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 medical / critical illness insurance enquiry

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numbertwo
post Nov 20 2009, 09:27 AM

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QUOTE(epalbee3 @ Nov 19 2009, 11:33 PM)
so this is the weakness of AXA policy, which is not good for long-term treatments.

again. no point buying medical insurance after 70 as premium is very high.


Added on November 19, 2009, 11:35 pm

PJusa, there is a limit of 150 days hospitalization per disability.
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agree with you on the med insurance after 70... I never bother to consider this point when I compare med policies as I really do not think I can afford one by that time I'm 70's...and no I don't want my children to pay for it either...when time comes, if I have to go I have to go... biggrin.gif
numbertwo
post Nov 23 2009, 07:24 PM

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QUOTE(epalbee3 @ Nov 21 2009, 10:38 PM)
my friend was offered a GE investment linked insurance with monthly 150 for 20 years.

he is now 30 years old. but medical insurance until 70 years old.
may I know how does he pay for medical insurance until 70?

Also the sum assured is RM35000 and CI is 20000 (until 100 years old). Does it mean 20000 is deducted from sum assured?does he able to get back money when he was 70 years old?


Added on November 21, 2009, 10:43 pm

Some of my friends said that if you are going to include medical insurance in the life policy, you usually will end up get nothing, paying all for medical premium. Is that true?

Since investment link is not guaranteed, usually policy will assume the best case, which you might face difficulty later? kindly advise.
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ILP usually deducts the units from your investment portion of your policy in order to pay for the riders(ie. medical, CI, payor waiver, etc.) that are attached to the ILP. So, if the funds that you have chosen fails to 'shine', your premium will surely goes to paying the rest of the riders attached. And remember to ask the agent, does he know anything about 'Top-Up' cases in ILP. Top-up cases happen whenever the units in your investment funds are insufficient to pay for the cost of insurance+riders... , you will have to top-up a certain amount of money in your renewal. Many ILP policyholders are not aware of this 'feature' in ILP.. So pls take note.

So, yes, ILP's return is not guaranteed, never listen to any guarantee mentioned by the agent as ILP will never have any kind of 'guaranteed' return. What you gonna get after 20 years is all depending on the performance of the funds chosen in your ILP... Good luck.


Added on November 23, 2009, 7:30 pm
QUOTE(myremi @ Nov 22 2009, 04:24 AM)
The thing about medical insurance is that it's good to have when you actually have health problems. So thinking that you end up paying for nothing, it's very small thing when you finally do have a health problem.

The earlier that you start medical insurance, the cheaper it will be in the long run. I see my parents now taking out insurance in the later part of their lives, they have to pay more than what they would have paid if they had started earlier. And the premium doesn't have to be in the high ranges. If you tell the insurance agent that your budget is low, they shoudl be able to give you a lower premium until you are able financially to pay more.

You may want to look for a policy that will cover both heart diseases and back problems. These may usually not be part of critical illnesses but it's popping up more regularly. Take it from someone who is experiencing both. It's expensive to treat.

The other thing is the cost of doing the medical tests. There's only a certain limit that the insurance will cover so gotta check if that covers it for you too.
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Hi myremi,

care to enlighten me how one would safe a few $$ if one took medical insurance in their early years... Med insurance are age-banded.. If you bought one at age 50 you will be charged at the banded rate at age 50. If you have bought one earlier say 40, you will still have to pay the same rate when you renew the policy at age 50. The scenario is the same as whether you are 'healthy' at the age of 50 . If there is a loading, it will happen irregardless whether you buy the policy at age 50 or age 40, still you will have to pay for some premium loading if you are not 100% fit & healthy.. Correct me if i'm wrong.

This post has been edited by numbertwo: Nov 23 2009, 07:30 PM
numbertwo
post Nov 24 2009, 10:34 PM

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QUOTE(PJusa @ Nov 23 2009, 08:10 PM)
you save if you buy young if you choose a policy with guaranteed renewal w/o loading or exclusions. that way you get less than 100% but still pay the old premium whereas as a new customer you have to fork out extra or cant get cover at all.
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Tks PJUsa.. i have forgotten about this point.. thanks for the reminder..

But I won't bet that the policy will not have any change after 15-20 years...Suddenly you see 'portfolio withdrawal'... is something that we can't guarantee it won't happen forever..


Added on November 24, 2009, 10:42 pm
QUOTE(PJusa @ Nov 24 2009, 08:51 AM)
kurnia only no loading and guaranteed renewal until 65. thereafter subject to their decision and then you need to take their senior policy anyway. so it allows them many times to impose loading or exclusions when you really need insurance that takes you no matter what. useless if you ask me. also lifetime limit is very low in relation to annual limit (3x only).
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Which one of the Kurnia's plan has 'guaranteed renewal'... So far their premium is not guaranteed as per their website:

PERIOD OF COVER AND RENEWAL PREMIUM
This Policy shall become effective as of the date stated in the Schedule. The Policy Anniversary shall be one year after the effective date and annually thereafter. The renewal premiums payable is not guaranteed and the Company reserves the right to revise the premium rate applicable at the time of renewal. Generally, if the health status has been good, the premium in future Policy years will increase by your attained age according to the age band.

This post has been edited by numbertwo: Nov 24 2009, 10:42 PM
numbertwo
post Nov 25 2009, 09:43 AM

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So this Kurnia is not 'guranteed renewal' and premium can be loaded individually since they do not mention anything about 'portfolio loading'... so what good does it have?
numbertwo
post Nov 25 2009, 07:03 PM

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And I think Rakyat is wrong too on buying a life and attach a medical.
Medical insurance, no matter life insurers or general insurer, are all age-banded. The only reason you think the medical premium is 'locked' because you pay more than what the medical insurance suppose to cost you, and I believe the only life insurance where you can attach a medical card is an ILP. So, in ILP, you still pay your medical as per the age-band premium, you won't realise the increase of premium until one fine year you find out that the units inside your ILP is no longer sufficient to pay the rising medical cost..
numbertwo
post Nov 26 2009, 09:36 AM

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QUOTE(cenkudu @ Nov 25 2009, 11:42 PM)
Need advice from those who has AXA Affin smartcare optimum. I have basic cover from my company and interested with AXA deduction option. the premium is a lot cheaper.

however if I choose deductible option, I heard we must to pay first and claim later. is this a best option since we could not predict how much the medical cost and whether we have sufficient fund to pay? Or better to take the full policy?
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Hi
You mentioned that your company already provides you a basic one, perhaps 20-30K yearly limit? If that's true, then the deductible option is very handy indeed. Say one admits into hospital and he/she has to pay a 40K bill, one can use the company's basic coverage to claim till the max, say 30K and the balance of 10K he/she can then claim it from the AXA deductible option. (but of course, you have to folk out the 10K first, and claim from AXA later..)

I always think that for employers like us who have got basic coverage from our companies, it is wise to go for deductible option.

This post has been edited by numbertwo: Nov 26 2009, 09:37 AM
numbertwo
post Nov 29 2009, 12:22 PM

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Deductible simply means you pay(or the other insurance co. pays) the first RMxxK, and bill the balance to AXA. Whether you need to submit the original medical Bill or a copy of the Bill, you would need to check with the insurance co. I know a general insurer's policy is to submit them a 'true certified' copy of the bill will do.

To Rakyat.. I am surprised you can attached a rider to a wholelife plan as I tot you can only buy it separately. But anyhow, it goes back to square one if the med insurance is deducting the wholelife's return to cover the rising cost of the medical premium.
numbertwo
post Dec 10 2009, 12:55 PM

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QUOTE(rakyat @ Dec 9 2009, 09:48 AM)
No-la, u paint a picture that is so gloomy......

For medical products (CI, H&S, Hospital income) cannot refuse renewals even if the insurer have bad claims experience. This is the 'safe guard' mandated by BNM. The insurer can only exclude the diagnosed & paid illness and/or load the premium. The only way the insurer can stop renewal is via Portfolio Withdrawal but MUST offer the customer a substitute product hence whta you mentioned about 'Medisayacover1, then upgrade to Medisayacover2' is partially true but BNM oso got a say hence if the changes is purely cosmetic, they will not approve.

*snipped*
not entirely true.. I've a letter from an life insurer telling his client that his Medical policy will not be renewed due to claims experience.. I'll post it up if needs be.. The things is policy contract is the only legal binding documents, if your policy contract does not say 'guarantee renewal; or portfolio exclusion', insurers surely can kick anyone out in the next renewal as and when they see fit. So, check your policy contract before you sign. I know many of those medical policy (ie. rider in the ILP) will never has these clauses stated... But for some general insurers' plan you can see these terms stated quite Clearly...ask PJUSA.
numbertwo
post Dec 11 2009, 04:42 PM

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Hope to hv A non-profit insurer in m'sia would be like having a day dream in one of the wonderful beach in M'sia.. heh
numbertwo
post Dec 14 2009, 03:38 PM

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QUOTE(jutamind @ Dec 10 2009, 02:18 PM)
does this case that you know of, the medical policy is from stand alone medical card or as a rider as in an ILP?
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sorry for the late repl..

it is a rider in the ILP...
numbertwo
post Jan 15 2010, 03:02 PM

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PJ,

Have you seen a new medi plan from Allianz, MediShield Plus. ? It has a deductible option and the coverage per ringgit looks reasonable.. Maybe good if you could take a look and gives us some comment?

So far my only question is I can't find anywhere in their brochure that says 'guaranteed renewal' and 'portfolio loading'....
numbertwo
post Jan 15 2010, 06:54 PM

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QUOTE(epalbee3 @ Jan 15 2010, 06:35 PM)
Since you see "plus", it has deductable of Rm10k per disability.

So it is just an extra insurance only.
*
Could you please point out to me where does it say the deductible is per disability?

Thanks.


QUOTE
after I read all, I still think that kurnia is one of the best:

1) unconditional guaranteed renewal until 60 year old.
2) no co-insurance
3) no deductible
4) fairly covered for all types of conditions
5) the fee is reasonable.



and..being 'no deductible' option doesn't necessary mean it is good.. Do you know how deductible works, if i may ask?

This post has been edited by numbertwo: Jan 15 2010, 07:00 PM
numbertwo
post Jan 16 2010, 10:43 AM

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QUOTE(epalbee3 @ Jan 15 2010, 09:18 PM)
you can download from here: https://www.allianz.com.my/cls/content.aspx?t=857&m=0#top

By the way, the brochure did not state if per disability, but most medical insurance like that. May be you can ask others.
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yeah, no assumption made if I can't see it printed. wink.gif If deductible or max claim per limit is per disability, they will state that UPFRONT.


Added on January 16, 2010, 10:48 am
QUOTE(PJusa @ Jan 16 2010, 10:31 AM)
numbertwo,

the allianz plan i have in the comparison already for a while. did not bother to seperate the deductables out. the plan is overall pretty good. a deductable of 2000, 5000, 10000,15000 is optional - i memory serves me correctly, the deductable is overall annual deductable not per disability (as it's the case with tokio marine).

from my research, renewal is guranteed without loading or exclusions. once you have it, you have it. the limits for annual outpatiend cancer / dialysis are small but on the max plan acceptable (20k each).

pricewise the plan is one of the more competitive ones. i will check out how much discount they give for the deductables - with the deductable and a hefty premium discount this plan might work very well in combination with another plan for example AXA. i toyed with a reversal i.e. Allianz no deductable and AXA high deductable for bursts (50% off at 20k deductable) but the lifetime limit with allianz means you might be better off with using a no lifetime limit policy as primary and a policy such as allianz with a high deductable as secondary. however other policies seem to be even cheaper smile.gif
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Allianz plan's deductible max out at 15K , so yes your memory is correct. And it does give a >50% off the non-deductible premium if you choose the max 15K deductible plan.

ie. (R&B rate RM300)
- Male 40 with non-deductible RM751.20
- Male 40 with 15k Deductible RM300

I just need one deductible plan as I'm relying on the Co. med as the primary..

This post has been edited by numbertwo: Jan 16 2010, 10:48 AM
numbertwo
post Jan 16 2010, 06:15 PM

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Good to see more options coming up.. it was down to TM , AXA or Pac that has got the deductibles previously..

This post has been edited by numbertwo: Jan 16 2010, 06:16 PM
numbertwo
post Jan 18 2010, 10:52 AM

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QUOTE(Ericpoo @ Jan 17 2010, 02:57 PM)
for senior citizen as long as the age is below 60 & is healthy I thik maybe they can opt for Allianz PowerLink because its really worth to buy & affordable.
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Allianz Powerlink is ILP, this is NOT RECOMMENDED for anyone even after 40 years old(either you are in bad shape or super healthy)... I hope you take into the account of the ILP's characteristics before advising anyone below 60 to buy any ILP related plan..

This post has been edited by numbertwo: Jan 18 2010, 10:53 AM
numbertwo
post Jan 19 2010, 10:43 AM

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QUOTE(numbertwo @ Jan 16 2010, 10:43 AM)
yeah, no assumption made if I can't see it printed. wink.gif  If deductible or max claim per limit is per disability, they will state that UPFRONT.


Added on January 16, 2010, 10:48 am

Allianz plan's deductible max out at 15K , so yes your memory is correct.  And it does give a >50% off the non-deductible premium if you choose the max 15K deductible plan.

ie.  (R&B rate RM300)
- Male 40 with non-deductible RM751.20
- Male 40 with 15k Deductible  RM300

I just need one deductible plan as I'm relying on the Co. med as the primary..
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Very unfortunate, Allianz CS answered my query with regards to the deductible is as following :

Q: 5) is the deductible of RM10k applicable to yearly? Or lifetime? Or perdisability? Kindly confirm
A: 5. Level of Deductible refers to the portion of the eligible expenses which customer is liable before any benefits are payable under this plan per admission.

If it is per admission it would means that this is not a good choice! Imagin if one has a 10K deductible plan, and having to admit hospital whereby fees are over RM10K each, it means one has to folk out RM10K each admission before one can claim from Allianz? hmm...
numbertwo
post Jan 25 2010, 01:09 PM

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QUOTE(cenkudu @ Jan 24 2010, 09:20 PM)
anyone has discover medical policy like this:

-10% co-insurance and 20% room rate co-insurance (not room category)
-example you take RM 80 for room rate, in case you admitted and stay with the cheapest room equal to RM 100 you will subject to 20% co-insurance.
-because your actual co-insurance is 10%, you need to pay another 10% out of that 80% from the room rate co-insurance.
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I have not seen such a lousy medical policy... Co-insurance of 10-90 exists in mostly life insurers' plans. Co-insurance of 20-80 when room & Board exceeds the standard package exists mostly in general insurers' plans. Never have I seen both exits in one plan, care to tell which insurance co is this?
numbertwo
post Feb 11 2010, 10:35 AM

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Has the medical insurance premium adjusted lately? I heard that ING med card premium has increased +20% this year...Anyone could confirm?
numbertwo
post Mar 16 2010, 10:07 AM

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QUOTE(PJusa @ Mar 12 2010, 06:04 PM)
cuebiz,

i have no idea where you get your information from but its wrong. there are plenty of GI H&S plans around that have a guaranteed renewal. this is by no means spmething special for life products.
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Agree, plenty of GI H&S plans are guaranteed renewable.. a very common phrase you can find in the policy contract these days :

"xxxxx Insurance cannot refuse the renewal of the Policy
or impose new exclusions for renewal. However,
the product may be withdrawn from the market in
accordance with the Portfolio Withdrawal Condition."

numbertwo
post Mar 16 2010, 04:16 PM

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QUOTE(AhPinG @ Mar 16 2010, 02:32 PM)
yeah i already decide i take oni Medical Card but the ING medical card got cashless or non cashless .

anyone give opinion which i shud take ? different RM150 a year .
having a card better or don need the card. =.=
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I would firstly ask myself two questions :
1. Do i have a realiable, trust worthy agent to serve me, to help me submit and pursue the claims after the event?
2. Is my pocket deep enough to 'pay first, claim later'..Think in a scenario where you may have to folk out thounsand(s) first...

I will not be too bother about insurance not honour the claims later. Bank negara is always there for me.....just know the route to deal with this circumstances and you can save 25% of the premium (that's what i know , the difference between cashless and non-cashless premium band)

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