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 medical / critical illness insurance enquiry

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kidZac
post May 11 2010, 02:16 PM

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QUOTE(hackwire @ May 11 2010, 12:06 AM)
I have just watch the movie Sicko by Michael Moore and this really give me a very good sense of what insurance health care company are in america , many policyholders dont get to claim even though they have bought the medical card. It even have private investigator finding fault and turn down your claim. The worse is to deny you any payment and even if you manage to claim the expenses, Insurance companies will find way to terminate you either by increasing the price of the policy.
So even the policy is consider as Guaranteed Renewal as claimed , which is true, but when they increase the premium so high than, policyholders will got no choice but abandon it. So is it worth to get Insurance Coverage now ?

What does all the agent have to say about this? Are insurance company invented this plan is really on helping patient . if they do , than they should stick to the premium agreement and not subject to increase... this seems to defeat the Guaranteed Renewal clause. People just cannot afford high premium that has no limitation. I hope many agents will watch sicko and ask questions whether they are truly in this business to help the policyholders. if they really mean it than they should question the high cost of premium for old age. Shouldn't senior citizens get cheaper premium after 55 years old but instead the cost is beyond their mean already.

and also the govt policies to make profits from the citizens of America.

Three countries including a communist country actually gives free medical to the citizen. they are Canada, British and france. Guess wat, Cuba too.

oh by the way, govt in france pays nanny to take care of children for free and they even have doctors going to the house to treat you for Free.
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well, be thankful we are in malaysia then! haha, but straight to the point, insurance in malaysia is still at its infancy stage, therefor the products and plans we get here are way better than those in other countries. for eg, not many countries have 36 diseases coverage covered,in fact japan onli has one, cancer!

on to your topic in regards to ppl with old age,i feel for u, but after being in the business, it is managed the way it is becoz old ppl tend to get hospital visits more.one of the reasons i joined insurance is due to my experience when my grandma was sick ,the usual send to hospital vs save cost arguement came in, mind you she was close to 90 then. if insurance companies do not control their funds and manage their premiums well for old age, chances are when we reach our golden years, there wont be much for us to claim already!! insurance companies are not bankrolled by petronas u know. and you also have to look at the lifestyle led by the majority of ppl in that country.


in america, needles to say most of them are unhealthy. thats why insurance there is very messy. i have claims being rejected by my company b4 for my client, and that was due to my client not divulging that he has certain operation procedures done b4. so in that instances he understand why i cant make a claim for him. many reject cases we here about , we onli hear one side of the story. sometimes the ppl who buy medical policies are those who already have pre existing health conditions, try to get a medical card to ease their burden, but then get caught, so where else to go but blame la the insurance ppl.

on to your question on free medical, well, in malaysia we dont have to pay high taxes vs those countries that u just mentioned.
lets just use sg as example, over there they have policy which allows their employess to contribute a certain % of their epf towards their future medical fund. meaning that they educate their ppl to prepare for their own funds already while they are young and still able to earn . difference in mindset helps. in malaysia, u try to do that and see the repercussions.




kidZac
post May 11 2010, 08:47 PM

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QUOTE(hackwire @ May 11 2010, 07:46 PM)
i think you guys are not listening and if u still have a little bit of heart, please watch Sicko.

In the documentary, there were insurance agents who quit their job because they think it was wrong. If i were you , i hope you step back and ask this.

1) Insurance agency said they are here to help us? Are you guys contradicting when people like me can't even buy an insurance at all if i have fall under your category of diabetic, obese , snoring etc....

what do you mean by helping when some people cannot even buy a policy already and they were left to be on their own.

Insurance Agency are going after people who are young and no need medical attention yet am i right? The premium for people over 40s is already unaffordable to some who buy late. So i assume insurance agency are always targeting the safe zone customers . At the end of the day, the policy term and condition is their steering wheel .

I believe if insurance have to pay the policy holder early like RM 20K for the claim, i can say the next premium will be increase to recover back from patient and who will be so stupid enough to make losses in the business.

Have you guys ask yourself  these question? Who was the one invented Medical Insurance Policy?????? Like i said , if you guys are robot, i can't help you. Watch Sicko. If you guys want to take the blue pill , be my guest.

The guy who legislate this Medical Insurance Policy was Richard Nixon and they wanted to to sell this idea to American so that the govt will be reducing their cost and increase the production of medicine industry for profits. My god!! Can you imagine crook like this guy legislate it and we still buy this idea? He is untrustable president in that time.

I cannot continue further but still if we want to get the right insurance policy for surgical and diagnostic of cancer and other critical illness which rarely occurs than get it early for your child . For adults , we got to think for other alternatives or fight for the govt to provide cheaper treatment in future.

And let me said this last, not all medicine, drugs, machines for treatment, oxygen tank , monitoring machines will be covered in the medical insurance policy. Just like you buy a handphone or Iphone but you still need to get Car Charger, Casing, Video Cable output, Microphone and other Apps.....

Be prepare for such cost.


Added on May 11, 2010, 8:00 pmForumers and agents out there...
Don't argue with me on this.... this is not a joke or something...if you believe we can fight for better and cheaper cost of medicine , coverage, better treatment and drugs than lets do it and ask more question why this, why that, why why why? You are inside the agency, u know y some people got rejected. u can blame them for not disclosing their problem in the end , if this is the thinking than don't even start this business and claim we are here to HELP!

I hope you and i will not have to pay all our savings to medicine or treatment and enjoy the final day traveling instead.


Added on May 11, 2010, 8:04 pmToday honestly im telling you agents out there that im diagnose with Sleep Apnea and in your policy stated very clearly that i will have problem with applying for Insurance policy. I dont give a shit anymore , if i cant be help than i wont buy . I will fight for my life on my own. Soon i will do medical check up and i will probably have my application rejected for obese and diabetic.

Can i still buy a policy?


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most insurance companies will not cover your for diabetes. obesity they will consider you for life coverage with perhaps loading, but definitely not for medical policies. in regards to sleep apnea, fair to say it will depend on how serious the condition is, exclusions and loading perhaps imposed.
kidZac
post May 12 2010, 01:32 AM

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QUOTE(hackwire @ May 11 2010, 10:30 PM)
thank u kidzac, i wish i am still in the matrix and not taking the red pill. Virtual world is a wonderful place to live in. I will find it hard at first trying to keep any secret but soon i realize that the game is subconciously work like that. The payout was awesome, the coverage was awesome to the extent that you are like a freeman walking into the hospital and walking out freely as you don't need to pay at all unless Mr Death visit you early and insurance co have no other choice.

I won't blame the instituition for "One Arm In , One Arm Out " if not the company will be losing money.
I did recall this in the movie "Sicko"

Healthcare is not a Privilege , Healthcare is the rights of human being.

Brits believes that every penny was spent to kill German Soldiers in the past be transform to saving lives instead. That's y British get Free Medical and they dont carry medical card at all.
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i totally agree with u that healthcare is a right, not a privelege. but end of the day it also means dollar and cents. but here is the thing to ponder, doesnt that include education as well? as well as food? as well as every other nessasaries in today's modern life?

i find it weird that no one has ever complained about the ever increasing cost of education. where as insurance cost has always been the there and abouts the same.

insurance cost okie, not cost of getting medical treatment.
kidZac
post May 23 2010, 03:26 AM

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QUOTE(hackwire @ May 22 2010, 11:16 PM)
http://www.thestar.com.my/news/story.asp?f...9985&sec=nation

I saw this advertisement in the star and i found that this piece of news can be very useful for me to find out the insurance coverage policy that i am still no confidence yet.

Im doing some research and also interviews lately and it will be interesting enough soon that i will post some interesting facts in my new blog on medical care and insurance guidelines.

But let's disect the information provided in this news. The questions i am gonna ask the agents in low yat is going to help us to built more confidence with insurance companies and clearly educated by it.

There are few agents here who are prominent enough already such as Ronnie Chew, Gavin_Lim and even KidZac. I cannot speak for others i do not know yet but you guys may also be part of the discussion group.

Im going to talk about H&S Medical Card only. Let's leave other thing later.

When you read this news,

http://www.thestar.com.my/news/story.asp?f...9985&sec=nation

Are you all confident enough that when a patient who get the lung disease will get diagnose , transplant of organ, buy blood or buy organ etc  claimable from the insurance agency?
When we read the news, there are specific name for the diseases. So usually, insurance policy may also reject the claim if the name of disease is not as popular as diabetes or cancer.

What worries alot to us is that many of the heatlh problems are unknown and not getting proper name which can be coverd by insurance. There are many specific names which insurance agents would love to look into when someone is making claims.
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To answer your question if insurance policy will reject the claim if the disease if not popular,or the so called exotic diseases, I suggest you look up the various definations in insurance companies under the clause TERMINAL ILLNESS. For those who are too lazy to do it, pm me for the answers. I dont like making things too easy for ppl.

Secondly, i don't recall the the patients in the papers that u mentioned never complaining about not being able to claim for medical insurance. What was highlighted was there is a lack of donors, and that there is a long waiting list that some ppl even die waiting. Which part of that is the insurance companies' responsibilities? Donate their staff's organ to make the claim possible? force their staff' to sell their organs so that the patients' can make a claim?

what you should be asking for the many ppl out there is:-

1. is my medical insurance adequate
2. is my critical illness coverage sufficient to allow me 3 years of time out from work waiting for a possible donor to come along.

insurance companies have been around for many many years, some as old as 100 years old. i dont think there is a need for us agents to even need to tell u about the credibility of the company.
kidZac
post Jun 13 2010, 04:03 PM

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if being quiet means allowing you to shit on our compounds and be right with your points then i dont believe in keeping quiet.

but i would like to speak for most of us sincere agents out there. i am not afraid to debate with you or anything, just that i know someone who is sore about the system because of his own ignorance in the first place. if u had no idea of your existing sleep apnea condition today, i am very sure u would not be creating such a big hoo haa right now.


kidZac
post Jun 14 2010, 02:57 AM

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lexiqa, thanks for appreciating my point of view.

hackwire, bro, no disrespect intended, really symphatize your situation and hope it gets better, but i care about my work and it comes second only to my family and friends. it is no fun seeing something u care about being challenged or ridiculed, especially when it involves other people's lives, money, and future.

if you are really sincere about making a difference to others in regards to their medical welfare in this country, there are much better ways in going about it rather then just laying it on insurance companies and agents who work with them.

last of all, really hope that things will get better for you. ^^



This post has been edited by kidZac: Jun 14 2010, 02:58 AM

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