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 medical / critical illness insurance enquiry

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HHalphaomega
post Mar 24 2010, 03:54 PM

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QUOTE(Justin1000 @ Mar 23 2010, 10:00 PM)
Every product in the market is a good product. The most important thing is , does it suit your needs and budget. Do you understand what the product covers and otherwise. There is always a cooling off period of 2weeks or so. Get the agent to go thru thoroughly and get things clarify. One can always ask for a refund if it is found that the product does not suit you, as long as you do it within the cooling off period.

Do not spend too much time in comparing the premium as no two products are similar, and premium is not guaranteed, can go up as and when .
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Yes, I'll second that as there's no single best product. The more benefit a product accords you, the higher the cost associated to it.

Therefore it all depends on your budget and you choose what you can afford for yourself.

With regards to room upgrades, I think it depends on why the upgrade is required.

If the upgrade is required due to quarantine (such as H1N1) then I'd say most insurers would absorb it (I know GE does this).

If the upgrade was done simply because they ran out of lower value beds then the 20% co insurance applies). Also note that most insurers would only start the charging the 20% when the bed value exceeds internal tolerable amount of RM50.

HHalphaomega
post Mar 26 2010, 03:13 PM

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QUOTE(Th3D3vil @ Mar 26 2010, 11:29 AM)
In need of some advice.

I have 2 insurance tie to GE

1. Traditional life insurance worth 50k ( TPD + 36 critical illness)
2. Investment link protection worth 110k  (36 critical illness + medicard)

Is it sufficient honestly? is there any better deal out there? please advice
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Hi Th3D3vil,

It looks like you've got a good coverage there. You may choose to upgrade the existing coverage based on your budget etc. You may want to go through a financial need analysis to find out if you need the additional coverage and how much you can afford to set aside.

Cheers,

HH


Added on March 26, 2010, 3:17 pm
QUOTE(mr_hustla @ Mar 26 2010, 11:53 AM)
dear all,

currently im searching protection medical card,critical illness, TPD.
could somebody propose for me what policy i should take?
by the way, my age is 25.
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There're plenty of insurance plans available based on your financial requirement and risk appetite as well as budget range.


This post has been edited by HHalphaomega: Mar 26 2010, 03:17 PM
HHalphaomega
post Mar 27 2010, 12:58 PM

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QUOTE(mfitri77 @ Mar 27 2010, 10:34 AM)
How much to leave behind?

2 schools of thought - Adjustment and Maintain

1. Adjustment - Death benefits not high. The idea is for your spouse or family to have money to tide them over as they adjust to not having you around for part of the income.

2. Maintain - High Death Benefits - So your family does not have to worry about not having you around.

My Experience

High Death Benefits = Not enough money for other riders and benefits, eg medical card. To be expected, since you can't expect someone with salary of RM1500 to pay more than RM200 a month just for insurance. Even with a good separate medical insurance, even family benefits can sometime cost the guy a months salary. So his monthly income goes down to Rm1375. P.A? EPF? Makan? Motor?

So most of the time, adjust the death benefit to be enough for adjustment, not maintaining lifestyle.


Added on March 27, 2010, 10:35 am

You are lucky they found it so quick. My client was unfortunate enough to not find it that quick, and the bill cost RM15k.
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mfitri77,

Yes, it depends on how the client would like to leave the family behind as you mentioned.

To me a good way to go with at-least 10 years of net pay. That way your spouse would have income to for the next 10 years at-least. In time to come as your income grows, you can set aside a bit more in tandem of your income. If budget is really a constraint, then you may also think about PA but the limitation is that death must be in form of accident. Apart from that, you can also include some riders to buffer for the critical years but these would burn out eventually.


Added on March 27, 2010, 1:19 pm
QUOTE(chew_ronnie @ Mar 27 2010, 11:25 AM)

I believe the Traditional life is The Supreme Living Care series which covers Life/TPD/Critical Illness - Policy will pay 50K whichever comes 1st. The premium shall be around RM3K +/-

The ILP also covers Life/TPD/Critical Illness - Policy will pay 110K whichever comes 1st + a medical card. The premium shall be around RM2.4K.

Just my thoughts. Correct me if i'm wrong
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It depends very much at age of entry as this is a traditional insurance plan which guarantees the premiums. For example, if you start early say 21, then you only pay RM1200 annually for the premiums for the rest of your life. Apart from that there's cash bonuses which would be paid together with the basic sum assured if you're struck with death, CI or TPD.

This post has been edited by HHalphaomega: Mar 27 2010, 01:19 PM
HHalphaomega
post Mar 28 2010, 04:19 PM

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QUOTE(Pebbie @ Mar 28 2010, 02:07 PM)
is great eastern good? im planning to get ILP with great eastern, but my option is still open.
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Pebbie,

I don't think you'll go wrong with the oldest insurer in Malaysia. You may of course check other insurers' proposals as well if you like but they're all fundamentally the same. The choice is yours to make based on your budget and risk appetite.

HHalphaomega
post Mar 29 2010, 12:34 PM

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QUOTE(Aeon_Clock @ Mar 29 2010, 01:32 AM)
1. I have AIA MC - the insurance agent was very experienced (20 years in the business, etc). He explained when applying that there is 1 month 'waiting period' for accident and 4 months for serious/major illness. Other than that, nothing. Probably have to pay first like any other medical card...I haven't heard of medical cards where u dun have to pay anything at all.

btw, I heard Great Eastern medical card only takes 1 hour to approve if you need to be admitted into the hospital. Is this true?
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It depends there are both cashless and non-cashless medical cards out there. It depends on which plan you're subscribed to. Most cards only charge you a co-insurance of 10% which again would be limited either by RM500, RM1000 or RM2000 etc.

Yes Great Eastern would process your GL quickly provided all info from the panel hospital has been furnished by the hospital. Apart from that, there's this usual fax issues with hospitals as well their rather inaction staffs. I'm sure this applies to other insurers' as well.


HHalphaomega
post Apr 1 2010, 07:48 AM

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QUOTE(mfitri77 @ Apr 1 2010, 12:29 AM)
I am thinking on what would happen when I go into a hospital. Sure, co-insurance only 10%, but be honest, who amongst us have the ability to spend RM1000 when you are discharged from the hospital? Wouldn't it be better not paying anything at all when you are discharged? The HB riders are not going to help you there, because the cheque arrives about 1 month AFTER you are discharged.

There is no bright side about the NCB. Have you compared the charged of PMM5 vs PruHealth? Have you looked at how much the premiums are? Premiums go up bro, but three upgrades in a year? One astute customer when I was presenting the charges commented, "So I pay you extra 10 ringgit a month to get this NCB? It means I pay you extra RM120 a year and you are only giving me back RM100? You untung RM20 lar."
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Well said mfitri77. This only reinforces the fact that most medical cards out there are similarly packaged. Any additional fittings you need you pay extra as well.


Added on April 1, 2010, 7:51 am
QUOTE(Molotov Cocktail @ Mar 31 2010, 06:12 PM)
do government servant need to have medical coverage? they entitled to get free medical at government hospital right
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It depends on them as if they're satisfied with the services at government hospitals then perhaps no need to get one. However, should they feel private health care serves them better then best to get it.


This post has been edited by HHalphaomega: Apr 1 2010, 07:51 AM
HHalphaomega
post Apr 16 2010, 08:44 PM

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QUOTE(hackwire @ Apr 16 2010, 05:17 PM)
What policy will be the best for this customer requirement :

1) Budget : RM 100 per month
2) he wants a renewal policy up to 100 years
3) he want a fix premium fees without fluctuating cost when he get age.
4) No Co - insurance or maybe like AIA which have a minimum before Co.
5) Covers Dialysis and other treatments after discharge. no limit is better.
6) no annual limit
7) got hospital allowance
8) guardian fees and children nursing fees provided.
9) doctor visiting fees absorbed by insurance without limit.
10)no need to pay RM 50 for medical report by client
11)evac from overseas.
seems like impossible policy...
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Like you said, this seems to be an impossible requirement to fulfill based on the budget set. You can't really have it all by paying a minimum. If you pay peanuts you get monkey coverage. I'm sure others would agree with me.

HHalphaomega
post Apr 19 2010, 08:12 PM

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QUOTE(hackwire @ Apr 19 2010, 01:07 PM)
what is the best option for a baby and parents who are not covered with H&S . Parents already have life policy

1) buy H&S standalone + life policy with 33 critical illness. (not a linked policy) ( for baby only) Parents buy their own.

2) buy H&S linked with  life policy  + 33 critical illness (as riders)

3) buy a H&S Family plan (husband + wife + children included )  and  buy a separate life policy with 33 critical illness for baby only

4) buy a male or female + baby H&S policy and a life policy with 33 critical illness for baby.
I know some agents wants parent to take up family plan or even the investment linked for their commission purpose. I afraid to pay more for my child since usually child premium is not as high as adult.
Will buying a separate plan for them will save cost?
Whats the pro and cons?
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Hackwire,

My take is first to determine as to what is the objective and then proceed to find the suitable products to match your needs based on your budget. I would suggest you to do the same. It's good to bear in mind that insurance is a financial instrument that can create either instant or gradual wealth while granting protection concurrently.

Family medical plans could be slightly more pricey than individual ones. Also ensure you attach payer benefit riders if you're buying life or saving products for your kid. This might cost you a bit more but it would ensure your kid the future you want for them.


Added on April 19, 2010, 8:30 pm
QUOTE(numbertwo @ Apr 19 2010, 07:36 PM)
Avoidable or not, is not something under your control.  Go do a check on a regular private hospital let say during a pandemic, maybe at the children ward, you will be amazed what room categories are left... 

So, unless your client has chosen the max room&board plan, otherwise please tell your client AXA is not totally free from co-insurance, tat's the point i want to emphasize.
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As far as I'm concerned, co-insurance is here to stay. This is a good way to ensure medical insurance is not abused by some quarters.

During such as H1N1, insurers have come forward to absorb the quarantine ward charges. Most other times there'll absorb up to RM50 in additional room charges. I have checked on this and confirmed it.

However, for intentional room upgrade when there's no pandemic breakout, I don't think it's fair to others in the insurance pool fund to absorb the intentional over costs on an individual. In my opinion, it's like you paid for a Kancil but want Perdana delivered instead. Analogically speaking, assuming A, B & C pays for Kancil. A & B gets their Kancil while C gets Perdana delivered to him. Do you think this is fair to A & B?

*No offense intended to Kancil owners smile.gif .


This post has been edited by HHalphaomega: Apr 19 2010, 08:30 PM
HHalphaomega
post Apr 19 2010, 10:17 PM

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QUOTE(hackwire @ Apr 19 2010, 08:44 PM)
HHalphaomega , thanks to you for sharing such detail. I take my time to look for the best for my child as once i sign the paper , i have to commit till the end.

i think many agents out there failed to create a checklist to identify the needs before they proposing a schedule or quote which fail to explain a lot of things.
this help im getting here really an eye opener now.

now have understood alot of jargons and insurance language which were once like a south somalia accent to me... haha.

will take a break and than comeback with more questions and comparison before i pick the right one.
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You're most welcome Hackwire. I'm sure you'll pick the most suitable product for your child. My best wishes for that.

There are lots of good agents but at times I see agents selling for their needs rather than customer's needs. It's a classic case of few bad apples in the barrel full of apples. Times are changing nowadays and customer's needs are increasingly complex so there has to be some changes.

I'm very sure most of us here would be able to explain the jargon to you, just post it here.

Good-luck.

HHalphaomega
post Apr 20 2010, 01:56 PM

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QUOTE(numbertwo @ Apr 20 2010, 09:37 AM)
No one says co-insurance is a bad thing in the industry, it has its reasons why it should exists.  I'm just questioning the likes of ppl claiming certain policies are 'co-insurance' free when it is not entirely true.  Have a good read again what I posted. Cheers
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Your point is noted numbertwo. Your concerns are valid and I'd say it's an ethical issue. The way a product is marketed depends on its sales force and they should market it with integrity.
HHalphaomega
post Apr 20 2010, 08:09 PM

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QUOTE(chew_ronnie @ Apr 20 2010, 03:41 PM)
"they should market it with integrity."
This should be the way!  rclxms.gif
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Yes, hopefully the vast majority do their marketing this way. biggrin.gif

HHalphaomega
post Apr 28 2010, 07:19 PM

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QUOTE(numbertwo @ Apr 27 2010, 09:37 AM)
It looks the same as how the other ILPs from other company is running , only difference is the skeleton where Pru split it into 3 accounts.  Thanks for sharing.
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Fundamentally it's still the same as other companies as you mentioned.
HHalphaomega
post May 3 2010, 03:40 PM

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What you say is true for almost all of the medical cards issued now as they are co-insurance based hence hospitals would like to have some form of assurance that you'll pay your part of the bargain. Some of the older medical cards don't have this issue but their limits are usually much lower comparatively.

HHalphaomega
post May 24 2010, 08:57 AM

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QUOTE(hackwire @ May 23 2010, 09:51 AM)

Added on May 23, 2010, 9:59 amIm not going to hang around and make defensive statement next. so don't need to attack or whatsover. just reply on the policy , consumer rights and the holistic approach in the insurance claims. im not interested to troll around on the same issue . thank you.
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Hackwire,

IMHO, the coverage provided for by medical insurance plans would state in writing what is covered and what is excluded. As a general rule, they would usually exclude pre-existing illness and if these illness you have mentioned fall onto that category then the medical plan would not cover it.

I agree with you when you say that there're 1000++ diseases and surely this cannot be listed one by one. The main purpose of medical insurance is to provide medical fund when you're struck with illness whether exotic or not. I know for a fact that medical costs relating to a disease would be covered as set out in the medical policy contract. As this varies from company to company as well as various type of plan, it would be difficult to discuss all terms and conditions.

I also believe it's not only the number of years the company is in business that count but rather how successful the company is in these years. Say X company, a 100 year old company has made profit 80 out of 100 years and another Y company profited 5 out of 5 years. Which one do you think is better to go with?

Cheers,

HH

HHalphaomega
post May 24 2010, 10:58 AM

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QUOTE(hackwire @ May 24 2010, 10:34 AM)
HH,

Yes you did shed some lights for people who know nuts about buying insurance policy. Coming out and confront the fear is not easy as it takes lots of courage to undo the complexity and simplify it - Edward De Bono.

Been a salesman at the age of 18, i know what we cannot tell to the client as it will jeorpadized most of the closing sales strategy. Most Sales books that talks about Closing a Sales share one thing in common. Principle No 1 - Never over do or Talk more than it's needed.
Y? the more you talk about it, you might as well don't work in the sales line and be a monk in the temple already preaching the truth. That's the reason y most Insurance company website or any multinational website would not want to have a Forum in their website...haha..except for a few companies lah .

the Main Question we should ask is How to avoid buying  Insurance that you won't get claim or get the peace of mind?

As for now, i am now getting some picture of how certain people able to claim and some cannot due to the history of the diseases in the family. IF everyone would be honest to tell the insurance company that their family had cancer or heart stroke, i wonder if the insurance company will still accept this application?

It will be great to learn more things about the disease people had while they had insurance coverage. what was the common one that attacks the lifestyle of the person . How many people actually care of all this and how many agents out there driving mercedes benz or BMW actually gives you the record for free. Mostly they will invite you to their office . I would love to see more info disseminate in the blog or website of the insurance company. I didn't survey it yet but will try soon.
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Hackwire,

From what I have gathered so far, most Malaysians need to be educated as to why they need to purchase insurance as most of time they tend to buy something that is not in their best interest. While sales persons can be blamed for most part of this, the customers should also make time to learn as what they're buying into instead of leaving everything to the agent and then subsequently blaming the agent for any mishaps. To me buy what you need and not what you're sold.

Insurance itself is nothing but a financial instrument that serves extremely well if used wisely. If you don't have the skill to use it properly then you can acquire it.

Risk management is a crucial part of all business nowadays and managing risks prudently is what the insurers have to do so as to safeguard their funds. The insurance contract often regarded as a bona fide contract and hence all material disclosure needs to be presented to the insurer to enable informed acceptance of the proposal. In the event of family history of cancer or heart attack, insurers may seek medical examination to assess the risk better. Should there be medical evidence that he/she is prone to have cancer or heart attack then appropriate loading or exclusions would be issued. In some cases this can appealed and reversed as well.

The older generation of sales personnel would probably not go into blogs etc but I must say I see a good number of younger ones into it nowadays, for example this very forum.

HHalphaomega
post May 24 2010, 11:32 AM

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QUOTE(hackwire @ May 24 2010, 11:22 AM)
I think a level of understanding had been achieved. This conversation reminds me of the movie call District 9 when human making assumption of the ALIEN purposes and needs. What a moron if human never put their shoe in the Alien shoe to find out more about them instead of feeding them with Can of Cat foods when they can also be fed on other meat like OX meat. A level of Communication brokedown thus making more stress to those who had paid for the policy and will die even faster than thought later.

Thank you HH. time to invade the Mothership for information. You can't get enough info just by reading and meeting agents out there or even email. we need to be invited to learn more about insurance policy in their conducted classes and even than we know what we get and what we don't.
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That's an indeed interesting analogy Hackwire tongue.gif . Yes it's sad to see the stress on those who have paid and lost it.

My take on garnering knowledge is to have a strong base of general financial lingo before proceeding to industry specific ones such insurance, investment etc. There are plenty of information out in form of journals, magazines etc to used for this. One must also make use of product brochures available.
HHalphaomega
post Aug 19 2010, 03:00 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..
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Happy_gal,

What is the package given to you by this financial planner? Do you have a breakdown as this would enable us to study and comment with better understanding of the facts. I represent GE as well and from what I gather here the issue isn't much about the company GE but rather the approach used by the agent/planner in closing the case which is either innocent misrepresentation or intended misleading. Of course you may want to transfer the policy across to another agent if you're truly dissatisfied with the service of this person.

The thing with ILP is that, it gives the agent plenty of flexibility to plan for you based on your requirements, budget and risk factor.

Cheers,

HH

HHalphaomega
post Aug 19 2010, 07:00 PM

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QUOTE(happy_gal @ Aug 19 2010, 03:16 PM)
i will hav to download the illustration that she said she have sent me..

dun worry i will post it up here tomorrow when i've read it tonite..


Added on August 19, 2010, 3:32 pm
i am going to cancel the GE policy because i hated dealing with her..

u know i initially said i want to pay yearly mah .. i didnt know that the blardy medical report is going to take so long.. she did inform me that she will need to get the reports from the doctor.. fine.. should it even extend to more then 1 month in getting that simple report from the doctors???!!!

then suddenly payment came bt then still i havent sign the confirmed policy (which says which items are excluded for me) reason being is because the doctors havent give the medical report yet.. therefore underwriters cannot do the underwriting therefore the policy havent come out yet.. WTF!!...

then i was so freaking angry why it took more then 1 month to get the simple report.. so out of curiosity and anger, i called my friend.. she helped me ask her agent..

her agent say WHY THAT LADY didnt advice me to pay monthly 1st.. if lets say i dont want the policy then at least i jz need to pay that 1 month oni which is oni at rm358 instead of paying rm4300 without knowing exctly what they exclude me...
of course i angry lor cause i didnt know earlier mah...
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Your agent/planner should have followed up on the medical report required for the case to be inforced. This is part of her role too. A normal medical report shouldn't take up to a month. About the payment, you should have held it back first especially since there's a waiting period for the reports etc.


Added on August 19, 2010, 7:03 pm
QUOTE(almeizer @ Aug 19 2010, 04:24 PM)
Anyone know which insurance company got offer stand alone Critical Illness plan?

So far I know are from :

1) HLA (exclusively offer for HLB customer as the telemarketer claimed)

2) MSIG (not all 36 CI, just few that most common - bancassurance by Standard chartered).
- Premium annually and it's consider cheap.
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Almeizer,

You can add GE to your list as well.

This post has been edited by HHalphaomega: Aug 19 2010, 07:03 PM
HHalphaomega
post Aug 19 2010, 11:44 PM

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QUOTE(happy_gal @ Aug 19 2010, 10:41 PM)
[attachmentid=1736143]

This is what she have quoted me..

It says The investment strategy that i have selected is 7 my choiced investor profile, investment horizon is 74 years..
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Happy_gal,

From my observation, the main cause of the premium being spiked upwards is the inclusion of the lady care riders & I'm wondering as to why she has included both instead of choosing just one. You can run this by your friend's agent as well for cross checking.

Leaving out benefit U58 would reduce this to about RM3750.00 and if you leave out the U59 as well then this would become very affordable probably close to RM2000.00. Of course this would mean you're not going to covered with the benefits of this rider so this something you need to think about as well in terms of risk. You can check on the quotation provided for these benefits. Riders being riders can be added on or removed from the main policy.

Hopefully this info aids you.

Cheers,

HH



HHalphaomega
post Aug 25 2010, 03:24 PM

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QUOTE(happy_gal @ Aug 24 2010, 05:08 PM)
hey.. somebody has actually given me this proposal jz wanted to ask all of ur opinion is this the same as other insurance companies ar...


Added on August 24, 2010, 5:09 pmjz want to ask the cancer benefits for other companies... do they also exclude the same as per the attachments?


Added on August 24, 2010, 5:23 pmthe person say 1 of the advantage of this insurance is that the 36critical illness when u claim, it wont affect the life assured sum ..

like say life - 150k
36illness - 150k

if u claim 36illness RM50k then oni the 36illness is reduced to 100k as remaining...

the life assured is still at 150k..

bt then the weird thing about this plan is tht the basic plan (Which is the life plan) will expire or will be no longer valid when i reach age55 years.

however the medical card, 36illness will continue till im 81 / 100 years old.. bt then the medical card and 36illness
is oni riders..

my question here is if the basic plan already expire can the riders continue to be active adn cover me sumore?...


Added on August 24, 2010, 5:27 pm1 more last question.

lets say the assured is confirmed got 1 of the 36illness so the insurance company will pay rm150k .. how will the waiver work in that case ar?..

the waiver will continue to pay until the policy reaches maturity which is say at 55 years or will it oni pay for another 1 more year then if u cant pay it will lapse already?...
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The risk of female type cancer is on the rise now hence these benefits would be covered at a premium cost.

In ILP, most of the time the type of benefit can be customized in type and amount according to your need and budget. Different company would show the same benefit in their own way to project uniqueness. To my understanding when the basic policy expires then so do the riders but new product innovation could probably alter this statement say by running on investment value etc.

Waivers are usually riders that expires at a predefined time say 65 or 70 etc as set by the agent.


Added on August 25, 2010, 3:28 pm
QUOTE(Kent3888 @ Aug 25 2010, 02:42 PM)
Hope somebody here can answer my question.

I went for a check up on my severe headache and found out it related to my sinusitis, which doctor assume there is fluid accumulation in the forehead. He advised me to get a CT scan before he can diagnose me on what treatment I should undergo, medication or light operation.

Now, I doesn't have any medical policies with me as I just started working, I'm now looking at one company but there stated that:

Specified Illness occurring within the first 120 days of insurance of the Insured Person: (having sinuses in the list)

My question is, lets say I get this policy now, and I go for CT scan after 120 days, if doctor advise me to go for an operation, is my operation fees or even the CT scan claimable?
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As mentioned by Ajau, you shouldn't be able to claim as it falls on the exclusion list.

However by being unethical you can possibly get this covered by staying quiet for 120 days or more before proceeding to another doctor for this illness.


This post has been edited by HHalphaomega: Aug 25 2010, 03:28 PM

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