just wondering if anyone could help me with this:

currently i'm on a plan that offers lifetime-limit of rm20,000 each on outpatient "cancer treatment" and "kidney dialysis". it this too low or is it good enough? how much do these treatment usually cost and do we need to do it ofhen? cause if they're expensive i might consider buying some add-on's to make sure i'm well covered in the case when i really do need it.

i just called my agent and found out that my current medicare policy is junk, it is not guarantee renewable. i think i'm gonna drop it and get a new policy. wish i did some research back then as i was only 22 when i bought mine and didn't care too much about the details.

anyway, i've decided i want the Tokio Marine Medic Plus addon, what would be a good primary medical insurance with guarantee renewal to go with that?

i've seen PJusa recommend AXA but i just read their policy and it has this:

Alterations

"The Company reserves the right to amend the terms and provisions
of this Policy by giving a thirty (30) day prior notice in writing by
ordinary post to the Owner’s last known address in the Company’s
records, and such amendment will be applicable from the next
renewal of this Policy. No alteration to this Policy shall be valid
unless Authorized by the Company and such approval is endorsed
thereon. The Insurer should give thirty (30) days prior written notice
to the Policyholder according to the last recorded address for any
alterations made."

which i'm not entirely sure what it means, but it seems like they can change your policy anytime they want.
also for AXA, could anyone explain what "limit per disability" is?

Also, one question about insurance with deductibles, can you use another insurance to cover a deductible? lets say you have 2 insurance, insurance A and insurance B, and insurance B has a $5000 deductible before they'll start cover. Can you use insurance A for the $5000 and then switch to insurance B to cover the rest of the bill?

thanks.

yea Tokio Marine Medic Plus is a top-up, which is why i'm also looking for a primary health insurance. TM as an add-on, i'm not really sure what's the criteria to start claiming this insurance besides the RM10,000 deductible. Do we also have to have exhausted our primary insurance(annual/life or whatever limit) before TM will kick-in?


Lets say,

Case 1.
Operation costs: RM50,000.

Primary insurance: RM100,000 annual, no-life limit.
Add-on: TM Medic Plus.

So in this case TM cannot be claimed at all am i right?



Case 2.
Operation costs: RM50,000.

Primary insurance: Annual limit RM0 (exhausted).
Add-on: TM Medic Plus.

For this case, TM can be claimed but we have to pay RM10,000 first for the deductible before they'll pay the rest?

This post has been edited by rockets: Mar 17 2010, 04:18 PM

i'm no expert on this, but from what i understand is that co-insurance depending on the % is the amount you have to pay yourself. lets say a surgery cost RM1000 and the insurance has 10% co-insurance, it means you must pay RM100 while the insurance will pay RM900.

For health insurance, are you required to submit a recent medical report nowadays? Last time I remember buying my insurance(about 7 years ago) I was never asked for any medical report. Due to my old policy being quite weak I've been thinking about switching to ING. I've been talking to this ING agent and he told me nowadays a medical report is required by most insurance company when you want to buy health insurance. My last medical checkup was done like 5 years ago and everything was fine, and I've never claimed my old insurance before, so I don't know why this guy is being such a hardass about this, or is this standard procedure now?

I've made a dumb mistake by cancelling my old insurance before picking up a new one, now I'm really regretting it. Cause if medical report is required and it picks up something, I'll get hit by exclusions and my premium is going to go through the roof? Although chances of that happening is low and I think i'm perfectly healthy, what do you guys think is the best way to go about this?

I cancelled it on my own as the renewal deadline was last week.

I just talked to another agent and this one said medical report was not required, he said just have to declare any current conditions one is having.

Seems like there is no standard operating procedures in the insurance industry .

i think for your case if you let the insurer know that you're going to do a CT scan soon for a specific problem, they might hold out on you until AFTER you're done with the scan.

however, if you pretend you didn't know you had the problem and get the insurance right now and do your CT scan 120 days later(if you think you can wait), you should be able to qualify for the claim. i'm not 100% positive on this one so don't take my word it, an agent might be able to explain better.

you should not rely on company insurance alone. you might lose your job and then you'll have no coverage, worse is you might lose your job because you're ill, then it'll be a double whammy. second, how long do you plan to work in this company? until 90 years old? lets say u stop working there at age 60, then only you start buying insurance is going to cost you alot more than buying one now.

hi PJusa, could you list GI medical vs rider medical pros and cons?

i know that GI medical are usually more expensive for the same coverage and some are not guaranteed renewable. Your agent is also more likely to service you properly as they recieve the same amount of commission until the end of contract compared to rider medical(which is attached to life) which they can only get commission for the first 7 years? after that they get nothing.

i don't think there is something called GI or LI standalone. standalones are usually medical, CI, PA, and etc.

LI has no standalone plans right? they're all attached riders, unless you consider the LI itself is a standalone...

why not PRU or ING? just wondering.

when did your mom bought the insurance? my agent told me usually insurance companies are very suspicious if claims are made within 2 years of buying the insurance.