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 medical / critical illness insurance enquiry

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numbertwo
post Jul 20 2009, 02:42 PM

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QUOTE(PJusa @ Jul 20 2009, 01:46 PM)
numbertwo,

SCO does not have a sublimit per disability. hence the substancial difference in premium.

*snipped8

*
PJ,
strange, did you buy this much earlier?

I'm seeing this in their current copy of their brochure .pdf .

Overall Annual Limit
(for Section A and Section B)
PLAN 1 PLAN 2 PLAN 3 PLAN 4
RM500,000 RM200,000 RM100,000 RM50,000
SECTION A IN-PATIENT & DAYCARE SURGICAL PROCEDURE (per disability)
numbertwo
post Jul 20 2009, 04:22 PM

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QUOTE(Vitorbarbosa @ Jul 20 2009, 02:43 PM)
Seriously.

Often in Cheras, KL Sentral Area, Damansara, and places around there.


Added on July 20, 2009, 3:11 pmJust read a few pages of this thread.

Seems interesting.

For you guys information, I work in reinsurance company and not aware that there is any standalone CI product out there.

In other words, CI must come with Life, and if you have agent to ask, the CI coverage must not exceed life coverage.(double confirm with them)

Hope that helps.
*
AIG Home Assurance does offer standalone CI coverage, up to max of 150K only though.
numbertwo
post Jul 20 2009, 04:43 PM

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QUOTE(PJusa @ Jul 20 2009, 04:25 PM)
numbertwo,

thanks for the tip. maybe we should start and compile a list of healthcare plans (guranteed / non guaranteed) and top up healthcare plans as well as stand alone CI along with benefits and premiums for all of us to compare. this would be very valuable to any concerned party since it offers unbiased information.

i will check the CI from AIG out - but arent they linked with AIA?
*
errr..I suppose AIG Home (general insurer) and AIA life are two entities but under the same big umbrella? Sorry no idea how their setup locally..

And thanks for your clarification on that AXA's per-disability clause.. good and bad I suppose.. ie. if we need to get hospitalized for the same illness for longer than the period allowed (ie. 150days). On well..


Added on July 20, 2009, 4:45 pm
QUOTE(Vitorbarbosa @ Jul 20 2009, 04:31 PM)
AIG Home Assurance? Means coming with a MRTA? And you called that standalone? Correct me if I'm wrong. I really want to buy one if there is.

*snipped*
*
Do check out with AIG Home Assurance, the product is called SafeSmart - You may purchase either PA, Medical, or CI , or all 3. I have their catalogue with me, handed over from an agent just about 2 months ago. Unless this is withdrawn, else you can 100% get the CI standalone, NOT COMING with MRTA dude.

This post has been edited by numbertwo: Jul 20 2009, 04:45 PM
numbertwo
post Jul 20 2009, 06:36 PM

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PMlife plus2..few things to bear in mind..
1) Group term life as you may have known now..So, question is, will group term life having higher risk of withdrawal?

2) non guaranteed premium, of course.. It has a history of premium increase.. (ie. the 200K plan was increased from 700+ to the 950 now, just happened about 2-3 years back if i remember right)

3) you need to have a 10x unit trust value equivalent to the premium in order to puchase the plan. (ie. RM4750 worth of unit trusts to purchase 100K plan1; RM9500 worth of UT to purchase 200K plan)


Added on July 20, 2009, 6:41 pm
QUOTE(PJusa @ Jul 20 2009, 05:40 PM)

*cut*

looked for AIA CI plan - seems to be only offered to business though. too bad. i wonder if a single unit of public mutual fonds will also be enough to get the insurance.
*
did you call AIA or AIG HOme? u may try call 1800-8888-11 to check on 'SafeSmart' 36CI plan..

This post has been edited by numbertwo: Jul 20 2009, 06:41 PM
numbertwo
post Jul 20 2009, 11:22 PM

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Hi ,
the only URL that has this save&smart plan is here : http://www.aam.org.my/insurance/insurance_safe.asp (scroll to the bottom to see the CI plan), what you see here is exactly what I see from the catalogue on my table.... I can't find this plan in AIG website though..

This post has been edited by numbertwo: Jul 20 2009, 11:24 PM
numbertwo
post Jul 21 2009, 02:02 PM

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I wonder why all of you don't believe the AIG's 36CI is good for individual too, did anyone even make an effort to call AIG? I got the form from the agent and I'm not associating myself with my co. either... So, it's definately good for individual.
numbertwo
post Jul 21 2009, 03:12 PM

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The one listed under 'business', I'm not even sure that's plan I'm talking about.. I've just called AIG with the number posted in my previous link, 'Save&Smart' plan is opened for individual, premium on yearly only and you can view the premium bands on the AAM website. Sorry I don't have any detailed T&C except what you see in the AAM website because I've yet to purchase.

More FAQs are here:
http://www.aam.org.my/insurance/insurance_safeFAQ2.asp

Sorry guys, that's all I can help.
numbertwo
post Jul 22 2009, 03:37 PM

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reason why Pru is expensive is perhaps their medic card is always attached to a life policy?!

when we are comparing H&S plans, is better to put the Big guys (aia, pru, ge, ? who else) at one side , their Med card is usually at a premium.

This post has been edited by numbertwo: Jul 22 2009, 03:43 PM
numbertwo
post Jul 24 2009, 04:34 PM

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QUOTE(PJusa @ Jul 24 2009, 03:41 PM)
keeping it as a top up is a good thing also. if its one or the other i would switch.


Added on July 24, 2009, 3:44 pmdoes anyone have the entire premium schedule for AIA ExcelCare Plus?


Added on July 24, 2009, 3:44 pmalso i need the schedule for AXA SmartCare Executive
*
....My Co. paid the SCE .., so I'm waiting for AXA to quote me SCO (as a top-up). I heard AXA has jusst change their coverage/premium this year (May?)
numbertwo
post Aug 3 2009, 10:36 PM

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QUOTE(PJusa @ Aug 3 2009, 09:22 PM)
sorry i forgot AIA exelcareplus. i got the premium schedule for lifetime limit. how much extra is it for unlimited lifetime limit?
*
Here is the rate for each age band >= age 90.

FOR OCCUPATIONAL CLASSES 1 & 2

Age E+M150 E+M200 E+M250 E+M300 E+M350
90* 15,309.00 18,484.00 21,692.50 24,834.00 27,979.00
91* 15,769.50 19,038.00 22,342.50 25,581.00 28,819.00
92* 16,243.50 19,610.00 23,012.50 26,349.00 29,680.00
93* 16,729.50 20,198.00 23,705.00 27,138.00 30,569.00
94* 17,232.00 20,802.00 24,417.50 27,951.00 31,489.50
95* 17,748.00 21,426.00 25,150.00 28,791.00 32,434.50
96* 18,280.50 22,068.00 25,905.00 29,658.00 33,407.50
97* 18,829.50 22,730.00 26,682.50 30,546.00 34,412.00
98* 19,393.50 23,412.00 27,482.50 31,464.00 35,444.50
99* 19,975.50 24,114.00 28,307.50 32,406.00 36,505.00


E+M = ECP + MCP
numbertwo
post Aug 4 2009, 10:15 AM

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PJUsa,
For the rest of the plans which you requested Info ie. hongleong's, AM's.etc I feel it is not necessary. What is your take on plans offered by these bank's subsidiaries? I never consider buying any insurance products offered by these players..except fire insurance which usually imposed/defaulted by the mortgage.
numbertwo
post Aug 4 2009, 02:14 PM

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Pacific has a stand-alone 36CI plan..Much lower premium for lady age ie 36-45 compares to AIG's.
numbertwo
post Aug 5 2009, 10:12 PM

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mtsen,
care to share which feature(s) of ING's medcard impress you ?

To me, their cashless card is expensive but I guess it is due to 'as charge' feature in their cancer/kidney outpatient claims, and Co-Insurance of RM50 per admission is quite good, provided they don't impose the 20%-80% co-ins when you have to upgrade your room.

And also, there is an alteration term in their contract which you should vary of :

Alterations
The Company reserves the right to amend the terms and provisions of this Policy by giving 30 days’ prior notice in writing by ordinary post to the Policy Owner’s last known address in the Company’s records, and such amendment will be applicable from the next renewal of this Policy. No alteration or endorsement to this Policy shall be valid unless authorised by the Company and such approval is endorsed thereon.

Hope to hear your comments soon.
numbertwo
post Aug 5 2009, 10:53 PM

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QUOTE(PJusa @ Aug 5 2009, 10:29 PM)
numbertwo,

i guess 20/80 still applies. not entirely sure though. amendmend clause is almost always present but only applies to the portfolio. also amendmend is better than alteration wink.gif

mtsen,

only reason why such a thing would occur is due to different covers. allianz is known for expensive policies in europe but also for beeing a very good paymaster.

the part about the comission is however very very true. dont want to imply anything but if i would be an agent i would tend to recommend what is most profitable for me and not just was is best for you.
*
Hi PJusa,

I wouldn't be 'worry' so much if I could find the word 'portfolio' in the contract. Most other contracts or brochures print this word '....portfolio basis' clearly so lesser the worries.

So, if mtsen could find out from his ING friend and get some clarification , that would be 'nice'!

And you mentioned

QUOTE
Then I further analyse value by dividing premium with the annual limit. then I found ING provides the best value for money ( ie. lowest premium per higher annual limit).
...this is quite the opposite to what I've calculated, see below...

Male
Co. Product Name Coverage Coverage Premium Average Cover /
/ Code (RM) p.a Lifetime Ttl : (38-45) yrly Prem RM
ING IMPlus (Cashless) 150000 450000 9590.00 1198.75 125.13
ING IMPlus (non-Cashless) 150000 450000 7156.00 894.50 167.69

Sorry , the age band (38-45) is solely for my own calculation purpose....

I don't know how to format this msg box nicely...but the figure 9590.00 is total premium paid from age 38-45. RM1198.75 is the average yearly premium and lastly the figure 125.13=annual limit(RM150,000) / Average yearly premium(RM1198.75). It is something like I get RM125.13 coverage for every ringgit I paid to the insurance co. This coverage is really low compare to those that are offered by GI ie TM or AXA. So, I'm not sure why/how did you get the 'lowest premium per higher annual limit'.. care to share so that I know I may have to change my 'method'... Thanks.

This post has been edited by numbertwo: Aug 5 2009, 10:54 PM
numbertwo
post Aug 6 2009, 08:58 AM

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QUOTE(mtsen @ Aug 6 2009, 07:46 AM)
What I have is RM 979 covering RM 150k by ING MediPlus, for for every ringgit I pay, I am insured with RM153.22

the only other plan that also have no limit on kidney/cancer/transplant is Allianz Care Individual, they thave RM 1039 covering 125k, insured RM120.31 per ringgit.

I am not sure about the technique of averaging the premiums, on stand alone plans, future premium can change.  when i reach next age bench, I can just revise to find a better plan by then, afterall, that is the good point to adopt a stand alone plan.

TM and AXA are cheaper but they have limits on surgical, kidney/cancer outpatient etc.
sorry I am a bit lost, so is AXA is the 'cheapest' option, which one is 'generous top up' ?
*
true enough you may switch to a better plan in the next age band but do not forget that once illness strikes, you will find exclusion or loading from the new insurance company that you plan to switch in future. So, I would rather see their average 10 yrs premium over the yearly limit to judge better as i want to stick to the chosen one as long as the plan 'alive'. And you are right that future premium can change, so even if you use the existing (age of next birthdate) to calc you can't guarantee that there won't be a change next year too.

Nevertheless, keep hunting. wink.gif


edited : oh btw..if you have not already known, TM has unlimited cancer treatment and a 'not too bad' yearly limit on kidney dialysis..

This post has been edited by numbertwo: Aug 6 2009, 09:01 AM
numbertwo
post Aug 6 2009, 11:09 AM

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QUOTE(Vitorbarbosa @ Aug 6 2009, 10:32 AM)
Thank you for the nice words mtsen.  Really appreciate that.

To all of you guys and gals, don't "hunt" for so long. You might need them earlier than you think.

The best medical plan is not deterimine by how cheap it is, but the value it brings. If you are hospitalised, I'm sure you are willing to pay any amount to cover your hospital bill.

Choose one you are comfortable with. I'm sure there is no such thing as "Best Plan" in town. It just doesn't exist and we do not know what kind of illness that will strike us.
*
Vitorbarbosa,

[QUOTE]PM me before you make your financial commitment. I'm delighted to help and make sure you will not making mistake![QUOTE]

just wonder, are you doing this on goodwill or fees are chargeable per consultation session?

Tks.
numbertwo
post Aug 15 2009, 12:04 AM

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QUOTE(mtsen @ Aug 14 2009, 10:20 AM)
at the end, the most important part is to find a doctor who is willing to review your insurance plan before writing the medical report ... or is that not ethical ?

I remembered reading somewhere on a detail assessment on why H1N1 is not covered and admitted by the insurer, I will dig that one out and see there are any new info we haven't covered here ...


Added on August 14, 2009, 10:26 am

About above 'alteration' from ING, my ING friend commented that it is a common clause across all insurers.  He also highlight another clause that says,

" ... insurer also remains the right to withdraw the whole plan (where everyone will be affected) ... generally after approval from ... blah blah blah ... "

so insurer typically do not change your plan specifically, but when too many people claim too much in the whole plan, they may stop the whole thing entirely ... legally.

can some experts other than ING also confirm these are the 2 common clauses in medical coverages ?

Thanks !
*
Hi mtsen, PJusa.,
Here are the exact wordings on ING MediPlus plan:

QUOTE
4. Portfolio Withdrawal Condition
The Company reserves the right to cancel this Policy if it decides to discontinue transacting hospitalization and surgical business. Cancellation of the portfolio as a whole shall be given by written notice to the Policy Owner at least thirty (30) days prior to expiry of the period of cover (i.e. the next policy anniversary) and the Company will run off all policies to expiry of the period of cover (i.e. the next policy anniversary) within the portfolio.

5. Alterations
The Company reserves the right to amend the terms and provisions of this Policy by giving 30 days’ prior notice in writing by ordinary post to the Policy Owner’s last known address in the Company’s records, and such amendment will be applicable from the next renewal of this Policy. No alteration or endorsement to this Policy shall be valid unless authorised by the Company and such approval is endorsed thereon.


While 'Portfolio Withdrawal' clause is common in all 'Good' medic plans, 'Alteration' clause is NOT COMMON. At least I've not seen such wording in any other contracts that I've had a chance to read. And even if they do, usually the word 'portfolio' will be there under the alteration terms..And this 'Portfolio' word is missing in this clause 5. Alterations.. wink.gif

So, Better to get clearance from their underwriting department that to be sorry later on...

Rgrds


Hi PJusa,
Why bother PRU's med card? I thought they are always linked to ILP and that won't be an apple-to-apple comparo to the other plans that we have been talking so far?

This post has been edited by numbertwo: Aug 15 2009, 12:07 AM
numbertwo
post Aug 17 2009, 10:49 AM

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QUOTE(PJusa @ Aug 16 2009, 02:18 PM)
Justin1000,

i have no idea where you get this clause from. i have checked the policies i have at hand (TM, AXA) and neither have a clause like that in the policy wording. in fact H1N1 is a derivative of the flue. it's covered by default (no need to make an announcement for it either) with the medical policy just as a case of the real flue would be covered if it requires hospitalisation. and i have seen other policies (MSIG, Pacific etc. ) which also had no such clause. mind you i am speaking for general insurance and not life insurance here. but i doubt the situation is different with life.
*
6. Private nursing, rest cures or sanitaria care, illegal drugs, intoxication, sterilisation, venereal disease and its
sequelae, AIDS (Acquired Immune Deficiency Syndrome) or ARC (AIDS Related Complex) and HIV related
diseases, and any communicable diseases required quarantine by law.


This is the clause stated in AXA SCO (found in brochure, not sure about the actual policy/contract as I don't have one)
numbertwo
post Oct 19 2009, 06:42 PM

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QUOTE(cenkudu @ Oct 17 2009, 06:52 PM)
My company already provide me with a medical card under group insurance and hospitalization scheme. However the coverage is very limited for example; room RM 80 per day and annual limit of RM 15 000. I'm not sure about renewal and lifetime limit etc coz every year they will say coverage will be continued under this insurance company and in the policy didn't mentioned about lifetime limit.

every year they will give an option to upgrade the coverage for example my employer give a basic plan D and we can pay extra for plan C,B or A. My question do I need another medical card or just upgrade the policy to get greater coverage?
*
you may compare these 2 options to see which one suits you more:
1. pay extra to upgrade the existing plan..
2. pay extra to buy another medical card from other co. that has 'deductible' option.
numbertwo
post Nov 19 2009, 03:48 PM

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QUOTE(epalbee3 @ Nov 17 2009, 03:22 PM)

I am quite surprised with AXA which offers unlimited coverage. Anyone experience with them before?

GE MEDICARE 100 is the only one that gives protection until 100 years.

Mind to share more about this?


Added on November 17, 2009, 4:18 pmone more comment: AXA limits the amount per disability which may not be good for long year problem..

As per AXA contract, this is the definition of 'per disability'

11. Disability Shall mean a Sickness, Disease, Illness or the
entire Injuries arising of a single or continuous series of causes. ANY ONE DISABILITY shall
mean all of the periods of disability arising from the same cause including any and all
complications there from except that if the Insured Person completely recovers and
remain free from further treatment (including drugs, medicines, special diet or injection or
advice for the condition) of the disability for at least ninety (90) days following the latest date
of discharge and subsequent disability from the same cause shall be considered as though it
were a new disability.


If you have an existing medical plan, you can opt for "Deductible' Option in AXA SC Optimum plan.
Bad thing about AXA, the way I rate them, is their limited lifetime limits on kidney/cancer treatments. That's why their premium is affordable yet still gives you 'unlimited' lifetime limit.

I'vent been able to update my site, but maybe some info is helpful from within : http://finance.groups.yahoo.com/group/Medi...aysia/message/2

Rgrds

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