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 medical / critical illness insurance enquiry

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Veda
post May 24 2011, 10:39 PM

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A former colleague of mine, who has 2 PA policies from 2 different insurers (I won't name the companies), was crippled in an accident.

He experienced great difficulty claiming the money from both insurers ..... Imagine a crippled man given the roundabout, being told everytime the boss was not in, etc.

One (the one with the lower coverage) finally paid after more than a year, the other is still giving excuses.


I believe insurance is necessary, but remember it is a business, not charity. I also believe one should not overpay. My coverage is pretty comprehensive ..... medical insurance, CI, PA ... yet it is less than RM100 per month.
Arsenal1980
post May 24 2011, 10:47 PM

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QUOTE(chew_ronnie @ May 24 2011, 09:35 PM)
It is normal that insurer will do investigation on this as the policy is relatively new. 2 nd thing, the insurer will investigate based on non disclosure of existing illness, because in their eyes, the bone thorn symptom will not appear straight away - it must be of existent some time ago.

Now the crucial thing is, has ur mum went to see any clinic nearby your house to consult for bone pain or not? If yes, then this claim may be complicated. If No history from clinics or hospitals, then the insurer shall pay.

This is from my past experience.
*
Thanks for the information notworthy.gif

When we about to buy the insurance, the insurance agent had done some interview with my mum. She did told him that sometimes she felt some pain on her hand and didn't actually went to clinic / hospital for consultation as the pain is minor and bearable, just went for traditional Chinese medic massage. Would that constitute non-disclosure of illness? in fact, we also suggested to the insurance agent to do a medical check up for this to avoid any future medical claims problem. Eventually, the medical check up goes well and nothings wrong with the report. Mana tahu... problem stil exists now.... rclxub.gif


Added on May 24, 2011, 10:49 pm
QUOTE(MaxWealth @ May 24 2011, 10:54 PM)
Usually paying deposit is normal. Is it cashless facilities? Not sure your medical report contains test for this sickness ornot. If yes, you can submit and accelerate the process of claiming.
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Thanks for your info... notworthy.gif

This post has been edited by Arsenal1980: May 24 2011, 10:49 PM
MaxWealth
post May 24 2011, 11:46 PM

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QUOTE(Veda @ May 24 2011, 10:39 PM)
A former colleague of mine, who has 2 PA policies from 2 different insurers (I won't name the companies), was crippled in an accident.

He experienced great difficulty claiming the money from both insurers .....  Imagine a crippled man given the roundabout, being told everytime the boss was not in, etc.

One (the one with the lower coverage) finally paid after more than a year, the other is still giving excuses.
I believe insurance is necessary, but remember it is a business, not charity. I also believe one should not overpay. My coverage is pretty comprehensive ..... medical insurance, CI, PA ... yet it is less than RM100 per month.
*
Hmm, PA usually more hard to claim. But since the 1 company payout already. Prove it to the second company and they will pay out soon.
chew_ronnie
post May 25 2011, 10:19 AM

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QUOTE(Arsenal1980 @ May 24 2011, 10:47 PM)
Thanks for the information  notworthy.gif

When we about to buy the insurance, the insurance agent had done some interview with my mum. She did told him that sometimes she felt some pain on her hand and didn't actually went to clinic / hospital for consultation as the pain is minor and bearable, just went for traditional Chinese medic massage. Would that constitute non-disclosure of illness? in fact, we also suggested to the insurance agent to do a medical check up for this to avoid any future medical claims problem. Eventually, the medical check up goes well and nothings wrong with the report. Mana tahu... problem stil exists now....  rclxub.gif


Added on May 24, 2011, 10:49 pm

Thanks for your info... notworthy.gif
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How old is ur mum? if she's over 50, it is mandatory for her do a medical check up however the check up is on her blood pressure and urine test. It will not do any checkup on her hand pain IF the agent does not write it in the application form. So pls get this clear 1st.

Will it constitute to non disclosure it really depends on how severe is the pain prior to application of the insurance.

Another question is, when ur mum went to the recent surgery on the bone thorn, did she tell the doctor that she had a pain in her hand long time ago? If doctor writes in the report that she had this pain long time ago (before she applied for the insurance) then i can foresee that this claim is void.
JerryTeh
post May 26 2011, 09:15 AM

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the doctor report will be vital for this claim,

"bone thorn" normally cause by "wear and tear"

if the report saying the cause is by "long term......."

then by law can not claim..
rockets
post May 26 2011, 12:01 PM

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QUOTE(Arsenal1980 @ May 24 2011, 10:19 PM)
It is GE.
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when did your mom bought the insurance? my agent told me usually insurance companies are very suspicious if claims are made within 2 years of buying the insurance.
kellysmith
post May 26 2011, 09:05 PM

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Hi....xuzen,

this is was my first question, when i want to buy a polish. And you know what, i buy that i doesn't need at all. I get cheat with the insurance agent. After seeking for a long time, maybe this is the best insurance review that worth for you.... it's work with me icon_rolleyes.gif

QUOTE(xuzen @ Feb 19 2009, 11:50 AM)
Hello teachers,

I am in the market to look for a critical illness insurance plan. To be precise... basic plan,  not those tied up with investment link etc.

Can you please advise?

Thank you.

Xuzen.
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albhong
post May 31 2011, 10:22 AM

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May i seek all sifu advise here. My self have a basic insurance with 50k coverage, i think is for 36 CI,death, tpd, investment link type and a seperate standalone medical card with annual limit 100k, lifetime 300k. last year, I have undergo an major surgery, cervical spine because there is a tumor (not malignant) and have done few round of check up with MRI scan. Result was better than earlier. Due to my commitment, i would like go get better protection in terms of 36CI, death, tpd and medical coverage.

May i know will insurance companies stop me from buying or any possibilities that will a insurance companies look into my case ?

chew_ronnie
post May 31 2011, 11:19 AM

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QUOTE(albhong @ May 31 2011, 10:22 AM)
May i seek all sifu advise here. My self have a basic insurance with 50k coverage, i think is for 36 CI,death, tpd, investment link type and a seperate standalone medical card with annual limit 100k, lifetime 300k. last year, I have undergo an major surgery, cervical spine because there is a tumor (not malignant) and have done few round of check up with MRI scan. Result was better than earlier. Due to my commitment, i would like go get better protection in terms of 36CI, death, tpd and medical coverage.

May i know will insurance companies stop me from buying or any possibilities that will a insurance companies look into my case ?
*
There might be a possibility that insurers WILL NOT accept your case. If you are lucky, they will accept you with exclusion to ur cervical spine or any related issues. They might impose some loading too.

However the next best thing to do is apply for a few companies at 1 go, which ever gives u the best offer, then u take it.

Let me know if u need my assistance. Thanks
mypetridish
post Jun 6 2011, 03:23 PM

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a simple question. how does great Eastern fare compared to the other insurance companies? I was approached by a GE agent and well.. agents being agents, i like what they say about the company

i try to reacall what they say about it:
1. no.1 insurance company when it comes to asset (?)
2. maximum RM500 co-payment, with Rm10,000 co-op limit, meaning after RM10,000 you only need to pay RM500 max for that claim

etc. cant remember others.
chew_ronnie
post Jun 6 2011, 04:55 PM

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QUOTE(mypetridish @ Jun 6 2011, 03:23 PM)
a simple question. how does great Eastern fare compared to the other insurance companies? I was approached by a GE agent and well.. agents being agents, i like what they say about the company

i try to reacall what they say about it:
1. no.1 insurance company when it comes to asset (?)
2. maximum RM500 co-payment, with Rm10,000  co-op limit, meaning after RM10,000 you only need to pay RM500 max for that claim

etc. cant remember others.
*
Depends on what u want. Nothing is wrong at that. Do some shopping around, u may find some others more attractive.

Let me know if u need an Allianz quote.
solicitor
post Jun 6 2011, 08:55 PM

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I am Wilson, from Hong Leong Assurance.

For your info, bigger in terms of assets size doesn't mean anything cos its not your assets and all insurance companies are regulated by Bank Negara. So you are protected if the insurance company go bust.

You should be more concern on the benefits of the policy, the turnaround time of the claims department and service of your agent.


QUOTE(mypetridish @ Jun 6 2011, 03:23 PM)
a simple question. how does great Eastern fare compared to the other insurance companies? I was approached by a GE agent and well.. agents being agents, i like what they say about the company

i try to reacall what they say about it:
1. no.1 insurance company when it comes to asset (?)
2. maximum RM500 co-payment, with Rm10,000  co-op limit, meaning after RM10,000 you only need to pay RM500 max for that claim

etc. cant remember others.
*
Fat3Twister
post Jun 7 2011, 12:17 AM

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QUOTE(albhong @ May 31 2011, 10:22 AM)
May i seek all sifu advise here. My self have a basic insurance with 50k coverage, i think is for 36 CI,death, tpd, investment link type and a seperate standalone medical card with annual limit 100k, lifetime 300k. last year, I have undergo an major surgery, cervical spine because there is a tumor (not malignant) and have done few round of check up with MRI scan. Result was better than earlier. Due to my commitment, i would like go get better protection in terms of 36CI, death, tpd and medical coverage.

May i know will insurance companies stop me from buying or any possibilities that will a insurance companies look into my case ?
*
You can actually try to apply and whether it's approved or not, it depends. Maybe some companies will approve with exclusion/higher premium. So like what chew suggested, you should actually try out all the companies and see which one gives you a better offer.


QUOTE(mypetridish @ Jun 6 2011, 03:23 PM)
a simple question. how does great Eastern fare compared to the other insurance companies? I was approached by a GE agent and well.. agents being agents, i like what they say about the company

i try to reacall what they say about it:
1. no.1 insurance company when it comes to asset (?)
2. maximum RM500 co-payment, with Rm10,000  co-op limit, meaning after RM10,000 you only need to pay RM500 max for that claim

etc. cant remember others.
*
Yes, GE has the highest amount of assets compared to other competitors. However, that isn't the main concern. For example, Tiger is currently Msia no.1 bank but in terms of service, they are last in Msia(This is not by me, it's a result of a finding).

When considering an insurance plan, the most important is knowing what you want. Cover medical fees? Income replacement? Forced savings? etc.
After that is what do you expect from an agent and whether the agent can meet your expectation.
mypetridish
post Jun 7 2011, 12:22 AM

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QUOTE(chew_ronnie @ Jun 6 2011, 04:55 AM)
Depends on what u want. Nothing is wrong at that. Do some shopping around, u may find some others more attractive.

Let me know if u need an Allianz quote.
*
QUOTE(solicitor @ Jun 6 2011, 08:55 AM)
I am Wilson, from Hong Leong Assurance.

For your info, bigger in terms of assets size doesn't mean anything cos its not your assets and all insurance companies are regulated by Bank Negara. So you are protected if the insurance company go bust.

You should be more concern on the benefits of the policy, the turnaround time of the claims department and service of your agent.
*
QUOTE(Fat3Twister @ Jun 6 2011, 12:17 PM)
When considering an insurance plan, the most important is knowing what you want. Cover medical fees? Income replacement? Forced savings? etc.
After that is what do you expect from an agent and whether the agent can meet your expectation.
*
Thanks everyone for the concise reply. I find it hard to research on the insurance company's benefits, coverage, etc since they do not list these info on the website. am I supposed to spend time listening to each of their agents to make a conclusive research?

thanks
Fat3Twister
post Jun 7 2011, 12:25 AM

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QUOTE(mypetridish @ Jun 7 2011, 12:22 AM)
Thanks everyone for the concise reply. I find it hard to research on the insurance company's benefits, coverage, etc since they do not list these info on the website. am I supposed to spend time listening to each of their agents to make a conclusive research?

thanks
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Yes, it is always good to listen to few agents and make comparison before making any decision. Or you can actually consult an independent financial adviser to provide you unbias opinions and comparisons between the insurance companies. (Look at my signature brows.gif )
SUSMNet
post Jun 7 2011, 06:43 PM

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VKA Wealth Planners which saving/endowment plan with low min yr premium but the return is highest among Great Eastern, ING, Prudential, AIA, Allianz, Manulife, Am Life Insurance, Hong Leong Assurance, Allianz General Insurance, AXA-AFFIN General Insurance, OAC?
asil66
post Jun 13 2011, 05:27 PM

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I need some advice here,

Currently, I do not have any insurance plan and am now looking for health insurance.

May I know which insurance company is the best in terms of premiums and claiming process?

Any recommended insurance plans out there that covers 36 critical illness, pa and h&s?
jutamind
post Jun 13 2011, 06:09 PM

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QUOTE(asil66 @ Jun 13 2011, 05:27 PM)
I need some advice here,

Currently, I do not have any insurance plan and am now looking for health insurance.

May I know which insurance company is the best in terms of premiums and claiming process?

Any recommended insurance plans out there that covers 36 critical illness, pa and h&s?
*
i did a short comparison among few medical cards from a few life insurance companies. you may check it out here.

SUSMNet
post Jun 13 2011, 06:15 PM

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why u promote ur blog bro?
asil66
post Jun 13 2011, 06:26 PM

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thanks jutamind, but i m not looking for a standalone medical card. I am looking for plans that covers critical illness and pa too...

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