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 medical / critical illness insurance enquiry

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hackwire
post May 23 2010, 09:51 AM

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QUOTE(kidZac @ May 23 2010, 03:26 AM)
To answer your question if insurance policy will reject the claim if the disease if not popular,or the so called exotic diseases, I suggest you look up the various definations in insurance companies under the clause TERMINAL ILLNESS. For those who are too lazy to do it, pm me for the answers. I dont like making things too easy for ppl.

I have no problem accepting the rejection of something that is not included in my plate when the menu brought up says it's a Steam Siakap Fish with Ginger. Of course , you will be expecting a steam fish cooked in ginger . Whether it's a lot of ginger or whether it's a Bentong Ginger is another matter. Same goes to Insurance Policy, one cannot know the exact terms, the disease name that is cover and not cover until one had it.
To request for the full list from insurance agents will be very rare case to get 1000 diseases name listed out for the client. As you are smart enough to use the word "EXOTIC DISEASE" in your vocabs . By the way, maybe it's me who are slow enough or probably not smart enough to understand or use the word when i asking you guys question. But thanks , i learn a beautiful word from you ,kidzac.


Secondly, i don't recall the the patients in the papers that u mentioned never complaining about not being able to claim for medical insurance. What was highlighted was there is a lack of donors, and that there is a long waiting list that some ppl even die waiting. Which part of that is the insurance companies' responsibilities? Donate their staff's organ to make the claim possible? force their staff' to sell their organs so that the patients' can make a claim?

Kidzac, when you make a debate on my write up, you should focus on what i said and don't presumely assume and make your own assumption that drive the conversation to negative arguement. Please read up again what i said and we are here to discover for better health policy, better than what we had already and affordable for everyone. You have use the word exotic diseases and how many customers of yours have came across this term...lung fibrosis,cystic bronchiectasis and there are other term that determine the claim right . Ok than im sure Insurance company will bear the hospital cost of lodging and surgery of it but may i know if the insurance also includes the cost of

1) Organ Transplant
2) Consultants
3)Organ Transfer
4) Blood diffusion and transmission
5) Theraphy





what you should be asking for the many ppl out there is:-

1. is my medical insurance adequate
2. is my critical illness coverage sufficient to allow me  3 years of time out from work waiting for a possible donor to come along.

That question is your sales talk question my friend? what does this question leads to? It leads to higher cost of premium and making your pocket fat. that's y i said its a sales talk, my friend.

insurance companies have been around for many many years, some as old as 100 years old. i dont think there is a need for us agents to even need to tell u about the credibility of the company.

Dude, i don't know if i was wrong or you but i thought Richard Nixon was the one tabled and legislate the insurance policy in the era of the 70's and that was like 30 years old. But i know the number of years are not that important after all as i know the Roman Empire also very long enough to make the mistake in ruling. Even 50 years of BN ruling also not perfect and here you are saying insurance company is long enough to know   . I don't like to bet my head on this but make no mistake that without the client or consumer, insurance co  are also nothing and the funds that used for the consumers are also their premium partly so it's better not to  express with excessive pride of the company.




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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.

This post has been edited by hackwire: May 23 2010, 10:22 AM
hackwire
post May 24 2010, 10:34 AM

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QUOTE(HHalphaomega @ May 24 2010, 08:57 AM)
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
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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.

This post has been edited by hackwire: May 24 2010, 10:37 AM
hackwire
post May 24 2010, 11:22 AM

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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. I think most agent will appreciate this kind of conversation . So i guess , the curtain is down and its time to get your weapon ready and educate more potential clients .

This post has been edited by hackwire: May 24 2010, 11:26 AM
hackwire
post May 24 2010, 05:28 PM

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Great ! Thanks to you Ronnie chew. Can you ask for me if my claim for Sleep Apnea claimable. Does the machine claimable? the machine cost around RM 4K -8K.

It was challenging as im running out of cash flow to get the sleep apnea machine. my case is consider quite bad as it fell into two category 1) Obstructive Sleep Apnea and 2) Central Sleep Apnea. Both of this were symptom and sign of the Heart Stroke indicator. Doc said it's dangerous but i wonder y my medical card got rejected. Im making second time claim with the doc prescription, still awaiting their answer.


hackwire
post May 24 2010, 11:16 PM

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i did went into some of the forum and it seems like US citizen are lucky because its claimable including the machine. Some of the high risk employee like those managing bullet train also get the machine sponsored by the govt .

Studies had shown that many accidents in road and public vehicles accident were caused by this disease. Not only obese people have it as until today the scientist still do not know the cause of the tongue meat drops and shut the air valve in the throat when deep sleep. Snoring loud and Sleep Apnea is not related.

Sleep Disorder were use in the insurance term and people who had it earlier will be excluded from buying insurance. Again, there's a different between Sleep Disorder as compare to Sleep Apnea. Insurance company as usual always ahead to psyche with this exotic disease knowing that an illness like this is claimable in overseas.

I had came across people from other country who think im so lucky and smart to know this at my age as many people don't even care to take the test until its too late. some elders praised me when i told them this problem of mine. The doc even asked me what change you? it's like im the youngest to visit them and they were shock that my problem is acute and was second behind one of the record holder who don't breathe more than 100 times per hour.



This post has been edited by hackwire: May 24 2010, 11:21 PM
hackwire
post May 25 2010, 12:33 AM

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QUOTE(Brother Nick @ May 24 2010, 11:24 PM)
Buying for that machine is not claimable. It is not cover under H&S policy. I haven't seen any H&S policy that can claim for buying a machine in Malaysia.
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Well, who don't know that! if insurance company here gonna work like the other country policies i assume the price of premium will be added on or optional.

One day, if someone came out better investment plan or saving for hospitalization investment than only insurance company starts to throw all their weaponry in. whistling.gif
But its not gonna happen because the way Capitalism is run we know the Cash route still links back to the govt banking industry so its impossible to threaten the industry . But if u and i lobby this and make a better health care benefit , wouldn't you think it part of social work and help to the people rather than just goin after people saving.

This post has been edited by hackwire: May 25 2010, 12:38 AM
hackwire
post Jun 10 2010, 01:05 AM

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I still do not understand why Insurance policy don't think this Sleep Apnea problem or Sleep Disorder is not claimable.

Read here: it has everything related to heart diseases . Is it too early for us to detect the cause and try to prevent major claim..So insurance only covers the bad one and hopeful that they get heart attack?

Come on lah... insurance guys are the honest people out there but for once get real and ask yourself if you love to see sick patient???



http://www.home-remedies-for-you.com/remedy/Sleep-Apnea.html

The term “apnea” means without breath and sleep apnea is a disorder characterized by stopping or pausing breath during sleep. This is not a mild sleep disorder as longer pauses between breaths can lead to fatal consequences. Each pause in breathing spans between ten to twenty seconds or more but these pauses occur more than twenty to thirty times every hour.

Sleep apnea occurs because adequate air is unable to flow in to the lungs through the mouth or nose as one tries to breathe regularly causing a pause in the breathing activity. Normal breathing resumes with a sudden snort or choking sound but the oxygen levels in blood drop every time there is a pause in breathing.

Sleep apnea is broadly classified into two types: Central and Obstructive. Central sleep apnea is caused due to lack of effort in breathing regularly while Obstructive Sleep Apnea is caused due to a physical block in regular breathing despite effort.

If left untreated sleep apnea can cause: hypertension, stroke, irregular heart beat, heart failure or heart attack.


Added on June 11, 2010, 5:45 amLook at the quietness of all the agents. I will be astonish to see any great Insurance agents to give a good look of REALITY. I believe i just shit on your compound. " hopefully , they still mean what they mean... " I can help u"
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Don't you guys should be celebrating the day when more diseases like severe sleep apnea, severe sinus, severe osteoporosis, severe slip disc can now be given early diagnose and claimable thus you can have more sales from it ? So why are you fellow so scare to even discuss with me?
haha... u guys makes this country insurance health care a bit like a phony fiesta to me..
sorry fellows. i see true colour and sorry to create a detour to your future bungalows, pretty model and mercedes benz dream.
Im outta here. u guys move on.


This post has been edited by hackwire: Jun 11 2010, 06:01 AM


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hackwire
post Jun 20 2010, 09:51 AM

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QUOTE(kidZac @ Jun 14 2010, 02:57 AM)
lexiqa, thanks for appreciating my point of view.

hackwire, bro, no disrespect intended, really symphatize your situation and hope it gets better, but i care about my work and it comes second only to my family and friends. it is no fun seeing something u care about being challenged or ridiculed, especially when it involves other people's lives, money, and future.

if you are really sincere about making a difference to others in regards to their medical welfare in this country, there are much better ways in going about it rather then just laying it on insurance companies and agents who work with them.

last of all, really hope that things will get better for you. ^^
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it's good to have your thoughts forward , kidzac and im not ridiculing the insurance company without any objective, it is to make them more special and doing more good than bad. That's the challenge our insurance company in malaysia have to do and you as an agent got to face the REAL FACTS. You all knew many cases like that happen and even with the cooling period, many insurer still did not read the policy that they could not understand. You have to know that you are lucky because you are born with good

1) Appearance
2) Education
3) family
4) Spiritual

All these 4 things make people like me want to go and buy from you without having to take a Insurance Seminar on Policy Term and Condition. Your task in life is about challenge . If none of you think life is not about getting ridicule in the next few years of your life than don't start the business. Cari makan is one thing and i knew many of you still have not watch "Sicko". Even after countless of writting "Sicko" , none of you still bother to watch this documentary. Kidzac, i bet you still have not watch it and its a shame to me if you still have not watch it because u have seen me personally right. If you had watch, than u also seen the part of Insurance Agent that quit their job because in principle they knew they are working for something that is wrong. no hard feeling kid zac.

Even if i know how to read , that's totally another different matter. The trick was there. Insurance company knew that people do not not want to get sick or heart attack or cancer am i... Im sure the computer will show them in 10 years we only insured 50 policy holders out of 1 million policy holders in our account. So our payout for these 50 policy claims in 10 years are not much vs the non claim. We still have 1 million policy holders account that keep us going.

anyway, its a game of gamble too . Casino will not be operation if their stakes are too high.

I have checked many specialist and most of them said Sleep Apnoe Obstructive Sleep Apnoe) will eventually weaken the heart of the snorer and is the first sign to tell you that the next one may be the Stroke . so why can't i get the claim for early prevention?

My latest status with my Lonpac Insurance is that they rejected my claim because there's a clause in the policy. I blame that on myself for this not knowing about this term and disease in the first place. What fused me is that they knew very well that this Sleep Apnoea is very common and many people will get it . So the risk of them paying out is there.

Today, Im a happy man when my own Govt Welfare is subsidizing the cost of this treatment . I never knew this could happen because i myself believe so much in the Private health care system and the private insurance. For once, i reach out to the Public healthcare when people in the private industry actually guided me out from the private health care system for treatment.

If the insurance company want to help, hope they really mean it on the Preliminary Help or the Prevention part , not only when young people like me start to take good care of my health. Of course who on earth want to get old sickness after they work so hard in the early days just to pay to the hospital fees in the end.

i already done my part for the public by writting in here , the rest i hope you guys will also help me to share my stories with your company or mentor of what you guys can do better for the policy holders . I know we will have to pay more for all these but i know it will not happen soon. Insurance should find other alternative to increase their revenue . Better Policy, the happy you are as an agent and also the customers..don't forget that as an agent , you too want a better coverage .

We all sharing the same . just that we need to get above the ocean surface once in a while to see the sun.


Added on June 20, 2010, 10:35 am
QUOTE(chew_ronnie @ Jun 16 2010, 11:57 AM)
Hackwire,

I have the answers for you. Pls see below as per my companies claim manager. Hope this helps.

1. Sleep apnea – not covered

2. Severe sinus – can be covered

3. Severe osterporosis – can be covered

4. Severe slip disc – can be covered (after specific illness waiting period of 120 days)

Thanks
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Thanks Ronnie. i use the word "Severe" because early symptom detection also not claimable if outpatient. Severe means inpatient.



This post has been edited by hackwire: Jun 20 2010, 10:35 AM
hackwire
post Jul 24 2010, 06:46 AM

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15 years ago i bought a RM 10,000 insurance policy with Prudential and im still paying it every year. My agent that i purchased from won't be bother by it anymore and after had paid like RM 8K , i decided to withdraw the policy because i feel RM 10K insurance and coverage of 50K personal accident on death is no longer as big as those days.

So lesson i learn here is to get an agent that will guide you to withdraw some old policies to replace with new one. best agent is the one your friend who is honest.

This post has been edited by hackwire: Jul 24 2010, 06:47 AM

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