The deposit is totally depend on the hospital. It is requested by the hospital not the insurance company to ensure the full bill is paid upon patient discharge.

My experience with KPJ Kajang. Even tough it states in the hospital list, Pru's client need to pay RM200.00 (no co-insurance) or RM500.00 (with co-insurance) for deposit, the hospital didn't ask for deposit when my son admitted due to tonsilitis, but they did ask only RM 300 when my brother admitted due to the same reason. They also asked for RM 500 deposit when my brother admitted again to remove his tonsil. I was not there at that time and my brother don't have enough money, the hospital allow my brother for admission even though he didn't pay the deposit.

My friend, using his own company medical card was asked for deposit to SJMC even tough the medical card do not have a co-insurance. 100% bill is paid by insurance company (Employee Benefit). He is not allowed to admit unless the RM 500 deposit is paid.

So the conclusion, it depends with the hospital and also depend your case and sometimes your luck.

Hackwire,

When you are allow to be discharged, you need to pay the bill (if any) before you are allowed to go home. And for sure there is some medicine you need to take. Unless the bill is settled, you cannot take your medicine home. And they also will not remove IV from your hand until the bill is settled. The choice is yours. You can walk away like a thief, or you can be a good citizen to settle your bill. If you are not paid, your name sure will be black listed. And they also can take legal action to you.

Either opt for stand alone or attached to ILP, in addition to guaranteed renewal; you might also want to consider to take Payor benefit, so that in case you are diagnosed with Critical Illnessor suffer TPD, you will get your premium waive. When you are sick and maybe are no longer working, you do not need to worry to pay your monthly premium so that you can still afford to pay for medical bill.

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.

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

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.

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Added on August 18, 2010, 5:00 pmIt'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

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.

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.

You can call directly to GE customer service and check for your proposal status. And if you want to cancel, you can do so rather than waiting. You can ask the customer service about refund of the premium. If no medical check-up has been made and GE have not paid for the cost of medical report, you should get 100% refund.

The delay of the medical report is due to the doctor has not fill in the report yet. The agent should always follow up to speed up the process. Private hospital usually take about 1-2 weeks, the government hospital usually take up to 4 weeks.

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Added on August 19, 2010, 10:51 pm100% agree with you. Just make sure the burnt money is burning for a correct place and purpose.

This post has been edited by ajau: Aug 19 2010, 10:51 PM

If we buy separate product and your health condition is changed, can we still get insured from other company? There might be an exclusion or loading on this.

Regardless all in one or separate, you can still top-up with a new policy if the current is not enough coverage.

I'm not against traditional or general insurance product, but one good thing about investment-link is you can add/remove rider without a need to buy a new policy. There is also disadvantage of investment-link where the cash value is totally depend on the fund price. I just want to clarify. I'm not into any argument or whatsoever.

Everybody has their own preferences and believe. The bottom line, it is always good have a protection.

I see your point. And it is true for whole life insurance.

But with investment link, you can reduce the premium by removing the unneeded/un-affordable rider, however you still stuck with a minimum premium. For Prudential the minimum is RM 100 per month.

The investment link usually cheaper than whole life insurance. However there is a risk that you may need to top-up your premium if your cash value in your fund is not enough to pay for insurance charges.

What PJusa recommend and did also a good suggestion. You customize your own insurance need rather than let the agent do it for you. If your get a good agent, you are lucky. If you found a greedy agent, sorry to say, your pocket will be empty.

Regarding no coverage when you are jobless, there is a good news for a lady. PRUlady does have retrenchment benefit, where you will be paid 3% from sum assured. Follow this link to download the broucher. Hopefully the 3% can help.


This post has been edited by ajau: Aug 20 2010, 11:52 AM

I think 7 years onward, 95% from your paid contribution will be used to buy units and then it will cancel the unit to pay for insurance charges. The total insurance charges usually should not be more than the paid contribution at the early stage maybe before your age around 50-60. The remaining (purchased units minus insurance charges) is your cash value. The accumulated cash value may be used in the future maybe after your age around 55 and above to pay for insurance charges because at that time your paid contribution is not enough to pay for the insurance charges.

For Prudential from 7 years onward, 100% from your contribution will be used to buy units and it works as per my explanation above. I guess Allianz unit-link concept still the same with Prudential, just the percentage is different.

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Added on August 24, 2010, 11:12 pmEvery insurance company has unique product. Very hard to really compare apple to apple. The most important thing, what is written black and white in the policy is matters.

About the CI, usually you claim all in 1. if your CI coverage is 150k, once you diagnosed with any of the illness, you should get 150k. Not 50k and the remaining 100k can claim for other illnesses. However, unlike Prudential Multiple Crisis Protector, you can claim the CI coverage 3 times when diagnosed with CI (subject to term & condition)

Usually death benefit is in lieu with CI. If Death is 150k and CI is 150k, once u had claim CI, there is no more death benefit. For investment-link, if there is other attach unit deducting rider, the policy will not be terminated (however you can choose to surrender). If you take payor benefit, your premium is free so that you can still enjoy for other benefit from other unit deducting rider. At maturity or on your death, you/your nominee can still get the total cash value from the policy.

However, unlike Prudential Crisis Shield Plus, the CI coverage once claim, does not effect Sum Assured. But if there is no claim of CI upon death or TPD, the CI coverage will be paid together with Sum Assured. As example Sum Assured is RM100k, Crisis Shield Plus is RM50k.
- If diagnosed with CI, you will get RM50k lump sum. If you die or TPD at later stage, you/nominee will get RM100k.
- If death or TPD occur first, you will get RM150k, no claim will be paid to CI if you diagnosed to CI at later stage.

About the exclusion - Cancer in 36 CI, usually exclude some cancer, esp female related cancer. The list of exclusion may vary from one insurance company to another. You may need to take another rider or stand alone policy to be covered by un-covered item in 36 CI.

However the attached list of exclusion only applicable if you take optional rider on top of H&S. You may check this benefit with CI coverage. If there is overlapping of coverage, please confirm with the insurance company, you can claim from both rider. Some insurance company pay for both rider. Some maybe not. Please be careful so that you are not paying for 2 same item but can claim only once.

About basic plan expire at age 55. I don't have detail on your proposal. Usually investment-link basic plan cover until 80/100. I'm not so sure abt the product you mentioned, but it may happen to previous Prulink Education Plan or PruBSN Takafulink Cerdik. The basic plan cover until age 25 but the medical card coverage until age 70. At age 25, Prudential will give opportunity within 6 months to the life assured to transfer the medical card coverage to new policy which carry any pre-existing illness/condition happen during previous term. However there is no guarantee the premium will remain the same.

About the waiver, once you diagnosed with CI and get paid with RM150k, your monthly premium will be waived until the maturity of the policy. So you can enjoy other benefit inside your policy. This is very useful in example of cancer/kidney failure. You may need your medical card to pay for cancer/kidney treatment. So if you can get the medical card for 'free' while getting the cancer/dialysis treatment, will you find it is very useful to have payor benefit?

This post has been edited by ajau: Aug 24 2010, 11:28 PM

You can say badly phrase, but for me, it is too technical such that people outside very difficult to understand. Plus some agent also confuse and do not understand and make the public more confuse and say investment link is like a scam.

You need to read the earlier sentence:
"the premium that you paid may be split into investment premium and insurance premium".
Depending how you customize your own policy, you may allocate some portion of your monthly premium just to buy unit.

Let's say you want the following protection:
Death, CI, Medical Card, Accidental Benefit, the premium for this protection is RM100.
Since you are interested to have this policy as a saving tool, you can choose to top up another RM50. But this RM50 will only do investment. It will not contribute to do any protection at all. So, at the end, you will pay RM150 monthly.

The RM100 portion, is called insurance premium and RM50 portion is called investment premium.

Bare in mind, all your paid premium is not 100% converted to units.

For investment premium (RM50), 95% = RM47.50 will be used to purchase units in the investment-link funds. This happen since day 1 until policy mature or until you decide to cancel this investment premium. The unallocated premium of RM2.50 is an upfront charge on the premium paid and is used to meet insurer’s expenses and direct distribution cost, including commissions payable to the agency/ wealth planner

For insurance premium (RM100), for the 1st and 2nd year 42.75% will be used to purchase units. Meaning only RM42.75 is used to purchase units. The unallocated premium is an upfront charge on the premium paid and is used to meet insurer’s expenses and direct distribution cost, including commissions payable to the agency/ wealth planner. From this RM42.75 is not totally yours. Remember there is insurance charges. So, the equivalent unit of insurance charges will be cancel from the equivalent unit of RM42.75. And there is also service charge and fund management fund. So at the end, your actual unit from insurance premium may be almost zero for the first few year (depending what protection you took) .

This is continue until year 7, where 95% for purchasing units, 5% to insurance company. At this stage, you can start see your cash value start growing. If you terminate your policy earlier, don't expect too much of cash value, especially if you are taking a medical card. Its insurance charges is huge. Until some point, the insurance charges for medical card will be more than your monthly premium. You will see at some point, your growing cash value is reducing until there is no more coverage for medical card.

If you take investment premium, you can see the cash value is growing from beginning because the allocation rate is higher (95%) and there is no insurance charges that need to be paid.

I hope this can clear the doubt.

This post has been edited by ajau: Aug 25 2010, 02:34 PM

Nope if the doctor declare the date that the 1st time he diagnose you with the sinus symptom is before you get the policy or within 120 days of waiting period

This post has been edited by ajau: Aug 25 2010, 02:56 PM

Yes, you can do that.

But the decision of the claim based on the form that doctor fill in to request for GL. The date when the 1st symptom occur is very important to determine if the insurance company will provide GL. Even if you wait until next year, but the doctor declare it happened to you a year ago, and the date the doctor declare is within 120 days of waiting period or before you buy the policy, you will not get the GL.

Also be careful with the word diagnosis. If the doctor fill in the form to admit you so that you can do CT Scan for diagnosis purposes, usually the insurance company will not provide GL. But if you still proceed and pay by yourself and the doctor decide to do surgery, you can claim the CT Scan cost provided it happen within pre-hospitalization period (usually 30-31 days).

But if the doctor decide to do medication, no admission to be hospitalized, then, you cannot claim the CT Scan and also the outpatient (medical) bill.

This post has been edited by ajau: Aug 25 2010, 03:21 PM

i'm not saying allianz confused people in their own broucher. What I mean is the way investment link product work regardless insurance company, quite complicated. Insurance premium, insurance charges. Allocation premium, investment, fund. Lots of jargon because it is all in one. Maybe need some time to educate public.

I'd to re-highlight, good things about investment link is it is flexible. You can add/remove benefit according to the stage of life which I personally find this is what make investment link interesting option.

I think AXA medical plan may suit you. I'm not so familiar with their product but from what I learnt you can opt for high deductible now so that you can pay less for your insurance. You have an option once in a lifetime to convert to zero deductible for free. But please consult with their agent to have a correct information.

Prudential will have something similar in the future, you can opt high deductible then upon retirement you can opt for zero cash-less. We the agent are still waiting a further notice from Prudential when we can start selling this medical card.

To answer your question, Yes, I'll have my own personal coverage because we never know what will happen to current company. The company can switch insurance company, can terminate us especially if we are sick, and others uncertainty that beyond our responsibility.

I'll have a medical card as long as possible while I still can pay for it. I'm using Prudential medical card which cover until I'm 70 years old.

deductible means you need to bare the first initial amount of your medical bill. As example, if your medical plan has RM10,000 deductible, and your bill is RM25k - your insurance will only reimburse you RM15k. The first RM10k need to be pay by yourself.

Usually people take deductible medical plan as a top-up to cover if the existing medical plan is not enough. Just like your case which already have company medical card, so you use your company medical card first, if it is not enough to cover your medical bill, than you use your deductible medical card to pay the rest.

Anyway, please confirm with the insurance company that the above scenario is correct. Some people argue that the insurance company might insist you need to pay by your own money of the first RM10k regardless you already have other medical card that pay the 1st RM10k. In our example of medical bill RM25k, your company pay RM10k, you need to pay RM10k and the insurance company will only pay RM5k.

I read in a forum, I think this forum, people is arguing about this. I never come a cross the policy. That is why I ask to get the confirmation when you want to sign up with a deductible medical plan, because I'm not sure if it is true - just a precaution.

Same goes with Prudential.

Only you know if the plan ok or not for you. You need to ask yourself, what actually you are looking for? What is your main priority? What protection that you need nowadays.

What I can see, your plan is average and had cover every basic needs, which is death (60k if CI has not been claimed), CI (30k), medical (500k lifetime), PA (50k), disability income (if you are TPD, you will get 6k pa), temporary disable due to accident (RM150 per week if partly disable, RM300 per week if totally disable).

But I'm not sure if PHL100 is enough or not for you bcos the medical cost is increasing year by year. Anyway, you can always upgrade the medical plan or modify other benefit as and when needed. You can always increase or decrease your premium as long as it can cover your insurance charges.

______

I'm not so sure your background. If you are earn well-income money and your company still pay you if you get MC, then probably 3 unit of pruacci income is too much for you. If you are self-employ, then pruacci income is important because when you not able to work meaning no income for you.

This also apply to PRUdisability provider. You already get a lump sum if you are TPD, ie. 30k. Another 6k p.a. is another income for you.

I didn't see a PRUpayor benefit in the list. I assume you had because usually Prudential agent will always put this benefit in their proposal. This mean, if you are TPD or CI, you do not need to pay your monthly premium but you can still enjoy other benefit for free.

Depending on people needs, usually people need medical card as their top priority.

Again, you know yourself better. And it is always good to share it with other to get 2nd opinion.

This post has been edited by ajau: Oct 28 2010, 08:48 AM