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

This post has been edited by roystevenung: Mar 18 2013, 08:15 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.

Yes

It depends on the MRI results. Should the report found something and need to perform any surgery then yes its claimable.

If nothing is found then sorry ( but I suppose this is good news?)

Even if the GL was being issued there is a possibility of it being revoked depending on the outcome of the diagnosis, unless it is a very clear cut case like accident.

You got PM :-)

Why is it so? What was the operation all about? How long was your GF policy? Did the agent write and declare the health declaration in the proposal form?

Sorry, you cant switch medical card per se, but you can apply for a new medical card, pass the waiting period of 4 months before deciding to cancel the other.

Mind if I ask how long has your GE medical has been in force?

http://www2.prudential.com.my/corp/prudent...rufleximed.html

Excerpt from PruFlexiMed Brochure:
PRUflexi med is guaranteed renewable but premium rates and/or insurance chargesare not guaranteed. We reserve the right to revise the premium rates and/or insurancecharges at policy anniversary by giving a 30-day notice if the actual claims experience is worsethan expected.

http://www2.prudential.com.my/corp/prudent...ting/index.html

Endownment plans are definitely not able to add in the medical.

However, since most endowment plans do give you a cash bonus at the end of the term, you may need to hold on it a little longer. When is the plan maturity period?

Insurance has and always will be for its protection values.

Even if the plan is called Investment Linked Policies it has nothing much to do with investments as its main objective is to give you protection.

Adding a medical to an endowment plan is subjected to the basic plan term.

When the plan matures, what happens to the medical?

Futhermore he already said he has been paying the endownment plan for nearly 20 years. Who in the sane mind would buy an endowment plan that only matures age 100?

See the reply by colaboy and ignore the rest. That is the proper way to get the policy replacement. The procedure is in place to protect the policy holder.

When a major claim occurs, like death or Critical Illness, the policy document is needed.

Hence keep it at a safe place and do notify the nominees where they can get it.

20% if you exceed the room eligibility? Two beded room on average nowadays costs Rm 180 unless you want to only go to Tung Shin and feel like a Banggala

Budget per month how much bos?

This post has been edited by roystevenung: Sep 7 2013, 03:54 PM

Which hospital to go is subjective bro. At times if the hospital that you go does not have the necessary equipment, the hospital will arrange for transfer.

And why la you go and compare cheap room compare la ada class sikit

If accident happen in front of KPJ and they tolak you into KPJ and their two bedded room is RM 180?

Please check your email. I had replied to you, thanks

^ 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

The room rates for the private hospitals can normally be found on their website.

http://www.kpjpenang.com/patients-visitors.php#rr

Having said that, IMO, the room rates is not something you should be worried at because the most you pay the difference of the room rates should you need to be admitted to a higher room (well unless there is a penalty of co-insurance if you stay at an upgraded room ).

For example if the upgraded room costs RM50 day x 10 days, the most you end up paying is RM500.

The more important should be the amount that is claimable during the hospitalization, eg if the surgery may costs RM 20K (accidents) or RM50k for a more serious heart condition. See where I am getting at?

This post has been edited by roystevenung: Nov 29 2013, 11:49 AM