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 medical / critical illness insurance enquiry

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Brother Nick
post Apr 14 2010, 11:02 AM

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QUOTE(hackwire @ Apr 13 2010, 05:42 PM)
is it true that now prudential hospitalization or almost all companies are practicing this.
conusmer now have to pay 10 percent of the total sum claimed in the hospital bill?
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I bet this has been told by the companies that practice co-insurance/takaful tongue.gif
Brother Nick
post Apr 18 2010, 02:34 PM

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QUOTE(hackwire @ Apr 16 2010, 05:17 PM)
What policy will be the best for this customer requirement :

1) Budget : RM 100 per month
2) he wants a renewal policy up to 100 years
3) he want a fix premium fees without fluctuating cost when he get age.
4) No Co - insurance or maybe like AIA which have a minimum before Co.
5) Covers Dialysis and other treatments after discharge. no limit is better.
6) no annual limit
7) got hospital allowance
8) guardian fees and children nursing fees provided.
9) doctor visiting fees absorbed by insurance without limit.
10)no need to pay RM 50 for medical report by client
11)evac from overseas.
seems like impossible policy...
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Even you think that it is impossible policy. tongue.gif. Anyway this is my opinions

1 ) Budget is too low to cover all your needs from number 2-11

2 ) This can be done. maybe take up a whole life policy or ILP which can covers up to age 100

3 ) This is very difficult. Some of riders and life policy insurance charges will increase due to age

4 ) Many insurance have no co-insurance such as AXA,MAA and many more

5 ) if you take up medical card sure have limit. Therefore attach another critical illness rider with high coverage which can cover all this cost if you strike this illness

6 ) All medical card got annual limit. Only Prudential have this Annual Limit Waiver but still the have lifetime limit
which people should carefully look in to.

7 ) This can be attach and some medical card already provided it.

8 ) I have few client which doctor visit them more than 1 time a day but still the insurance company paid full
the total bill. This is because some hospital, billed the fees lump sum with room &board plus other charges
together. So its hard for the insurance company to tell. Normally they will just pay.

9 ) What medical report? When applying for insurance?

10) This benefits normally attached to a medical card.

Regards

This post has been edited by Brother Nick: Apr 18 2010, 02:48 PM
Brother Nick
post Apr 19 2010, 12:02 PM

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QUOTE(numbertwo @ Apr 19 2010, 09:30 AM)
Please quote which insurance plans of AXA or MAA that has total Nil Co-Insurance.  Otherwise, your statement might be false based on what I know about them.  They both have co-insurance kicks in when room is upgraded or exceeding the plan one has purchased.

And about the Doctor report.  That's the form filled up by the doc for one to submit their claims.
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Co-insurance and co-payment are two different things.

Co-insurance means cost sharing between you and the insurance company. You need to pay a certain percentage of the medical bill (for example, 10%), and the rest will be paid by the insurance company.Not all benefits covered are subjected to co-insurance. Benefits subjected to co-insurance vary widely among insurance companies.

Common benefits subjected to co-insurance include:

Hospital Supplies & Services
Intensive Care Unit
Day Care Benefit
Surgical Fees
Pre-hospitalization Treatment
Post-hospitalization Treatment
Home Nursing Care
Outpatient Cancer Treatment, etc.

Co-payment is the mandatory cost sharing which is 20% of the total medical bills. You have to bear it if you are warded at a hospital room which is higher than your eligible benefit. For example, if the H&S insurance you purchase covered RM150 per day for a hospital room, but you choose to stay at a room which is costs RM200 per day.


And to answer you question : AXA Medical Card ( Medical Card ) don't have co-insurance

This post has been edited by Brother Nick: Apr 19 2010, 12:03 PM
Brother Nick
post Apr 19 2010, 01:21 PM

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QUOTE(hackwire @ Apr 19 2010, 01:07 PM)
what is the best option for a baby and parents who are not covered with H&S . Parents already have life policy

1) buy H&S standalone + life policy with 33 critical illness. (not a linked policy) ( for baby only) Parents buy their own.

2) buy H&S linked with  life policy  + 33 critical illness (as riders)

3) buy a H&S Family plan (husband + wife + children included )  and  buy a separate life policy with 33 critical illness for baby only

4) buy a male or female + baby H&S policy and a life policy with 33 critical illness for baby.
I know some agents wants parent to take up family plan or even the investment linked for their commision purpose. I afraid to pay more for my child since usually child premium is not as high as adult.
Will buying a separate plan for them will save cost?
Whats the pro and cons?
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It all come down to your budget. How much you willing to put aside and then try to find an insurance company which can match your needs. Prioritize is the key if in budget. If I'm the father I would normally rank this way

1 ) Medical Card ( Hospitalization bill is huge and will effect my income if my child admitted )
2 ) Education Fund ( For future )
3 ) 36 Critical Illness ( its hard for kids to strike one of the 36 illness )

Different people different needs. Anyway to answer your question, if you want complete coverage for your baby only .... then opt for the No.2 Option and dont forget to add payor benefit.

This post has been edited by Brother Nick: Apr 19 2010, 01:25 PM
Brother Nick
post Apr 19 2010, 05:17 PM

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QUOTE(chew_ronnie @ Apr 19 2010, 03:27 PM)
Brother Nick,

is this the AXA med card u mentioned? Got it from AXA's corporate website. http://www.axa-affin.com/axa-affin/axa-aff...8Apr2010%29.pdf

Everything is good except the out-patient cancer and kidney dialysis treatment. 20k to 60k per lifetime? This is too little considering todays rate. If this out -patient treatments are no limit, then this is the card to buy.

Also would like to know whether this is a stand alone or a rider, coz from what i see its a rider.
Pls advice.
chew_ronnie,

Yes. that's the one. As for the outpatient cancer and kidney dialysis treatment it is per lifetime. For us, we normally asked the client to add 36 critical illness rider if that is their concern. This medical card is a rider and can be bought with minimal RM5,000 term life policy which is not that expensive. For example female kids age 3 is only RM 40.40 for a RM100,000 and RM5,000 term



QUOTE(numbertwo @ Apr 19 2010, 04:00 PM)
My opinion is , if a card has a co-insurance, irregardless whether by default or only upon upgrade of room cat, we have to say 'It has a co-insurance' clause, no way we should tell client that it has no co-insurance becoz there is no co-payment.. hopefully u got my point too . smile.gif

Yes, we can always max out the room category and purchase the highest, this is the way to have a peace of mind as nowadays, getting into a 2 bed-room in goverment hospital is also a problem!
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numbertwo,

I disagree, this is because the co-payment can be avoid if the customer stick to the room and board that he/she entitled. While co-insurance is something you can't avoid. It's the agent to make the client understand so that they dont need to pay the co-payment.

This post has been edited by Brother Nick: Apr 19 2010, 05:20 PM
Brother Nick
post May 4 2010, 01:52 AM

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QUOTE(storm88 @ May 3 2010, 09:11 PM)
Well, you already make conclusion. there's no need of further discussion.

i have some experience, my ex-boss, my own admission, also my father's admission and as well as my mother-in-law one. We all don't need to pay security deposit or deposit at the hospital you mentioned " Required list"
We holds different Medical cards from different company. What do you want to say about that?

I don't know how long you've been in this industry but i could say that from my own experience for years, i could bet even thou Prudential wrote hell of list hospitals which need deposit. At last it might don't need deposit as well. Like what my mother-in-law did.

just to pin point that i never said any company doesn't need deposit at all. I don't know how hospital justify but from the experience i gained, i could call it random .

- Storm88 out
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I agreed with Storm88. My clients doesn't have to put any deposit or security deposit when admitted. So far nope. nod.gif
Only there is one time in tawakal, they asked my client to pay RM70 before admitted and I straight away call the hospital regarding the matter and later they just warded my client without any upfront deposit or payment.




This post has been edited by Brother Nick: May 4 2010, 01:56 AM
Brother Nick
post May 24 2010, 11:24 PM

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QUOTE(pchan84 @ May 24 2010, 09:41 PM)
Seems like it's extremely expensive for u to get the machine, hope u could claim for tis wink.gif
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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.

This post has been edited by Brother Nick: May 24 2010, 11:38 PM
Brother Nick
post Aug 15 2010, 09:58 PM

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QUOTE(ajau @ Aug 14 2010, 09:07 PM)
The term "resides or travels outside these countries for more than ninety (90) consecutive days" should cover you if you are working in S'pore. However you need to make sure before 90 consecutive days expire, you must go back to Malaysia. I believe AXA will request your photocopy of passport to confirm you are not staying more than 90 consecutive days in Malaysia to reimburse your medical bill. This is what I've been told in Prudential training.

Anyway, it's good if you double check with AXA. Not sure if they do the same.
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Yes. It is the same. I'm from AXA.

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