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 Insurance Talk V7!, Your one stop Insurance Discussion

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devilmaycry9
post Dec 12 2023, 02:52 PM

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I have a question.. if i want to upgrade my existing insurance plan for example plan 250 to 350 room&board will my policy subject to waiting period & 2 yrs contestability period again?
devilmaycry9
post Dec 13 2023, 11:06 AM

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QUOTE(lifebalance @ Dec 12 2023, 03:04 PM)
Subject to T&C.

Contestability period will not be affected.
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so i'm still covered within that waiting period using that 250 r&b plan right?
devilmaycry9
post Dec 13 2023, 11:11 AM

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QUOTE(lifebalance @ Dec 13 2023, 11:06 AM)
Yes
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that's good. thank you nod.gif
devilmaycry9
post Feb 8 2024, 12:57 PM

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QUOTE(JIUHWEI @ Feb 8 2024, 12:05 PM)
Buying an insurance policy is like buying a warranty.
Nowadays buy things can get extended warranty for a fee kan?

So let's say you are the shop and I am the customer.
When I come to you to buy a laptop, and you sell it to me. I happy, you also happy.
Then you ask "eh actually hor, got extended warranty for only 500 ringgit leh. Want or not?"
Then I reply "sure or not? Eh the warranty there say if cannot fix, 1-to-1 replacement leh. Only 500 ringgit? Bluff me izzit"
Then you say "confirm sure la, not i say leh, printed here big big not only you see leh, everyone walk in here also see. Confirm not bluff la"
At that point in time, sure can buy the warranty right?
Sebab the product still in the shop, never left the shop everybody clear nothing happened yet ma.

But if I rejected "dowan lah, mai luan." and left the shop.
2 weeks later I come back to the shop and want to buy the extended warranty now.
You sell to me or not?
Sure won't sell la, cuz you are rational and sane ma.

So in the case above, the woman had the mental issue PRIOR to the application.
We call this a "non-disclosure".
Who bluff who?
This is what it looked like on the surface.

Then subsequently she sued and won.
To be fair, baaaaaaaack in time, health questionnaire macam didn't ask.
And even then, the final question in the health questionnaires are usually "any other health issues not disclosed in the above questions".
So technically, not that she didn't disclose, the application form didn't ask also. 
Which goes on to further emphasize the importance of full disclosure when applying for insurance.
The way I see it, it was quite a stretch to use the anxiety attack to deny the claim la.

The lady rich lah. So she can afford to sue.
You can afford to sue, then roll the dice la, take the chance.
Cannot afford to sue, then disclose baik2. Mai luan.
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The thing is the application form was submit and fill in by the agent himself. normally agent just ask general question whether applicant have history of health issue. I don't think everyone will read that thick book policy page by page. Anyway, I have few questions;

1. If the person insured got lasik surgery in the past and didn't declare it, later eyes got problem and need surgery whatsoever will the insurance company blame the patient for non-disclosure? common people like me will not think lasik surgery (short sighted) as an illness that need to declare.

2. If the person insured went to dental clinic in the past and record a high BP, will that consider diagnose already? even though no treatment/medication receive related to his BP as patient didn't go for screening in any other clinic/hospital?

devilmaycry9
post Feb 12 2024, 11:25 AM

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QUOTE(lifebalance @ Feb 8 2024, 01:02 PM)
1. Lasik is a surgery and you should declare. Otherwise any complication arise from Lasik on the eye will not be covered.

2. Then you should declare for high BP since there is already a record.

If the insurance accept after your disclosure then its fine. You keep quiet about it and pretend nothing happened. Then you see whether luck is at your side or not when it comes to claims.
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QUOTE(JIUHWEI @ Feb 8 2024, 01:11 PM)
1. yes, because it is a non-disclosure.
2. No. It will only serve as a record. The most underwriters can do is to seek clarification by requesting for a medical examination on the high bp.
It is understandable that blood pressure spikes when nervous ah, excited ah, etc.
I also nervous every time i go dentist.
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tq for the answer... regarding question 1, so every surgery done should be declare even minor accident cut and doing the circumcise too? hmm.gif
devilmaycry9
post Mar 10 2024, 06:38 PM

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choosing medical insurance company is like choosing telco with contract. they are all the same under regulator MCMC. but if i want to sign up new i would totally go for best service & less complaint for peace of mind.
devilmaycry9
post May 8 2024, 12:38 AM

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QUOTE(Dweller @ May 7 2024, 01:58 PM)
Hi all.

I am planning to get medical takaful for myself. Currently only under company coverage which covered RM30,000 among other things. I have also enrolled in etiqa life takaful for RM500k.

I would like to get a medical takaful plan via online if possible. Below are the criterias:
1. Annual limit minimum 1million
2. Lifetime unlimited
3. Cover critical illnesses (add-on rider also ok)
4. Longer guaranteed renewal the better

I have compared and bought motor takaful before online. Pretty straightforward. Read the product disclosure sheet and make my choice. It seems medical card is different. Information is not easily available (etiqa don't have PDS accessible in the website. Or I am not looking at the right place hmm.gif)

Anyways, options that I found (agent). No option for online so far:
1. Etiqa medical plus + CI rider (unable to get monthly payment details from website)
2. AIA A-plus + CI rider

By the way, why medical card no NCD? tongue.gif

Appreciate the clarification smile.gif
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i think most medical takaful online in the market have low coverage something like 100-200k yearly.
most common one people take thru agent
-AIA Public Takaful
-Prudential BSN Takaful
-Great Eastern Takaful

this 3 i think have more or less same benefit and list of panel hospital...

take your time doing your survey...
devilmaycry9
post May 10 2024, 09:17 PM

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QUOTE(danshi @ May 10 2024, 11:10 AM)
Sifu,

I currently have AIA A-Plus Health WITH 1.5MIL annual medical coverage. Recently I had received and upgrade offer to A-Plus Health 2 Medical Upgrade.

Can I have expert opinion if I should take up this upgrade offer.

Thank you
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does this upgrade mean the deductible will change from rm300 to rm500?
devilmaycry9
post May 13 2025, 10:21 PM

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"On December 4, 2024, Brian Thompson, the CEO of America's largest health insurer, UnitedHealth, was tragically killed, a consequence of deep-seated public fury over the healthcare insurance system, particularly regarding claim denials and the company's significant profits."


Looks like US insurers have bigger problems on their hands.....
devilmaycry9
post Jun 11 2025, 04:59 PM

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Does that SMART Option really require going to the panel clinic first? If there's an emergency case like difficulty breathing, I think it’s better to go straight to the hospital
devilmaycry9
post Yesterday, 05:39 PM

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Why must everything go through an agent instead of dealing directly with the insurance company ourselves? I’m uncomfortable passing my private info to an agent. Do insurers fast-track cases from ‘top agents’? It’s unfair for people who have unreliable agents.
devilmaycry9
post Yesterday, 05:52 PM

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QUOTE(contestchris @ Dec 4 2025, 05:45 PM)
Of course, top agents have the head of claims or head of product.on speed dial.
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imagine if public hospital do this because of "connection"
devilmaycry9
post Yesterday, 08:27 PM

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I recall a viral incident last year where AIA rejected a GL on the grounds that the treatment was suitable for outpatient. Once it went viral on X, they immediately approved it and blamed it on an ‘inconsistent doctor’s report’. In situations like this, even a good but not top-level agent won’t change anything. If they intend to delay the claim, they’ll delay it regardless.

 

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