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 Pru Medical card cannot claim if admit hospital?, without operation

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RiriRuruRara
post Jan 15 2023, 02:04 PM

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This post has been edited by RiriRuruRara: Jan 15 2023, 02:07 PM
RiriRuruRara
post Jan 15 2023, 04:02 PM

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QUOTE(Natsukashii @ Jan 15 2023, 02:13 PM)
Medical card suppose to be hassle free admission. Of course got limits, but generally should be usable.

Makes me worried..

Last time I use Zurich, few years ago.. no problem getting admitted.

Had to terminate because annual limit extremely low 50k.

Then I changed to Allianz.. so far haven't claim, but paying for 6 years already. This one expensive, because investment linked. I'll be frustrated if cannot claim. Agent also not responding anymore when want to ask stuff.
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normal bro, most agents will disappear once sign up. There are only a few good ones out there. My agent also can't be reached..
RiriRuruRara
post Jan 15 2023, 04:09 PM

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QUOTE(yhtan @ Jan 15 2023, 04:01 PM)
for outpatient u have to pay first then claim back later, PRU medical card has this off limit claim of RM5k annually if not mistaken, if u didn't claim then it will add on to your total limit.
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outpatient also you need certain forms to submit for approval right? If missing some forms like from dr won't get approve? Bcs if you need a form you have to get it while you at the hospital, if missing a form and to go back to the hospital for the form will be very difficult or even impossible bcs the dr won't entertain you? - is this true?
RiriRuruRara
post Jan 15 2023, 04:31 PM

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QUOTE(yhtan @ Jan 15 2023, 04:19 PM)
I have to ask the doctor to write an letter address to Prudential, the letter charge about RM50 for sunway hospital, the agent will up a form and then submit, the claim will be reimburse within a month. Documentation fee about RM150 unable to claim, the rest RM4k able to claim.

If u really want to claim without forking your own money, just admit in and then discharge, if u are outpatient definitely a lot of documentation require to claim it.
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Thanks for the tip. So really hard to claim money for outpatient? Your client lucky you are still around and willing to help. I know some dr very bad temper would not entertain that request, even when asking medical question he get piss off...
RiriRuruRara
post Jan 15 2023, 05:24 PM

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QUOTE(yhtan @ Jan 15 2023, 04:43 PM)
wa bukan agent lah, this is my experience when i cut my finger during raya 5-6 years ago, so happen i was so panic and force to go nearest hospital to stitch it back. the bill was RM4k and it shock me
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that suck man. I also spend rm1k for 4 stitches on forehead few month back. You lucky your dr was willing to entertain all your request.

 

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