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 How to deal with medical insurance repricing?

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Ramjade
post Jan 19 2024, 11:19 PM

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QUOTE(Wedchar2912 @ Jan 19 2024, 11:09 PM)
the motto is always get as much insurance as you can afford.... or something like that by agents...
(and they get like 50% of your first year premium paid... ).

oh well... for those who can, its better to earmark/set aside like a million ringgit (have to revise this number every 5 years yourself) to cover old age medical treatment than throw into some super expensive ILP or medical card.
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No need. Standalone medical card estimated cost RM200k+. Maybe RM300k if you want to count in inflation if cover until 80 year old.

This post has been edited by Ramjade: Jan 19 2024, 11:21 PM
adele123
post Jan 22 2024, 10:55 PM

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QUOTE(devilmaycry9 @ Jan 17 2024, 01:40 PM)
for new medical plan introduce, is it having new pool of fund? i'm curious...
if like that, isn't it advantageous for healthy older people to join new plan? while young and latecomer participant will bear higher cost when they get older due to the plan no longer in the market and early participant may already 6 feet under or end their policy already...
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QUOTE(Ramjade @ Jan 17 2024, 02:17 PM)
Yes that is right. That's why my agent said if you can hop to new plan, hop. But not hop every year. Hop once every 10y
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Please keep in mind to plan hop wisely. Especially to people who said dont want to benefit agents.

Buying a new plan is usually giving commission from year 1 to agents. For most plans commission are generally highest in year 1, gradually reduce over the years.

if you have an Investment-Linked Plan, please reach out to the insurance company if you have the option to delete current medical rider and add new medical rider. from what i know, my brother's policy, about 20 years old, can attach a new medical plan. most likely additional premium is required, but instead of changing the entire plan, he continue to keep his current plan, and the overall charges incurred will be lesser. Caveat: Not all insurance companies will have this option for all their investment-linked plan. so, i hope you are lucky.

please read the product disclosure sheet where possible. BNM will always say insurance is a long-term plan (when long means almost life time long), so dont surrender buy new due to high initial charges.

QUOTE(qhw @ Jan 19 2024, 11:21 AM)
May i know if there are avenues to voice out my anger on this steep premium increase of 56% from GE !!!????
any specific BNM email ?

user posted image

It seems to me that this business is a sure win, any mispricing then they pass on via premium increase, and if over-price they sit happy with the bumper profit, this makes no sense....
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insurance company is not a charity, it's for profit. However, BNM will be there to watch closely and insurance companies won't submit for reprice if their claims didnt worsen. let's just say hospitalisation claim has only worsen and has not improved over the years.

the only exception and anomaly was/is COVID where people just stop going to hospital...

Also to add on, BNM is coming up with guidelines to steer the industry to control these repricing situation as shared by BNM paper (the one shared by contestchris). BNM wants it to be sustainable and bla bla bla... it's not perfect but it's a work in progress.

search for post #4770

This post has been edited by adele123: Jan 22 2024, 10:57 PM
Haloperidol
post Jan 23 2024, 10:16 AM

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QUOTE(MUM @ Jan 10 2024, 07:48 PM)
I had heard stories of waiting lists of some normal emergencies like stent procedures can be long in govt hospital
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It depends , dire emergency still we do it on the spot.
but if government facility too crowded then the waiting list will be long like fck.

example Appendix usually called at midnight, Acute Cholecystisis for Lap Chole is literally back of the waiting list.

Ramjade
post Jan 23 2024, 10:24 AM

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QUOTE(MUM @ Jan 10 2024, 07:48 PM)
I had heard stories of waiting lists of some normal emergencies like stent procedures can be long in govt hospital
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If emergency which involve life and death, yes you will get treatment asap. Others wait your turn.
MUM
post Jan 23 2024, 11:32 AM

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QUOTE(Haloperidol @ Jan 23 2024, 10:16 AM)
It depends , dire emergency still we do it on the spot.
but if government facility too crowded then the waiting list will be long like fck.

example Appendix usually called at midnight, Acute Cholecystisis for Lap Chole is literally back of the waiting list.
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QUOTE(Ramjade @ Jan 23 2024, 10:24 AM)
If emergency which involve life and death, yes you will get treatment asap. Others wait your turn.
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Is going to private hospitals for medical hospitalizations treatment for those "emergencies" covered if you just buy that kind of insurance plan?
That particular kind of insurance plan as suggested to just buy, by a forummer and posted just above mine in that 10 Jan posting which you had responded to?

This post has been edited by MUM: Jan 23 2024, 11:54 AM
Singh_Kalan
post Jan 25 2024, 04:27 PM

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QUOTE(nexona88 @ Jan 10 2024, 05:52 PM)
No matter which insurance plans from any companies in Malaysia...

It's all around premium hike till 40%

The older your age the higher the increase...

Don't say below 30yo is cheap...
Not anymore compared few years back....

Cannot blame insurance company solely...
Those Private Hospital too involved... And those keep abusing their insurance plan to admit in hospital for small thingy... Fever also admit to hospital 😏😂
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They need to introduction NCD like cars. Too many abuse the plan.
TScontestchris
post Jan 25 2024, 04:37 PM

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QUOTE(Singh_Kalan @ Jan 25 2024, 04:27 PM)
They need to introduction NCD like cars.  Too many abuse the plan.
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Manulife already have a NCD based medical plan.
gedebe
post Jan 29 2024, 02:48 AM

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Is there a insurance company in M'sia that has the least increase in the past 10 years. This is for ILP medical policy.
If we could poll the data from internet users for their medical insurance premium hike for the past few years then we could present it as a comparison table. This will be a valuable info especially for people that is shopping for one
Ramjade
post Jan 29 2024, 07:02 AM

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QUOTE(gedebe @ Jan 29 2024, 02:48 AM)
Is there a insurance company in M'sia that has the least increase in the past 10 years. This is for ILP medical policy.
If we could poll the data from internet users for their medical insurance premium hike for the past few years then we could present it as a comparison table. This will be a valuable info especially for people that is shopping for one
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Only BNM knows as it each inceesse in premium need to go through BNM. Don't think they will release the info as by releasing the info, it will affect the company reputation and people may not buy from them.
Thrust
post Jan 29 2024, 07:20 AM

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One of the reason for the repricing is that private hospital charges a leg and an arm for patients that uses medical card.

You often hear patients can get it cheaper if it is paid personally by cash or card. If it was covered by medical insurance, private hospitals will inflate the amount

There is currently no body or authority to scrutinize this malpractice which eventually leads to higher medical insurance cost now and towards the future.
dwRK
post Jan 29 2024, 08:15 AM

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QUOTE(Thrust @ Jan 29 2024, 07:20 AM)
One of the reason for the repricing is that private hospital charges a leg and an arm for patients that uses medical card.

You often hear patients can get it cheaper if it is paid personally by cash or card. If it was covered by medical insurance, private hospitals will inflate the amount 

There is currently no body or authority to scrutinize this malpractice which eventually leads to higher medical insurance cost now and towards the future.
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cheaper because less admin work...

but branded drugs cost about the same...

itemized billing goes to the insurance companies for scrutiny... they have doctors to advise reasonable or not on the claims...

aurora97
post Jan 29 2024, 09:18 AM

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QUOTE(contestchris @ Jan 25 2024, 04:37 PM)
Manulife already have a NCD based medical plan.
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This should be the case. Why people who didn't make any claim get slapped with higher premium? The re-pricing should be levied on those who frequently claim and slightly adjust for medical inflation, where required. At the moment, medical insurance looks and feels more like collective punishment, you get hit with someone's bill and than you get slapped with medical inflation.
Ramjade
post Jan 29 2024, 12:14 PM

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QUOTE(aurora97 @ Jan 29 2024, 09:18 AM)
This should be the case. Why people who didn't make any claim get slapped with higher premium? The re-pricing should be levied on those who frequently claim and slightly adjust for medical inflation, where required. At the moment, medical insurance looks and feels more like collective punishment, you get hit with someone's bill and than you get slapped with medical inflation.
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That is how insurance works.
koaydarren
post Jan 29 2024, 12:21 PM

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QUOTE(aurora97 @ Jan 29 2024, 09:18 AM)
This should be the case. Why people who didn't make any claim get slapped with higher premium? The re-pricing should be levied on those who frequently claim and slightly adjust for medical inflation, where required. At the moment, medical insurance looks and feels more like collective punishment, you get hit with someone's bill and than you get slapped with medical inflation.
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This is the reality. The premium you are paying already included companies profit, agents luxury life, and those who claim for medical bills. Technically, those whose genes are more likely to get sickness will benefit from insurance. I have seen some people claim almost every year but some never claim for 20 years. U can observe from ur family history to estimate how much premium u want to buy instead of listening to agents to cover 2 or 3 million coverage which is a stupid risk and reward ratio decision.
TScontestchris
post Jan 29 2024, 12:40 PM

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QUOTE(aurora97 @ Jan 29 2024, 09:18 AM)
This should be the case. Why people who didn't make any claim get slapped with higher premium? The re-pricing should be levied on those who frequently claim and slightly adjust for medical inflation, where required. At the moment, medical insurance looks and feels more like collective punishment, you get hit with someone's bill and than you get slapped with medical inflation.
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Hmmm, but that's how insurance works!

I believe one avenue that can be improved is doing more stringent medical underwriting. Too many frauds are getting medical cover without appropriate loadings and exclusion. Agents collude with customers to obfuscate this information.
aurora97
post Jan 29 2024, 02:16 PM

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QUOTE(contestchris @ Jan 29 2024, 12:40 PM)
Hmmm, but that's how insurance works!

I believe one avenue that can be improved is doing more stringent medical underwriting. Too many frauds are getting medical cover without appropriate loadings and exclusion. Agents collude with customers to obfuscate this information.
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I haven't claim anything since I was in my 30s when i bought my medical insurance. I got hit with 3-4 repricing even though I did not make any claim. I like the Manulife's concept with the tier NCD on premium provided you don't claim.
Ramjade
post Jan 29 2024, 02:42 PM

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QUOTE(aurora97 @ Jan 29 2024, 02:16 PM)
I haven't claim anything since I was in my 30s when i bought my medical insurance. I got hit with 3-4 repricing even though I did not make any claim. I like the Manulife's concept with the tier NCD on premium provided you don't claim.
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I got one friend he is 60+, also never claim before.
Sadly only those discounted premium limited offer to only ILP only.

This post has been edited by Ramjade: Jan 29 2024, 02:58 PM
aurora97
post Jan 29 2024, 02:46 PM

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QUOTE(Ramjade @ Jan 29 2024, 02:42 PM)
I got one friend she 60+, also never claim before. Sadly only those offer limited to ILP only.
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damn that's the scary bit, when retire already have to pay through the nose for cover.
JIUHWEI
post Jan 29 2024, 05:20 PM

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QUOTE(contestchris @ Jan 10 2024, 04:09 PM)
For the second time in 3 years, I’ve received a letter on the increase in cost of insurance for my ILP’s medical plan. The quantum of increase is rather steep at 35%! This has resulted in increases to my monthly premium.

From what I gather, this will likely continue happening every 3 years or so. The future quantum of increase might well be higher than 35% as the good risks depart the medical plan and the bad risks (with substandard health resulting in high claims) remain.

What’s the best way to deal with this issue? It seems like the sustainability projections at the start of the policy are a joke and wholly useless as in just a few short years, there have been multiple repricing exercises and the premiums have been increasing.

user posted image

1. Launch insurance charges for SmartMedic Xtra in 2014:
user posted image

2. After 1st repricing in June 2020:
user posted image

3. After 2nd repricing in July 2023:
user posted image
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A very direct answer to the question as per the thread title:
With money.

A few very direct answer to the question as per the post:
1. Class-action lawsuit
2. Everybody to lead a healthier lifestyle
3. For people to stop abusing the health insurance provisions
Midoriyaki
post Jan 29 2024, 10:02 PM

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QUOTE(gedebe @ Jan 29 2024, 02:48 AM)
Is there a insurance company in M'sia that has the least increase in the past 10 years. This is for ILP medical policy.
If we could poll the data from internet users for their medical insurance premium hike for the past few years then we could present it as a comparison table. This will be a valuable info especially for people that is shopping for one
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Sharing with you the insurance charges for an ILP underwritten by AIA, for reference smile.gif

user posted image

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