this 400 is presumed to be per year?
if you had started at age 20, you saved that RM400 amount for 40 yrs at a ROI of 6%pa....
it will just be about 70k at age 60??

from age 60 to 99 yrs has 39 yrs years of possible medical issues,.....this <70k enough to cover?
(excluding the medical inflation rate factor)

I'm assume your premium is sustainable till you are age 60, upon age 60 insurance company will send u a new adjusted premium for you to auto extend it to 70yo or 80yo. Bcoz most of the current medical card is till age 100. (recent 3-4 years in the market)

I would suggest if u r comfortable to start a lower premium now then just go ahead 1st instead commit a higher premium which sustain till 99yo and make ur feel burden and potential lapse it when financial difficulties happen along the years.

Then the addition RM400-500 monthly premium u're confidently invest somewhere for better return and be prepared for the 60yo new adjusted premium to continue the medical plan.

Why commit yourself to insurance with ILP. Just buy those stand-alone. I bought 3 policy from different insurer and you can stop those that you don't need at that point and just pay for the medical insurance.

HLA Medical sum insured @ 690k lifetime - 120k annual - continue paying till I'm dead.
Manulife term life insurance @ 250k - stop when my kids reach 25y.o.
AIA for CI @ 250k - stop when my kids reach 25y.o.

For the next 10 years:-
Insurance premium average is about 2.5k a year for myself.
Add in 2 of my kids insurance will be 4.2k a year average.
Add in my wife insurance will be 5.5k average a year.

If a family of four sign up to ILP for 200 a month x 4 x 12 months = 9,600 a year. A 4k difference not exactly a lot but why buy a huge sum insured?

Many consumer still don't a clue on insurance and the unlimited lifetime limit medical card to me is gimmick.

Last year my wife relatives admitted to hospital then only i know if your medical bill cost 150k and your yearly limit is 100k you will have to pay the 50k from your pocket even though your lifetime limit is unlimited. So pray that your annual limit is enough for any major operations.

Increase in cost of insurance applies to all if your premium is not sustainable you will have to pay more also. The cash value that you have is to pay for the increase in insurance cost when you get older. While your money stuck in ILP I can choose where to invest my money and can choose to terminate my CI and term life. For you, your choice is either continue or totally don't have any insurance coverage if you choose to stop.

ILP has non guaranteed feature. Unable to tell now how much will it be costing after 20-30 years. Medical card cost of insurance will revise based on the medical inflation and etc..

The plan u r signing up till age 60 the cash value only able to sustain till this age based on the system. You can opt out to the auto extension by not paying so policy will lapse slowly.

Recently one customer age 59 decided to buy anther medical card to replace his old medical which expired at the age of 70. The older we are the more we need the medical card. So by the age of 60 or 70 only u will 'realize' the medical card is important. now still early to decide to auto extension it or not.  Just prepare some fund to pay the new adjusted premium if last minute u need it.