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Author: cmf_comei

Medical-card Insurance - Need advise

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Post time 9-9-2007 02:58 PM | Show all posts

Reply #80 jenglut's post

aku dah dpt PM ko..
aku nak tanya lg..baru2 ni budget 2008, ada mentioned pasal FPP (Full Paying Patient Scheme) kat govt. hospital..adakah medical kad ko laku kat situ?

time kaseh
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Post time 9-9-2007 05:16 PM | Show all posts
aku ada jumpa satu ejen kat boot...asaja lepak2 tanya psl prubsn ni...
dia cakap wlaupun ada card tp bila g hospital still kena bayar 10% atau RM1000, mana satu yg lebih rendah...maksudnya klu caj hospital RM2000, 10% adalah RM200...kena bayar duit sndiri.maksudnya comp. bayar cuma RM1800....tul ker?
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Post time 9-9-2007 07:00 PM | Show all posts
Originally posted by mytrade at 9-9-2007 05:16 PM
aku ada jumpa satu ejen kat boot...asaja lepak2 tanya psl prubsn ni...
dia cakap wlaupun ada card tp bila g hospital still kena bayar 10% atau RM1000, mana satu yg lebih rendah...maksudnya klu c ...


Ye betol ckp wakil PruBSN tu..

10% itu adalah refer kepada "co-insuran" atau "co-takaful"
Co-insuran atau co-takaful adalah "tanggungan kerugian bersama'

Mana2 pelan perlindungan kesihatan mempunyai co-insuran min. sebanyak 10% terhadap bil perubatannya iaitu, pemegang kad byr 10% of medical bil, 90% baki medical bil di tanggung oleh syarikat insuran tersebut
eg. kalau bil perubatan RM3,000..kompeni insuran byr hospital RM2,700..RM300 lg awak byr pada hospital..
paham yerrr??

Walaubagaimanapun, terdapat perbezaan co-insuran antara pelbagai company insuran

Contoh:
Company insuran A:
- Utk medical bil RM5000 pertama,  co-insuran 10% saja..eg. kalau bil RM4,000..Co-insuran nya RM400
  Utk medical bil RM5,000 ke atas, co-insuran nya 20%..eg. kalau bil RM20,000..co-insuran nya ialah RM4,000

Company insuran B:
- Untuk medical bil di bawah RM10,000 ..tiada co-insuran eg. kalau bil RM5,000..co-insuran nya RM0
   Untuk medical bil melebihi RM10,000, di kenakan co-insuran 10% eg. bil RM20,000..co-insurannya RM2,000

Di dalam PruBSN pula:
As in PruBSN, our co-insurance is 10% of total bil (max. is Rm1,000 n min is RM300)
contoh A: let say ur medical bil RM50,000..10% is RM5K rite? tp u hanya kene byr RM1K saja..the rest RM49K kami byrkan medical bil pd hospital
contoh B: let say ur medical bil RM2000, 10% is RM200 kan? tp u have to pay RM300..
Paham ye??

So kenapa ada co-insuran??
Reason: before year 2000 no co-insuran at all, but the polisi holder fraud insuran co..sakit sket masuk hospital, dah baik pun masih nak dok hospital..just bcoz they want to claim more elaun..ye la, kuar masuk sume free..so diorg pun abused the benefit..So govt. make a rules, 5 years back BNM set up co-insuran la to protect all these fraud..

The best thing about previous policy holder, sebelom co-insuran ni imposed..mereka still enjoy the fully bil covered until today

Unlike sesiapa yg amik polisi selepas co-insuran di wajibkan..maka terpaksa la bear 10% of bil

apa nak buattt..sbb nila setitik, rosak susu sebelanga..

So apa yg PruBSN bole tolong their policy holder?
With hospital elaun laa..say like u duduk hospital 5 hari with medical bil RM20K, your co-insuran 10% is RM2K rite, tp u hanya kene byr RM1k aje kan..di sbbkan u dok hospital 5 hari, n your hospital elaun RM400 per day..so 5 hari, total elaun RM2,000..so u can cover that cost lah..

in a year kita kasi RM10,000 eligible for claim hospital elaun!!! bykk tuhhh

Harap anda paham!
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Post time 9-9-2007 07:06 PM | Show all posts
Originally posted by mrbelalang at 9-9-2007 02:58 PM
aku dah dpt PM ko..
aku nak tanya lg..baru2 ni budget 2008, ada mentioned pasal FPP (Full Paying Patient Scheme) kat govt. hospital..adakah medical kad ko laku kat situ?

time kaseh


Ok..pasal budget 2008 yg Pak Lah ckp tu kat paper ni:


aku share sket 2 hospital kerajaan yg sudah mula mengenakan bayaran kpd pesakit:
1. PutraJaya Hospital
2. Selayang Hospital



Antara tujuannya:
- elak doctor govt quit
- kurangkan beban subsidi kerajaan
tak tau la..masa akan dtg ntah2 sume hospital kot

Anyway, u can claim the bil from PruBSN, maksudnya awak masuk hospital & bayar bil, then claim balik dgn kitorg..
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Post time 9-9-2007 11:54 PM | Show all posts

Reply #83 jenglut's post

thanks jenglut....lama aku borak dgn ejen tu tp tak closing lg..saja nk cari info dan education psl ni....dan satu lagi dgn contoh dgn premium RM100 kita leh set brapa % utk saving, coverage, life dll....kan?klu kita nk saving lbh sikit so kita kurangkan % utk coverage....dan % life....betul?
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Post time 12-9-2007 02:35 PM | Show all posts
Kalau rasa jauh sgt dgn Jenglut tepin ajer ibm632.. dia tinggal area shah alam.
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Post time 21-9-2007 05:34 PM | Show all posts
Originally posted by mytrade at 9-9-2007 11:54 PM
thanks jenglut....lama aku borak dgn ejen tu tp tak closing lg..saja nk cari info dan education psl ni....dan satu lagi dgn contoh dgn premium RM100 kita leh set brapa % utk saving, coverage, lif ...


Sorry aku dah lama tak update,

A'ah ko bole set brapa byk utk saving/protection..tapi ko kene paham, ko amik insuran sebenarnya utk apa..so masukkan more utk PROTECTION..
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Post time 2-10-2007 03:10 PM | Show all posts
Kat alamanda ada booth pruBSN ke? kalau kat area2 sekitar bangi tu kat mana ada branch dier? Timer kasih.
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Post time 2-10-2007 05:14 PM | Show all posts
KAt Bangi tak ader Branch
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Post time 2-10-2007 05:44 PM | Show all posts

medical card

i wish to help! if u need further information, u can directly contact me! i mostly welcome!
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Post time 2-10-2007 10:48 PM | Show all posts
Ok..ada juga yg tanya pasal caruman PruBSN tu, kita bole buat caruman thru:

1. Tunai Kaunter BSN sendiri atau Kaunter Prudential
2. Autodebit : HSBC, CIMB, Bank Islam, Standard Chartered, Affin, HongLeong, dan mcm2 lg bank
3. Autodebit thru credit card
4. Cek atas nama Prudential BSN Takaful Berhad
5. Pembayaran thru 'maybanku2.com' pun bole spt di bwh:

6. Utk kakitangan kerajaan, potongan bole di buat thru AG, harap maklum
Kami mudah kan utk anda..tiada alasan lg utk memberikan perlindungan utk kita..

Caruman bole di buat sebulan skali, 3 bulan trus, 6 bulan trus atau setahun trus..Setiap akhir thn, semua pemegang kad akan di berikan penyata akaun..so awak sume bole monitor saving anda..

Jgn risau kalau terlewat bayar, tiada hidden charges atau interest..Walaupun kdg2 terlewat byr sebulan/dua..tetiba awak jatuh sakit..kami still cover awak lg..Motto kompeni kami "SENTIASA MENDENGAR &MEMAHAMI"

Ini bukan mcm insuran kete, hari ni roadtax expired..besok eksiden,insuran kete dah tak cover..tull takk?? Tetapi di PruBSN kami still tolerate..

[ Last edited by  jenglut at 5-10-2007 10:45 AM ]
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Post time 2-10-2007 11:38 PM | Show all posts
Apek , U medical card dari Comp.mana?
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Post time 6-10-2007 01:38 AM | Show all posts
Good info ....
Nak tanya sikit, perlukah ambil Medical Card lagi biler syarikat tempat keje dah sediakan kemudahan tersebut.
Cuma nak pastikan adakah Hospitalization Card sama dengan Medical Card?
Harap Jenglut/IBM atau sesapa yang arif dapat membantu.
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Post time 6-10-2007 07:10 AM | Show all posts
Originally posted by quedac1 at 6-10-2007 01:38 AM
Good info ....
Nak tanya sikit, perlukah ambil Medical Card lagi biler syarikat tempat keje dah sediakan kemudahan tersebut.
Cuma nak pastikan adakah Hospitalization Card sama dengan Medica ...


Hi En. Quedac1,

First & foremost, tahniah kerana bekerja dibawah majikan yg menitik-beratkan kebajikan employee nya. Sekurang2nyaEn. Quedac1 tak perlu risau tentang medical coverage selagi En. Quedac1bekerja di bawah company yg sama sehingga lah bersara!

Just forextra info, majikan company kita bekerja, di samping mengambil beratdgn menyediakan subsidi insuran utk employee benefit, company jugamendapat 'income tax relief' for their bussiness trade dgn cara membayar premium. So win-win situation.

Normally,HR of your co. will revise every year, which insurance they shouldstick with..depends on financial affordabilty sesuatu co. Sebab tukalau kita peratikan, kdg2 medical coverage kawan kita bekerja ditempat company lain berbeza2..Ada yg maximum coverage, and this reflexhow much premium our employer pay to insurance co.. Kalau dia company Abyr premium rendah, maka rendah juga lah medical coverage nya. Begitula sebaliknya. Ada jg medical coverage yg berbeza dr segi position kitadalam sesuatu co. Pangkat atas sure coverage lebih besar dr kuli yg katbawah.
So u tgk medical coverage drp your co. brapa limit? Kdg2 kene admit mlm, hospital nak GL drp co..mlm plak, kompeni tutup (bkn opis hour)..kan leceh tu..kalau ada medical kad sendiri mudah la sket..

Ada yg worst, majikan yg tak sediakan langsung insuranutk staff dia..(jenis kedekut taik idung masin la ni)..yg dia kasiSOCSO claim..Tau tak SOCSO claim ni camne? Dia hanya cover medicaleksiden kita hanya untuk 'perjalanan pegi-balik keje' & penyakit akibat environment keje (eg. pekak sbb tempat keje bising) aje....Kalau dpt claim pun, adoiii..berbulan2jg la dpt duit tu...


TETAPI:
Your medical protected as long as:
1. selagi Company anda bekerja membayar premium kpd syarikat insuran
2. selagi kita masih bekerja di company yg sama sehingga lah kita bersara

Setelahkita bersara at the age 55yO, then kita dah tak dpt lagi medicalprotection from our employer sbb dah tak keje lagi. So apa optionkita??? As usual lah, kita sure cari insuran company so that kita stilldapat medical coverage.

But, what happened is, bila dah berumur55yO, the premium yg kita perlu bayar maybe about RM500 above orMORE!!!. That time, dah la kita tak bekerja..harap duit EPF aje..socamne?? Time tu plak, anak nak masuk University, expenses pun meningkatbcoz of inflasi, harga brg makin naik..begitu jugalah medical expenses..FYI, our medical kad cover kita sampai 70-80yO!

So my suggestion, kalau u nak save duit dlm masa jangka pjg, u can opt to ambil personal insurance skrang kerana:
1. U masih bekerja & masih mampu sbb bergaji
2. U masih sehat & muda so that premium u byr rendah saja (that premium u byr sampai la ke-tua without step-up price)
3. In-fact can also redeem your income tax too!!! dapat balik duit tuuu
4.With personal insurance, u develop your own saving, so by the time uretired, u boleh kuar saving insurance u tuu..so lebih awal umenyimpan, lebih byk simpanan u..

Worst senario: (Nauzubillah..mintak jauh)
1. Company kita re-structure..adehhh..leceh la camni..kita kene buang keje
2. Dalam masa kita bekerja tu, kita di timpa sakit kritikal plak eg. kanser/sakit buah pinggang or eksiden (cacat)
   - ikut Labour Law, tak mampu keje 3 bulan akibat sakit, co ada hakbyr full gaji kita, kalau 3 bulan seterusnya co ada hak bayar half ofour salary...then kalau tak mampu lagi bekerja...co ada hak untuk buangkita!!! Then time tu baru kita nak amik insuran, dah tak ada lgsyarikat insuran nak terima kita!!!

So in life, we must always have PLAN B! Sama juga kalau ko buat keje assignment..sure ko mesti ada back-up or PLAN B punya...mcm kita naik kete ada 4 tyr, nape kene bwk tyre spare kan??

So what is PLAN B??? PLAN B hari ini, kredit card..??
NOPE! It's Insurance ...

P/S:  Walaupunanda mampu skalipun membayar kos rawatan anda, kenapa bazirkansedangkan ada org yg sanggup bayarkan..Tiada guna harta simpanan yangbanyak kalau SEMUA-nya di habis kan untuk kos rawatan & ubat2an!!!

Biar lah susah2 dahulu menyimpan sedikit, daripada susah kemudian dgn terpaksa berbelanja besar! Selamat Hari Raya Aidilfitri & maaf zahir dan batin..



W'salam
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Post time 6-10-2007 09:52 PM | Show all posts

Reply #94 jenglut's post

Okay, thanks for that valuable advised. :victory:
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Post time 6-10-2007 09:57 PM | Show all posts
Actually saya dah pun ader personal insurance, cuma medical card jer belum beli.
Sebabnya kebanyakan MC dlm pasaran insuran/takaful di Malaysia kos nyer agak tinggi dan pulak syarikat tempat saya bekerja dah provide kemudahan tersebut.

Coverage tak banyak sangat cuma RM25K per disability dan RM50K per annum. Tapi ianya masih berbaloi kerana ianya percuma. Apa yang perlu dilakukan sekarang adalah menjaga kesihatan dan pemakanan dengan baik.
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Post time 7-10-2007 08:59 AM | Show all posts

Reply #96 quedac1's post

Coverage yg diberi company awak tu tak cover utk kesihatan selagi awak tak dpt sebarang card yg dberi nama medical kad. Boleh saya tanya apa personalinsuranyg awak ada?
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Post time 7-10-2007 02:44 PM | Show all posts
Originally posted by quedac1 at 6-10-2007 09:57 PM
Actually saya dah pun ader personal insurance, cuma medical card jer belum beli.
Sebabnya kebanyakan MC dlm pasaran insuran/takaful di Malaysia kos nyer agak tinggi dan pulak syarikat tempat say ...


Oic..actually medical kad tu tak la mahal sgt..sbb hari2 makin ramai yg mampu amik..
kalau ada anak bini, bole la amik kad utk mereka pula..
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Post time 8-10-2007 11:08 AM | Show all posts
Benefit yg syarikat tempat keje bagi tu satu subsidi .... bila2 masa boleh di tarik balik ....
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Post time 10-10-2007 09:22 AM | Show all posts
Ingin mengambil peluang ini untuk mengucapkan:

Selamat Hari Raya  

kepada Semua pembaca khusus nyer Client2 saya ....

Minta maaf kalau ada salah silap.
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