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 medical / critical illness insurance enquiry

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PJusa
post Sep 23 2010, 07:05 PM

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jack208,

not an agent but here it goes: 3) its guranteed after 12 months. if you exceed one year of coverage you're locked in.

i would ask them for a in-house takeover to Premier MedicPartner, normally wont be a problem and probably they will waive all waiting periods for you. other insurances would probably do the same though.

jutamind,

since you are diagnosed with hypertension it wont be possible to get an additional insurance that covers this or related. the sup card is not bad, annual limit a tad low for my taste but it should under most scenarious hold.

other question: do you have additional money to buy more insurance. if yes, consider a policy excl. hypertension and related with a deductable as a burst option for a scenary going really bad where you're limits are used up. it would be pretty cheap to get another 3/4 M of lifetime coverage and would give you a lot of breathing room just in case.
jutamind
post Sep 23 2010, 09:38 PM

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QUOTE(PJusa @ Sep 23 2010, 07:05 PM)
jutamind,

since you are diagnosed with hypertension it wont be possible to get an additional insurance that covers this or related. the sup card is not bad, annual limit a tad low for my taste but it should under most scenarious hold.

other question: do you have additional money to buy more insurance. if yes, consider a policy excl. hypertension and related with a deductable as a burst option for a scenary going really bad where you're limits are used up. it would be pretty cheap to get another 3/4 M of lifetime coverage and would give you a lot of breathing room just in case.
*
i do have some budget for insurance and that's i'm reviewing my med coverage.

my first med card of 90k/300k do cover hypertension since i bought it way before i was diagnosed with hypertension. For cancer related diseases or other major diseases, i believe my current coverage of CI 100k and supp med card 150k/750k should be able to cover the expenses. My only worry is hypertension related diseases such as heart attack etc since my only coverage is from my first med card 90k/300k and CI 100k. i believe this might not be sufficient in the future. also, the room & board for my first med card is only for rm150 (not able to upgrade anymore), which should be not enuf for the future.

PJusa
post Sep 24 2010, 12:03 AM

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jutamind,

you can try to shop around if you have good medical records and a clean claims record to go along with it. maybe an insurance will take you with a (hefty) loading. but most likely it's to late and you wont be able to get a cover for hypertension related. it's just too risky i guess. but i am not an underwriter. it wont hurt asking the worst that can happen is you dont get a cover.
x11r6
post Sep 30 2010, 01:18 PM

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(not sure which section to post this topic. but it is related to health/medical)

hello, i want a good yearly medical card that guarantees unlimited renewal, (even after claimed), covers pre-cancer, all types of cancer (colon, stomach, prostate, etc.. etc..), gallbladder stone, kidney stone, bypass surgery, cardiovascular diseases, stroke, diabetes, etc.. etc.. etc...

thanks in advance notworthy.gif


Edit : I heard, the perfect plan is AXA Smartcare + TokioMarine Medic Plus ?

(PS: no need savings or accident insurance)

This post has been edited by x11r6: Sep 30 2010, 01:19 PM
PJusa
post Sep 30 2010, 08:57 PM

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x11r6,

neither TM nor AXA have unlimited renewal (sadly) - age limits apply. max age for AXA is 80, less for TM.

if you want true unlimited renewal, full cover of anything, guaranteed renewal etc. and you have average around 10-15k to spare per person per year you can have just that. i named the insurances that offer this before. getting in can be a bit tideous but its absolutely workable. easiest is allianz worldwide care with some limit to annual claimable amount. totally limitless is a plan from a german's abroad association BDA (but one person in the family needs to be german - i.e. not an option) Exapt@Retired, lighthouse.asia's plan is pretty damn good and rather competitively prices if 4000-8000 is fine with your budget. you can also check the likes of william russel and BUPA but frankly their policies are very expensive and not worth the fees you pay if you need cover in malaysia (no offence to the companies offering the product, it makes sense for expats hoping countries).
x11r6
post Oct 1 2010, 09:04 AM

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hi PJusa thanks

do you mean it is up to AXA/TM's descretion whether or not to renew my policy (assuming I have claimed 2 or 3 times, and still long way to go to age 50) ?
PJusa
post Oct 1 2010, 01:02 PM

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x11r6,

sorry. we misunderstood each other or i might not have been clear.

axa: once you're in its guaranteed renewal up to the age limit (80). they have to renew you if you can pay the (regular) premium.

TM: once you're in its guaranteed renewal after 12 months of no claims (i.e. from 2nd year onwards) up to the age limit. they have to renew you if you can pay the (regular) premium.

no other ways for the insurances to get rid of you no matter how much you claim besides the regular ones (non-payment, fraud)
x11r6
post Oct 1 2010, 02:24 PM

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thanks for the explanation. all clear now!

i guess AXA+TM would be just nice huh
almeizer
post Oct 1 2010, 03:07 PM

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QUOTE(x11r6 @ Oct 1 2010, 02:24 PM)
thanks for the explanation. all clear now!

i guess AXA+TM would be just nice huh
*
In case you not aware, there's still annual limit for AXA-SCO which is the same like other but with unlimited life time limit.
x11r6
post Oct 1 2010, 03:10 PM

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im aware of that. like 100K a year. and TM to cover outpatient cancer/dialysis and other stuffs.

or are there better combination?
PJusa
post Oct 1 2010, 03:28 PM

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i think given current pricing and restrictions this combination provides the widest cover at the lowest cost in average premium RM/sum insured - especially if you take the maximum plans for both. if there a better combo, feel free to advise smile.gif once TM's policy expires there is risk involved. also if you life beyond 80, there'll be bills. if AXA doesnt extend the cover until 100 in the next 10,15 years we will be biting the bullet and switch to lighthouse.asia (hopefully in good health then so we can actually switch) since they cover until you die.
x11r6
post Oct 1 2010, 03:30 PM

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80 years old i go government hospital lor kekekekke
ok then i've made up my mind about axa+tm. thanks!
NekoRacing
post Oct 3 2010, 03:13 AM

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Hi people,

I've just finished reading this thread from early noon. I must say, reading is indeed fundamental. And I'd like to share my gratitude to the people who shared so much in this thread.

Just to reinforce my knowledge of Insurance terminology;

1. Loading: The insurance company can increase higher premium on clients who declare on certain illnesses. Is that right?

2. Deductible: E.g. 10K deductible, I will have to pay the first 10k regardless if my main card or my own pocket pays for it in order to claim, rite?

3. Guaranteed renewal: If I make my first claim, I shall be able to renew my policy as a new policy by adding premium? Because I will no longer qualify to apply for policies from another company due to my illness?

4. Btw the AXA + TM sounds like a concrete strategy but what are your plans after hitting 80, AXA + TM, how much would it cost on a monthly basis? for 27 y.o male, social smoker (*I stopped for 5 years but recently started smoking on a non regular basis)

5. According to importance ranking, should it be: Medical care > 36 CI > Life

6. Noob here, my first time dealing with Insurance. Life insurance, upon ending of the policy, the premium will be fully refunded, is this right? However for Medical and CI, it will be burnt money?


Thanks

This post has been edited by NekoRacing: Oct 3 2010, 03:19 AM
PJusa
post Oct 3 2010, 10:16 AM

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NekoRacing,

1. it's an additional premium reflecting higher risk (such as more risky employment class, preexisting illness which is not beeing excluded, etc)

2. deductable comes in two shapes:

deductable on overall claims per year: insurance pays any amount beyond X RM of total claims per year. you can claim those X RM from other places if you have additional insurance

deductable per sickness/claim: you (or other insurance) pays first X RM, insurance with deductable can claim the balance from.

3. if you are under guranteed renewal with your policy the company cannot terminate the insurance because of your claims history. as long as pay premium, are below age limit and other limits they must allow you to keep the insurance.

4. costs depend on annual limit you choose, at your age it will be a total of approx. 50 - 100 RM per month of premium cost. if you go direct you can save 15%
if you are 70, AXA max plan will set you back approx. 425 per month in todays premium. my plan is to switch to a different insurance by age of 50 if AXA is not offering this plan up to 100 years or until death. if i get sick in between i am sort of screwed but i have a special back-up-plan for that wink.gif

5. i agree. i would place PA in between med and CI or at least above life too.

6. medical / CI / PA (and in my book any insurance) is the willingness to pay the average risk costs to avoid total loss scenario. it's not burnt money but converting a risk into a certainty to a degree. life doesnt necessarily pay out anything - it depends on the product you buy (consider term-life). i dont find it usefull to combine investment and insurance due to the divergent targets of both products.
NekoRacing
post Oct 3 2010, 11:07 AM

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Hi PJusa,

1. Do you know where I can get the pricing table for AXA's SmartCare Optimum? I've only managed to download the basic information.

2. My budget is up to RM200 per month, is this enough to take AXA + TM, both maximum plan?

3. Let's say if I go direct, can I go direct for on both companies or just AXA? In the event something happens to me, an insured without an agent, would that complicate things when it comes to claiming?

4. What PA would you recommend, and what are you personally taking?

5. So what category does AXA and TM belong to? *Life or General

6. How reliable is AXA and TM when compared to GE and ING? How come so big a difference in the premium.

Sry for so many questions, I'm in my mid 20s, I can't believe I am missing out on so many things. Btw I am doing my study just like you to find out the best deal for the widest coverage, if I come across any of the companies on your list, I'll be sure to send the plans to you.

Thanks again!



Veda
post Oct 3 2010, 10:58 PM

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I've considered a few PA plans and this is my 2 sen:

About PA, I think it's useful for those with family/dependents because of:
- "accidental death benefit".
- misc benefits like funeral and bereavement and repatriation of mortal remains

But for those without dependents, I find only the following coverage useful:
- Accidental Permanent Disablement (but I believe life and maybe CI plans cover Permanent Disablement as well)
- Personal Liability
- Temporary Total Disablement
(the later two might not be available with 'cheaper' plans)

Regarding the "medical expenses" benefit, it's usually not much, usually only several thousand ringgit max .... which can be covered by a good medical card.


x11r6
post Oct 4 2010, 09:25 AM

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Veda, i subscribed to digi PA insurance, RM6 a month, 100K coverage
PJusa
post Oct 4 2010, 10:09 AM

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NekoRacing,

1. you need to google or email axa. they will give it to yo.

2. for age 25 annual premium (before 15% discount) is RM 766 for standard risk, 245 for TM = total 1011 p.a. + 20 RM stamp duty. premium is due annually. after walk in discount you pay only 859,35 + 20 so well within your budget. less than 50% of what you accounted for. save the balance for premium increments that come with age and time!

3. yes you can go direct. just call them and let them or walk in physically once. they might try to send you to an agent, just insists you want to do it directly and bluntly demand the agent comission as discount. you *will* get it. having an agent doesnt change things at all. it just means that if you are lucky, you have someone who can do the claim for you and since they have done it more often, its easier. to the insurance it hardly makes a difference. they got staff to attend to you and they will help you if got questions. its really rather painless to claim yourself. done it myself before, only had issues with MSIG on a total loss car where we disputed the value. if you're vocal also no problem - i got full payment in the end.

4. personally i take supreme PA from MCIS cause it was the only high amount cover in the market when i was shopping. now got many alternatives, all pretty much the same. discount on PA is 25%! remember that smile.gif i do agree that temporary partial disablement benefits are a good too. TM has a decent policy and so does pacific insurance if i remember correctly. it all depends on the amount of cover you need. compare the added benefits. personal liability is a good ide imho.

5. general

6. AXA is a major major player in europe (from france). no need to be scared. TM is a pretty large company from japan. also rather save. TM's hotline ppl suck big time though. if you keep control of your things its no problem though. claims are fine. dunno why the hotline ppl are so suck.
x11r6
post Oct 4 2010, 10:15 AM

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PJusa, RM245 for TM ? Is that medicplus?
PJusa
post Oct 4 2010, 11:24 AM

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its their top-up plan yes. no need for full fledged when you take another policy without deductable.

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