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 medical card, need more information about it

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freewisefly
post Jun 29 2013, 03:52 PM

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QUOTE(KelvBlue @ Jun 29 2013, 02:18 PM)
After AIA merge with ING into single license company, we are having a very good medical card plan now. Before we go any further yet, I would like to share with people that AIA is no longer hold by the US, they gone through similar experience with ING and is hold by HK now. Hence, 'new' AIA smile.gif

We have a standalone Medical Card, and also an ILP Medical Card with ILP one having much better benefits:

A-Plus Med 150

Room and board                                                    150
Additional Room and board (oversea)                      150
Everything as charged
Home Nursing Care (180 days/confinement)            3000
Daily Guardian (120 days/year)                              90


Annual Limit 100,000 (increase 5% every 2 years for 20 years if no claim or claim less than 5000)

No Lifetime limit
No Co-insurance

Outpatient Kidney Dialysis and Cancer Treatment    250,000 per lifetime (bear in mind this is outside of the annual limit)

Emergency Medical Evacuation and Repatriation      USD 1 mil

**Medical card can be swiped at panel hospital, no need to wait for the company's guarantee letter and allowed for quick admission.
**Cover for Singapore and Brunei but base on the medical cost of Malaysia.

Cost - Male @ age 20 : 480.00
                @ age 30 : 446.50
                @ age 50 : 1010.50
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1. Which hospital in Malaysia now can get a single room and board rate at rm150/day?
2. What do you mean by additional room and board? how about ICU r &b?
3. What do you mean by everything as charge? Is it mean I take any food or drinks from the refrigerator also included? Or when I keep pressing the assistant's button few times per day?
4. How do I claim for home nursing care and daily guardian? Do they pay me upfront before I hire 1?
5. As I know daily guardian and home nursing pay daily, then how do i swipe it in medical card?
6. Do question 4,5 & 6 deducting from the annual limits?
7. no cash allowance?
Thank you.

freewisefly
post Sep 25 2013, 01:03 AM

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QUOTE(z21j @ Sep 25 2013, 12:24 AM)
Enquiry about AIA medical card:
I looked at the premium table and noticed that the premium will increase as we grow elder. It will reach about 7/8k per annum when we reach 60++ y/o.

Does it mean if we stop paying let say when I aged 60, then my policy will be deemed expired/surrender?
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Is it standalone plan? or investment link plan?
freewisefly
post Sep 25 2013, 01:37 AM

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QUOTE(z21j @ Sep 25 2013, 01:17 AM)
Standalone plan. Just medical card coverage only.
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For standalone plan, once you lapse your payment, your policy will automatically terminated.
freewisefly
post Dec 2 2013, 09:16 PM

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QUOTE(a-ei-a @ Dec 2 2013, 04:42 PM)
Hi roystevenung,

Understood the 5 years age group increase is illustrated in the sales illustration/policy, but is it frequent for adhoc medical fee increase? Let say at year 2/year 3, a letter stated increase 9% of annual premium was received.  doh.gif
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If I am not mistaken, that sales illustration you shown, they have not been any price increase since 2003. I won't be surprise price increase for many things scheduled next year and noticed some insurance company did increased their price during last few months. Some insurance company increase price by introducing new plan / package. This is the most common tactic they used.
freewisefly
post Dec 2 2013, 09:22 PM

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QUOTE(ExpZero @ Dec 2 2013, 03:33 PM)
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.
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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.
freewisefly
post Dec 3 2013, 11:11 AM

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QUOTE(ExpZero @ Dec 2 2013, 09:49 PM)
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.
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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.
freewisefly
post Dec 3 2013, 11:22 AM

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QUOTE(a-ei-a @ Dec 2 2013, 09:53 PM)
Hi Roy,

It's M*n*l*f*, and the policy was bought in 2011 (In 3 year (2014) the medical charges increase).
So from experienced agent here, increase in Term insurance medical charges cannot be avoid.  hmm.gif
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Nobody can avoid increase of insurance charges / premium if you are a customer.
freewisefly
post Dec 3 2013, 12:32 PM

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QUOTE(ExpZero @ Dec 3 2013, 12:06 PM)
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.
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I had explained this before how insurance charges being calculated before. What had you said are just part of it and yet to explain what is pool fund, excessive claims (based on age group or not). You may explain as some of the reader might love to learn it. Anyway I would say existing economy and inflation also one of the key besides the pool fund and claims per age group and etc. Of course not all insurance company have the same calculation, what we provided here are just as reference. I prefer simplified it to give easy understand as layman terms than giving technical terms in insurance to the public.

All calculation done here and strictly forecast based on existing aspects regardless cash value or COI. My point is all is forecast / numbers prediction with calculation prove based on existing situation.
freewisefly
post Dec 3 2013, 12:38 PM

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QUOTE(ExpZero @ Dec 3 2013, 12:06 PM)
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.
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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
freewisefly
post Dec 5 2013, 12:44 AM

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QUOTE(wongmunkeong @ Dec 4 2013, 06:01 PM)
Brudder, those that looks as though they dont charge arm/leg for >64 is due to suckers.. oops ConnedSumers buying into their marketing lar.

They squeeze more $ from U at the beginning and tell U "constant premium mar until 90"
At the back, what they dont show U is your "investments" all being eaten up when U hit >64, thus at some point, no cash value already AND further than that.. good luck, top up tongue.gif
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we are so far consider the wise 1, but couldnt understand why still so many doh.gif fall in their traps and couldnt understand why bank negara allowing this. Corrupted politics reached till insurance.
freewisefly
post Dec 5 2013, 12:48 AM

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QUOTE(ExpZero @ Dec 4 2013, 05:52 PM)
Which company have low COI for age 65-80?
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Those company with low COI for age 65-80 means they have the biggest market share as poll fund across the country. In other words is most people buying in the country.

Which company have the highest COI from age 18-80?

 

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