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 medical card, need more information about it

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leonard73
post May 29 2014, 10:49 AM

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QUOTE(roystevenung @ May 29 2014, 08:42 AM)
There is no cheap insurance, you get what you pay for. There is no free lunch when it comes to insurance. If you want lesser premium, be prepared to pay more when you claim.

The difference between Co-Insurance vs Deductible vs Full claim is very obvious when it comes to back to back claims.

For example, if the Cancer
Jan RM15K chemotheraphy
Feb RM15K chemotheraphy
Mar RM15K chemotheraphy
Apr RM15K chemotheraphy
Sep RM15K chemotheraphy

1. For Full Claim, client pays RM0, the insurer pays RM75,000

2. For Deductible RM 300 (per 90 days of the same disability), client pays RM600, insurer pays RM74,400
Jan RM15K chemotheraphy -> Client pays RM300
Feb RM15K chemotheraphy -> Client don't have to pay since it is still within 90 days from the last same disability
Mar RM15K chemotheraphy -> Client don't have to pay since it is still within 90 days from the last same disability
Apr RM15K chemotheraphy -> Client don't have to pay since it is still within 90 days from the last same disability
Sep RM15K chemotheraphy -> Client pays RM300

3. For Co-Insurance client pays RM7,500, insurer pays RM67,500
Jan RM15K chemotheraphy -> 10%, Client pays RM1,500
Feb RM15K chemotheraphy -> 10%, Client pays RM1,500
Mar RM15K chemotheraphy -> 10%, Client pays RM1,500
Apr RM15K chemotheraphy -> 10%, Client pays RM1,500
Sep RM15K chemotheraphy -> 10%, Client pays RM1,500

The insurance charges for Option 1 is of course the highest since you are transferring higher risk to the insurer, while for option 3 is the least.
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I am partly disagree with the insurance charges for option 1 is highest. I am not saying your statement is 100% wrong, but it is wrong if you are referring to term insurance. Anyhow nothing is certain, but you are right when you are referring to ILP products. smile.gif
leonard73
post May 29 2014, 11:00 AM

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QUOTE(wild_card_my @ May 28 2014, 10:39 PM)
Hi, quoted below is for a 38 year old male, non smoking (you are considered non-smoking already), and occupation class 1.

1. Nope, it's not a cashless card in the sense where there is a co-insurance of 10% and capped at RM500. Meaning if your medical cost is RM 40,000 per incident then your co-insurance if only RM500. If your medical cost is RM 4000, your co-insurance is only RM 400 (10%)

2. Renewable? Yes. That is why I made it into a rider as part of the ILP plan, that is because I do not want you to have your card cancelled when you need it the most! edit: However, the company still reserves the right to make changes to the policy as per usual.

3. Details:

a) RM1702 p.a
b)
QUOTE
it's an i-M200 card, meaning your room rate can go up to RM249 without having to pay a higher co-insurance

c) There is a small death/tpd protection and projected cash return of RM32k+ but consider this as your bonus only. Want to invest, do it in an investment account.

» Click to show Spoiler - click again to hide... «

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Does it stated in the policy for the tolerancy limits for the extra charges for the room to be covered?
Another question is, what or which private hospital I can stay with room & board rm200? Can I get a single room in prince court or Gleneagles & etc.? Can you state some for me or to others? smile.gif
leonard73
post May 29 2014, 11:04 AM

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QUOTE(roystevenung @ May 29 2014, 10:59 AM)
I am referring to insurance charges as a whole, be it term or ILP.

If the term insurance has co insurance vs a term plan that offers full coverage, the insurance charges for the full coverage will be higher.
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Good to clarify things. but insurance charges are not review by many agents, especially ILP agents. These agents only tell insurance premium.

Term insurance w co-in vs term insurance w no co-in, with full payment, does not means it will be higher.
leonard73
post May 29 2014, 01:09 PM

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QUOTE(roystevenung @ May 29 2014, 11:31 AM)
1. http://www.insurancepenang.blogspot.com/20...urance-101.html  wink.gif

2. Yes, partly agree with what you said, the insurer can play with the terms whistling.gif

Insurance company must remain profitable in order to continue with the coverage. If everything is so good, its not insurance.  laugh.gif
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Very true, does all agents will tell this to their clients as insurance charges will increase as their age grow. I believe most will say your insurace premium will not rise as your age grow and not like others will increase either yearly or every 5 years.

No doubt, insurance company need to make profit including agents too. Everything is good, everyone also wants it but who can provide everyone needs? So are you saying insurance is no good because not everything is good? rclxms.gif
Insurance can be good with comprehensive coverage and reasonable charges, without giving too much commission and linked to investment to/by agents brows.gif

Back to your early topic, so would I say that we can't compare the pricing of Co-in and not co-in with insurance charges being charged? or allowed to some extend only?
leonard73
post May 29 2014, 01:17 PM

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It seems that agent who said insurance company will pay for the differences for room rate but not showing any clause inside the policy are yet to answer.

For the room rate, luckily someone is helping him to answer, then my next question come, how long can this price sustain? If I am not wrong, medical cost increase yearly from 5-10% based on each individual hospital. So let's say it will increase yearly, or every 5 years ,so do I need to review my protection yearly or every 5 years?

What I know is, insurance company will pay according to whatever stated in the policy, and not paying whatever not stated in the policy.
leonard73
post May 29 2014, 01:18 PM

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QUOTE(carboost @ May 29 2014, 11:50 AM)
Seem all just sales talk...

Other companies all no co-insurance. The annual all just about the same  sweat.gif

QUOTE
I should have apply Allianz, no co-insurance and no annual limit...  vmad.gif
Now I really frustrated.... mad.gif

How to I cancel the policy and how much can I get back?
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How it works with no annual limits? hmm.gif
leonard73
post May 29 2014, 01:45 PM

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QUOTE(wild_card_my @ May 29 2014, 12:24 PM)
For the ones who keep on asking about the room rates in Glen Eagles and what not, how would you go about giving a medical coverage at a reasonable medical cost?
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In my opinion, it might be pointless for examples below:-

1st case,
Room & board given = RM150/day
Annual limits given = RM 50k
Lifetime limits given = 150k

This package marketed in the 90's by some insurance company X, and many of them are still holding it up till today which is out of date in today market.

2nd case,
Room & board given = RM150/day
Annual limits given = RM125k
Lifetime limits given = 750k

This package also marketed in 2000, Room rate is below the hospital rate and only applicable to 2-3 person shared room in some states in Malaysia. Why insured person can't enjoy better benefits to what they paying? Normally, agents will say you are paying to what you pay. The funny thing to me is, if I'm not wrong, all agents who asked first how much a person can contribute monthly, right?

3rd case,
Room & board given =rm200/day
Annual limits given = 200k
Lifetime limits given = 1.5mils

This package was marketed in the market since few years back and up till today. Some even giving annual limits with 1mil or no annual limits. Room and board rate rm200 is not able to enjoy a single room in my state. Too bad I can't enjoy this benefits compare with other states. Why I straight out this as majority people going to share room in hospital and when no more shared room, they either need to upgraded to single room or others hospital. 2nd point is, why 200k annual limits? how much the cost of doing chemotherapy today? As we all know cancer is one of our major killer in Malaysia?3rd point is, over 1mil lifetime is good, but I would not lucky enough to enjoy such benefits if my chemo is 300k in a year. That's mean I have to pay the extra 100k and include co-in. If me, I would not use that card but to change to government hospital. And then my another question arise, in that situation, why I still want to buy this protection?

Can you provide :-
Room and board = RM400 and above
Annual limits = RM 1mil and above or no annual limits
Lifetime limits = RM 1mil and above.

If my age is 50 now, smoking and working as a branch manager, what would be my insurance premium or charges?
leonard73
post May 29 2014, 02:10 PM

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QUOTE(roystevenung @ May 29 2014, 02:06 PM)
Maybe you havent met the right agent yet  whistling.gif  laugh.gif jk

What I am saying is that everything comes at a cost. If the plan sounds too good, there is always bound to be a catch.

The insurance charges for a co insurance plan will definitely be cheaper as compared to a full claim since you are transferring lesser risk to the insurer.

Unfortunately Prudential term policy attach with medical, we only have plans with co insurace and not full claim.

But for ILP, we have co insurance, full claim and deductible rm300, rm3000 rm10k.
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Very true, out of millions I would say up till today still haven't meet one yet. lol

I would say insurance is one of the general knowledge must know rather than blaming to agents or insurance company.
leonard73
post May 29 2014, 02:22 PM

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QUOTE(everest @ May 29 2014, 02:13 PM)
My mother pays RM200 monthly for her insurance.
My question is
1. She has to pay more money?
2. What is Clause 17 (Portfolio Withdrawal Condition)?
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From my understanding,
There are withdrawing the old plan which your mother holding and provide or upgrade to a better plan. This also means that the old plan no longer fit in today market. At the same time, they are also inserting the price rise in it to looks better than just telling increase of charges.
leonard73
post May 29 2014, 05:03 PM

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QUOTE(boy18 @ May 29 2014, 04:15 PM)
Bro calm down.
we are explaining to you slowly.
according to TCPKeith is correct
This reserve the right for GE to withdraw the Medical Plan in the future. This is applicable to ALL INSURANCE COMPANY,approve by BANK NEGARA MALAYSIA is not a LIE by the AGENT.IS BEEN APPROVE.
Only Prudential have that guarantee renewal clause in their policy so far.
for this Question,i did ask management of GE and they say IT IS not compulsory for Company to put this clause.
same goes to Co-insurance,if future bank negara malaysia said THERE IS A MUST CO-insurance then all company will apply this too or all apply no CO-insurance. there is why u see why some company no Co-insurance some have co-insurance.

But Great Eastern as a leading insurance company in Malaysia their main business income is from selling medical card which like TCPKeith said
Which is impossible, it would be like saying a motorbike shop not selling motorbikes or a General Insurance company not providing motor insurance.
Great Eastern is achieving Gold Award from the Reader Digest mean the vote from the public opinion,GE had 106 years of history and be the largest and eldest insurance company in malaysia.u can google it.


For your friend case,we cant say guarantee what is the problem.because we duno which plan he buying.is general or life insurance and what happen in between.
If he did pay premium promtly and no lapse,there is no way company will cancel your medical card UNLESS that is general insurance medical card which have to renew EVERY YEAR based on health condition.
There is a clause in policy which mention the policy wont be lapse as long the client paid premium/the annual limit havent finish yet.
and if u found the clause and it againts the clause
bro write in letter to bank negara malaysia and complaints,it will take action.
anything u can call me 0173072095-simon
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What's the point of telling GE is the leading or the eldest or largest? I thought all insurance company being guaranteed by BNM. If yes, means all claims will be based on the contract. All claims do not violated the contract are claimable. How big a company doesnt mean it wont go down. Citybank US? lehman brothers? what's the guarantee? I just wondering...
leonard73
post May 31 2014, 02:10 PM

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QUOTE(supersound @ May 30 2014, 08:32 PM)
Already happen to my wife before on this, so is a fact that all insurance agents will try to deny whistling.gif
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Room & board rate won't simply because you show your medical card and any hospital will shown it on the reception counter or their website. Then if you allowed your wife medical card to be charged hire, it might means that you and your wife are ignorant about it.

I did use my medical card before but the bill never shown different rate or higher that stated on the room rate chart.
leonard73
post May 31 2014, 02:12 PM

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QUOTE(supersound @ May 30 2014, 10:10 AM)
When I bought GE, 2 Prudential agents approached me and said GE can void an insurance policy at any 1 time at their discretion while Prudential won't simply void. Even if Prudential void, I'm still covered as I'm covered based on the hard copy policy. So quickly I changed it.
After a year, then another Prudential approached me and keep on discriminating 1st agent's way of selling policies. My medical coverage are very low and he can change it for me. So my medical card's coverage increased.
When I want to do a small operation and apply to claim it, stated on the policy I can claim. But to my surprise, I can't claim unless I lost that part due to severe infection.
So at the end of day, paid close to rm12000 and I can't enjoy any benefit from it and I have to pay rm6000 by my own.
And a policy will depreciate by its own and not like you said. Room rates are higher over the years and the medical card can't cover full amount. Like for a rm200 monthly package, room rate only cover rm150. Just a simple private hospital's 4 bed sharing already rm250 just the bedthis year vs last year of rm220. Food are counted differently.
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You are just being struck with bad lucks nod.gif shocking.gif
leonard73
post May 31 2014, 02:17 PM

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QUOTE(supersound @ May 29 2014, 10:20 PM)
If you can get 1, by that time your 2 legs are straight already.
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Don't lock yourself up in a dark room, to be honest, I did meet 1 and thanks to him, I have a better knowledge what is insurance, how to avoid misleading information (sales tactics), how to choose the right package for myself including through this forum and how to avoid high insurance charges with better coverage but yet I am still learning as insurance changing from time to time. Don't be ignorant as you said. rclxms.gif
leonard73
post May 31 2014, 03:31 PM

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QUOTE(supersound @ May 31 2014, 03:18 PM)
Pay by cash and see how they charge. Even if the room rate never change, consultation fees also they will charge more. As long as you used 1 time medical card, the rate already different from you pay by cash.
All this info are discussed by my wife and her room mate when she was admitted.
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Same doctor with same sickness? How we can be justify as each doctor have their own charges, same like servicing a benz and a proton car. I am not saying that you are wrong and I also believe there is a board of fees range charged per case. Example like lawyer, consultant, architect, doctor and others professional board.
leonard73
post May 31 2014, 04:09 PM

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QUOTE(supersound @ May 31 2014, 03:35 PM)
Same doctor with same sickness.
And my wife got extra service compare to her room mate, she always got sms from the doctor, on offering new checkup package.
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Sounds like your wife is a good potential customer than those who use medical card. rclxms.gif
leonard73
post Jul 12 2014, 10:35 PM

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Mnet, That are most common insurance agent attitude by acting hard which is try to cover their weaknesses, divert question they can't answer, others plan better than theirs and etc.

 

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