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 Pelanggan kecewa AIA Insurance menipu

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a_dot_el
post Jul 24 2024, 09:58 AM

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QUOTE(JohnL77 @ Jul 24 2024, 01:30 AM)
Yes please report all insurance problem at OFS, if banking problem, please report to BNM too.
poweredbydiscuz
post Jul 24 2024, 09:58 AM

 
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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.
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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Later people marah you why small small case also go private hospital. Go KKM rm1 settle la.
RT8081
post Jul 24 2024, 09:59 AM

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alianz is the best
blmse92
post Jul 24 2024, 10:00 AM

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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
RT8081
post Jul 24 2024, 10:01 AM

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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
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user posted image

so it is the hospital's fault. anyway allianz is the best, better than AIA
sexysarah1992
post Jul 24 2024, 10:01 AM

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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
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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)
if no operation why stay so many night? 3-4 night for checking is reasonable.
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coyouth
post Jul 24 2024, 10:02 AM

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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.

can't trust the insurance companies and private hospitals nowadays.
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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.
tometoto
post Jul 24 2024, 10:02 AM

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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.
Can claim back all/partial premium paid if terminate policy because of this rejection?
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no such thing pay and claim...

once you pay not to entitle to claim.... this is an insurance procedure.

terradrive
post Jul 24 2024, 10:02 AM

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QUOTE(cms @ Jul 24 2024, 09:49 AM)
Takut lah if kena first few years...old Liao nvrmind cuz likely the insurance card also Kenot sustain Liao
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yupp it's all down to luck
thxxht
post Jul 24 2024, 10:03 AM

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QUOTE(stevenlee @ Jul 24 2024, 09:57 AM)
i suspecting if it got insurance coverage, the bill seem bit higher  dry.gif
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not seem, it's always higher.

if you say you don't have insurance they will reduce the bill for you, at the end of the day they want to make sure their fees are paid.


SUSAccord2018
post Jul 24 2024, 10:04 AM

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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.

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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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.

This post has been edited by Accord2018: Jul 24 2024, 10:05 AM
WaCKy-Angel
post Jul 24 2024, 10:05 AM

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QUOTE(Aaron212 @ Jul 24 2024, 09:53 AM)
masuk OT just do scopy checking already 8k at SJMC

not doing any srgery or cut anything

just scopy which is a diagnostic

private hosp all crazy mia
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Bro scope is already considered small surgery. Need to go operation theater and anesthesia and this alone costs alot!

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?
DarkAeon
post Jul 24 2024, 10:06 AM

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QUOTE(RT8081 @ Jul 24 2024, 10:01 AM)
so it is the hospital's fault. anyway allianz is the best, better than AIA
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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
netflix2019
post Jul 24 2024, 10:07 AM

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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.
Aaron212
post Jul 24 2024, 10:08 AM

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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!

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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mana ada

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
WaCKy-Angel
post Jul 24 2024, 10:08 AM

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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.

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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No, hospital wont dare simply do every scan.


RT8081
post Jul 24 2024, 10:09 AM

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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
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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
WaCKy-Angel
post Jul 24 2024, 10:09 AM

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QUOTE(Aaron212 @ Jul 24 2024, 10:08 AM)
mana ada

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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Masuk OT consider surgery laaaaaaaaaaaaaaaaaa

Who tell u scope can do without going OT ler?
SUSClowninja
post Jul 24 2024, 10:10 AM

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>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
poweredbydiscuz
post Jul 24 2024, 10:10 AM

 
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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
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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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