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 medical / critical illness insurance enquiry

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cybermaster98
post Aug 10 2010, 04:48 PM

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QUOTE(mfitri77 @ Aug 10 2010, 04:42 PM)
Can anybody here point out which general medical card that doesn't have this pesky, problematic clauses. From which provider?

A cursory glance shows that :-

Tokio Marine - 12 months you don't claim, then guaranteed renewal.

Allianz General - 2 years, if claim the subject to exclusions.
*
No such exclusions in Prudential. Im not an agent by the way.
abbey
post Aug 10 2010, 06:49 PM

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QUOTE(PJusa @ Aug 10 2010, 01:02 PM)
if you need a list of reputable companies that *do not* increase premiums based on your personal claims experience but only on the overall base of the insured (which is how it should be done!) you may ask me or scroll back. i have posted a list before.
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PJusa,

If I am aged 31 and have a max budget of RM750 per year for insurance, can you please suggest a few standalone medical cards that are:
a) guaranteed renewable
b) do not increase premiums based on my personal claims
c) offers as comprehensive coverage as possible
d) deductible plans can be considered

Thanks smile.gif

This post has been edited by abbey: Aug 10 2010, 07:02 PM
PJusa
post Aug 10 2010, 09:35 PM

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to the best of my knowledge the following insurances from the general insurance segment offer medical insurances that are

a) guaranteed renewable &
b) will not have any sort of loading / premium adjustment based on individuals claims experience (naturally adjustments based on entire portfolio will take place):

AXA SmartCare Optimum
AXA SmartCare Executive
Allianz EB MediShield Plus
Allianz Care Individual (Only after no claims for first two years)
AIA ExcelCare Plus
Kurnia MediGuard Value (until age 65)
Kurnia MediGuard Premier (see above)
MAA / MAA Takaful MedicaLife 207
MAA / MAA Takaful MedicaGen 200
Multi-Purpose Insurans Bhd Multi Medi-Plus (after two years)
Pacific Insurance Bhd. Medipac
Pacific Insurance Bhd. medi-major
Tokio Marine Insurans (M) Bhd Medic Plus (after 12 months no claims)
Tokio Marine Insurans (M) Bhd Premier Medic Partner (after 12 months no claims)
RHB MediSure (two years no claims required)
UOB Ideal Care
IKHLA Medic Assist Takaful
Manulife Manucare100

for others i wasnt able to confirm that renewal is guaranteed and no loading for individual claims experience is assured. so the list might not be comprehensive!

any errors or omissions, feel free to correct me. i already noted prudential might belong to this list as well (even though i was only looking at general insurance not life).


Added on August 10, 2010, 9:48 pmabbey,

for 750 p.a. 31yrs female there is plenty of options from the general insurance line but bear in mind that premiums will increase sharply as you grow older. if you only want to spend an average 750 p.a. until say 65 your options will be much less!

you can refer to the above options if you like. you might want to look into the option of combining a low no deductable policy with a policy with a significant deductable to allow for a burst in time of need. your mileage may wary. i personally like the combination of AXA SCO with Tokio Marine Medic Plus. Pacific's medi-major is also a good deductable top-up plan.

The nice thing about AXA is the lack of a lifetime limit. especially usefull if you start young and intend to stay with them. their cancer & dialysis benefits are sucky when used as outpatient. if you choose axa and want to cover that too you need a deductable policy that covers cancer and dialysis to a satisfactory degree.

you should toy with the options of just one insurance and then compare with what you can buy as combo policies. see which options covers you better and fits your budget. you should not have a problem to cover at least 100k annual limit with your budget. the final decision is up to you - it will depend on the small differences in terms of "above the regular cover" and how they matter to your personally. if you insure yourself direct, you can ask for 15% discount (agent comission). most if not all companies will give it to you. that way you can effectively cover about RM 880 of policy value with RM 750!

hope this helps.


This post has been edited by PJusa: Aug 10 2010, 09:48 PM
chew_ronnie
post Aug 11 2010, 10:36 AM

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QUOTE(abbey @ Aug 10 2010, 06:49 PM)
PJusa,

If I am aged 31 and have a max budget of RM750 per year for insurance, can you please suggest a few standalone medical cards that are:
a) guaranteed renewable
b) do not increase premiums based on my personal claims
c) offers as comprehensive coverage as possible
d) deductible plans can be considered

Thanks  smile.gif
*
I think Tokio Marine's General Med Card is the way to go as PJusa as pointed out. Others are just not as good. This is my personal opinion.
jutamind
post Aug 11 2010, 09:30 PM

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is there any medical card from general insurance companies that covers existing medical conditions with loading?

as far as i know, general insurance co will just exclude the disease from coverage....
PJusa
post Aug 11 2010, 09:51 PM

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jutamind,

in my experience the answer depends on the pre-existing condition. even if initially an exclusion might be offered you can get in touch with underwriting to negotiate a loading. naturally this is easier for small issues and harder (or next to impossible) for serious issues. afterall the insurance wants to insure risk not certainty wink.gif

some insurances might (depending on what is the condition) offer a full coverage if condition does not show any issues for a specific period of time - even without loading. this mostly refers to the high end products and international companies and small issues, otherwise severe (!) loadings would be imposed which often makes an exlusion the smarter choice. there is however no harm in talking to the company in question. i would like to see more loadings and less exclusions but its a problematic situation - afterall the insured waited and now the boat is sunken. why should the rest of the insured parties and the insurance pick up the future bills when you didnt insure against the risk before?
jutamind
post Aug 11 2010, 10:02 PM

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QUOTE(PJusa @ Aug 11 2010, 09:51 PM)
jutamind,

in my experience the answer depends on the pre-existing condition. even if initially an exclusion might be offered you can get in touch with underwriting to negotiate a loading. naturally this is easier for small issues and harder (or next to impossible) for serious issues. afterall the insurance wants to insure risk not certainty wink.gif

some insurances might (depending on what is the condition) offer a full coverage if condition does not show any issues for a specific period of time - even without loading. this mostly refers to the high end products and international companies and small issues, otherwise severe (!) loadings would be imposed which often makes an exlusion the smarter choice. there is however no harm in talking to the company in question. i would like to see more loadings and less exclusions but its a problematic situation - afterall the insured waited and now the boat is sunken. why should the rest of the insured parties and the insurance pick up the future bills when you didnt insure against the risk before?
*
thanks for the insight, pjusa....never thot of being able to negotiate for insurance policy.

i've recently sign up for TM Medic Plus as a supplementary med card, but with exclusion of hypertention and its related diseases due to my med condition. I guess it's too late now to nego but for next year's renewal, i might ask for coverage of hypertension with loading if it's possible.
abbey
post Aug 12 2010, 12:21 AM

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PJusa,

Thanks a lot. It's RM750 for my current age, not RM750 on average in my lifetime. I've spend a few hours researching the plans you listed. Have seen the premium and benefits schedule for all of them, except RHB MediSure and Manulife Manucare100 - the schedules are not on their websites doh.gif

So far, only two plans made it to my shortlist - Axa and TM Medic Plus nod.gif


Added on August 12, 2010, 12:25 am

chew_ronnie,

TM's card is indeed value for money nod.gif


Added on August 12, 2010, 8:24 am
Now, I have to decide which of this 4 combos I should take hmm.gif
1. only the RM150k Tokio Marine Medic Plus plan - My employer's measy RM5k per annum hospitalisation benefit can partly offset the RM10k deductible.
2. RM100k Axa plan + RM150k TM Medic Plus plan - Fits my budget nicely, but I feel that RM200k Axa plan, at a couple of hundred RM more, offers far better value for money.
3. RM200k Axa plan + a cheap cancer protection or CI plan
4. RM200k Axa plan + RM150k TM Medic Plus plan - more than I budgeted for, but considering the rate of medical inflation, this combo should ensure I still have adequate coverage 20 years from now, hopefully.

This post has been edited by abbey: Aug 12 2010, 08:30 AM
leongal
post Aug 12 2010, 10:36 AM

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are there stand alone critical illnesses policies here? what are some companies that provide such coverages? would like to know....thanks
PJusa
post Aug 12 2010, 01:30 PM

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abbey,

if you can afford i would go for option 4 - pretty much for the very reasons you stated. i havent come across a cheap cancer protection plan that beats TM Medic Plus. also note you only need to cover for AXA's lousy outpatient benefit there. cancer hospitalisation is covered.

if you want i can give you the benefit overview for the missing plans but i dont think you will be impressed by them.

leongal,

yes there are - pacific and AIA. easy to compare since i only know two.
abbey
post Aug 12 2010, 06:48 PM

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QUOTE(PJusa @ Aug 12 2010, 01:30 PM)
abbey,

if you can afford i would go for option 4 - pretty much for the very reasons you stated. i havent come across a cheap cancer protection plan that beats TM Medic Plus. also note you only need to cover for AXA's lousy outpatient benefit there. cancer hospitalisation is covered.

if you want i can give you the benefit overview for the missing plans but i dont think you will be impressed by them.
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I am leaning towards option 4 as well smile.gif

Yes, please give me the benefit and premium overview for RHB MediSure and Manulife Manucare100.

I asked Manulife's customer service to e-mail me the brochure, but she insisted on getting an insurance agent to contact me doh.gif


PJusa
post Aug 12 2010, 08:20 PM

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abbey,

PMed you the details with premiums, current and average until age 65. hope this helps.
abbey
post Aug 12 2010, 09:00 PM

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QUOTE(PJusa @ Aug 12 2010, 08:20 PM)
abbey,

PMed you the details with premiums, current and average until age 65. hope this helps.
*
Yes, it helps. Thanks! smile.gif
leongal
post Aug 12 2010, 10:42 PM

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QUOTE(PJusa @ Aug 12 2010, 01:30 PM)


leongal,

yes there are - pacific and AIA. easy to compare since i only know two.
thank you, how about Great Eastern Living Assurance? Is it a stand alone critical illness policy as well? smile.gif

PJusa
post Aug 13 2010, 08:12 AM

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leongal,

i dont think so - GE to my knowledge only sells life + riders and no standalone. i would have to check - cant find the product on the website. do you have a link for me?
LightEnchanter
post Aug 13 2010, 11:41 AM

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hi, i'm kinda not sure how does the deductible works, i know that it's the amount of money we have to pay to hospital first, TM mediplus brochure stated that the deductible amount is 5k if confined to government hospital, but what if the health cost incurred is less than 5k? "Per disability" does it mean only have to pay one time per disability regardless the number of claims?

This post has been edited by LightEnchanter: Aug 13 2010, 11:44 AM
leongal
post Aug 13 2010, 12:01 PM

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QUOTE(PJusa @ Aug 13 2010, 08:12 AM)
leongal,

i dont think so - GE to my knowledge only sells life + riders and no standalone. i would have to check - cant find the product on the website. do you have a link for me?
*
oh, one agent from ING says there is standalone critical illness policy also from ING

so complicated, they use different terms to represent their policies and call it standalone..... blink.gif
PJusa
post Aug 13 2010, 01:27 PM

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leongal,

let me know if you get a brochure. i am interested to find out too. i have emailed all insurance companies around 1 year ago and asked for standalone CI policies. the two i mentioned were the only that replied with an offer.

LightEnchanter,

deductable per disability means just that. you need to pay the first 5k/10k of each and every disability. if you are confined for more than one disability, then the cost would be seperated as to each disability. any amount exceeding the deductable would be borne by the insurance (if the condition is covered and you still have money on your annual/lifetime limit). the rest would have to be borne by yourself or a second healthcare policy that you might or might not have.

if the deductable applies only once per disability then normally you wont have to pay for later confinements if the limit has already been exceeded. you might want to double check if the deductable is applicable per policy year and disability or per disability for the entire period of the insurance. the later would be the better option, the first would make it cheaper though wink.gif

This post has been edited by PJusa: Aug 13 2010, 01:29 PM
abbey
post Aug 14 2010, 08:39 AM

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PJusa and other LYN forumers,

I got this from the Axa Affin SCO product disclosure sheet:

QUOTE
Geographical Territory
All benefits provided in this Policy are applicable worldwide for twenty-four (24) hours a day.

Overseas Treatment
If the Insured Person elects to or is referred to be treated outside Malaysia by the Attending Physician, benefits in respect of the
Treatment shall be limited to the Reasonable and Customary and Medically Necessary Charges for such equivalent local Treatment in
Malaysia and shall exclude the cost of transport to the place of Treatment. Reasonable and Medically Necessary Charges shall be
deemed to be those laid down in the Malaysian Medical Association’s Schedule of Fees.

Overseas Residence
No benefit whatsoever shall be payable for any medical Treatment received by the Insured outside Malaysia, Singapore or Brunei, if the Insured resides or travels outside these countries for more than ninety (90) consecutive days.


Does this mean a person with Axa Affin SCO card can go work in Singapore and if she gets hospitalised in that city state, she can claim full reimbursement from Axa Affin in Malaysia?

For exp. if her SCO annual limit is RM200k, and her bill from a hospital in Singapore is S$60k (assuming exhange rate of S$1 = RM2.30), can she claim RM138k from Axa Affin? Or is she entitled to only RM60k? hmm.gif
PJusa
post Aug 14 2010, 09:22 AM

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you can only claim up the amount that would have been charged in malaysia as reasonable and medically necessary. so if you would have been charged 138k in malaysia then you could claim that amount. if the charge in malaysia would have been 10k you can only claim those 10k. so that's the first catch.

but you should double check with axa if you really can work in singapore and enjoy the malaysian cover. i think it should be possible from the terms i know but i am not to sure as i never had to seriously check on this scenario - so there might be something i'm not aware off smile.gif

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