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 medical card, need more information about it

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great.eastern
post Mar 15 2013, 07:06 PM

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Great Eastern latest plan for exclusive premium customer.

No Co-Insurance or deduction.
No Claim Discount (NCD) <----- GREAT!
Increase Initial Hospital Room & Board.
Increase Initial Overall Annual Limit.
Higher Overall Lifetime Limit.
Critical Surgery Recovery Benefit.

Free Gift
----------
Free Exclusive Medical Checkup X 1 time only. (Limited Time Only)

PM for more information.
audionutter
post Mar 16 2013, 11:48 AM

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QUOTE(great.eastern @ Mar 15 2013, 07:06 PM)
Great Eastern latest plan for exclusive premium customer.

No Co-Insurance or deduction.
No Claim Discount (NCD) <----- GREAT!
Increase Initial Hospital Room & Board.
Increase Initial Overall Annual Limit.
Higher Overall Lifetime Limit.
Critical Surgery Recovery Benefit.

*
Great Eastern when want to buy that time, all good. Take your money, very fast and good.

After a few years of paying the premium, if you fall sick and need to claim then you jialat. You find out Great Eastern NOT GOOD as will reject claim! Pay for so long for what? Supposed to be cashless and hospital direct settle with Great Eastern but then Great Eastern reject.

End up pay first but when pay first, claim back later CAN claim back! So why reject in first place? In the end same like no card as have to Pay and Claim! So those who cannot pay first how? End up Great Eastern save money in those cases as claim reject so have to go Government Hospital!!!

SuccessG
post Mar 16 2013, 06:42 PM

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Below are some details on AM Assurance Medical Card. It will be useful for those doing some comparison on medical card.

- Comprehensive Coverage with hospital, surgical, medical and other related benefits
- 24-hour Worldwide Protection*
- Coverage up to RM1,000,000 Lifetime Limit and RM200,000 Overall Annual Limit
- Conditionally Guaranteed Policy Renewal# up to Age 80
- No Health Declaration of Medical Check-Up is required for policy renewal
- Retirement option at 55 years old## for zero deductible without further underwriting
- Flexibility to be sold as standalone or top up with a series deductible levels
- Funeral Expense up to RM10,000
- Tax relief Gain instant medical income tax relief###
- Outpatient cancer treatment/kidney dialysis up to RM50,000 per annum
mnalip
post Mar 17 2013, 11:20 AM

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Try PMCare or Mediclinic
great.eastern
post Mar 17 2013, 05:36 PM

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QUOTE(audionutter @ Mar 16 2013, 11:48 AM)
Great Eastern when want to buy that time, all good. Take your money, very fast and good.

After a few years of paying the premium, if you fall sick and need to claim then you jialat. You find out Great Eastern NOT GOOD as will reject claim! Pay for so long for what? Supposed to be cashless and hospital direct settle with Great Eastern but then Great Eastern reject.

End up pay first but when pay first, claim back later CAN claim back! So why reject in first place? In the end same like no card as have to Pay and Claim! So those who cannot pay first how? End up Great Eastern save money in those cases as claim reject so have to go Government Hospital!!!
*
Very sad that this go for you.
We do have Panel Hospital.
Where is the agent who is responsible for your case ?
Hope everything work well for you.
audionutter
post Mar 17 2013, 06:45 PM

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QUOTE(great.eastern @ Mar 17 2013, 05:36 PM)
Very sad that this go for you.
We do have Panel Hospital.
Where is the agent who is responsible for your case ?
Hope everything work well for you.
*
It was a panel hospital and the problem is not with the agent. It is with Great Eastern itself. Even the hospital say of all the insurance companies, Great Eastern now trying very hard to not pay for legitimate claims. Dunno if because Great Eastern got no money? Was told that Great Eastern did not want to offer medical insurance but only want the non medical insurance like life insurance and so on which make them more profit. Was also told that Bank Negara forced them to offer medical insurance or else won't get the licence for other insurance so now they are trying to get out of paying for medical claims whenever possible. If this is true then really lousy company.

End up have to pay and claim. Interestingly, when Great Eastern was informed will make report to Bank Negara because they refuse the cashless claim, immediately the pay and claim was settled.

But those who cannot pay first are the ones who jialat. This is how big companies bully the not so well off or uneducated people mad.gif

roystevenung
post Mar 18 2013, 08:15 PM

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QUOTE(this_is_it @ Mar 15 2013, 02:10 PM)
From experience, most ppl insured through the famous company i.e. GE, AIA, ING, PRU, HLA, Allianz, Manulife, etc

Reason being : our friends/relatives are these companies' agent.
After we save the agent's number, normally we will just put the policy aside.

Years later, some agent come after us and say it's better to do a review. FOC, why not?
And the common feedback, the plan or medical card outdated/ not really good, better do something on it..

So, what you gonna do? Sometime can be tough decision as you know medical protection is really important.
Esp your existing agent no longer in this line, or the new agent seems very trustworthy or very pro, whatsoever

Sounds familiar huh?

Well, the main intention of this post is to guide you on how to analyse the medical card, by yourself.
Hope it helps, more or less... :-)

The comparison shall include (Priority from Top)
1) Limit for Outpatient Cancer Treatment / Kidney Dialysis  
2) Life Time Limit                                                                   
3) Co Insurance                         
4) Surcharge if exceed room and board  
5) Cost of Insurance

In next post i will explain the reason for above sequence.

The scope of coverage is actually very wide, so i just focus on what's really carry weight
Perhaps you may suggest some if you think that is also important for medical protection.
*
Prudential PRUflexi Med
1. Cancer Treatment / Kidney dialysis is "As Charged". "As charged" means it is claimable up to the annual/lifetime limit. Do note that new policy contract for all insurance company for Cancer treatment & Kidney dialysis does not include "Take home drugs, Long term medication & Consultation Charges".

This is the reason why whenever an agent comes to review your old contract, you as the consumer should be wary on whether the agent is doing an upgrade (maintain on the same policy number) or give you a new plan. In short, know what you are changing!

2. With an annual limit of RM 200K, the Lifetime limit is RM 4M - do note that whenever an insurance company is giving high cover, it is putting itself at bigger risk. With bigger risk comes bigger responsibility, hence the insurance charges is higher, especially at older age.

3. PRUflexi med has the option to add in RM300 deductible or Zero Deductible. RM 300 Deductible means whenever there is an admission, the client will only need to pay RM 300 and Prudential will pay up to the annual limit/lifetime limit. If the client choose Zero Deductible, the client does not need anything.

However, do note that during admission, the client is required to pay a small deposit RM300-RM500 (depending on the hospital that you go). Upon discharge, the client can claim back the deposit minus the deductible RM300 or Zero deductible.

Of course in comparison RM 300 deductible has a higher insurance charges as compared to Zero Deductible (full claim) because in the event of a hospitalization the insurer has to fork out more.

4. Surcharge, if you stay in a higher room, you only need to pay the variance of the room. If you stay at a lower room, then Prudential will reimburse back the variance. For example if your plan is RM 300/day Room, and you stay at a RM 200/day room, Prudential will reimburse back RM 100/day.

5. Cost of insurance, need to refer to quotation :-)

In summary, there are few things you need to know when shopping for an insurance policy:-

When looking at medical card, make sure the card is guaranteed renewal.

Always remember that whenever there is something good being offered from the insurance company, YOU ARE THE ONE THAT PAYS FOR IT! Nothing is free!

For example, No Claim Bonus (NCB) - if you compare plans that pays you NCB the insurance charges will be higher as the cost of insurance is being built in to the product.

The main purpose you buy insurance is NEVER HOPE TO BE ABLE TO CLAIM FROM IT WHEN YOU ARE HEALTHY.

Questions? Please ask. Tenkiu notworthy.gif

This post has been edited by roystevenung: Mar 18 2013, 08:15 PM
joseph8
post Mar 19 2013, 06:00 PM

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From: KL/Klang Valley
QUOTE(BlackPen @ Feb 5 2013, 03:33 PM)
ManuLife good or not???
*
Recently i did a policy review for a client who owns Manulife insurance policy.
For your info, their critical illness only cover 35 whereas most big companies cover 36 critical illness. Maybe because that was an old Manulife policy. It was a 2007 policy.
Perhaps their new one should have.
simonlai61
post Mar 20 2013, 04:04 PM

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Joined: Feb 2012
QUOTE(Skylerworld @ Feb 7 2013, 03:29 PM)
Looking for Insurance. Agents pls PM me ur basic details & qualification. Prefer full time agent in KL area.

THanks
*
I'm Simon from ING, KL main branch. I'm also a degree holder from University of Wales, 10 years in this industry.

If interested, please drop me pm bout your details for further discussion...

cheers~~
michealtan19
post Mar 31 2013, 08:35 PM

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QUOTE(ultramanbabe @ Mar 9 2008, 10:12 PM)
is the time for me to renew my medical card,but my agent not so active in his insurance field d...
may i know which medical card is better?any suggestion?
*
Cannot change card if ur age is old?
Swettiejenn90
post Mar 31 2013, 08:49 PM

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QUOTE(roystevenung @ Mar 18 2013, 08:15 PM)
Prudential PRUflexi Med
1. Cancer Treatment / Kidney dialysis is "As Charged". "As charged" means it is claimable up to the annual/lifetime limit. Do note that new policy contract for all insurance company for Cancer treatment & Kidney dialysis does not include "Take home drugs, Long term medication & Consultation Charges".

This is the reason why whenever an agent comes to review your old contract, you as the consumer should be wary on whether the agent is doing an upgrade (maintain on the same policy number) or give you a new plan. In short, know what you are changing!

2. With an annual limit of RM 200K, the Lifetime limit is RM 4M - do note that whenever an insurance company is giving high cover, it is putting itself at bigger risk. With bigger risk comes bigger responsibility, hence the insurance charges is higher, especially at older age.

3. PRUflexi med has the option to add in RM300 deductible or Zero Deductible. RM 300 Deductible means whenever there is an admission, the client will only need to pay RM 300 and Prudential will pay up to the annual limit/lifetime limit. If the client choose Zero Deductible, the client does not need anything.

However, do note that during admission, the client is required to pay a small deposit RM300-RM500 (depending on the hospital that you go). Upon discharge, the client can claim back the deposit minus the deductible RM300 or Zero deductible.

Of course in comparison RM 300 deductible has a higher insurance charges as compared to Zero Deductible (full claim) because in the event of a hospitalization the insurer has to fork out more.

4. Surcharge, if you stay in a higher room, you only need to pay the variance of the room. If you stay at a lower room, then Prudential will reimburse back the variance. For example if your plan is RM 300/day Room, and you stay at a RM 200/day room, Prudential will reimburse back RM 100/day.

5. Cost of insurance, need to refer to quotation :-)

In summary, there are few things you need to know when shopping for an insurance policy:-

When looking at medical card, make sure the card is guaranteed renewal.

Always remember that whenever there is something good being offered from the insurance company, YOU ARE THE ONE THAT PAYS FOR IT! Nothing is free!

For example, No Claim Bonus (NCB) - if you compare plans that pays you NCB the insurance charges will be higher as the cost of insurance is being built in to the product.

The main purpose you buy insurance is NEVER HOPE TO BE ABLE TO CLAIM FROM IT WHEN YOU ARE HEALTHY.

Questions? Please ask. Tenkiu  notworthy.gif
*
So complicated. Normally I just buy medical card with my family and friends. As I know , we buy medical card, the most important is service by agents. smile.gif
Swettiejenn90
post Mar 31 2013, 08:50 PM

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QUOTE(roystevenung @ Mar 18 2013, 08:15 PM)
Prudential PRUflexi Med
1. Cancer Treatment / Kidney dialysis is "As Charged". "As charged" means it is claimable up to the annual/lifetime limit. Do note that new policy contract for all insurance company for Cancer treatment & Kidney dialysis does not include "Take home drugs, Long term medication & Consultation Charges".

This is the reason why whenever an agent comes to review your old contract, you as the consumer should be wary on whether the agent is doing an upgrade (maintain on the same policy number) or give you a new plan. In short, know what you are changing!

2. With an annual limit of RM 200K, the Lifetime limit is RM 4M - do note that whenever an insurance company is giving high cover, it is putting itself at bigger risk. With bigger risk comes bigger responsibility, hence the insurance charges is higher, especially at older age.

3. PRUflexi med has the option to add in RM300 deductible or Zero Deductible. RM 300 Deductible means whenever there is an admission, the client will only need to pay RM 300 and Prudential will pay up to the annual limit/lifetime limit. If the client choose Zero Deductible, the client does not need anything.

However, do note that during admission, the client is required to pay a small deposit RM300-RM500 (depending on the hospital that you go). Upon discharge, the client can claim back the deposit minus the deductible RM300 or Zero deductible.

Of course in comparison RM 300 deductible has a higher insurance charges as compared to Zero Deductible (full claim) because in the event of a hospitalization the insurer has to fork out more.

4. Surcharge, if you stay in a higher room, you only need to pay the variance of the room. If you stay at a lower room, then Prudential will reimburse back the variance. For example if your plan is RM 300/day Room, and you stay at a RM 200/day room, Prudential will reimburse back RM 100/day.

5. Cost of insurance, need to refer to quotation :-)

In summary, there are few things you need to know when shopping for an insurance policy:-

When looking at medical card, make sure the card is guaranteed renewal.

Always remember that whenever there is something good being offered from the insurance company, YOU ARE THE ONE THAT PAYS FOR IT! Nothing is free!

For example, No Claim Bonus (NCB) - if you compare plans that pays you NCB the insurance charges will be higher as the cost of insurance is being built in to the product.

The main purpose you buy insurance is NEVER HOPE TO BE ABLE TO CLAIM FROM IT WHEN YOU ARE HEALTHY.

Questions? Please ask. Tenkiu  notworthy.gif
*
So complicated. Normally I just buy medical card with my family and friends. As I know , we buy medical card, the most important is service by agents. smile.gif
roystevenung
post Mar 31 2013, 09:48 PM

Look at all my stars!!
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2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(Swettiejenn90 @ Mar 31 2013, 08:49 PM)
So complicated. Normally I just buy medical card with my family and friends. As I know , we buy medical card, the most important is service by agents. smile.gif
*
Its all stated in the policy document. It is the agent duty to explain to the client what is in the contract.

You see when It comes to claims, it is not your best friend that pays out the claim, but rather the insurance company. Whatever that is stipulated in the contract will determine whether the claim is legitimate or will be be rejected.
MaxWealth
post Mar 31 2013, 10:22 PM

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From: ~Klang Valley~



QUOTE(roystevenung @ Mar 18 2013, 08:15 PM)
Prudential PRUflexi Med
1. Cancer Treatment / Kidney dialysis is "As Charged". "As charged" means it is claimable up to the annual/lifetime limit. Do note that new policy contract for all insurance company for Cancer treatment & Kidney dialysis does not include "Take home drugs, Long term medication & Consultation Charges".

This is the reason why whenever an agent comes to review your old contract, you as the consumer should be wary on whether the agent is doing an upgrade (maintain on the same policy number) or give you a new plan. In short, know what you are changing!

2. With an annual limit of RM 200K, the Lifetime limit is RM 4M - do note that whenever an insurance company is giving high cover, it is putting itself at bigger risk. With bigger risk comes bigger responsibility, hence the insurance charges is higher, especially at older age.

3. PRUflexi med has the option to add in RM300 deductible or Zero Deductible. RM 300 Deductible means whenever there is an admission, the client will only need to pay RM 300 and Prudential will pay up to the annual limit/lifetime limit. If the client choose Zero Deductible, the client does not need anything.

However, do note that during admission, the client is required to pay a small deposit RM300-RM500 (depending on the hospital that you go). Upon discharge, the client can claim back the deposit minus the deductible RM300 or Zero deductible.

Of course in comparison RM 300 deductible has a higher insurance charges as compared to Zero Deductible (full claim) because in the event of a hospitalization the insurer has to fork out more.

4. Surcharge, if you stay in a higher room, you only need to pay the variance of the room. If you stay at a lower room, then Prudential will reimburse back the variance. For example if your plan is RM 300/day Room, and you stay at a RM 200/day room, Prudential will reimburse back RM 100/day.

5. Cost of insurance, need to refer to quotation :-)

In summary, there are few things you need to know when shopping for an insurance policy:-

When looking at medical card, make sure the card is guaranteed renewal.

Always remember that whenever there is something good being offered from the insurance company, YOU ARE THE ONE THAT PAYS FOR IT! Nothing is free!

For example, No Claim Bonus (NCB) - if you compare plans that pays you NCB the insurance charges will be higher as the cost of insurance is being built in to the product.

The main purpose you buy insurance is NEVER HOPE TO BE ABLE TO CLAIM FROM IT WHEN YOU ARE HEALTHY.

Questions? Please ask. Tenkiu  notworthy.gif
*
For the bold statement, COI for 300 deductible should be lesser right?
roystevenung
post Apr 1 2013, 08:52 AM

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Joined: Jan 2012
From: Butterworth, Penang


QUOTE(MaxWealth @ Mar 31 2013, 10:22 PM)
For the bold statement, COI for 300 deductible should be lesser right?
*
Yes
Lacersan
post Apr 1 2013, 12:59 PM

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Roy, based in Butterworth? Let's come out yumcha. Allianz agent here biggrin.gif

wwl86
post Apr 1 2013, 11:39 PM

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QUOTE(Lacersan @ Apr 1 2013, 12:59 PM)
Roy, based in Butterworth? Let's come out yumcha. Allianz agent here biggrin.gif
*
Count me in too .. tongue.gif

wwl86
post Apr 1 2013, 11:44 PM

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QUOTE(roystevenung @ Mar 18 2013, 08:15 PM)
Prudential PRUflexi Med
1. Cancer Treatment / Kidney dialysis is "As Charged". "As charged" means it is claimable up to the annual/lifetime limit. Do note that new policy contract for all insurance company for Cancer treatment & Kidney dialysis does not include "Take home drugs, Long term medication & Consultation Charges".

This is the reason why whenever an agent comes to review your old contract, you as the consumer should be wary on whether the agent is doing an upgrade (maintain on the same policy number) or give you a new plan. In short, know what you are changing!

2. With an annual limit of RM 200K, the Lifetime limit is RM 4M - do note that whenever an insurance company is giving high cover, it is putting itself at bigger risk. With bigger risk comes bigger responsibility, hence the insurance charges is higher, especially at older age.

3. PRUflexi med has the option to add in RM300 deductible or Zero Deductible. RM 300 Deductible means whenever there is an admission, the client will only need to pay RM 300 and Prudential will pay up to the annual limit/lifetime limit. If the client choose Zero Deductible, the client does not need anything.

However, do note that during admission, the client is required to pay a small deposit RM300-RM500 (depending on the hospital that you go). Upon discharge, the client can claim back the deposit minus the deductible RM300 or Zero deductible.

Of course in comparison RM 300 deductible has a higher insurance charges as compared to Zero Deductible (full claim) because in the event of a hospitalization the insurer has to fork out more.

4. Surcharge, if you stay in a higher room, you only need to pay the variance of the room. If you stay at a lower room, then Prudential will reimburse back the variance. For example if your plan is RM 300/day Room, and you stay at a RM 200/day room, Prudential will reimburse back RM 100/day.

5. Cost of insurance, need to refer to quotation :-)

In summary, there are few things you need to know when shopping for an insurance policy:-

When looking at medical card, make sure the card is guaranteed renewal.

Always remember that whenever there is something good being offered from the insurance company, YOU ARE THE ONE THAT PAYS FOR IT! Nothing is free!

For example, No Claim Bonus (NCB) - if you compare plans that pays you NCB the insurance charges will be higher as the cost of insurance is being built in to the product.

The main purpose you buy insurance is NEVER HOPE TO BE ABLE TO CLAIM FROM IT WHEN YOU ARE HEALTHY.

Questions? Please ask. Tenkiu  notworthy.gif
*
QUOTE(roystevenung @ Mar 31 2013, 09:48 PM)
Its all stated in the policy document. It is the agent duty to explain to the client what is in the contract.

You see when It comes to claims, it is not your best friend that pays out the claim, but rather the insurance company. Whatever that is stipulated in the contract will determine whether the claim is legitimate or will be be rejected.
*
thumbup.gif
Good sharing.
Surely bound to have someone doesn't understand all the details in PRU Flexi Med.

But, there are a few lines worth highlighting (please refer the quote). Good-to-know info


SUSPink Spider
post Apr 2 2013, 12:12 AM

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Joined: Jun 2011


Wait, GE medicard got problem with cashless hospital admission? Then what's the point of having a medicard? shocking.gif
Lacersan
post Apr 2 2013, 01:12 PM

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QUOTE(wwl86 @ Apr 1 2013, 11:39 PM)
Count me in too .. tongue.gif
*
Based in butterworth or penang? Sbj? smile.gif

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