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 medical / critical illness insurance enquiry

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chew_ronnie
post Aug 8 2010, 06:07 PM

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QUOTE(shaquenator @ Aug 8 2010, 02:44 PM)
hi ronnie,

referring to your reply no.1, how will the underwriter know about if a person has been hospitalised before ? will the underwriter go and investigate from the hospital record ? [ assuming the person forget to declare as it happens a few years ago and the person is currently ok ]

also for no.2, endowment plan i thought dont have CI and any medical plans in it, how come there's still a need to do medical check-up ?
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hi there,

If you have do a claim from insurance from another company, the record will show (all insurance companies are linked up).

Endownment policies consists of life insurance too so same underwriting guidleines apply
chew_ronnie
post Aug 11 2010, 10:36 AM

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QUOTE(abbey @ Aug 10 2010, 06:49 PM)
PJusa,

If I am aged 31 and have a max budget of RM750 per year for insurance, can you please suggest a few standalone medical cards that are:
a) guaranteed renewable
b) do not increase premiums based on my personal claims
c) offers as comprehensive coverage as possible
d) deductible plans can be considered

Thanks  smile.gif
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I think Tokio Marine's General Med Card is the way to go as PJusa as pointed out. Others are just not as good. This is my personal opinion.
chew_ronnie
post Aug 18 2010, 06:04 PM

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QUOTE(happy_gal @ Aug 18 2010, 05:26 PM)
the 1 that she quoted me.. room and board is 2 bedded leh.. sumore blardy hell have to pay about rm500 maximum if u are hospitalized wor..

like example, if u are hospitalized, the bill is Rm30k... u have to pay rm500....

she says all insurance comp also like that.. some like she intro to my dad have to pay 10% of the total bill if he's hospitalized...

like bill = 100k, my dad have to pay 10%... 10k... ON TOP OF BUYING THE DAMN INSURANCE!!!...


Added on August 18, 2010, 5:29 pmalso, i want to ask.. lets say great eastern have gotten the medical report from the hospital on my surgery and endoscopy..

then i reject their policy because they exclude me too much things already..

i want to go another cmpany to buy their policy...

can i request my agent to photocpy the medical report that Great eastern has gotten and then submit to the next company that i wan to buy the insurance from?... will it be accepted?...
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Frankly speaking, for your GE investment linked policy price cannot be justified because we dunno what kind of coverage you are getting. Also we do not know what are the savings portion allocated! For your 900k medical card, it is not too big for u at 25yrs old, just bear in mind that the plan u are getting covers u for at least a double bedded hosp room.

Not all companies have co-insurance on the hospitalisation bill as PJusa has noted. Your agent is just using it as a sales pitch.

And now since GE has excluded u alot of things, and with ur medical report submitted to GE, the chances are other insurance companies may exclude the same things too. You can get back your reports and get the hospital to CTC it and can be submitted to other companies (u have take ur chance on other companies to accept your application).

Hope this helps.
chew_ronnie
post Aug 19 2010, 02:58 PM

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QUOTE(happy_gal @ Aug 19 2010, 02:28 PM)
hmm...she sumore show us the other companies medical card terms and conditions saying u see this comp requires u to pay 10% lah.. that comp requires to pay min amount... this and that..

she's nt specific to GE... She's a financial planner so she says she can represent many insurance company wor.. i also dun quite like her service because i feel like kena cheated from her..

U know i previously bought this etiqa insurance way back 2 years ago.. then she told me.. u have to buy female insurance.. that etiqa dun cover much 1... then she go and add rider into the policy say want to buy female geh insurance..  now i think back why i sooo stupid jz kena brainwash from her..

my etiqa covers me 100k ... sumore monthly oni rm24... yearly i oni pay rm265... bt then this money cant be taken back lah consider burnt if i dont claim.. by far i feel that its quite good lor..
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Dun worry, as of now we still cant tell wheather ur GE policy is worth or not! So now u have cancelled ur GE policy? If not, pls list out all the riders and benefits and we can help you see whether is it what u wanted!
chew_ronnie
post Aug 19 2010, 09:20 PM

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QUOTE(happy_gal @ Aug 19 2010, 03:16 PM)
i will hav to download the illustration that she said she have sent me..

dun worry i will post it up here tomorrow when i've read it tonite..


Added on August 19, 2010, 3:32 pm
i am going to cancel the GE policy because i hated dealing with her..

u know i initially said i want to pay yearly mah .. i didnt know that the blardy medical report is going to take so long.. she did inform me that she will need to get the reports from the doctor.. fine.. should it even extend to more then 1 month in getting that simple report from the doctors???!!!

then suddenly payment came bt then still i havent sign the confirmed policy (which says which items are excluded for me) reason being is because the doctors havent give the medical report yet.. therefore underwriters cannot do the underwriting therefore the policy havent come out yet.. WTF!!...

then i was so freaking angry why it took more then 1 month to get the simple report.. so out of curiosity and anger, i called my friend.. she helped me ask her agent..

her agent say WHY THAT LADY didnt advice me to pay monthly 1st.. if lets say i dont want the policy then at least i jz need to pay that 1 month oni which is oni at rm358 instead of paying rm4300 without knowing exctly what they exclude me...
of course i angry lor cause i didnt know earlier mah...
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Some hospitals needs at least 3 weeks to 6 weeks to get the report and this depends on which hospital.

Your premium is virtually deducted from your credit card or cash at the moment, but if u reject the policy, you'll get back all ur premium minus whatever medical fees (report). It really doesnt matter monthly or yearly payment because if you are not happy with it, all premiums will be refunded.
chew_ronnie
post Sep 1 2010, 02:45 PM

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QUOTE(almeizer @ Sep 1 2010, 11:48 AM)
I think the guaranteed renewal is meant that insurance company will renew the policy regardless of the health condition of policy holder. Let's say the policy holder did not make any claim and the policy cover until 65, if guaranteed renewal until 65, meaning the company cannot terminate the policy until 65. Guaranteed renewal does not mean after you made claim but still can renew.
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This is a pure C.I plan unlike health insurance plan i.e. medical card where its guaranteed renewable or conditional renewable. A lump sum is paid at first diagnosis when diagnosed with any one of the said illness, and when this sum is paid, the whole policy will be terminated and when terminated, there is no point to renew.


Added on September 1, 2010, 2:50 pm
QUOTE(happy_gal @ Sep 1 2010, 12:07 PM)
btw, for those ING, Prudential, can u guys send me a quotation on only the critical illness and female illness only?..

coverage till about 80-90 lah... bt then i want to pay less then 200 per month..
hehehe... im doing a lot of comparison here
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Frankly, as I see ur case, you shouldn't have compare anymore. Just apply to all insurance companies out the be it ING, Pru, Hong Leong, Allianz, AIA, Manulife or any u can name off at RM 200/mth (ur budget) because of ur health condition that is excluded by GE during ur 1st application. See which company can provide u with the less exclusion. Now u compare this and that, and if u can find a best policy, that insurance company might impose alot of exclusion or loading to u especially when u buy women illness and Critical illness because u had a surgery as u mentioned before.

I am not trying to be harsh here, but i'm just speaking the true fact. THanks

This post has been edited by chew_ronnie: Sep 1 2010, 02:50 PM
chew_ronnie
post Sep 1 2010, 09:23 PM

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QUOTE(almeizer @ Sep 1 2010, 04:23 PM)
You misunderstand it. I mean the guaranteed renew is for never claim before. Of course if claimed, cannot be renew.

For example, without guaranteed renew, the company have the right to not allow policy holder to renew for coming year (maybe the company got the news that the policy holder is in bad health condition). This apply to policy holder did not make any claim before.

If with guaranteed renew, either the policy will be terminate because policy holder did not pay premium or diagnosed with CI or until age 65.
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Noted. I see ur point. Thanks
chew_ronnie
post Sep 5 2010, 12:29 AM

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QUOTE(HHalphaomega @ Sep 3 2010, 09:02 AM)
Hi Firee818,

The medical insurance for a child is based on the child's age. However, if the payer benefit rider is attached then that rider is charged according to payer's age. I know GE has this & am sure others like ING, Prudential, etc has it as well.

Cheers,

HH
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Same goes to Allianz.
chew_ronnie
post Dec 15 2010, 04:14 PM

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QUOTE(gsrturbo @ Dec 14 2010, 04:09 PM)
Hi guys & gals,
I've been using this GE life policy for about 9 yrs or so. and paid roughly ard 100bucks per mth. It covers a basic sum of 35k and additional for Reducing Term Rider Plus with Total & Permanent Disability Benefits (RTRP-TPD) of 70k, but it has many clauses like aft age 40yrs old u'll get like 75% of the insured value and so on.
I would like to know is it better to stop the policy and get a better policy that comes together with the medical card which has a better limit and the premium doesn't goes up like the std alone medical card i'm using now cause the coverage sucks with and annual limit of 25K & life time limit of 75K, which i think is not sufficient. I paid rm250/yr when is signed up 9yrs ago and it escalate up to about 4++/yr now w the same coverage. Wat is ur advice about tis. Should i terminate and buy a better one or i pay for tis and get additional life insurance tat comes with a medical card.
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My advice to you.

Keep ur GE policy should you still able to pay the +/-RM100 if this is a whole life participating policy with term coverage. If u wanna save some bucks, remove the term coverage rider leaving u only RM35k. Then u may get a new policy that consists of life/critical illness and medical card. But as said by forummers here, pls do not terminate ur existing card before the new medical card is inforced fully.

I hope this will serve u as a guide, and above are just my opinion from the point of view of an agent and customer.

Thanks
chew_ronnie
post Mar 16 2011, 12:29 AM

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QUOTE(alexwsk @ Mar 15 2011, 08:10 PM)
since Pacific Insurance had revised their Medi-Pac premium by a lot starting this yr, I found it not really interesting anymore. Any advice on what better package can i get for the premium of RM667 for male 33?

currently the medi-pac is annual limit 40k and life time 150k
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U may try great eastern's great Medicare 2 standalone med card. Quite good coverage I would say, but dunno the insurance charges la
chew_ronnie
post Mar 21 2011, 04:50 PM

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QUOTE(arpoh @ Mar 21 2011, 04:15 PM)
I'm not too sure if it's good to share this to public as the party affected will be insurer, sales person and the insured.
Anyway, you should have able to get this information from a hardworking and ethical FA.
(FYI, i m not even able to search the particular insurer's commission for agent in the net)

Okay, let put in this way.

The premium will be used to pay for the COI, agent comm (in first 6 years), some fee,  and remaining goes to investment for ILP.
You will be surprise that every company charge different COI for life and 36CI, and the variance can be more than 30%. (Non Guaranteed)
So far I find that HLA's COI is lower compare to Allianz for ILP product - Life and 36CI only

Thus, HLA should be the best for Life+36CI.

(Rightfully, the premium for traditional is also similar)

However, HLA medical rider is very expensive compare to Allianz, lifetime limit also 30-40% lower.

Thus, Allianz should be the best for "All In One" Plan for Basic ILP plan   (i.e. include waiver and medical)
INDEED. THAT IS NOT THE BEST PLAN. I SUPPOSED THE BEST IS "TRULY OFFER WHAT THE CLIENT REALLY NEEDS AND MAJOR CONCERN"
IT ALSO NEED HIGH CO-OPERATIVE BTW FA & INSURED TO WORK IT OUT

(Anyhow, how can really always put client interest first?? Sigh...)


Added on March 21, 2011, 4:20 pm

Total from the 7 insurers are 43 diseases.
Some are very funny, for instance,

1) 3 gone already, hahaaaaaa
I)AIDS due to Blood Tranfusion
II)Full Blown AIDS
iii) AIDS Cover of Medical Staff

2) Loss of Limbs
I supposed, paralysis pretty close to this

3) Coranery Artherectomy
Only 1 insurer, tak tahu apa ni

4) 3 insurers dont cover this, jia lat!
II)Other Serious Coronary Artery Disease
III)Angioplasty & Other Invasive Treatments for Coronary Artery Disease
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It is true that different companies offer different medical cards, different 36 CI coverage and different Cost of Insurance (COI). However there is no best company out there, it still boils down to what a person needs.

Agent's commissions now are all listed in the actual quotation from these respective companies. You can obtain these from the respective agents.

Also COI cheaper is only applicable to ILP plans only as all companies charge cheaper in ILPs.

I have a list that compares all the CI coverage for a few major companies. This is only intended to be comparison - and it might contain NOT so Updated info. If you guys would like to see, I will upload up. It is not intended to show which company is good or bad coverage.

However come back to Allianz, everything is good, except that we do not have Lady Illness policy where AIA, PRU, GE and ING has. So it really comes back to what people want.


Added on March 21, 2011, 4:51 pm
QUOTE(MaxWealth @ Mar 21 2011, 03:26 PM)
It will be fantastic if you could provide us the list of 39 CI and 36 CI you mentioned.
Next, the COI for HLA & Allianz is it the insurance cost in ILP? Guaranteed ka?
Thanks wink.gif
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There is no one insurance company in M'sia that has guaranteed premium on the medical card or CI. It is subjected to the insurer's decision to raise or decrease by giving 90 days written notice to policyholders.

This post has been edited by chew_ronnie: Mar 21 2011, 04:51 PM
chew_ronnie
post May 24 2011, 08:35 PM

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QUOTE(Arsenal1980 @ May 24 2011, 05:43 PM)
Dear All LYN member,

I have a question to ask in relation to the medical claim.  icon_question.gif Hopefully someone can help me on this. Many thanks in advance.  notworthy.gif

The situation is like this.....

My mum just admitted to the hospital recently and i was informed tat we can't use her medical card for the admission & hence have to pay our own for the deposit 1st. The reason given by the Insurance Co. is because my mum who diagnosed with "Bone Thorn" (direct translate from Cantonese as i dun know what exactly its called in medical term  sweat.gif ) is still under investigation for the validity of the claim as they suspect the disease actually occurred prior to the date we bought for her insurance which is in December 2010. Therefore is not under the coverage.

However, my mum actually went for medical check up b4 she got her approval for the insurance policy and she had never suffered from this disease b4.

Really appreciate anyone fr the LYN member can give some advise to me on this. My current agent just tell me submit the necessary document n to wait for the outcome i.e. whether can claim or not....  rclxub.gif
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It is normal that insurer will do investigation on this as the policy is relatively new. 2 nd thing, the insurer will investigate based on non disclosure of existing illness, because in their eyes, the bone thorn symptom will not appear straight away - it must be of existent some time ago.

Now the crucial thing is, has ur mum went to see any clinic nearby your house to consult for bone pain or not? If yes, then this claim may be complicated. If No history from clinics or hospitals, then the insurer shall pay.

This is from my past experience.
chew_ronnie
post May 25 2011, 10:19 AM

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QUOTE(Arsenal1980 @ May 24 2011, 10:47 PM)
Thanks for the information  notworthy.gif

When we about to buy the insurance, the insurance agent had done some interview with my mum. She did told him that sometimes she felt some pain on her hand and didn't actually went to clinic / hospital for consultation as the pain is minor and bearable, just went for traditional Chinese medic massage. Would that constitute non-disclosure of illness? in fact, we also suggested to the insurance agent to do a medical check up for this to avoid any future medical claims problem. Eventually, the medical check up goes well and nothings wrong with the report. Mana tahu... problem stil exists now....  rclxub.gif


Added on May 24, 2011, 10:49 pm

Thanks for your info... notworthy.gif
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How old is ur mum? if she's over 50, it is mandatory for her do a medical check up however the check up is on her blood pressure and urine test. It will not do any checkup on her hand pain IF the agent does not write it in the application form. So pls get this clear 1st.

Will it constitute to non disclosure it really depends on how severe is the pain prior to application of the insurance.

Another question is, when ur mum went to the recent surgery on the bone thorn, did she tell the doctor that she had a pain in her hand long time ago? If doctor writes in the report that she had this pain long time ago (before she applied for the insurance) then i can foresee that this claim is void.
chew_ronnie
post May 31 2011, 11:19 AM

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QUOTE(albhong @ May 31 2011, 10:22 AM)
May i seek all sifu advise here. My self have a basic insurance with 50k coverage, i think is for 36 CI,death, tpd, investment link type and a seperate standalone medical card with annual limit 100k, lifetime 300k. last year, I have undergo an major surgery, cervical spine because there is a tumor (not malignant) and have done few round of check up with MRI scan. Result was better than earlier. Due to my commitment, i would like go get better protection in terms of 36CI, death, tpd and medical coverage.

May i know will insurance companies stop me from buying or any possibilities that will a insurance companies look into my case ?
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There might be a possibility that insurers WILL NOT accept your case. If you are lucky, they will accept you with exclusion to ur cervical spine or any related issues. They might impose some loading too.

However the next best thing to do is apply for a few companies at 1 go, which ever gives u the best offer, then u take it.

Let me know if u need my assistance. Thanks
chew_ronnie
post Jun 6 2011, 04:55 PM

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QUOTE(mypetridish @ Jun 6 2011, 03:23 PM)
a simple question. how does great Eastern fare compared to the other insurance companies? I was approached by a GE agent and well.. agents being agents, i like what they say about the company

i try to reacall what they say about it:
1. no.1 insurance company when it comes to asset (?)
2. maximum RM500 co-payment, with Rm10,000  co-op limit, meaning after RM10,000 you only need to pay RM500 max for that claim

etc. cant remember others.
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Depends on what u want. Nothing is wrong at that. Do some shopping around, u may find some others more attractive.

Let me know if u need an Allianz quote.
chew_ronnie
post Sep 23 2011, 06:14 PM

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QUOTE(phra09 @ Sep 23 2011, 05:53 PM)
Just curious if there is such processing fee during sign up insurance?

For my case, I apply via my friend agent and submit via auto debit from cc. Few days later, prudential deducted my rm180 on 6/9/11

Later on they need my medical checkup n some report.
It's been delay till now n pending for approval.

My problem is I'm curious why they deduct my money since my policy not approve yet?

Let say my policy approve on next 1/10, prudential will deduct rm180 frm me again.
Then what about the rm180 they deducted on 6/9 ?
So meaning the rm180 from 6/9 to 1/10 is processing fee?
This is what been told by my agent, not sure how true

Can anyone advise?thanks a lot
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Sounds funny.

I presume ur monthly installment shall be 180 right? By right the 1st payment to the insurer shall be 2 month advance ie 360 for ur case.

Say they deduct on 6/9 for 360, then say ur polic gets in force on 1/10, then the 360 will be the payment for 1/10 and 1/11. The next payment due will be on 1/12. It's not the processing fee.

I'm curious why u kena med checkup? Overweight? Pre existing illness or ur age is old?
chew_ronnie
post Sep 24 2011, 01:48 AM

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QUOTE(phra09 @ Sep 23 2011, 06:44 PM)
Hmm I call the callcentre and they seem confused about this too.

I'm being deducted rm180 on 6/9, which is one month installment.
I even got a receipt via post from prudential

My agent told me they will deduct another rm180 once approved. N if approved, the first installment is processing fee.
Otherwise, if reject they will send me cheque.

I find this quite weird too
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Ur agent is misleding u.there is no such thing as processing fee. Processing fee IMHO, is like non refundable fee wherein insurance,the instwllmentnpaid shall mean ur 1st month premium once ur applications approved.
chew_ronnie
post Sep 25 2011, 12:42 AM

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QUOTE(phra09 @ Sep 24 2011, 11:22 AM)
Thanks a lot. Indeed very useful info you provided over there smile.gif

Back to your question, the doctor confirm my weight for 82kg n 173cm. So the agent made some amendments after the correction.
The reason they opt me for checkup is I have gout history even its rare attack. 3 to 4 mth pain once on the feet. It's been stopped since last year but i declare anyway as advised by agent
Another thing would be post traumatic injuries on my right wrist. I have chronic pain due to hamate bone bruises since 6 months back and still following up with doctor. This is all under my company insurance.

Well my main concern is actually how the payment works.
As per your advise, let say the 1wt installment is commence once my application approved, they should not deduct me again once got approve right?
Next payment should be one month thereafter, for my 2nd months onward...

Hmm I guess I need to wait till my policy approve n see how the charges goes ...
Kinda hard to get a real good agent as stated by you lol.
Some of them can't even explain or describe in detail when I questioned them
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I guess it would be substandard case seeing ur health condition. Not easy to get approved or with lots of exclusion + loading.

Check with ur agent or customer service, why 1 month but not 2months?

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