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 medical / critical illness insurance enquiry

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ajau
post Aug 14 2010, 09:07 PM

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QUOTE(PJusa @ Aug 14 2010, 09:22 AM)
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
*
The term "resides or travels outside these countries for more than ninety (90) consecutive days" should cover you if you are working in S'pore. However you need to make sure before 90 consecutive days expire, you must go back to Malaysia. I believe AXA will request your photocopy of passport to confirm you are not staying more than 90 consecutive days in Malaysia to reimburse your medical bill. This is what I've been told in Prudential training.

Anyway, it's good if you double check with AXA. Not sure if they do the same.
Brother Nick
post Aug 15 2010, 09:58 PM

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QUOTE(ajau @ Aug 14 2010, 09:07 PM)
The term "resides or travels outside these countries for more than ninety (90) consecutive days" should cover you if you are working in S'pore. However you need to make sure before 90 consecutive days expire, you must go back to Malaysia. I believe AXA will request your photocopy of passport to confirm you are not staying more than 90 consecutive days in Malaysia to reimburse your medical bill. This is what I've been told in Prudential training.

Anyway, it's good if you double check with AXA. Not sure if they do the same.
*
Yes. It is the same. I'm from AXA.
almeizer
post Aug 16 2010, 10:09 AM

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Hi all, I'm looking for Whole Life Non Par policy with coverage of 100k life/TPD and 100k Critical illness.

I'm 27, non smoker, please send me quotation to almeizer@yahoo.com. Thanks all.

This post has been edited by almeizer: Aug 16 2010, 11:42 AM
ajau
post Aug 18 2010, 12:32 AM

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Hi everyone,

Prudential has launched a new medical card rider for its PruHealth Medical Card with up to 250K Annual Limit (2.5 Million Lifetime Limit):

PRUmedic overseas
You can seek medical treatment for 5 types of covered conditions in Singapore, Hong Kong and China.

PRUmedic auto upgrade
Upgrade PRUhealth AUTOMATICALLY to the next plan level on the 5th and 10th year this benefit anniversary regardless of the customer’s health condition and any previous medical claims made (subject to terms & conditions).

Options for higher deductible
Your customer can now choose between existing co-insurance, RM 3,000 or RM 10,000 for PRUhealth. For those with existing medical plan, PRUhealth with higher deductible is an ideal choice as a top-up medical plan.

Kindly refer to this thread.

This post has been edited by ajau: Aug 18 2010, 09:20 AM
Veda
post Aug 18 2010, 01:20 AM

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This post has been edited by Veda: Aug 18 2010, 06:51 AM
happy_gal
post Aug 18 2010, 01:26 PM

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hey pls advice if this is too expensive or not..

i've recently signed up for insurance with Great Eastern.. bt im feeling that its quite expensive..

my agent got me an investment linked plan with riders.

The rider is medical card, 36 illness, woman illness

Per month i have to pay rm358... rm4300 per year wor...

sumore credit card already deducted the 4300 bt then i havent signed the policy because my agent told me she is getting the medical report from the doctors.. (yes, i have done a sugery for breast lump which is not dangerous 1 and endoscopy)

so now basically they exclude me what also i dunno yet wor.. bt i pay already.. if lets say they exclude me too much i buy for what wor.. bt the money they already collected .. i feel that im at the losing end leh..

i ask her can i get the money rm4300 back if i dont agree to the exclusions, she say can.. can give back wor.. bt i scared later she give back oni 70%??... 60%?...
PJusa
post Aug 18 2010, 02:54 PM

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happy_gal,

what kind of insurance did you intend to get? did you ask for investment linked + medical riders + CI etc? those policies do cost around the amount quoted. wether or not you need them would be a thing to question. my personal opinion is that in most cases you dont need them and a more properly thought out coverage does benefit you in terms of cover and costs.
happy_gal
post Aug 18 2010, 03:52 PM

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actually i oni wanted the medical card, 36illness and woman's illness.. bt then i hear from my friends they oni pay rm200 or less for those..

why my agent go and quote me so high 1...

more angry is... do i really need to be covered so high up till 900k for the medical card when im oni 25yrs old??... dun think so rite..

This post has been edited by happy_gal: Aug 18 2010, 03:53 PM
ajau
post Aug 18 2010, 04:21 PM

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QUOTE(PJusa @ Aug 18 2010, 02:54 PM)
happy_gal,

what kind of insurance did you intend to get? did you ask for investment linked + medical riders + CI etc? those policies do cost around the amount quoted. wether or not you need them would be a thing to question. my personal opinion is that in most cases you dont need them and a more properly thought out coverage does benefit you in terms of cover and costs.
*
I don't think investment linked policy is too expensive. So far I found this comprehensive all in one policy is cheaper compare to take one policy per each coverage.

I'm not really sure what is the coverage given by GE in this case (happygal). Probably the coverage is lots. Or maybe there is some element of "saving" inside is huge.

The advantage about investment link is the payor benefit cover all the benefit in the policy. As example, if you are diagnosed with CI or TPD, your whole policy is FREE (Payor benefit pay the premium for you), therefore you can enjoy other benefit such as life, medical card, etc for FREE.

For around RM150 (age of entry less than 35), usually you can get Death/TPD/CI abt 50k - 100k, medical card with R&B 200, Payor benefit and perhaps some other benefit like hospital allowance, accidental benefit, lady illness etc.

I'm glad if somebody can share their experience getting separate policy Death/TPD/CI, Medical Card, Hospital Allowance for less than RM 150. I tried to find but I couldn't.


Added on August 18, 2010, 5:00 pm
QUOTE(happy_gal @ Aug 18 2010, 03:52 PM)
actually i oni wanted the medical card, 36illness and woman's illness.. bt then i hear from my friends they oni pay rm200 or less for those..

why my agent go and quote me so high 1...

more angry is... do i really need to be covered so high up till 900k for the medical card when im oni 25yrs old??... dun think so rite..
*
It's good to have a better coverage of medical plan if you have budget. We never know when we need those. You should allocate 10% of your salary for insurance coverage.

Maybe the agent quote you based on the Room & Board Limit. Usually people prefer to stay in a single bedded. Currently, most normal hospital, single bedded will cost around RM200 per day. However this is not the case for Gleneagles, Pantai, KPJ Damansara Specialist. The single bedded there is RM230 per day. Bare in mind that, this R&B is important, because some insurance company charge co-payment if you are staying at a room not within your entitlement. Some, you just need to pay the different.

Anyway, the annual and lifetime limit is also important for you to observe if it is enough for you.

Always compare with others and the most important thing, is this what you want?

This post has been edited by ajau: Aug 18 2010, 05:00 PM
PJusa
post Aug 18 2010, 05:03 PM

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if you only want medical card, 36illness and woman's illness then you should insist on getting what you want and not what benefits the agent best.

you can get a good medical card and a very decent CI coverage as standalone and they will be cheaper. on top of that you can reduce CI over as needed. women's illness you might be able to get seperate from banks and whatnot. i never bothered about them too much since a good medical plan covers them too. you can use the savings to balance out the premium just nicely over time and you should end up with either less premium for the same cover (over a period of say 40 years) or with a much better cover for the same amount of money. what cover did you get from GE in terms of xk RM?

the payor benefit is not much to shout about in my book. you can always buy additional 50k CI or whatever you need to cover the premiums for the medical card. CI is very very cheap when your young. then over time you just reduce accordingly until your actual premium savings can offset the fees - and those will increase cause you can stash the savings in an account.

save extra if you go direct (if you dare to): 15% on helthcare insurance and CI (or was that 25% like PA?).
happy_gal
post Aug 18 2010, 05:26 PM

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the 1 that she quoted me.. room and board is 2 bedded leh.. sumore blardy hell have to pay about rm500 maximum if u are hospitalized wor..

like example, if u are hospitalized, the bill is Rm30k... u have to pay rm500....

she says all insurance comp also like that.. some like she intro to my dad have to pay 10% of the total bill if he's hospitalized...

like bill = 100k, my dad have to pay 10%... 10k... ON TOP OF BUYING THE DAMN INSURANCE!!!...


Added on August 18, 2010, 5:29 pmalso, i want to ask.. lets say great eastern have gotten the medical report from the hospital on my surgery and endoscopy..

then i reject their policy because they exclude me too much things already..

i want to go another cmpany to buy their policy...

can i request my agent to photocpy the medical report that Great eastern has gotten and then submit to the next company that i wan to buy the insurance from?... will it be accepted?...

This post has been edited by happy_gal: Aug 18 2010, 05:29 PM
PJusa
post Aug 18 2010, 05:51 PM

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i highly recommend you check out alternative offers. your pre-existing conditions might be an issue but will most likely just result in blanket exclusions. the statement that all insurances have co-insurance is bullshit. it just a lie. her strategy to compare with even worse co-insurance to make hers look good is just a sales pitch. i would recommend that even if you do choose GE you get yourself a respectable and honest agent if you can find one. yours doesnt seem one to me.

the medical report copy i am not sure. i am not in the industry. maybe someone with detailed insight can shed light on this?
chew_ronnie
post Aug 18 2010, 06:04 PM

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QUOTE(happy_gal @ Aug 18 2010, 05:26 PM)
the 1 that she quoted me.. room and board is 2 bedded leh.. sumore blardy hell have to pay about rm500 maximum if u are hospitalized wor..

like example, if u are hospitalized, the bill is Rm30k... u have to pay rm500....

she says all insurance comp also like that.. some like she intro to my dad have to pay 10% of the total bill if he's hospitalized...

like bill = 100k, my dad have to pay 10%... 10k... ON TOP OF BUYING THE DAMN INSURANCE!!!...


Added on August 18, 2010, 5:29 pmalso, i want to ask.. lets say great eastern have gotten the medical report from the hospital on my surgery and endoscopy..

then i reject their policy because they exclude me too much things already..

i want to go another cmpany to buy their policy...

can i request my agent to photocpy the medical report that Great eastern has gotten and then submit to the next company that i wan to buy the insurance from?... will it be accepted?...
*
Frankly speaking, for your GE investment linked policy price cannot be justified because we dunno what kind of coverage you are getting. Also we do not know what are the savings portion allocated! For your 900k medical card, it is not too big for u at 25yrs old, just bear in mind that the plan u are getting covers u for at least a double bedded hosp room.

Not all companies have co-insurance on the hospitalisation bill as PJusa has noted. Your agent is just using it as a sales pitch.

And now since GE has excluded u alot of things, and with ur medical report submitted to GE, the chances are other insurance companies may exclude the same things too. You can get back your reports and get the hospital to CTC it and can be submitted to other companies (u have take ur chance on other companies to accept your application).

Hope this helps.
abbey
post Aug 18 2010, 08:10 PM

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QUOTE(PJusa @ Aug 14 2010, 09:22 AM)
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
*
Just to let you know, I asked a TM insurance agent whether premiums for their top-up plan will be loaded based on individual claim experrience. He made a call to the company and the answer was "Yes, there'll be loading. Otherwise the premium won't be so cheap".

I'm now waiting for the sample policy contract to check if there has been any change in the wording of clause 15 since you posted about it a year back on pages 12 and 13.

If that is how TM interprets the clause, I think it'll be foolish of me to rely too much on this plan.


What I'm thinking now is to take Axa's RM500k plan with RM20k deductible (for 50% discount to premium) and no agent (15% discount to premium). Combined with TM's plan, it'll cost me less than RM700.

Some people might think I'm crazy to take two deductible plans but my reasoning is:
1. I'm healthy now and can qualify for any medical card. That might not be the case in the future. So it's smart to lock in the best plan now.
2. Taking the RM500k plan will definitely protect me from medical inflation, unless Malaysia goes the way of Zimbabwe.
3. Axa customers are allowed to convert from deductible to non-deductible once in their lifetime. I'll convert to non-deductible once I "make it" financially.
4. Although it's painful ... push comes to shove ... I can afford to pay RM20k upfront. Just need to carry debit card with at least RM20k in it.

I'll keep TM's top up plan but it'll be strictly for outpatient cancer and kidney treatment only.


Added on August 18, 2010, 8:16 pm
QUOTE(ajau @ Aug 14 2010, 09:07 PM)
The term "resides or travels outside these countries for more than ninety (90) consecutive days" should cover you if you are working in S'pore. However you need to make sure before 90 consecutive days expire, you must go back to Malaysia. I believe AXA will request your photocopy of passport to confirm you are not staying more than 90 consecutive days in Malaysia to reimburse your medical bill. This is what I've been told in Prudential training.

Anyway, it's good if you double check with AXA. Not sure if they do the same.
*
That should not be a problem if I'm in Singapore. I could always set foot on Johor (or Sabah/Sarawak if I'm in Brunei) every 89 days for a makan and shopping session smile.gif

This post has been edited by abbey: Aug 18 2010, 08:16 PM
PJusa
post Aug 18 2010, 09:54 PM

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abbey,

thanks for the comments. your strategy is sound. i am still insured with TM and the clause has not changed. renewal just took place and i will double check on the clause. but since i have not been notified of any changes to the blanket policy i doubt it. the staff from TM's phone in lines is - sorry to say so - grossly incompetent and a bunch of idiots who barely know their own products. the reason the policy is cheap is that is a policy with a deductable per disability. adjustments will take place on portfolio base only. i even have this assurance from TM in writing prior to signing. i would be all over them if they secretly change this clause as it would violate a few essential rights of mine (and every other policy holder). once i have the new policy documents i'll post to confirm on this (or will post to bash TM for not keeping it wink.gif )
abbey
post Aug 18 2010, 10:33 PM

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QUOTE(PJusa @ Aug 18 2010, 09:54 PM)
abbey,

thanks for the comments. your strategy is sound. i am still insured with TM and the clause has not changed. renewal just took place and i will double check on the clause. but since i have not been notified of any changes to the blanket policy i doubt it. the staff from TM's phone in lines is - sorry to say so - grossly incompetent and a bunch of idiots who barely know their own products. the reason the policy is cheap is that is a policy with a deductable per disability. adjustments will take place on portfolio base only. i even have this assurance from TM in writing prior to signing. i would be all over them if they secretly change this clause as it would violate a few essential rights of mine (and every other policy holder). once i have the new policy documents i'll post to confirm on this (or will post to bash TM for not keeping it wink.gif )
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Yes, please do. Thanks smile.gif
ajau
post Aug 18 2010, 10:35 PM

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According to Bank Negara Policies and Development, under the topic "Other Policies and Measures Implemented to Strengthen the Insurance Industry:

(iv) Medical and Health Insurance (MHI)
...
introduced co-insurance and deductibles which enables insurers to offer plans with lower premiums while promoting individual responsibility in health
spending by creating an incentive for consumers to be more discerning when considering medical treatment;


This is an industry practice to impose co-insurance/deductible. Some company call it as co-payment, and so on.

And you will also come across a word per disability which usually come with deductible option.
Co-payment usually come with per bill but only apply if you are upgrading a room beyond your entitlement.
Co-insurance usually come with per bill but if you upgrade the room, you just pay the extra on top of co-insurance

Maybe some company totally does not have this features, but I bet the premium is high. Usually the medical card that using deductible, the premium is the lowest, co-insurance maybe slightly lower compare to co-payment (based on my own study from few insurance company - you can argue on this fact might not be 100% correct)

The choice is yours. Nothing is good and bad decision. If you don't mind to pay extra RM, just go a head having piece of mind. You can compare this sth like choosing flight ticket between Air Asia and MAS. If you want to have piece of mind, just choose MAS. If you want budget, choose Air Asia. But at the end you reach your destination.

If you are interested, you can read this Research on Private Health Insurace by University Malaya Profesor. This is a scenario happening in Malaysia. And I find out it is true based on my experience. Prudential has co-insurance of 10% per bill (now you can opt to have deductible option. In future, Prudential will also have zero deductible - just waiting for the release). My clients admit to KPJ (so far Kajang and Damansara) and always get R&B discount, some time 10%, some time 20%. When I asked why there is discount, but when my friend using others medical card, no discount. The hospital said, this because Prudential is panel. But the hospital also panel to others insurance company. And I find out this is due to the other does not have co-insurance.

Usually Prudential agent will advice the customer to take hospital allowance, to compensate the 10% co-insurance, and so far I think only Prudential offer up to RM400 hospital allowance per day in normal ward and RM 800 in ICU. Correct me if I am wrong (again I just compare to few insurance company).

The trick here is sometimes you find it dis-advantages, but there is an advantages to overcome the advantages.
happy_gal
post Aug 19 2010, 02:28 PM

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QUOTE(chew_ronnie @ Aug 18 2010, 06:04 PM)
Frankly speaking, for your GE investment linked policy price cannot be justified because we dunno what kind of coverage you are getting. Also we do not know what are the savings portion allocated! For your 900k medical card, it is not too big for u at 25yrs old, just bear in mind that the plan u are getting covers u for at least a double bedded hosp room.

Not all companies have co-insurance on the hospitalisation bill as PJusa has noted. Your agent is just using it as a sales pitch.

And now since GE has excluded u alot of things, and with ur medical report submitted to GE, the chances are other insurance companies may exclude the same things too. You can get back your reports and get the hospital to CTC it and can be submitted to other companies (u have take ur chance on other companies to accept your application).

Hope this helps.
*
hmm...she sumore show us the other companies medical card terms and conditions saying u see this comp requires u to pay 10% lah.. that comp requires to pay min amount... this and that..

she's nt specific to GE... She's a financial planner so she says she can represent many insurance company wor.. i also dun quite like her service because i feel like kena cheated from her..

U know i previously bought this etiqa insurance way back 2 years ago.. then she told me.. u have to buy female insurance.. that etiqa dun cover much 1... then she go and add rider into the policy say want to buy female geh insurance.. now i think back why i sooo stupid jz kena brainwash from her..

my etiqa covers me 100k ... sumore monthly oni rm24... yearly i oni pay rm265... bt then this money cant be taken back lah consider burnt if i dont claim.. by far i feel that its quite good lor..
ajau
post Aug 19 2010, 02:49 PM

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QUOTE(happy_gal @ Aug 19 2010, 02:28 PM)
hmm...she sumore show us the other companies medical card terms and conditions saying u see this comp requires u to pay 10% lah.. that comp requires to pay min amount... this and that..

she's nt specific to GE... She's a financial planner so she says she can represent many insurance company wor.. i also dun quite like her service because i feel like kena cheated from her..

U know i previously bought this etiqa insurance way back 2 years ago.. then she told me.. u have to buy female insurance.. that etiqa dun cover much 1... then she go and add rider into the policy say want to buy female geh insurance..  now i think back why i sooo stupid jz kena brainwash from her..

my etiqa covers me 100k ... sumore monthly oni rm24... yearly i oni pay rm265... bt then this money cant be taken back lah consider burnt if i dont claim.. by far i feel that its quite good lor..
*
The etiqa insurance that you bought, is it a Personal Accident plan? If yes, it covers you 100k only if you die caused by accident. Natural death will not be covered. Maybe some compensation, usually less than 10k. Need to see the policy to confirm on this. Usually this PA plan, the money is burnt. That's why it is very cheap.
chew_ronnie
post Aug 19 2010, 02:58 PM

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QUOTE(happy_gal @ Aug 19 2010, 02:28 PM)
hmm...she sumore show us the other companies medical card terms and conditions saying u see this comp requires u to pay 10% lah.. that comp requires to pay min amount... this and that..

she's nt specific to GE... She's a financial planner so she says she can represent many insurance company wor.. i also dun quite like her service because i feel like kena cheated from her..

U know i previously bought this etiqa insurance way back 2 years ago.. then she told me.. u have to buy female insurance.. that etiqa dun cover much 1... then she go and add rider into the policy say want to buy female geh insurance..  now i think back why i sooo stupid jz kena brainwash from her..

my etiqa covers me 100k ... sumore monthly oni rm24... yearly i oni pay rm265... bt then this money cant be taken back lah consider burnt if i dont claim.. by far i feel that its quite good lor..
*
Dun worry, as of now we still cant tell wheather ur GE policy is worth or not! So now u have cancelled ur GE policy? If not, pls list out all the riders and benefits and we can help you see whether is it what u wanted!

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