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 How to deal with medical insurance repricing?

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blindmutedeaf
post Jan 11 2024, 10:12 AM

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QUOTE(Ramjade @ Jan 11 2024, 10:07 AM)
My medical insurance got return. But no way I can buy myself online i have tried.
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Yes, that's what I'm telling.
What (policy) we can buy online is less than what agent can be selling
Ramjade
post Jan 11 2024, 10:12 AM

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QUOTE(blindmutedeaf @ Jan 11 2024, 10:12 AM)
Yes, that's what I'm telling.
What (policy) we can buy online is less than what agent can be selling
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Correction. My medical insurance have no return. It's basically me burning my money.
Holocene
post Jan 11 2024, 10:31 AM

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QUOTE(Ramjade @ Jan 11 2024, 10:12 AM)
Correction. My medical insurance have no return. It's basically me burning my money.
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You receive the utility of medical coverage. Is that considered burning money?
gamenoob
post Jan 11 2024, 10:34 AM

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Out of curiosity on all these cost of insurance increase, do you all check your annual statement to compare the cost of insurance increase?... Not refering the premium paid but actual cost of insurance deducted after your paid premium is converted to funds unit.

My overall cost have creep up slowly over years but did not recall a dramatic jump but expecting a big one when hit 60...
TScontestchris
post Jan 11 2024, 10:40 AM

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QUOTE(gamenoob @ Jan 11 2024, 10:34 AM)
Out of curiosity on all these cost of insurance increase, do you all check your annual statement to compare the cost of insurance increase?... Not refering the premium paid but actual cost of insurance deducted after your paid premium is converted to funds unit.

My overall cost have creep up slowly over years but did not recall a dramatic jump but expecting a big one when hit 60...
*
Cost of insurance deducted will increase every year simply due to age. That's different from medical repricing where there's a one off bump across the board for everyone.
gamenoob
post Jan 11 2024, 11:01 AM

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QUOTE(contestchris @ Jan 11 2024, 10:40 AM)
Cost of insurance deducted will increase every year simply due to age. That's different from medical repricing where there's a one off bump across the board for everyone.
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Yes... But this repricing will translate into actual cost of insurance which is to be paid...

I have not seen a dramatic repricing notification thus far for many years that I need to top up. Maybe the cash reserve was able to sustain it as I intentionally have spec an extra investment contribution so I don't get caught out unexpectedly down the road which for sure an ever upward trajectory...

And I have also refreshed my policy 4 years back when the insurer offer an upgrade without medical check leveraging same submission back 10yrs+ ago. Yes there was some increased premium but also massively increase my coverage limit to unlimited lifetime which was capped previously.

This post has been edited by gamenoob: Jan 11 2024, 11:35 AM
Ramjade
post Jan 11 2024, 11:08 AM

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QUOTE(Holocene @ Jan 11 2024, 10:31 AM)
You receive the utility of medical coverage. Is that considered burning money?
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Yes. Burning money if you never use it. Like my friend. In his 60+. Never use his medical insurance.

QUOTE(gamenoob @ Jan 11 2024, 10:34 AM)
Out of curiosity on all these cost of insurance increase, do you all check your annual statement to compare the cost of insurance increase?... Not refering the premium paid but actual cost of insurance deducted after your paid premium is converted to funds unit.

My overall cost have creep up slowly over years but did not recall a dramatic jump but expecting a big one when hit 60...
*
I think those cost of insurance is not publicly shown. More like company secret?

QUOTE(gamenoob @ Jan 11 2024, 11:01 AM)
Yes... But this repricing will translate into actual cost of insurance which is to be paid...

I have not seen a dramatic repricing notification thus far for many years that I need to top up. Maybe the cash reserve was able to sustain it as I intentionally have spec an extra investment contribution so I don't get caught out unexpectedly down the road which for sure an ever upward trajectory...

And I have also refreshed my 4 years back when the insurer offer an upgrade without medical check leveraging same submission back 10yrs+ ago. Yes there was some increased premium but also massively increase my coverage limit is unlimited lifetime which was capped previously.
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What insurance company is that?

This post has been edited by Ramjade: Jan 11 2024, 11:12 AM
serdangonline
post Jan 11 2024, 11:35 AM

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QUOTE(MUM @ Jan 11 2024, 08:04 AM)
Set aside funds for self insured. You have to be persistent in topping up that fund.
1 month set aside 1k,  yearly returns averaged 6% ( conservatively)
1 year = 12k
10 yrs = 120k + app roi 40k = 160k

If got medical need, you only hv 160k to use.

12k per annum insurance premium can get his much medical coverage?

Go for self insured plan if you are sure you will not need medical spendings of more than 150k in the next 10 yrs?

In that 10 yrs, if you had made medical spending of 150k, the money from your self insured plan will hv to start from 0. ...that is the time you may need more medical spendings as you are now 10 yrs older, or needed more medical follow ups.

Also, you will need to have to come out with money for deposit during admission and discharge....well unless your CC has high limits then that is not a concern
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What if the illness happened on 3rd year. rclxub.gif
gamenoob
post Jan 11 2024, 11:39 AM

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QUOTE(Ramjade @ Jan 11 2024, 11:08 AM)
Yes. Burning money if you never use it. Like my friend. In his 60+. Never use his medical insurance.
I think those cost of insurance is not publicly shown. More like company secret?
What insurance company is that?
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Ayo.... insurance benefit is like unwanted lottery... rather have it burned than materialised it.... I know sounded ironic....

The cost of insurance on our policies statement... not their super secret internal cost....

Allianz
Ramjade
post Jan 11 2024, 11:40 AM

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QUOTE(gamenoob @ Jan 11 2024, 11:01 AM)
Yes... But this repricing will translate into actual cost of insurance which is to be paid...

I have not seen a dramatic repricing notification thus far for many years that I need to top up. Maybe the cash reserve was able to sustain it as I intentionally have spec an extra investment contribution so I don't get caught out unexpectedly down the road which for sure an ever upward trajectory...

And I have also refreshed my policy 4 years back when the insurer offer an upgrade without medical check leveraging same submission back 10yrs+ ago. Yes there was some increased premium but also massively increase my coverage limit to unlimited lifetime which was capped previously.
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contestchris take note on bolded stuff.
1. Choose good fund
2. Ask to dump as many possible money into fund
3. Top-up every now and then

QUOTE(serdangonline @ Jan 11 2024, 11:35 AM)
What if the illness happened on 3rd year. rclxub.gif
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Then too bad. That time I think use govt hospital.
adele123
post Jan 11 2024, 04:56 PM

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QUOTE(MattSally @ Jan 10 2024, 04:18 PM)
» Click to show Spoiler - click again to hide... «

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What you worry is the one in a million chance you hit a rare disease and it cost alot more than normal to get better. You can opt for a medical plan with high deductible, like 50k. So you cap your risk there.

QUOTE(saintprayer @ Jan 10 2024, 05:54 PM)
» Click to show Spoiler - click again to hide... «

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This is where you buy a medical insurance with the high deductible. In the person's case if he has 50k, then he buys a 50k deductible medical insurance. His risk will be capped at 50k. So he does not have to worry about anything above 50k.

Of course deductible also have a basis. Example 50k per year, so the assurance that every year, touch wood if you get sick max is you pay 50k.

‐--‐---------------------------------------------------------------------------
I am gonna have field day answering or rebutting some of these

Lesson #1 (in no particular order of importance)

Medical insurance is not a free lunch. Insurance companies are FOR-PROFIT companies.

They will increase the price when claims exceed what they collect from you. This will not stop happening. What you know is the price will increase. How bad it is? Who knows...?

How many years or how frequent will it be? Depends on your insurance company.

The more frequent they do it, more likely smaller quantum.

The less frequent, the bigger the quantum.

How not to get influenced by this? /s but well... you can always go to government hospital and not buy medical insurance. But Honestly i dunno. This is a certainty but maybe there is an option that makes it more palatable but this... maybe look out for lesson #2

Isn't BNM doing something about this? Arent they aware? Yes, they are aware of these price increase. Because without BNM approval, you would not have received the letter telling you to pay more.

This post has been edited by adele123: Jan 11 2024, 05:21 PM
saintprayer
post Jan 11 2024, 06:13 PM

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QUOTE(adele123 @ Jan 11 2024, 04:56 PM)
What you worry is the one in a million chance you hit a rare disease and it cost alot more than normal to get better. You can opt for a medical plan with high deductible, like 50k. So you cap your risk there.
This is where you buy a medical insurance with the high deductible. In the person's case if he has 50k, then he buys a 50k deductible medical insurance. His risk will be capped at 50k. So he does not have to worry about anything above 50k.

Of course deductible also have a basis. Example 50k per year, so the assurance that every year, touch wood if you get sick max is you pay 50k.

‐--‐---------------------------------------------------------------------------
I am gonna have field day answering or rebutting some of these

Lesson #1 (in no particular order of importance)

Medical insurance is not a free lunch. Insurance companies are FOR-PROFIT companies.

They will increase the price when claims exceed what they collect from you. This will not stop happening. What you know is the price will increase. How bad it is? Who knows...?

How many years or how frequent will it be? Depends on your insurance company.

The more frequent they do it, more likely smaller quantum.

The less frequent, the bigger the quantum.

How not to get influenced by this? /s but well... you can always go to government hospital and not buy medical insurance. But Honestly i dunno. This is a certainty but maybe there is an option that makes it more palatable but this... maybe look out for lesson #2

Isn't BNM doing something about this? Arent they aware? Yes, they are aware of these price increase. Because without BNM approval, you would not have received the letter telling you to pay more.
*
Yes many different deductible basis, some per year, some per disability, some per admission. 50k deductible only save you few hundreds per year depending on age, not worth.

And deductible isn’t for self cover, is by existing insurance such as company benefit. Imagine admitted for rm40k bill but cant claim because of deductible, yet still paying every month.

Ramjade
post Jan 11 2024, 06:22 PM

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QUOTE(studentsurvey @ Jan 11 2024, 06:13 PM)
Hey All,

Can I please get some opinion from SIFUs here. I am super newbie to the insurance world, but I roughly understand a couple of items here and there.

Current – I previously bought Life & Medical insurance from Alliance (back in 2012) and I think I am due for an upgrade.

Profile – 36yo, non-smoker, never made any insurance claim since purchase, currently paying insurance +/- RM5.16k

Policy:
Life – Life [500k], TPD [500k], CI [500k]
Premium : Yearly RM3k
Expires : 2042 (age  54. purchased 2012)
Remark : Life & TPD either one, payor cover, depend on sustainability

Medical:
Life – Life [85k], TPD [85k], R&B [200], A/L [120k], Lifetime [1.2mil]
Premium : Yearly RM2.16k
Expires : 2045 (age  57, purchased 2015)
Remark : Life & TPD either one, payor cover, depend on sustainability

Recently I wanted to review my policy as I am looking to increase some coverage up to Age 80.
This was the renewed policy shared/discussed, and now my annual payment increases to 12k:
Policy:
Life – Life [500k], TPD [500k], CI [300k]
Premium : Yearly RM7.8k (pays for 20years)
Expires : Age  80
Remark : Life & TPD either one, depend on sustainability

Medical:
Life – Life [100k], TPD [100k], R&B [200], A/L [2mil], Lifetime [Unlimited]
Premium : Yearly RM4.2k (pay until age 80)
Expires : Age  57
Remark : Life & TPD either one, payor cover, depend on sustainability

Questions to Sifus:
1) Are the new plans justifiable, at this point I am quite certain of protection to age 80. Does anyone has (or know of) better plan or can point me to better value for money plans? 12k do seem a lot.
2) What other items should I consider?
Both new plans require me to cancel the old plan, but the idea is that I do not have to pay the old plans (cause I some “cash value?”) and just pay for the current new one.

Note : I find it funny, that insurance doesnt give benefits for upgrade for long-term policyholder that never claimed since purchased since they already have data. But this could also be like a tactic to get new comm or something.

Thank you everyone.
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Read this thread before you sign up for an ILP. Reason I tagged you here is in the insurance thread there are some people who are easily trigger to report everything I post.

This post has been edited by Ramjade: Jan 11 2024, 06:32 PM
adele123
post Jan 11 2024, 06:25 PM

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QUOTE(Ramjade @ Jan 11 2024, 06:46 AM)
Won't help much. It just help to lower the premium paid but will still be hit with deductible.
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QUOTE(MUM @ Jan 10 2024, 07:07 PM)
There are always will be someone going against any topic.

Just because of some "certified" people says it is good...do you fall for it that that things really suits you?

Just bcos some actuaries or doctors says it is good...
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QUOTE(Ramjade @ Jan 10 2024, 06:49 PM)
I have shared even actuarist avoid ILP. People who design ILP literally avoid ILP. You know something is wrong
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so actuary or actuaries depending on singular or plural typically works in an insurance company.

if bank staff get better interest rate for home loan, telco companies get telco benefits, and F&B staff get probably some F&B benefit, what do insurance company staff get? you guessed it staff discount or any form of staff privilege when they self-buy insurance plan (well most companies who care about their staff anyway).

i dont want to go down the route of ILP vs standalone yet... it's a lesson by itself, but i want to rebutt what actuaries will buy? whatever most value for money. if they say can buy, then should be ok la. if they really buy, then you better follow la...

But i want to highlight, actuaries do buy ILP. they just happily use their staff privilege to buy.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Lesson #2: Buy Medical Insurance with Deductible and Co-insurance

I can loosely tell you what most actuaries will recommend you to buy.
1) Buy simple, cheapest of whatever you can get. if life insurance, buy term life or the simplest form of whatever life insurance you can get, AND DONT EXPECT any return.
2) if medical, buy with deductible or co-insurance.

So, why Buy Medical Insurance with Deductible and Co-insurance?
Mainly, it is to lower the premium or insurance charge that you pay to the insurance company. Medical insurance with 0 deductible is being on purposed priced in a very expensive manner. So buy one with deductible. With Co-insurance of 10% and 20%, even better. the premium for these are typically cheaper. in the past there were instances i heard that the medical insurance with co-insurance get repriced less because they do claim less. THIS however, i cannot guarantee will continue to hold true. but if you do get some savings from the premium you pay.

How much deductible is enough though? Not sure, honestly at the end of the day, it's up to you. i digress abit BUT i have talked to some people who know some people who is saying RM300 deductible also can't afford to pay. i'm sorry, but life is such. you want to masuk hospital, you gotta pay. if you can't, i am proud to say, you wont die in Malaysia because you are sick and poor. our government hospital, our KKM, really try our best to treat the patients. This one i genuinely believe so.

i have mentioned this in different post, my own deductible is 15k. i just have to stomach the 1st 15k on my own, after that it's paid by the insurance company. i do save alot since i was a fresh grad. having said that, i do work for an MNC, hence my employer coverage is sufficient. even if i dont have employer coverage and i can afford to pay RM15k on my own.

what if 15k is too high for you? you can look for around 1k, 3k, 5k. or recently AIA has one 20% co insurance up to RM3k. which is like having a 3k deductible, sort of. would this mean you wont get repriced? No, but HOPEFULLY it should impact you less. IN my case, the 15k deductible also get repriced. i'm NOT sure and i dont know if the % of increase is lesser compare to someone without deductible. i hope so...? the quantum of the increase is definitely very acceptable.

Do i have any proof my word is to be trusted? Nope. Am i an actuary? Nope.

Do i think you can trust me? Yes, most of the time, if I dont mistype cause i worked 9 to 6 everyday or if im tired from gym.

This post has been edited by adele123: Jan 11 2024, 06:27 PM
Ramjade
post Jan 11 2024, 06:28 PM

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QUOTE(adele123 @ Jan 11 2024, 06:25 PM)
so actuary or actuaries depending on singular or plural typically works in an insurance company.

if bank staff get better interest rate for home loan, telco companies get telco benefits, and F&B staff get probably some F&B benefit, what do insurance company staff get? you guessed it staff discount or any form of staff privilege when they self-buy insurance plan (well most companies who care about their staff anyway).

i dont want to go down the route of ILP vs standalone yet... it's a lesson by itself, but i want to rebutt what actuaries will buy? whatever most value for money. if they say can buy, then should be ok la. if they really buy, then you better follow la...

But i want to highlight, actuaries do buy ILP. they just happily use their staff privilege to buy.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Lesson #2: Buy Medical Insurance with Deductible and Co-insurance

I can loosely tell you what most actuaries will recommend you to buy.
1) Buy simple, cheapest of whatever you can get. if life insurance, buy term life or the simplest form of whatever life insurance you can get, AND DONT EXPECT any return. 
2) if medical, buy with deductible or co-insurance.

So, why Buy Medical Insurance with Deductible and Co-insurance?
Mainly, it is to lower the premium or insurance charge that you pay to the insurance company. Medical insurance with 0 deductible is being on purposed priced in a very expensive manner. So buy one with deductible. With Co-insurance of 10% and 20%, even better. the premium for these are typically cheaper. in the past there were instances i heard that the medical insurance with co-insurance get repriced less because they do claim less. THIS however, i cannot guarantee will continue to hold true. but if you do get some savings from the premium you pay.

How much deductible is enough though? Not sure, honestly at the end of the day, it's up to you. i have talked to some people saying RM300 deductible also can't afford to pay. i'm sorry, but life is such. you want to masuk hospital, you gotta pay. if you can't i am proud to say, you wont die in Malaysia because you are sick and poor. our government hospital, our KKM, really try our best to treat the patients. This one i genuinely believe so.

i have mentioned this in different post, my own deductible is 15k. i just have to stomach the 1st 15k on my own, after that it's paid by the insurance company. i do save alot since i was a fresh grad. having said that, i do work for an MNC, hence my employer coverage is sufficient. even if i dont have, i do have this and i can afford to pay RM15k on my own.

what if 15k is too high for you? you can look for around 1k, 3k, 5k. or recently AIA has one 20% co insurance up to RM3k. which is like having a 3k deductible, sort of. would this mean you wont get repriced? No, but HOPEFULLY it should impact you less. IN my case, the 15k deductible also get repriced. i'm NOT sure and i dont know if the % of increase is lesser compare to someone without deductible. i hope so...? the quantum of the increase is definitely very acceptable.

Do i have any proof my word is to be trusted? Nope. Am i an actuary? Nope.

Do i think you can trust me? Yes, most of the time, if I dont mistype cause i worked 9 to 6 everyday or if im tired from gym.
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Wall of text. Later I slowly read. Actuaries with an s
tweakity
post Jan 12 2024, 04:13 PM

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I have also come to realize buy earlier is better because you accumulate some hocus pocus something statement is not 100% true. There are many sections of it.
You accumulate more funds, true. You accumulate more Cost of Insurance within Insurance company to make them give you more tolerance of premium increase? Absolutely NO.
My friend who is same age with me, had premium increase notice of about 100%. And the oddest thing is Medical plan remain the same. He later found out that even buying new plan from the same company, with 80% higher premium can get Medical AL 150k to 1.5mil. And Lifetime still unlimited.
Note: from reading replies in this thread will need to check coverage projection is up to 70 to 80 years old.
Boomwick
post Jan 12 2024, 06:11 PM

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QUOTE(zero5177 @ Jan 10 2024, 05:02 PM)
And they always say, buy early to prevent price hike  laugh.gif

In reality when during entry they already fully calculated everything be it u come in early or late all cost factored.
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Early then no loading from pre-existing and also none covered item lo
AbbyCom
post Jan 13 2024, 03:55 PM

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QUOTE(brokenbomb @ Jan 11 2024, 09:16 AM)
No.. haha. it is standalone. Almost 30%

ILP only 15-20

Some agents actually don’t care if u wanna buy standalone or ILP. And some agents are pushing u to buy standalone because later in life when u thinking of adding life or critical illness. They will just ask u to buy a new plan. Life 1 plan. CI 1 plan.

The beauty of ILP is that u can delete add on rider and still keep the policy. Maybe waiting period la need to start Balik. But other than that. ILP is ok.

As for the sustainability. Ask ur agent to choose the lowest risk funds as to not oversell the returns. I know some companies can promised as high as 10% per annum. Gila.
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You are one of the few alert insurance policy buyers. Some ktards insist on buying standalone 'because' they assumed it has lower commissions and ILP are scams, they have not seen the commission rates in the proposal/quotation.
Wedchar2912
post Jan 13 2024, 04:09 PM

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QUOTE(brokenbomb @ Jan 11 2024, 09:16 AM)
No.. haha. it is standalone. Almost 30%

ILP only 15-20

Some agents actually don’t care if u wanna buy standalone or ILP. And some agents are pushing u to buy standalone because later in life when u thinking of adding life or critical illness. They will just ask u to buy a new plan. Life 1 plan. CI 1 plan.

The beauty of ILP is that u can delete add on rider and still keep the policy. Maybe waiting period la need to start Balik. But other than that. ILP is ok.

As for the sustainability. Ask ur agent to choose the lowest risk funds as to not oversell the returns. I know some companies can promised as high as 10% per annum. Gila.
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your example of 30% vs 15-20 is also in % rite?
percent of what? of payment right? so which payment is higher?
TScontestchris
post Jan 13 2024, 04:14 PM

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QUOTE(AbbyCom @ Jan 13 2024, 03:55 PM)
You are one of the few alert insurance policy buyers. Some ktards insist on buying standalone 'because' they assumed it has lower commissions and ILP are scams, they have not seen the commission rates in the proposal/quotation.
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If you look at the insurance charge rates for life, CI, medical card for ILPs....they are all SIGNIFICANTLY lower than the equivalent standalone traditional plans.

The catch is:

1. Frontloaded commissions and expenses in the form of lowered allocation rate (used to be first 6 years, now its the first 9 years but at a lower quantum). If you cancel early on, the company and agents make bank.
2. Your bear the investment risk
3. You pay around 1% to 1.5% of your gross investment returns as management fees to the company
4. In the event the policy is not sustainable, your top up premiums will only get 95% allocation
5. In the event you upgrade your riders, the differential increase in premiums will be resubjected to the Y1 allocation rates
6. RM6 policy fees to insurance company every month

Others can chip in.

For proof, you can compare the insurance charges for SmartMedic Shield (ILP) with GreatMedic Shield (standalone).

This post has been edited by contestchris: Jan 13 2024, 04:17 PM

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