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 medical card, need more information about it

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ExpZero
post Apr 12 2013, 05:54 PM

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QUOTE(this_is_it @ Apr 8 2013, 11:53 PM)
Have been too busy lately, my apologize of not unable to update the insurers' medical plan detail at the meantime.
Perhaps this round i just give the detail of Allianz latest medical plan (rider)

It seems like Allianz and Pru is the only insurer which offer medical card with no annual limit (subject to T&C). Comparatively, PruHealth still impose co-insurance and the cost can be very high esp for long term disease. In view of that, Allianz sounds better.

Such revision has finally solved the fundamental problem of medical plan where the insured sometime need to fork out bunch of cash if the total claim within the policy year exceed the limit. Besides, no co-insurance imposed and no capping for outpatient cancer treatment/ kidney dialysis, cost of insurance is highly tolerable too, renewal up to 90 years old. Perhaps the only imperfect is they imposed co-payment for exceed room and board (20% or max RM1000)
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I would personally think that unlimited annual limit might sounds nice, but is it worth it? How many surgery that in Malaysia will cost more than RM200k annually?

With the insurance charges, it's depends on the individual to think about it. How if a plan that will provide 10% increase of annual limit every 3 years? At least it could hedge the future inflation risk and it won't burn a whole lot of your pocket for the unwanted privilege.
ExpZero
post Jun 25 2013, 05:12 PM

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QUOTE(dotax @ Jun 25 2013, 04:11 PM)
Hi, I have seen this statement inside on of my GE's rider, does this means it is NOT GUARANTEE RENEWAL typed of medical policy?

What are some of the key terms and conditions that I should be aware of?
· Portfolio withdrawal condition - the Company reserves the right to cancel the SPH portfolio as a whole if it decides to discontinue underwriting this rider.


On the other hand, what statement should we look into the GE/Pru policy to determine if it is a Guarantee Renewal?

Thanks for answering my question. smile.gif
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Most of the life insurance company's medical card is guaranteed renewable, only those general insurance will be conditional renewable. So do not worry if you have bought your medical card from Allianz, AIA, Prudential or Great Eastern.
ExpZero
post Jun 25 2013, 06:28 PM

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QUOTE(dotax @ Jun 25 2013, 06:05 PM)
Hi ExpZero,

Ya, that is what the insurance agent told me too. However, i still prefer to see that statement in "black and white" for safety purpose. Glad if someone from GE able to answer my question too  smile.gif
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Page 11 of 14 in Smart Medic stated

Renewability Privilege
This Annexure is renewable at Your option on each Policy Anniversary provided that at the time of renewal, this Annexure has not been terminated in accordance with the provisions under Clause 7 below.

ExpZero
post Jul 4 2013, 11:47 AM

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QUOTE(maggi @ Jul 4 2013, 10:58 AM)
i have a question, a female fren she said she have bought medical card and paying for RM150 , but she lost her policy and agent say need to go sumpah there bla bla bla ...in order to get back the policy ...

is this the only way to get her policy copy ? anyway else....and ya, it is allianz
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Yes, reprint policy need the policyholder to sumpah in order to get a copy of the document.

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ExpZero
post Jul 5 2013, 02:29 PM

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QUOTE(maggi @ Jul 4 2013, 12:03 PM)
@@  shocking.gif  unsure.gif 

so means ? which 1 come 1st....  blink.gif
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Yes, as per my post previously, you need to bring along the statutory declaration form to sumpah just like that_is_it said.

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ExpZero
post Sep 7 2013, 02:08 PM

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QUOTE(Pink Spider @ Sep 7 2013, 11:50 AM)
If I wanna get a medical card with enough to get myself thru hospitalisation but not to the extent of having King's luxuries, room rate of how much should I look for?

I got a plan with 150 room rate, 20% co-insurance with NO LIMIT if upgrade room
Alternatively my agent is asking me to take 200 room rate, 20% co-in with RM3,000 limit

I don't need much Sum Assured for life, only got 1 dependent (my dad), should I RIP my net worth + EPF should be enough for him to last til his time is up.

Currently I've RM150K Sum Assured which I plan to cut down to a very minimal amount...and paying premium of RM220/month

Yes it's a GE ILP I'm having now. GE agents (or any agent) kindly advise notworthy.gif
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Latest upgrade has limiting your co-insurance to 20% with RM3,000 limit for Smart Medic 150. This takes effect for all policy that inforce before or after the announcement which just made about March this year.

RM150 R&B should be enough for sharing basis in Tong Shan hospital. However, if you would like to hedge inflation, you may upgrade your R&B to SM200 with Smart Medic Enhancer, the insurance charges is not that high compare to other plan.

As far as I know you are age 30-- right?
For your age, RM200/month should be sufficient with SM200+SME200+ 100k of sum assured +100k critical illness +100k early payout + waiver.

Ask your agent to quote you, unless you want to change agent then you can pm me. laugh.gif
ExpZero
post Sep 7 2013, 02:22 PM

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QUOTE(Pink Spider @ Sep 7 2013, 02:13 PM)
WTF why my agent keep suggesting me to top up premium to 300 a month??? vmad.gif
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Better cash value figure, it's nothing wrong or right.

What I told you is the minimum figure in the illustration software to work. I guess you are sound and you knew how ILP works bro, it's always better to keep some buffer of cash value to avoid lapse nod.gif

Your age, to get Sum Assured+Critical Illness+SEPCC 150k with SM200+SME + waiver, possible you need about 250/month(non-official illustration, just use my brain to agak agak only) biggrin.gif
ExpZero
post Sep 7 2013, 05:59 PM

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QUOTE(Pink Spider @ Sep 7 2013, 05:22 PM)
Apa Banggala...last year my dad admitted into Tung Shin, 4-bedded room with air con quite comfortable also.
http://www.tungshin.com.my/useful-info/room-rate/

And Gleneagles 4-bedded room only RM95.
http://gleneagleskl.com.my/services-facili...s-and-services/

Can I actually do this? Buy 150 now...then years down the road when I see that room rates have gone up, then only I upgrade my plan? It'll just require a fresh new confirmation of health status, right? unsure.gif
My ILP is AddVantage Plus, which has automatic upgrade of Sum Assured (+5% every year, after 20 years it'll be at 200% of initial SA). Probably that's the reason he suggested to pay more premium? hmm.gif

But I can always elect to reduce the Sum Assured to override the automatic increase.
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Oic, if that's the case, maybe the calculation is a little bit different from my previous projection due to different plan base(different insurance charges).

Increase Sum assured in AddVantage Plus will impose more insurance charges, the latest Smart Protect Essential's 1% increase in Insurance Charges won't impose in your insurance charges. Well, different plan different advantage.

The advantage of getting SME is actually to make a person able to "upgrade" his medical card even when he is not healthy. nod.gif
ExpZero
post Sep 7 2013, 06:21 PM

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QUOTE(Pink Spider @ Sep 7 2013, 06:15 PM)
So, in other words are u saying that IF my health condition maintains, I can just take 150 now, later if the need arises only upgrade to 200 or 250? smile.gif
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I'm trying to say that IF you can foreseen your health condition maintains then you can maintain your medical card 150.

Because once diagnose with something, there is no turning back, you have to stick with your medical card for life.

Once turn black, you can't turn back. laugh.gif

This post has been edited by ExpZero: Sep 7 2013, 06:44 PM
ExpZero
post Sep 11 2013, 06:23 PM

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QUOTE(Pink Spider @ Sep 9 2013, 09:49 AM)
I ask them switch off air-con to the room and reduce the charges laugh.gif

and then ask them, "ada nurse berbadan panas?" blush.gif
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laugh.gif
ExpZero
post Nov 16 2013, 10:09 PM

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QUOTE(Bheestie Malaysia @ Nov 16 2013, 10:03 PM)
wow.. I wonder what is the qualifications of these so called GE health consultants??
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There are three doctors in Great Eastern, Dr.Neoh, Dr. Anne and another I forgot biggrin.gif They are qualified doctors specialize in different field to give advise on Health Care Services risk and underwriting risk.

Source: I was one of the staff dealing with them. nod.gif
ExpZero
post Nov 29 2013, 11:22 AM

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QUOTE(dragonteoh @ Nov 29 2013, 12:34 AM)
Previously I was using GE which was 10 years old and all the benefits was outdated and my agent had resigned while GE send me post mail say been take over by another agent, but din give contact or email at all... (how i gonna contact him)....

Well.... is a very hard time for me to make decision as on the same time Allianz agent come to me as well AIA agent.

Each got pros and cons. And depend on which one you accept.
Those agent say is ok no matter which side you choose they wont disturb your decision....but once decision had make... the lose side will ask why and keep on like washing your mind which make you uncomfortable....

Really gonna think carefully before make decision. Or else later gonna change again and causes money loses.
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QUOTE(dragonteoh @ Nov 29 2013, 01:42 AM)
Thanks for reply, too bad it was already cancelled while i already migrate to ING half year ago ( I din top up the money i get from GE yet) and due of ING's 10% co-insurance fee , Pre and Post hospitalization days been double up and other small benefits my agent advice me to change again from ING to AIA.

while this round got Allianz Agent in so i go done some compare...
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Just tell them the reason politely, most of the insurance agent will understand.

I'd recommend you to continue with your AIA policy in view of waiting period and premium allocation. nod.gif


QUOTE(hafizhans @ Nov 29 2013, 11:06 AM)
150 room not enough eh?
my agent said 150 should be easier to get room cuz 100 always full

im using GE Takaful btw
no one using takaful one here?
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It's always better to have >200 room&board in Klang Valley, since most of the single beded in Klang Valley are over R&B200.

Source: http://gleneagleskl.com.my/services-facili...s-and-services/

Btw, you are not alone, I'm also GE Takaful policyholder biggrin.gif

QUOTE(roystevenung @ Nov 29 2013, 12:48 AM)
^ for GE you can ask ExpZero for advice.

Lets get one thing straight. You buy the cover with the insurance company and not with the agent.

The agent does not pay you the claim but the insurance company will.

I do not recommend you to cancel a 10 year plan due to its benefits maybe better than the current contract.

But it's best to leave this in the hands of a GE expert.

Should you need help with Prudential, then yes, I am the person to talk to notworthy.gif
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notworthy.gif
ExpZero
post Dec 2 2013, 03:33 PM

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QUOTE(a-ei-a @ Dec 2 2013, 03:05 PM)
blink.gif  blink.gif
For those term medical plan, is it the premium can be increase anytime?  shakehead.gif
Eg, there is sales illustration stated year 2 to year 5 the charges is RM3400 per year, then suddenly a letter from Insurance company stated it's RM3700 per year starting next year.  doh.gif
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Standalone medical card is priced such that it will increase price every 5 years gap in most companies. However, the company reserved the right to increase the price due to high experience of claim with pre-approval from Bank Negara Malaysia.

Last I recall Great Eastern increases price.....
uhm...I don't recall GE increases price for the past 105 years, correct me if I'm wrong.

This post has been edited by ExpZero: Dec 2 2013, 03:35 PM
ExpZero
post Dec 2 2013, 09:49 PM

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QUOTE(freewisefly @ Dec 2 2013, 09:22 PM)
Most insurance charges from any insurance companies regardless term or ILP will increase either yearly or every 5 years.
For ILP, There referring to premium. Premium is paid and insurance charges will deduct from the premium paid. Premium Paid is not called insurance charges but if study clearly from the insurances charges chart in your policy, you will notice the insurance charges will increase based on age. So nothing to do with standalone or IL medical card, it just the marketing strategy of each insurance company differ.
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Yes you are right, all the COI or standalone medical card premium is increasing 5 years gap. But now we are talking about increasing of premium that not according to the planned premium schedule or COI schedule in ILP.
ExpZero
post Dec 3 2013, 12:06 PM

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QUOTE(freewisefly @ Dec 3 2013, 11:11 AM)
Insurance company will never guarantee of your premium will not be increase for a certain of period eventhough a forecast chart being shown in your policy. All charts shown in your policy are not guarantee but just forecast based on existing economy and inflation.

You will find a clause in your policy regardless which insurance company which have this meaning of insurance company can increase your premium or charges. You are giving a choice either force to pay or force to terminate, but insurance company will not simply increase price as it is under bank negara control. Insurance company also won't simply only increase your premium/ charges and others don't. If just increase yours and others don't, somce called it loading. Insurance company will not act unreasonable or without a reason unless you are hidden somthing from them.
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Insurance company will never guarantee for the COI to follow exactly the premium schedule.

The COI schedule are perfectly not forecast based on existing economy and inflation, unless you are talking about the cash value been bought into unit, which is not in our discussion today.

COI and standalone premium are forecast based on the mortality and morbidity rate. The increasing of COI/standalone premium are because of excessive claims experience from the pool fund. Usually medical card with co-insurance do not have such issue due to morale hazard.

Bank Negara Malaysia will approve the increasing COI if the company are facing deficit of pool fund. BNM wound't let insurance company shut down due to that reason.

Some companies know this fact, they lowering down the forecast claim and thus they can sell product at cheaper rate. Upon claim experience is higher than they forecast after several years, they will send love letter to client to increase the premium. Which is our discussion today why certain company never increase the COI but certain company increase the COI as high as 50% just a few years bought the policy? It must be something wrong with the claim experience or projection of the COI based on the mortality and morbidity "in purpose" to grab market share.

However, I do agree that some cases are genuine where the expected claim experience is slightly higher than the real claim experience.
ExpZero
post Dec 4 2013, 05:52 PM

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QUOTE(freewisefly @ Dec 3 2013, 12:38 PM)
Oya, Based on the calculation of cost, I wonder why some insurance company do charge of high insurance charges to age above 65-80 and some don't? Pool fund not enough to cover? is it because of that they came out with a solution to advice consumer to get insured at early age so they won't suffer of a high charges at their old age?

You don't have to answer me. Just a thought only. Thanks. icon_rolleyes.gif
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Which company have low COI for age 65-80?
ExpZero
post May 25 2014, 01:10 PM

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QUOTE(suncrescent @ May 25 2014, 12:43 PM)
Hi, I have difficulties in understanding health insurance, because of this I always biased towards not having an insurance except one that is covered by my company and a life insurance.

What I understand from my takaful life insurance is I pay a monthly charge for certain period of time.  If I die during that period, they'll pay my kin a certain amount of cash plus whatever I already paid them for the past month with addition/subtraction based on investment, age of policy etc. If I don't die after my takaful period expired, I will get back the cash that I paid for 30 years plus/minus some investment etc.

For health insurance, let say I choose an insurance with coverage until 70 years old, is that mean I have to pay the monthly fee until I am 70 years old? If my claim exceed the annual limit, I cannot claim anymore for the year. But what if my claim exceed lifetime limit? Do I still have to pay until I am 70 but now I can claim anything anymore.

Now let say if I don't make any claim until I am 70, then my insurance expired, all those money I paid every month will gone forever correct? Not even single cent will come back to me right?

What happen if I had a road accident and then I need to be hospitalised, is this covered under health insurance or only exclusively covered by personal accidents insurance?
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If you have choosen the coverage until 70 years old, as long as you need the coverage, you are obligated to pay for the premium. However, for investment link medical card, as long as the cash value is enough to sustain the insurance charges, your policy and medical card will still inforce even you might not paying it for years.

If your policy is standalone medical card, if you don't make any claim until you are 70, and then your insurance(I assume you mean medical card) is expired. You will get nothing back as standalone medical card do not have any cash value. If your policy is investment link, you may choose to surrender the policy and take back your cash value or you may continue the policy and enjoy the life coverage.

Medical card covers both accidental and illness medical bill, inpatient. For outpatient, it's different between companies.
ExpZero
post May 29 2014, 10:10 AM

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QUOTE(carboost @ May 29 2014, 08:18 AM)
I'm quite regret to sign up Great Eastern few months ago. Especially when seeing this sentence in the policy.

The Company reserves the right to revise the maximum cap for co-insurance by giving at least 30 days prior written notice.

· Portfolio withdrawal condition - the Company reserves the right to cancel the SM portfolio as a whole if it decides to


I always think is just RM500 maximum of co-insurance and guarantee renewal...

Could any GE agent explain this to me??

I'm thinking to cancel the policy rather then in future GE revise and cancel the medical plan when I need the most.  mad.gif

Don't trust GE agents any more, they always try to hide something and divert the topic from client.
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Great Eastern just launched a new medical card without co-insurance. You may ask your agent to change your medical card. nod.gif
ExpZero
post Jul 15 2014, 11:52 AM

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QUOTE(blackstar88 @ Jul 11 2014, 10:45 PM)
Hi, my insurance agent from great eastern told me about a new plan they have, which will need me to upgrade my current medical card plan.

this upgrade will increase the annual limit and remove lifetime limit for the medical card while the rest of the thing remain the same, such as investment return and others..

is there any catch? this sounds to me like durian runtuh...

need advice pls
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In order to understand about this issue, I will briefly talk about the mechanism of Investment link product(ILP).

ILP is designed in such a way that the premium you paid(a portion of it for the first 6 years) will be used to purchase fund unit and then the accumulated fund unit will be used to pay for your insurance charges.

What is insurance charges?
Every of the rider you added in will incur a charges. Cost of insurance (COI) aka Insurance charges will increase over the time according to the mortality and morbidity table.

The accumulated of the fund unit after deducted the COI, the left over will be your "cash value" aka saving.

The reason you may upgrade your protection without upgrade your premium is because your "cash value" have enough fund to sustain your policy without increasing the premium. The "cost of increasing benefit" is absorb from your cash value instead from your additional premium.

Please take note that since COI is increasing over time, without proper planning, the fund might be depleted and might need to top up at later year.

Well, I'd advise you to look into the new medical card feature as the insurance charges is affordable and the benefit is great, with over a million annual limit and unlimited lifetime limit.

For age 60 years old, male, class 1, non smoker, the annual COI only additional RM442. It's great value for money if you don't plan to upgrade your medical card for the next 30 years.
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This post has been edited by ExpZero: Jul 16 2014, 05:36 PM

 

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