QUOTE(JohnL77 @ Jul 24 2024, 01:30 AM)
Yes please report all insurance problem at OFS, if banking problem, please report to BNM too.Pelanggan kecewa AIA Insurance menipu
Pelanggan kecewa AIA Insurance menipu
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Jul 24 2024, 09:58 AM
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Junior Member
195 posts Joined: Sep 2010 |
QUOTE(JohnL77 @ Jul 24 2024, 01:30 AM) Yes please report all insurance problem at OFS, if banking problem, please report to BNM too. |
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Jul 24 2024, 09:58 AM
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Senior Member
3,835 posts Joined: Oct 2011 |
QUOTE(stevenlee @ Jul 24 2024, 09:56 AM) Insurance is a must but dont over buy. they wont gurantee 100% but to a certain coverage. Later people marah you why small small case also go private hospital. Go KKM rm1 settle la.the private medical bill is hell expensive and i not sure why they charge so high. i warded Dec 2022 due to sore throat. my follow up treatment to see doctor including medicine cost me RM600 per visit. lucky i can claim from my AIA coverage.. else i will be crying |
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Jul 24 2024, 09:59 AM
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Junior Member
355 posts Joined: May 2022 |
alianz is the best Boomwick liked this post
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Jul 24 2024, 10:00 AM
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Junior Member
603 posts Joined: Dec 2011 From: shah alam |
Insurance
100 ppl paid, expect 10-20 get claimed. Others all healthy= Profit! Every year bonus. That's how insurance work Ps: I paid every month insurance 200myr. My agent earn rm1-2 everymonth. kek lel |
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Jul 24 2024, 10:01 AM
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Junior Member
355 posts Joined: May 2022 |
QUOTE(thxxht @ Jul 24 2024, 09:45 AM) case already settled https://x.com/alyaaoreo/status/1815738088175681586 they blame it on KPJ's reporting lol ![]() so it is the hospital's fault. anyway allianz is the best, better than AIA |
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Jul 24 2024, 10:01 AM
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Junior Member
316 posts Joined: Aug 2021 |
QUOTE(chinteck79 @ Jul 24 2024, 09:42 AM) a lot accidents can happen. my in laws neighbour fell from the ceiling and break a few bones. he was repairing the the water tank in the ceiling and fell. same thing, if its so minor and hopsital charge 19k, they should blacklist the hospital and not reject the gl they issued. or refuse to issue gl in the first place. if they didn't punish the hospital, then everyday more patient from that hospital will kena and at the end we consumer that suffer for the greed of some party U dont get my point. When a patient comes to hospital, the hospital will always always assume its a serious case in the first place. They will do every single scan possible to rule out anything that complicate stuff. Hey, u are claiming insurance ma, no harm doing every scan. Padahal, after all the scan is done, turns out there isint much injury to the patient. So the dr will ask the patient to be warded in hospital for a number of days for observation. All these adds up. 19k is nothing nowadays. QUOTE(Accord2018 @ Jul 24 2024, 09:44 AM) blmse92 liked this post
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Jul 24 2024, 10:02 AM
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Junior Member
820 posts Joined: Aug 2006 |
QUOTE(thxxht @ Jul 24 2024, 09:55 AM) that said, KPJ amending the report is also quite fishy, chances are they wanted to claim more from the insurance company by recommending other treatments. you're right. if only hospitals aka doctors/staff were honest in their job in the first place to treat the patients, all this nonsense wouldn't arise.can't trust the insurance companies and private hospitals nowadays. |
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Jul 24 2024, 10:02 AM
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Junior Member
221 posts Joined: Sep 2018 |
QUOTE(MGM @ Jul 24 2024, 09:24 AM) May be insurance just found out got precondition. Could be cheaper than 19k if entered hospital without medical card. no such thing pay and claim... Can claim back all/partial premium paid if terminate policy because of this rejection? once you pay not to entitle to claim.... this is an insurance procedure. |
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Jul 24 2024, 10:02 AM
Show posts by this member only | IPv6 | Post
#129
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Senior Member
1,943 posts Joined: Apr 2005 |
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Jul 24 2024, 10:03 AM
Show posts by this member only | IPv6 | Post
#130
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368 posts Joined: Oct 2008 |
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Jul 24 2024, 10:04 AM
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9,617 posts Joined: Aug 2015 |
QUOTE(sexysarah1992 @ Jul 24 2024, 10:01 AM) U dont get my point. When a patient comes to hospital, the hospital will always always assume its a serious case in the first place. They will do every single scan possible to rule out anything that complicate stuff. Hey, u are claiming insurance ma, no harm doing every scan. Now that woman said inconsistency report from the hospital. means some hanky panky adi. they sure have their own internal guideline. not suka2 the doctor say wan scan what then scan. it must be justifiable.Padahal, after all the scan is done, turns out there isint much injury to the patient. So the dr will ask the patient to be warded in hospital for a number of days for observation. All these adds up. 19k is nothing nowadays. This post has been edited by Accord2018: Jul 24 2024, 10:05 AM |
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Jul 24 2024, 10:05 AM
Show posts by this member only | IPv6 | Post
#132
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All Stars
21,963 posts Joined: Dec 2004 From: KL |
QUOTE(Aaron212 @ Jul 24 2024, 09:53 AM) masuk OT just do scopy checking already 8k at SJMC Bro scope is already considered small surgery. Need to go operation theater and anesthesia and this alone costs alot!not doing any srgery or cut anything just scopy which is a diagnostic private hosp all crazy mia Since the patient fall down i guess only need X-ray that is cheap. Even CT also not expensive. MRI should not be applicable. So how to get 19K if without surgery? |
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Jul 24 2024, 10:06 AM
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Senior Member
774 posts Joined: Nov 2010 |
QUOTE(RT8081 @ Jul 24 2024, 10:01 AM) AIA shud have dealt with the hospital direct from the start instead of just rejecting and wait for the whole issue to go viral and the hospital threaten to take legal action against the patient chinteck79 liked this post
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Jul 24 2024, 10:07 AM
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Junior Member
418 posts Joined: Jun 2022 |
feel like the hospital did shady stuff. Insurance raised red flag reject pending investigation.
Most likely second and third GL already reject but the hospital diam only, and waiting appeal. |
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Jul 24 2024, 10:08 AM
Show posts by this member only | IPv6 | Post
#135
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Senior Member
1,773 posts Joined: Dec 2013 |
QUOTE(WaCKy-Angel @ Jul 24 2024, 06:05 AM) Bro scope is already considered small surgery. Need to go operation theater and anesthesia and this alone costs alot! mana adaSince the patient fall down i guess only need X-ray that is cheap. Even CT also not expensive. MRI should not be applicable. So how to get 19K if without surgery? scopy is not surgery masuk OT caz patient asleep wont feel pain can be done without OT also just private hosp give u tido so u no pain but wallet pain anytime mask private hosp they use best diagnostic might not be appropiate n overkill for the said incident but its private hosp |
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Jul 24 2024, 10:08 AM
Show posts by this member only | IPv6 | Post
#136
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All Stars
21,963 posts Joined: Dec 2004 From: KL |
QUOTE(sexysarah1992 @ Jul 24 2024, 10:01 AM) U dont get my point. When a patient comes to hospital, the hospital will always always assume its a serious case in the first place. They will do every single scan possible to rule out anything that complicate stuff. Hey, u are claiming insurance ma, no harm doing every scan. No, hospital wont dare simply do every scan.Padahal, after all the scan is done, turns out there isint much injury to the patient. So the dr will ask the patient to be warded in hospital for a number of days for observation. All these adds up. 19k is nothing nowadays. |
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Jul 24 2024, 10:09 AM
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Junior Member
355 posts Joined: May 2022 |
QUOTE(DarkAeon @ Jul 24 2024, 10:06 AM) AIA shud have dealt with the hospital direct from the start instead of just rejecting and wait for the whole issue to go viral and the hospital threaten to take legal action against the patient yeah, this is why i never liked AIA. For my case when i kena surgery, allianz promptly settle all mine including getting my deposit back, while my agent deal with the hospital to get doc's final report.this doc report is very important, anyway claim went through and all is well |
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Jul 24 2024, 10:09 AM
Show posts by this member only | IPv6 | Post
#138
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All Stars
21,963 posts Joined: Dec 2004 From: KL |
QUOTE(Aaron212 @ Jul 24 2024, 10:08 AM) mana ada Masuk OT consider surgery laaaaaaaaaaaaaaaaaascopy is not surgery masuk OT caz patient asleep wont feel pain can be done without OT also just private hosp give u tido so u no pain but wallet pain anytime mask private hosp they use best diagnostic might not be appropiate n overkill for the said incident but its private hosp Who tell u scope can do without going OT ler? |
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Jul 24 2024, 10:10 AM
Show posts by this member only | IPv6 | Post
#139
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Junior Member
86 posts Joined: Jul 2016 |
>7 pages
well, i be brief, i'm an avid AIA customer more than 10 years already. All medical claims are covered by insurance with only one condition, >You have to be admitted to hospital no matter how many days aka, sleep on hospital bed and we will cover you Proof : recent case : scoliosis. that is all, ciao This post has been edited by Clowninja: Jul 24 2024, 10:11 AM |
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Jul 24 2024, 10:10 AM
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Senior Member
3,835 posts Joined: Oct 2011 |
QUOTE(DarkAeon @ Jul 24 2024, 10:06 AM) AIA shud have dealt with the hospital direct from the start instead of just rejecting and wait for the whole issue to go viral and the hospital threaten to take legal action against the patient Lol why should AIA work so hard to pay the bill? If the insured diam diam pay the bill then they untung lo. |
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