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 medical / critical illness insurance enquiry

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PJusa
post Jan 16 2010, 05:00 PM

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i agree ... the high plans look rather decent. at the discount level they offer allianz might actually be a good alternative to tokio marine as top up. also the lifetime limit is higher and so is the max age.
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
PJusa
post Jan 17 2010, 09:54 AM

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numbertwo,

allianz is not a new plan. the plan has been around for a couple of years. if you want to see how well the premium is managed it would be a good idea to ask them to provide the premium history.
Ericpoo
post Jan 17 2010, 02:57 PM

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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.
PJusa
post Jan 17 2010, 10:22 PM

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this is not a H&S insurance but a whole life product. just buying the H&S plan is not only easier but also significantly cheaper. the health component is identical to the regular allianz plan we discussed if i am not mistaken. also note that allianz GI will give a walk-in discount of 15% if you avoid the agent.
Ericpoo
post Jan 18 2010, 10:46 AM

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Cheap is one thing but if dignose critical illness yes the medical fees can settle but how about other commitment?Whole Lifwe policy inclusive Life & 36 Critical illness is it better?At least the lump-sum payment can use to pay for monthly commitment during the sickness period.
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
PJusa
post Jan 18 2010, 03:20 PM

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thanks numbertwo for the reply. saves me the hassle. it seems Ericpoo didnt follow the thread, so for your information:

we already established in the thread what numbertwo concluded for your information. in a nutshell, you are advising to buy the worst plan offered to malaysians. the alternatives outlined are far, far superior to the powerlink plan you offered.
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...
PJusa
post Jan 19 2010, 12:36 PM

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that's bad indeed. i wont include the deductable option as an individual choice.
jutamind
post Jan 22 2010, 03:49 PM

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any bought medical insurance from pacific insurance before? any experience dealing with them/acceptability of the medical card by the private hospitals?
cenkudu
post Jan 24 2010, 09:20 PM

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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.


HHalphaomega
post Jan 24 2010, 11:44 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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Co-insurance policy is a norm now in view of high claims.

A detailed breakdown of the coverage details is usually spelled out in the policy document so you may refer to it or check with your agent for clarification.

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?
PJusa
post Jan 25 2010, 09:39 PM

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i only know of Malaysia Insurance Online whose plan works like this. the 10% default co-insurance is however capped at RM 500, 10% co-insurance on outpatient kidney/dialysis too.

pruHealth also has a 10% co-insurance with a cap.

20% default r&b co-insurance i have never encountered. which provider and plan is this?
cenkudu
post Jan 26 2010, 01:10 PM

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this is not an individual plan, this is a plan for group hospitalization insurance meaning that provided by employer. PJusa, it is not default 20% of r&b. it has the combination of both co-insurance 10% and if we exceed our room entitlement (based on room rate not category) we need to pay 20% out of the medical bills. it works like this:

Hospital bill: RM 1000 our room entitlement is RM 100 but we stayed at room at the rate of RM 120.

r&b co insurance apply: we need to pay 20%= RM 200

because our co-insurance is 10%, we need to pay another 10% out of RM 800= RM 80

total co-insurance= RM 280

this is happen to my friend and forget the name of his insurance provider (not very famous)
PJusa
post Jan 26 2010, 05:58 PM

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that explains it all. sorry for misunderstanding. the 10% co-insurance comes for individual plans for the companies i listed above. for company plan, it might even be without limits in order to reduce premium due. i guess in a way this example shows that you should not rely on your company plan but get your own one too - one where you know what is paid and where you decided on the cover.
HHalphaomega
post Jan 26 2010, 06:21 PM

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QUOTE(PJusa @ Jan 26 2010, 05:58 PM)
that explains it all. sorry for misunderstanding. the 10% co-insurance comes for individual plans for the companies i listed above. for company plan, it might even be without limits in order to reduce premium due. i guess in a way this example shows that you should not rely on your company plan but get your own one too - one where you know what is paid and where you decided on the cover.
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I couldn't agree more with this PJusa. It's always good to have your own medical coverage in case you change jobs as well as the protection quantum and coverage limitation.
HHalphaomega
post Jan 29 2010, 08:00 PM

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QUOTE(prudential @ Jan 29 2010, 12:16 PM)
correct. i got many called from going to be retired employee which want to sign up medical card with me.

1. premium is high. at least RM250 monthly
2. cant sign up, have diabetes, high blood pressure and etc.
what can I say, Im sorry I can help you. Please educate your young staff to purchase medical card insurance as early as possible.

1. premium is cheap
2. savings is more.
3. you are healthy.
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I believe you can still get a medical card provided you're in good health. The cost if surely going to be high and most reasonable people would understand that this is the cost of delay. If they don't then it's going to be penny wise pound foolish.
QQstore88
post Feb 1 2010, 02:56 AM

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QUOTE(cenkudu @ Jan 26 2010, 01:10 PM)
this is not an individual plan, this is a plan for group hospitalization insurance meaning that provided by employer.  PJusa,  it is not default 20% of r&b. it has the combination of both co-insurance 10% and if we exceed our room entitlement (based on room rate not category) we need to pay 20% out of the medical bills. it works like this:

Hospital bill: RM 1000 our room entitlement is RM 100 but we stayed at room at the rate of RM 120.

r&b co insurance apply: we need to pay 20%= RM 200

because our co-insurance is 10%, we need to pay another 10% out of RM 800= RM 80

total co-insurance= RM 280

this is happen to my friend and forget the name of his insurance provider (not very famous)
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you sure their calculation is like this? as over use of the medical card is posible for mosthly medical card. coz room & board different also = different medical charges. that's why you have to pay extra. coz your company buy the most lousy card which can stay in the cheapest room nia, try ask boss to upgrade atleast level 2 lor.

This post has been edited by QQstore88: Feb 1 2010, 02:56 AM

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