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 medical / critical illness insurance enquiry

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HHalphaomega
post Jan 4 2010, 03:03 PM

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QUOTE(Justin1000 @ Jan 4 2010, 02:41 PM)
AXA General is dealing with GI while AXA Life is dealing with Life.

All the H&S plans are more or less the same in terms of benefit types and premium. There is no such plan as the best H&S plan in the market. If there is, it will sell like hot cake and do not need any agent to promote. There is only a plan that best suits your needs and budget that you can afford now. Many people's needs and financial standing changes usually for the better as they mature, as such what suits you now may not suit you in future. As such it is always good to have a professional agent that helps you to look/review this, from time to time , especially if you do not have the time or knowledge to do so. Leave it to the expert who is passionate and committed to serve.
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Well said Justin1000.

There's no best product in the market as there's no panacea for all requirements. I'm sure everyone would agree there's a best fitting product to their individual need and risk appetite.

Cheers,

HH
HHalphaomega
post Jan 4 2010, 10:32 PM

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QUOTE(epalbee3 @ Jan 4 2010, 09:12 PM)
The problem is most senior medical insurances are very expensive.

Any company offer limited protections with cheap fees. Like 20k should be enough..
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The medical insurance quantum grows in tandem with the medical cost in this country. I know for a fact there's no good quality treatment available for RM20K as the amount would be easily used up.

Let me relate to you an incident I witnessed myself. A family friend of mine stayed at Pantai Medical centre for 2 weeks for pre-bypass ops and was slapped with RM100K bill. While RM100K is a huge, it certainly didn't help as he was told to fork out another RM90K to complete the procedure.


Added on January 4, 2010, 10:34 pm
QUOTE(weikian @ Jan 4 2010, 10:28 PM)
I would suggest you not to buy medical card with too low limit. As when you finished up the limit, you might have problem buying another medical card. Insurance companies might not want to accept you by then.
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That is indeed true as no insurer would like to insure an unhealthy person. There are plenty of products out there that offers good coverage and yet fit your bill.

This post has been edited by HHalphaomega: Jan 4 2010, 10:34 PM
HHalphaomega
post Jan 5 2010, 11:27 AM

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QUOTE(epalbee3 @ Jan 5 2010, 12:57 AM)
well, may be it can only be used for minor admission.
For bigger one, government hospital may be a better choice. 20k - 40k is just enough to cover government fee. As you know, things are never cheap as well for government hospital.


Added on January 5, 2010, 1:20 amGood and cheap plan, please advise:

http://www.tokiomarine.com.my/products/medical_partner.htm
only drawback is until 65 only..
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Epalbee,

From the outset the plan looks like a decent coverage. If you're able to only afford the said plan and willing to take the risk of no coverage post 65, then go for it. End of the day, it really depends on what you can afford and your risk appetite after you've weighed all the variables.

Cheers,

HH

HHalphaomega
post Jan 5 2010, 11:19 PM

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QUOTE(epalbee3 @ Jan 5 2010, 09:05 PM)
I would say all very expensive, only kurnia mediguard premier is affordable..

Paying like Rm3k per year is like paying a viva..


Added on January 5, 2010, 9:06 pm

yupe.. the problem about tm is it does not cover after 65.

so kurnia will still be the best.. if not, i will buy tm..
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Yes Epalbee3, go for what you feel is the best for your budget and risk assessment.

This post has been edited by HHalphaomega: Jan 5 2010, 11:19 PM
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.

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.
HHalphaomega
post Feb 1 2010, 12:47 PM

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QUOTE(QQstore88 @ Feb 1 2010, 02:56 AM)
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.
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Companies generally offer medical benefits based on their budget hence it may not serve your best interest. Some companies change their providers purely based on cost factor and this burdens their employees in most cases.

HHalphaomega
post Feb 7 2010, 01:11 PM

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QUOTE(emmahazimah @ Feb 7 2010, 11:41 AM)
Hi all, It seems that we have a few insurance expert here.

Im just want to ask a few questions. Anyone can explain in detail the answers would be a very great help for the members in this thread who may just about to purchase or already purchase a medical card.

1. Who can define the term and purposes of having a medical coverage?

2. Why a client claim was advice 'pay and claim' when they already have a valid medical card?

3. What is 120 days SI? What are the illness? What other illness that could relate to SI?

4. How 20 % co-insurance calculated?

5. Why the agent said to me that my medical bills will be covered if i purchase a medical card but in the end my claim was rejected?

6. Client came to seek agent clarification on purchasing a medical card but agent only telling the client which plan is the best? they make comparison with other insurance company plan types, co-insurance, deductible. What do agent understand about the medical illness and which illness is coverable or not by the insurer?

7. How assure that the insurance will issue a GL/ LOG to the hospital for any admission?

8. How to make sure that every time i was admitted to a hospital, the insurer will issue a LG/LOG for me without any hassle or delay? 

9. Which list of illness can be coverable in within 1st year policy?

10. Why hospital staff ask me to pay for a deposit eventhough they already received a LG/LOG?
I will be glad if there is someone who is an agent explain to me all the question above.
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Hi Emmahazimah,

Please find the answers to your question listed below.

This is based on my personal knowledge and is not conclusive answer from an insurer as medical plan differ in their terms from company to company & even plan to plan.


1. Who can define the term and purposes of having a medical coverage?

Medical insurance provides coverage for hospitalisation & surgical expenses incurred due to illness or accident injury.


2. Why a client claim was advice 'pay and claim' when they already have a valid medical card?

This usually occurs when you're warded in non panel hospitals who don't entertain medical card from the insurer.

3. What is 120 days SI? What are the illness? What other illness that could relate to SI?

Specified illness occurring within first 120 days from the effective date of the plan are excluded together with pre-existing illness. It usually would include things like diabetes, hypertension, tumours etc. This list is non-exhaustive. Please refer to your policy contract for the full list of exclusions.

4. How 20 % co-insurance calculated?

20% coinsurance is usually applicable if there's upgrade of room & applies to all expenses considered eligible earlier.


5. Why the agent said to me that my medical bills will be covered if i purchase a medical card but in the end my claim was rejected?

Again this is something that might have been stated as exclusion on your medical plan and your agent has not mentioned to you.

6. Client came to seek agent clarification on purchasing a medical card but agent only telling the client which plan is the best? they make comparison with other insurance company plan types, co-insurance, deductible. What do agent understand about the medical illness and which illness is coverable or not by the insurer?

Some agents just don't go through the very policy they actually market. It's a sad fact. To me, the longer the agent has been in the business the more they accumulate in terms of knowledge & experience. Another advice is to go through your medical policy.

7. How assure that the insurance will issue a GL/ LOG to the hospital for any admission?

This is rather difficult to answer as medical plan usually exclude some types of admissions.


8. How to make sure that every time i was admitted to a hospital, the insurer will issue a LG/LOG for me without any hassle or delay?

You should contact either your agent or the insurers' customer service line even though this is usually done by the hospital staff.

9. Which list of illness can be coverable in within 1st year policy?

This list is usually quite long and would be specified in your policy document as insured benefits.

10. Why hospital staff ask me to pay for a deposit eventhough they already received a LG/LOG?

This is usually due to medical plan you have which calls for your co-insurance.


I hope this has answered at-least some if not all your questions.

Cheers,

HH

HHalphaomega
post Mar 1 2010, 09:46 AM

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QUOTE(PJusa @ Feb 28 2010, 08:07 PM)
i dont think it makes much of a difference. but it does depends on your insurance requirements. for me personally i'd take a very very high cover while i am young and gradually reduce it zero by the time i retire. i.e. 1M++ then slowly lower to offset just the amout of money i would still have to earn to retire with my set level of monthly "pension". if you do it like this, then standalone is significantly cheaper because the higher early cover is almost free while the lower cover at the end of the period would probably be more costly. if you buy a package you get a uniform amount that rarely reflects your actual need more than for a few years in the middle of the insurance period.
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A good strategy to go with PJusa as it maximizes the coverage at minimal cost. If you've created a good stream of income for retirement, then you're well planned than most others.

HHalphaomega
post Mar 10 2010, 11:24 AM

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QUOTE(AhPinG @ Mar 10 2010, 08:33 AM)
Yeah its on budget so i took MC instead of the whole plan  .

In future if i got money , i buy savings plans . is it worth ?

or do i really need to force myself so hard atm =.=
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Always remember to stick to your budgeted amount and don't force it on you. You'll end up wasting your money if you eventually let it go due to cash constraint.
HHalphaomega
post Mar 10 2010, 05:35 PM

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QUOTE(AhPinG @ Mar 10 2010, 04:55 PM)
so buying MC + life insurance without returns is better right ,
those invest / savings i can buy in future
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While everyone needs to have a good coverage for insurance it must also fit your budget hence don't buy into something because your agent is pushing it hard to you as YOU're PAYING for it.

However, provided your budget permits it, the only advantage I can see if you purchase the investment link plan with medical card is the ability to add on the a rider to waive your future premiums should you be diagnosed with CI. This isn't normally available with standalone medical plans.

HHalphaomega
post Mar 11 2010, 07:53 AM

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QUOTE(PJusa @ Mar 10 2010, 06:47 PM)
HHalphaomega,

agreed that might come in handy. but a simply CI to cover say 10-20 years of premiums would be an alternative to offset this.

since TS is on a budget i guess he should really only buy what's most needed. i find it very sad that friends try to pressure him to buy something he cant afford to gain comission. ppl like that should not be allowed to be agents as their actions are not ethical.
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PJusa,

That's another way to go as well and I wouldn't discount that.

The agent he's referring to falls somehow to that category you've mentioned and would not last long if he pursues his sales using this sort of tactics. Well the ball is in TS's court and let's see how he decides.



HHalphaomega
post Mar 11 2010, 11:09 AM

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QUOTE(AhPinG @ Mar 11 2010, 09:01 AM)
ive decided to buy oni medical card at this time .

i prefer ING so hope my friend don talk so much and layan me those MC oni . if he proceed don wan do any shit and keep push me others . ill straight decline everything and go for Manulife MC . -.-
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That's a good decision AhPinG.


Added on March 11, 2010, 11:14 am
QUOTE(vandoren @ Mar 11 2010, 09:03 AM)
just want to clear my doubt.

ILP is protection+investment, right?
investment may be gain or loss? or the insurance company will at least maintain a minimum %?

the investment is non guarantee, is it?
or it's consists of guarantee+non guarantee value?
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Investment returns on ILP products are projection that may be around the figures proposed depending on how shrewd the fund managers take care of it. The catch is once you receive the returns, it can always be wiped off or reduced due to current economic conditions hence they're said to be non-guaranteed.


This post has been edited by HHalphaomega: Mar 11 2010, 11:14 AM
HHalphaomega
post Mar 11 2010, 11:25 PM

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QUOTE(AhPinG @ Mar 11 2010, 03:07 PM)
yeah im thinking of that too .
at least i have a medical card .

regarding others , i wish i can have too but wait till i have enuff income .
getting paid at 1.8k is too low T.T
My friend intro below plan for me ,
he says will recover my MC in future , what i want to know guys , is if i buy oni MC card now . and maybe 2 years later i only buy other plan .
will i lose alot or totally not worth it ?

Added on March 11, 2010, 9:45 pmuser posted image


Added on March 11, 2010, 9:49 pmuser posted image
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AhPinG,

What you see is what I believe to be a traditional plan. I would say you would eventually need to have this coverage for yourself but you need to ask yourself whether you can afford it now. There's nothing wrong in getting this a bit later since you're on a budget. The only thing different is, you would paying a little bit more as a result of your older entry age.

Like I said earlier, go for it if you can afford it now otherwise you're going to strain your finances.
HHalphaomega
post Mar 12 2010, 08:24 AM

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QUOTE(AhPinG @ Mar 12 2010, 07:22 AM)
er what  u meant if i get another plan without savings , after certain years , i can get back on the the amount i pay on prem .
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Without savings means, you'll get protection for CI but without any returns at least non guaranteed ones.

HHalphaomega
post Mar 16 2010, 05:33 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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From what I know, you may either opt for the cashless option, which comes with the ING Medical Card, or the non-cashless option, where you pay first and submit your claim to ING Insurance for reimbursement later. It's good to go for the cashless option unless your budget doesn't permit it.


Added on March 16, 2010, 5:41 pm
QUOTE(mfitri77 @ Mar 16 2010, 04:03 PM)

My take is - Allianz, Pru and Great Eastern are well established, financially sound players in Malaysia, with good support system, so no problems claiming etc.

Pru policies gets upgraded all the time - Now if you don't claim, you get No claim bonuses, but still go Co-insurance, capped at RM1k maximum. However, you can upgrade rooms beyond your entitlement and pay the difference without penalty. Allianz no co-insurance (powerlink) but be very carefull of the 20% co-insurance if you upgrade/force to upgrade your room over your entitlement. Great Eastern not sure. Anyone here care to comment.
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For Great Eastern medical card, you're limited to 10% or RM500, whichever lower. In case of upgrade (intentionally or not), all eligible expenses are pro-rated in 80%-20% sharing, ie 20% co-insurance.


This post has been edited by HHalphaomega: Mar 16 2010, 05:41 PM
HHalphaomega
post Mar 16 2010, 07:09 PM

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QUOTE(Aurora Boreali @ Mar 16 2010, 07:05 PM)
Hey guys and girls, I recently signed up for an ILP with Great Eastern with Smart Medic as the medical rider.

I just only found out that it's yearly renewable. Is there any chance that it CANNOT be renewed once a claim is made? Worried about not being able to renew it when I need it the most i.e at old age.
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The chances of that happening is close to nil as Great Eastern like all insurers will honour their part of the bargain as long as you keep up yours ie pay the premiums.

HHalphaomega
post Mar 16 2010, 11:00 PM

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QUOTE(PJusa @ Mar 16 2010, 07:40 PM)
HHalphaomega,

you sure about that? i dont know about GE but i spoke with the guys from MSIG before asking them about their yearly renewable feature. they told me straight away that if i make high claim or for example cancer claim they either wont renew me next year or exclude cancer and such. since non-guaranteed is usually a lot cheaper this makes sense for the insurance (bad for the insured....)
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PJusa,

I'm very sure about this one for GE. This is a rider attached to the main policy and I see there's only the usual Portfolio withdrawal condition - the Company reserves the right to cancel the Smart Medic portfolio as a whole if it decides to discontinue underwriting this rider. I believe this to be a standard term included in by almost all insurers.


Added on March 16, 2010, 11:05 pm
QUOTE(numbertwo @ Mar 16 2010, 10:29 PM)
I believe why most ppl say Pru prolicies are expensive, perhaps maybe most of PRU med card is attached to ILP.  If this is the case of course it is anytime more expensive than any standalone medical card sold elsewhere.
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About Prulink, I think if you pay a little bit for something then you usually get a little bit more in terms of benefits. The real question here is whether you can afford or need that extra. If you can afford it, I don't see why not.


This post has been edited by HHalphaomega: Mar 16 2010, 11:05 PM
HHalphaomega
post Mar 18 2010, 08:20 AM

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QUOTE(Molotov Cocktail @ Mar 17 2010, 10:04 PM)
thank for the explainantion waiyeap, got other question, if im diagnosed with certain critical illness, can i apply for medical card after being diagnosed, so if i dont want to have medical card i can choose to have high sum of CI coverage, bcoz i think the premium is cheaper to increase coverage for CI compared to medical card
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The chances of getting a medical card is very remote if you've been diagnosed with CI. Even if you do, there will be plenty of exclusions which would ultimately make it unattractive.

Basic idea for insurance is provide cover for individuals who are of standard life, healthy and can afford to pay standard premiums. If they move away from this convention they're actually doing unjust to the others in the pool.

As for me, medical insurance is there to foot my medical bills when I fall ill or need treatment for any of the CIs. The CI insurance kicks in more as a bonus fund to pay for any other costs as well as to compensate me on the loss of my regular ability. For an example, when you're diagnosed with heart attack etc, you can't really work like you used too hence this fund can be invested elsewhere to generate income for you.


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