Welcome Guest ( Log In | Register )

Outline · [ Standard ] · Linear+

 Pelanggan kecewa AIA Insurance menipu

views
     
delon85
post Jul 24 2024, 06:19 AM

Ad Astra
******
Senior Member
1,061 posts

Joined: Jan 2003



QUOTE(silverhawk @ Jul 24 2024, 02:58 AM)
If you pay first and then claim, can be quite difficult to claim

However if you get guarantee letter first, and hospital pandai buat kerja, then normally no problem. This AIA case already settled, and its because the report from KPJ was not consistent that's why rejected.
Insurance is still useful, you save money also no guarantee that the amount you save will be enough to cover the unforeseen medical costs.
*
I think the important points are in bold.

Somehow someone in the hospital wrote the report wrongly then screwed over the lady. First the insurance is going to ask whats the problem and whats the remedy. Insurance own doctor will look at the report and suggested treatment. If from diagnosis to treatment is not consistent, insurance will reject. That's why eventually the insurance do not cover.
delon85
post Jul 24 2024, 06:31 AM

Ad Astra
******
Senior Member
1,061 posts

Joined: Jan 2003



QUOTE(torres09 @ Jul 24 2024, 06:23 AM)
Agree. The doctor need to provide the accurate details when requesting GL. And if there are things that might not be covered, the doctor need to inform the patient beforehand that they might need to fork out own money if the final amount is not settled by the insurance co (even though GL is approved).
That's what my doctor did.
*
Your experience is about the same as mine, though mine doesn't involve surgery. Communication is most important when it comes to claims and that was what they did well. If they aren't sure something is claimable yet, they'll tell me up front.
delon85
post Jul 24 2024, 06:36 AM

Ad Astra
******
Senior Member
1,061 posts

Joined: Jan 2003



QUOTE(WaterBuffalo @ Jul 24 2024, 06:11 AM)
I read the entire update on X. It was wise of them to kick up a fuss and viral this case out to garner attention. There are plenty of people out there who will blindly accept what insurer say and just fork out from their own pocket even though it’s the insurer’s role.
*
You need to hold the hospital accountable as well because they partially help you with the insurance process.

 

Change to:
| Lo-Fi Version
0.0155sec    0.88    6 queries    GZIP Disabled
Time is now: 18th December 2025 - 06:11 AM