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 medical card, need more information about it

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this_is_it
post Mar 15 2013, 02:10 PM

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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And the common feedback, the plan or medical card outdated/ not really good, better do something on it..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) Annual Limit
3) Life Time Limit
4) Term of Coverage
5) Co Insurance
6) Surcharge if exceed room and board
7) 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.

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I don't want to go too deep for this part, just surface information which should be enough for us to analyse the H&S plan by ourselves.

1) Limit for Outpatient Cancer Treatment / Kidney Dialysis
You have to fork out the money from your pocket for above treatment once it reaches the claim limit.
Needless to say, those H&S plan which set limit for above treatment are not recommended.

2) Annual Limit **
The insurer has tried their very best to enhance the product in this competitive market. Guess what, there are some H&S plan in this market comes with no annual limit, subject to T&C. With this enhancement, all other medical cards w/o this feature are basically obsolete

3) Life Time Limit
At least 500k/ 1mil (pretty subjective) , to ensure the medical expenses is adequate, esp for long term disease.

4) Term of Coverage
At least 80 years old. Certain plan cover up to 70 years old only, so who's gonna pay for the medical bill if a claim made after 70 years old ?

5) Co Insurance
Some insurer impose 10% co insurance with minimum charge & maximum capping (normally inpatient), whichever is lower OR without maximum capping (normally outpatient),

6) Surcharge if exceed room and board
Some insurer impose 20% co-payment with maximum capping, whichever is lower

7) Cost of Insurance
The cost of the medical card, that can be vary much esp age catching up although the coverage is about the same. Considerate medical protection is one of the essential role for retirement planning, thus it's important to make sure the cost is not too high.


In next post we shall narrow the topic to the medical plan of each insurer

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This post has been edited by this_is_it: Apr 1 2013, 12:03 AM
this_is_it
post Apr 8 2013, 11:53 PM

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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)



this_is_it
post Jun 26 2013, 12:55 PM

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AIA's medical plan is totally not recommended as the outpatient cancer treatment and outpatient kidney dialysis is capped at certain amount.
In other words, the life assured need to fork out his own money for above treatment once it reached the limit.
Old plan is even worst.

Technically speaking, Unlimited lifetime limit sounds more advantage.
However, there are many more consideration factors which are definitely more important.

To make the long story short, may i suggest to go though the earlier post which discuss about Allianz's latest medical card.

Hope it helps :-)


QUOTE(bearbear @ Jun 25 2013, 04:29 PM)
How bout AIA?

was introduced to this medical card with 'saving' kinda feature, also to deduct the 3k category for income tax deduction

RM150/month commitment for 27 y/o

1. Unlimited lifetime claim
2. RM100k yearly limit *Bonus for non-claim, 20% limit increase for every unclaim year
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this_is_it
post Jun 26 2013, 01:07 PM

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A little sharing pertaining to portfolio withdrawal option for Hospital & Surgical plan, esp for P company.

In old days, some agents tend to emphasis this clause and in worst scenario, they may asked the client to withdraw/surrender the medical plan and switch to their company. Indeed, some ppl felt more secured w/o such clause and they actually did so.

No right or wrong.

Nevertheless, refer to the latest policy of P company, it says

1.1 This Annesure and the insurance cover that we describe here shall terminate automatically when :
a) xxx
b) xxx
c) xxx
d) xxx

1.2 "If we terminate this Annexure, it shall not affect any claim that XXX "


FYI, item 1.2 was not seen in old policies of P company.

So, how's it really elaborate?

Well, You probably need to find that out yourself, heheeeeee

this_is_it
post Jun 26 2013, 01:24 PM

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By the way, Allianz has withdrawn the "portfolio withdrawal option" for its latest medical plan.

A very very important to highlight here again, this thread mainly discuss on medical card comparison.

After analyse these insurers - Allianz. Manulife, GE, Pru, Uni Asia, HLA,
i come out with a conclusion that Allianz's hospital & surgical plan is highly recommended after consider all benefits based on my priority.

Indeed, you may determine yours after you compare/consider every little single aspects too.

Nevertheless, every insurer has its own killing products. For instance :

1) life coverage - the definition is basically the same among insurers, so which insurer offer the best? A little tip here, look into the cost of insurance, you will be really surprised that the cost can be vary so much !

2) Critical Illnesses - i) conventional: cover 36-39 events ii) early: cover 67 to 100+ events
Very very big topic, we better discuss in other thread.

3) PA - a lof of things to discuss too

4) Female Disease & Mother's care

5) etc etc


Hope it clarifies :-)

This post has been edited by this_is_it: Jun 26 2013, 01:25 PM
this_is_it
post Jun 26 2013, 01:29 PM

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AIA has limit for outpatient cancer treatment & outpatient kidney dialysis treatment.
ING has 2 types of medical card (as far as i concern)

I would rather suggest the new ING H&S plan with 10 times lifetime limit, but comes with co-insurance if I'm not mistaken.
The old main remain 3 times lifetime limit, but no co-insurance.

Nevertheless, both are not the best, or even second best.


QUOTE(Simon-goh @ Apr 12 2013, 02:52 PM)
AIA or ING better?
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This post has been edited by this_is_it: Jun 26 2013, 01:35 PM
this_is_it
post Jun 26 2013, 01:34 PM

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Since i touched about outpatient cancer treatment & outpatient kidney dialysis traetment

A little inconvenient truth to share.

You MUST review you hospital surgical plan if you insured via
1) A company ( a lot of recruitment advertisement lately..)
2) M company
3) G company (for policy issued before 2010, i supposed, forgot when they revised the plan d)
3) Any companies if the last update was done more than 7 years ago

this_is_it
post Jun 28 2013, 02:52 PM

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Don't think you can add the new rider into such old plan.
Anyway, you can easily get confirmation from the insurer by email them, as well as ask them to appoint you a new agent

I think there are many agents here are happy to share you their company's medical plan,
perhaps you can do some comparison first before decide which to take.

Also, you may need to consult them if it's better to take standalone medical plan or (life + medical rider)


QUOTE(RRR @ Jun 28 2013, 02:21 PM)
Hi guys,

I'm planning to get medical card for my wife as well as myself.
Currently both of us are having life insurance policy with Allianz, is it possible to be add on to our current policy?
My policy since 1995 & my wife since 1997.

Thanks in advance for you guys kind consideration.
BTW, I have lost contact with my agents & I'm staying in Sg Petani.
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this_is_it
post Jun 28 2013, 05:21 PM

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Well, have had heard too many similar complaints.

If it's a endowment plan, it should stated somewhere the years of premium payable, eg 15 or 20 years.

Thus, i have reason to believe it's a whole life plan, instead of endowment plan
To confirm it, pls look into the maturity date and the years of premium payable.
Besides, you should b able to see the word - participation.


In regards of the 11 years, it calls critical years, in the situation where the dividend/bonus is sufficient to cover the premium after certain years, and therefore you can stop paying. However, most of the times it doesn't work out, probably that's the reason the word "critical years" is no longer in used.

Thus, what you need to do now is to check last year statement on the dividend/declared.
The amount should be at least 60-70% of the premium, isnt? ( if you have been cont paying throughout the years)


QUOTE(RRR @ Jun 28 2013, 04:54 PM)
Hi Bro,

Thanks for the heads up, yup been thinking of maybe surrendering the old policy & getting new, if no other options.
Been paying for nearly 20yrs but not even 40% in cash value.
I believe during that period, mine is called Endowment Plan, paying 11 yrs, policy will continue by itself (base on 8% projection).
Anyway hope to get fruitful input from you guys.
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This post has been edited by this_is_it: Jun 28 2013, 05:27 PM
this_is_it
post Jul 4 2013, 12:41 PM

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And not to forget ask your friend to bring along the statutory declaration form to sumpah (commission of oath).
She can get the form by email partner@allianz.com.my or request it from Allianz's agent.

After that, pass the form + IC to Allianz's service centre / agent.

QUOTE(maggi @ Jul 4 2013, 12:17 PM)
blush.gif  i missed his reply bcoz he wasn't clicked reply on me.... thx  thumbup.gif
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This post has been edited by this_is_it: Jul 4 2013, 12:44 PM
this_is_it
post Jul 4 2013, 12:52 PM

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Yeah, PruFlexiMed is definitely one of the best medical plan in the market.

Prudential - the most innovative insurer~

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
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This post has been edited by this_is_it: Jul 4 2013, 06:42 PM
this_is_it
post Jul 4 2013, 01:07 PM

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Definitely worth it ! The cost of insurance is deem low.
It's rare but undeniable that there are incidents where the annual claim could reach RM300k-400k within couple of months for 3rd or 4th stage cancer treatment.

I totally agree with ExpZero that 10% increment is good in hedge against medical inflation, but may not the best solution for sky high claim within the policy year, isnt? :-)

QUOTE(ExpZero @ Apr 12 2013, 05:54 PM)
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.
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this_is_it
post Jul 4 2013, 01:12 PM

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I suppose each insurer has they killing products ... ?

GE has been very hot in supreme livin care
PRU investment linked
ING medical plan, used to
HLA, saving/income plan, recently ( a very very misleading term)

etc etc

QUOTE(great.eastern @ Apr 12 2013, 06:02 PM)
Why other insurance company does not apply unlimited lifetime limit?
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