I am not sure how an insured can claim for a single admission from two different insurer.

I know is possible if is from the same insurer.

Is deductible deducted from total billing or approved claimed ? For eg, if total billing is RM50k and approved claimed is RM42k, so the 20k deductible from 50k or 42k ?

Is the insured required to submit the approved claim from the 1st to the 2nd insurer for the additional claim ?

Is the deductible include those unapproved/not covered billing or is a separate payment?

1. Which insuere determines the total 80k claimable portion ? In reality does it work that way ? Or the insured have to settle the co claim b4 proceeding to submit the balance of unclaim to his own insurer ?

2. Can the insured submit the claim simultaneously to two insurer ?

When such situation arises, is because they cannot afford the premium. Is payment till death or the term expires whichever comes first.

Many older policies cannot cover medical costs due to small annual limit and as time passes, medical cost increases and they still have to seek treatment from govt hosp. Lower annual limit comes with lower premium.

Many failed or forgot to review the coverage or simply cannot afford additional premium. The 'unlucky' ones may have to surrender or lapse the policy when income is affected like the now pandemic.

So buying enough coverage today and tomorrow is a tough call for those who wants protection with low premium.

Anyway ...

CI is critical illness
TPD is total permanent disability

This post has been edited by mini orchard: Jun 29 2021, 06:37 AM

I think GL is issue based on estimated medical procedures and deductible.

If your deductible is for example 10k and your estimated procedure is 9k, I dont think GL can be issued. In the event the total bill exceeded 10k, then you need to submit a claim.

There are few reputable co where you can purchase online .... AIA, Etiqa etc.

Is better to maintain the existing and buy another policy with the same insurer than buying everything new. Unless you have a personal reason for changing insurer.

This post has been edited by mini orchard: Jul 3 2021, 09:07 PM

Do insurance companies need to go to such extend to sell 1mil-3mil annual limit ?

You should consider taking up medical, otherwise you may not be eligible or with exclusion or higher premium when you decide to buy later.

Co medical will not cover after you retire or resign.

You wife must do the assignment to you because she is the policy owner. If your wife dont take action, nothing can be done.

Why was the policy bought under her name ?

I did it for my other policies since I am the policy owner.



This post has been edited by mini orchard: Jul 31 2021, 01:39 PM

A contract between the two persons is referred to as a contract between 2 parties. Party A and Party B.

When a 3rd person appeared in the contract but without any contractual duty, then he is considered a thirty party.

Eg. I bought a policy for my children. I am the policy owner and the 1st party and will pay the yearly premium. My children are the 3rd party. The insurance co is the 2nd party who will pay a claim for any injury or medical claim. The money goes to the policy owner and not the 3rd party.

3rd party dont have contractual rights.

The above is my opinion and a simple explaination and one must further read the contract tnc for additional or exclusion terms.

All employees under a company insurance are considered 3rd party. Any claims money goes to the company.

This post has been edited by mini orchard: Aug 2 2021, 09:09 PM

Yes. That is what I did with the screenshot above. They are paying the premium now and can do whatever they want.

I am also curious. Let me share another old GE experience.

My spouse bought a life policy and named her mother as a beneficiary. When she wanted to change the beneficiary, they reject her application indicating cannot be done. Not sure of the exact reason then but they did mention is stated in the policy.

So I am trying now to dig out the old policy (oredi surrendered) after reading 1tanmee case. Hope is still somewhere in the storage room.

During that time, was naive and just listen what was told.

You better now execute a CONDITIONAL ASSIGNMENT which I did prior to Absolute Assignment.



This post has been edited by mini orchard: Aug 2 2021, 10:43 PM

Is it possible to upload the policyowner and assignment clauses from your policy.

Something similar to below ....

I dont think is too difficult to request another quote from PruBSN similar to GE for comparison. Your questions can have 101 answers here.

As long there is no medical procedures, quarantine itself may not be entitled to a claim.

That is not medical procedures per say which can be done at the out patient clinic including simple blood test

If is that easy, many would have admitted for minor diarrhea or headache.

This post has been edited by mini orchard: Aug 6 2021, 01:21 PM

Can.

Admit at own risk. Is either claimable or reject.

No theories.

We are just layman having a general discussion. Nothing about life and death.