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 Medical card premium not guaranteed, standalone vs ILP

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Ramjade
post Oct 8 2024, 10:43 PM

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QUOTE(chrisderick88 @ Oct 8 2024, 09:24 PM)
Hi all,

I am looking at medical card, and I have a preference for standalone card instead of an ILP. However, someone told me that the premium at renewal for standalone medical card is not guaranteed. This is coupled with a bad experience, where one of my parent took a standalone medical card. Upon first claim, the next year's premium was slapped with a 75% loading due to "increased risk".

I was told that ILP won't have such problem (by an agent, of course). Any increase in the premium is based on the pool's risk, not an individual's risk. However, reading from RinggitPlus suggest that actually this will happen regardless of the plan.
Would like to ask sifu-sifu which should I go for? Standalone v ILP, and what are the terminology I should take note while buying these products?
TL;DR: will my this year's claim impact my next year's medical card renewal premium? (for both standalone and ILP).

Thanks all.
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That is excuse. True for old standalone cards. False for nowadays standalone cards.

The new cards all guaranteed renewal unless you commited fraud or didn't pay in full and on time. No more additional charges once got illness. Your parents time yes. Nowadays card no more.

Only difference
1. One no investment and one have investment
2. The investment part at best Epf return (very rare)
3. Premium holiday. If you suddenly can't afford you can stop paying for a while but you can't do that with standalone.
4. If the fund is not performing (like majority of the time), you need to increase your premium or do a lump sum top-up to sustain your insurance plan until the end of contract or else your insurance plan drop form say 80 years old to 76 years old.

This post has been edited by Ramjade: Oct 8 2024, 10:49 PM
Ramjade
post Oct 9 2024, 11:32 PM

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QUOTE(jutamind @ Oct 9 2024, 08:44 PM)
Can you share which standalone medical card which you go for as I'm looking for one as well? Can PM if is this is not something you want to discuss publicly
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I got nothing to hide.

You can buy either AIA or GE.
I choose AIA for
1. No issue with GL. GE will delay your GL as much as possible to try deny you the GL. Boots on the ground tell me this. GE, cuepacscare, micare all problematic.


I will buy gathercare as backup as premium is fixed at RM300+/year. Yes fixed.
Ramjade
post Oct 10 2024, 09:02 PM

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QUOTE(jutamind @ Oct 10 2024, 07:45 PM)
Thanks for your feedback. Is your AIA medical card plan name A-Plus MediFlex? Saw quite a number of standalone medical plan from AIA web site.
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Mediflex is the replacement for my insurance. Mine was med regular with booster. Medregular I think have higher annual limit Vs mediflex by 100k. I think anything above RM1m annual limitis sufficient so I value more of post hospitalisation coverage. But will see what is the latest medical insurance 10 years down the road.
Ramjade
post Nov 3 2024, 07:09 AM

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QUOTE(legolas @ Nov 3 2024, 01:53 AM)
When comes to insurance premium increased, our perception is always ages, inflation and cost of insurance raised, and this is also what the agent always told us.
One of the important factor of premium reprice where many ppl overlook, is the pool of product the insurance company allocated. When we buy an insurance or pay our premium, our fund will be allocate into a shared pool where, this pool will continue to be used when new customer buy their insurance, or existing customer renew their premium. In 10 - 15 years or maybe less, new product may be introduce, insurance company may decide to create another fund's pool to cater for all the new product premiums, that time they will hard sell the new product with more benifits, more coverage, and more lower premium, this will cause almost all their new customer to take up the new product, and left the old product no one buying, this will even cause the existing customer in old product upgrade to new product but of couse they would need to re-assess their health condition again.

What this means.
1) insurance company doing this is to reduce their product premium, by segregating healthy individual and high risk individual, making their new product more attrative to young and healthy generation.
2) Those eldest with sub-optimal health or with existing health condition may not able to buy the new product, they have to stay in the old product funding pool. Many of them may already bought the insurance 10 or 20 years ago, and they are fully healthy the first time they buy it, and they may choose to pay high premium for longer sustainbility that time.
3) Insurance premium increase not only due to cost of insurance - inflation, increase of age, medical/hospital cost, but also due to new funding pool introduce by insurance company.
4) The reason to creating the new funding pool is to attract more new customer with more lower premium. The premium can stay low due to insurance company have segregate their existing loyal customer which already bought ther product 10 or 20 years but with health issue or old age into another old pool.
5) This will resulted only bunch of policy holders with health condition and older age remain stay in the old funding pool, no new holder, and continue lossing healthy policy holders due to switching to new product.
6) Finally those stay in the old pool will faced the continuous premium increased year over year due to unbalanced type of policy holders. People bought 40 years of sustaibility policy on age 30, by age 50 premium may goes double or more due to the new funding pool introduce, that time agent may tell you spike of the price due to insurance cost. This will also cause situation where old funding pool full of those eldest and holders with medical condition, so price spike is explainable and unavoidable. As a result of price hike many in the old pool have no choice but choose to abandone their already paid 10 or 20 years policy, and also these holder no longer eligible applying any new policy product. I wont said insurance company doing it with intention but customer abandone policies in the old funding pool definitely will greatly give them advantage by reducing their claim profile risk.
7) We as consumer do not hv visibility when a new pool been introduce, funding in and out from the old pool, and the statistic type of holders in the pool.
8) Premium projection in SI will only take take consideration of our age, inflation and cost of insurance, they don't project fund pool, as the insurance company can introduce pool anytime as they wish, actual premium increased will be far different from what been stated in SI.
9) What's more is if you buy a policy when almost reach to the end lifetime of the funding pool, and a new pool introduce with the new product, you will face the substantially premium increased which far away from your projected premium in your SI,  even you have 15 years sustainbility quoted in your policy  this may still happend in 2 years, 3 years  or 5 years time. Besides, we have no visibility in their pool lifetime, so we wont know when it start and end. Of couse anyone qualified can still buy the new product, with the new health assessment and also reset the 6 years agent's commission.
10) We may said that this will not impact us, because who doesn't want low premium price due to the new pool implemented, but we all will get old one day and potential health problem too, that's why we choose longer sustaibility with higher premium price when first buy, new premium raised should not be too far away from our sustaibility amount as listed in SI, and the increase of premium due to new pool introduced is something indeed unethical.
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contestchris already posted a picture that show old pool have fewer money cause money in the pool have been used up. So if you are healthy, change new plan every 10 years to overcome the above problem. That's is what I will be doing.

This post has been edited by Ramjade: Nov 3 2024, 07:09 AM
Ramjade
post Nov 3 2024, 09:04 AM

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QUOTE(MUM @ Nov 3 2024, 08:52 AM)
Can those medical plan of your desired (to chance every 10 years) be bought online diy or have to go through agent?
What about your current medical plan? Through diy Online or agent?
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Currently agent. I have browse through lowyat that one person successfully bypass agent and "buy directly" from insurance company. No agent. He saved cost on commission. I am going to explore this option

Depends on coverage. Those 50k coverage usually can buy online. Those hundred k to 1m coverage can't be bought online yet. Of course the buy directly route from insurance company exist. Just need to research how to go about it. It's not widely known for obvious reasons. 😂


Ramjade
post Nov 3 2024, 09:10 AM

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QUOTE(MUM @ Nov 3 2024, 09:07 AM)
I believes you and money others would definitely feels that 50k or 200k medical coverage would be not enough (many years down the road).
Thus have to buy from agent if needed more higher coverage than that.
If change to new plan every 10 year,....your agent will loves you.
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It's ok. If lower premiums and have healthy pool with new money coming in Vs sickly pool that continue to deplete. Why not.
Ramjade
post Nov 3 2024, 09:15 AM

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QUOTE(MUM @ Nov 3 2024, 09:13 AM)
You had previously for many times had been saying you don't and won't like to pay for your agent holidays expenses
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I still don't. But you have no choice if the system force you down the route. That's why I am going to research deeper into buying directly from insurance company without using agent. If someone can buy a standalone medical insurance for 500k coverage directly from insurance company, I believe it is possible with other insurance company.

This post has been edited by Ramjade: Nov 3 2024, 09:16 AM
Ramjade
post Nov 3 2024, 09:31 AM

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QUOTE(MUM @ Nov 3 2024, 09:24 AM)
Can buy multiple 100k or 200k from separate diy online platforms/companies instead of 1 large amount (1 plan) from agent?

Will upgrading existing medical plan ( if insurance company offer it to your existing plan) be a better option than getting a whole new plan after every 10 years?.

Does the upgrade plan still uses the pool of money from the old pool that are about to be used up or the upgraded plan will use a new pool of money?
Any idea about it?
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Medical insurance better buy higher coverage Vs multiple 100k-200,k coverage. Cause the bill might not be covered if multiple insurer unlike house or life.

If upgrade room and board from same plan, maybe still same pool. Maybe. Not sure about this. I think there are pool for different tier within the same plan. Saw this being done. The lower and mid tier class all kena hike in premium. The highest tier, no change. Just speculation on my part after seeing real life example of premium being home within the same plan but different tier. Only person who knows this are those working inside the company. They are the only people can answer you.

If upgrade to new insurance plan of course new and different pool.

This post has been edited by Ramjade: Nov 3 2024, 09:37 AM
Ramjade
post Nov 3 2024, 10:25 AM

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QUOTE(MUM @ Nov 3 2024, 09:50 AM)

Another question, are those diy online medical plan offered on cashless admission or have to pay first claim later option
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Looks cashless to me.

 

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