala Lumpur |
QUOTE(contestchris @ Jul 29 2025, 10:34 AM) Great Eastern now has THREE medical insurance riders on-shelf. As I recall in the past, they only ever had one such product at any one time. E.g. SmartMedic, then SmartMedic Xtra, then SmartMedic Million, and then SmartMedic Shield. Yes, we have 3 riders on the shelf now to meet different segment of customers. Smart health protector (SHP) and Great medivalue, (GMV) both offer almost the same in terms of benefits but GMV has 20% COI savings and 2years no claim 10% COI to be refunded into TIV. But must must fulfilled certain terms and conditions. TBH, after I’ve presented the t&c to few customers, they still prefer to go with SHP instead of GMV after hearing the terms. Company trying ways to control the repricing happen. But now, in addition to SmartMedic Shield, they have: - Smart Health Protector - Great MediValue Can anyone differentiate between the 3 plans? I upgraded from SMX to SMS previously - should I upgrade to SHP or GMV? Any idea why they are having so many different products now, when in the past they consolidated into a single offering? |
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