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  1. #51

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    Quote Originally Posted by honey2723 View Post
    @James Co - I'm sorry to hear about your experience. But being with insular, I did ask about how I-care works... Naa man sa provisions that if you're an individual owner (not belonging to a group) dili man jud covered ang pregnancy...

    You said "Yes Health Insurance is very good but sad to say a lot of our health insurance are not honest." And you mentioning I-care (a subsidiary of my company) is misleading. It was not them being NOT honest... It was a matter of not asking what's included in the package... Written info man na siya... All you could have done was ask... Not say that they were not honest... If they told you nga COVERED pero DILI diay to, then that's the case of being NOT honest..

    As for your friend's pre-existing condition nga hypertension, I also asked about that kind of scenario... Ang kanang hypertension doesn't develop overnight... So even if wala pay doctor naka-sulti nimo nga hypertensive ka, then makit-an sa medical exam that your BP is relatively higher than normal, that means naa nay underlying factors for it to reach that point... Mao daw ilang i-tag ang hypertension as pre-existing condition...

    As for I-care, on the first year ra sila dili mu-cover ug pre-existing conditions (i.e. asthma, etc). But if mu-renew on the 2nd year and onwards, mu-cover na sila... BUT there are still a few pre-existing conditions that they will still NOT cover... Kung unsa ni sila, ask the health insurance provider for you to get the right info...

    And by the way, it's not mainly the health insurance that's destroying the reputations of the life insurance companies... It's the lack of info that's mainly destroying the industry... Maong ang challenge these days for people in the insurance industry is not just selling, it's also educating the masses unsay difference from one vs the other...

    @James Co - I'm not trying to pick a fight with you... I'm trying to set things right kay daghan2x pud baya nag-sunod sa thread nga imong gi-start... So, at least man lang, correct info ang ma-share diri... peace bro...
    It was from our Company, Group Health Insurance, it really pist me off when I inquire I-Care at that time they just told me na sorry she can't use her I-Care during pregnancy as in PIKAT, and not only that, that year there price almost got doubled without even informing us in advance, we only knew it when my boss wife was screaming her lungs out and no refund pa giud. at least if they where going to rip us of by sudden high price they should be offering refund to the 9 months un-used due to pregnancy.

  2. #52

    Default Health Insurance in the Phil.

    Quote Originally Posted by honey2723 View Post
    @James Co - I'm sorry to hear about your experience. But being with insular, I did ask about how I-care works... Naa man sa provisions that if you're an individual owner (not belonging to a group) dili man jud covered ang pregnancy...

    You said "Yes Health Insurance is very good but sad to say a lot of our health insurance are not honest." And you mentioning I-care (a subsidiary of my company) is misleading. It was not them being NOT honest... It was a matter of not asking what's included in the package... Written info man na siya... All you could have done was ask... Not say that they were not honest... If they told you nga COVERED pero DILI diay to, then that's the case of being NOT honest..

    As for your friend's pre-existing condition nga hypertension, I also asked about that kind of scenario... Ang kanang hypertension doesn't develop overnight... So even if wala pay doctor naka-sulti nimo nga hypertensive ka, then makit-an sa medical exam that your BP is relatively higher than normal, that means naa nay underlying factors for it to reach that point... Mao daw ilang i-tag ang hypertension as pre-existing condition...

    As for I-care, on the first year ra sila dili mu-cover ug pre-existing conditions (i.e. asthma, etc). But if mu-renew on the 2nd year and onwards, mu-cover na sila... BUT there are still a few pre-existing conditions that they will still NOT cover... Kung unsa ni sila, ask the health insurance provider for you to get the right info...

    And by the way, it's not mainly the health insurance that's destroying the reputations of the life insurance companies... It's the lack of info that's mainly destroying the industry... Maong ang challenge these days for people in the insurance industry is not just selling, it's also educating the masses unsay difference from one vs the other...

    @James Co - I'm not trying to pick a fight with you... I'm trying to set things right kay daghan2x pud baya nag-sunod sa thread nga imong gi-start... So, at least man lang, correct info ang ma-share diri... peace bro...
    The problem was with the agent they didn't inform us about limitation and even the price increase. All they said is that if you need medical assistance you can just go to accredited doctor and hospital and charge it to I-Care. We (employees) didn't even know our maximum coverage. Because of those agents our company switch to other company the following year. Our company had almost 100 employees and its a lost to insular.

  3. #53

    Default

    Quote Originally Posted by MK View Post
    @honey
    maam, you said pregnancy is not covered, that's understandable and common. Pero if I understand correctly sa reklamo ni James kay dili magamit ang insurance in the period of 9 months during her pregnancy? hmmm I think thats a rip off...I think not all health problem in that period can be attributed to pregnancy just trying to clarify kay dili baya tanan like that
    @MK - as per printed exclusions:
    "2. All pregnancy related conditions requiring medical/surgical care and screen tests related thereto."

    As per the exact situation that James and his wife were in, I have to read more sa post kay murag naay comment balik si James...

    But I'll verify sa I-care ang sa concern nila...

  4. #54

    Default

    In the HMO industry, dili jud na covered ang maternity. If ma sakit siya then ma hospitalized pero if dili gani related sa iyang pag ka buntis, covered na.

    Same with pre existing sickness. I'm with IMG then naa sad mi series of lectures about ani, mao ng ako mismo kahibaw sad ko sa pros and cons sa tanang regulated Financial Industries. That is why it is better to be part of a group that educates us about insurance, health care, investments.

  5. #55

    Default

    Quote Originally Posted by JamesCo View Post
    It was from our Company, Group Health Insurance, it really pist me off when I inquire I-Care at that time they just told me na sorry she can't use her I-Care during pregnancy as in PIKAT, and not only that, that year there price almost got doubled without even informing us in advance, we only knew it when my boss wife was screaming her lungs out and no refund pa giud. at least if they where going to rip us of by sudden high price they should be offering refund to the 9 months un-used due to pregnancy.
    Oh! so group insurance diay siya?? not individual?? Mag-depende tingali sa benefits gikuha sa inyong company... Kay naa man koy ubang kaila nga I-care nag-provide sa ilang group insurance and covered ang pregnancy sa ilaha... And my friend is quite happy with the service.

    As per the agent who addressed your concern, sorry to hear about that... I'll raise this kind of behavior para dili ma-usab... Particular pud baya ko ug customer service maong maka-feel ko sa imong gibati...

    As for the price, mu-react ra man pud na sila sa need gud... And regulated man pud na sa DOH ang ilang price increase... Pero question, what do you mean nga wala mo gi-refund?? You mean you were in the middle of the term nya gi-increasan mo?? Kay akong understanding ana, if naa gali price increase, you (or your company) will only be affected upon renewal...

    Or you're referring to your wife's condition?? If sa imong wife nga condition, dili na sila mu-refund kay ongoing pa man ang coverage ana... Dili lang jud covered ang pregnancy.. BUT if ever the need arises for you to use it NOT related to pregnancy, definitely, maka-avail mo sa services... FORTUNATELY wala nagka-sakit imong wife, maong naka-sulti mo wala mo naka-gamit sa services... Now, would you say that your P6k was wasted if nagkasakit imong wife?? I bet you'd say dili... Now, would you have wanted your wife, who's pregnant at that time, to get sick para lang maka-avail mo sa services nga ingyon gibayaran?? I guess you'd say NO!

    So brother James, before you question the cost that you're going to spend for in a health insurance, try viewing the benefits it can give you... Saving you the P6k by not buying the i-care (or any health insurance for that matter) kay dili diay covered pregnancy, but having to worry if ever should something happen you'll be spending MORE than P6k VERSUS spending P6k and lessening the worry on your end if ever masakit imong wife... I am not just defending I-care here but I'm hoping that you get the point of having a health insurance. You pay for something (at a significant amount) that may or may not be used within it's validity period. If ever you don't get sick, you say it's a loss, but if ever you do get sick, you get to maximize your benefits... Ask lang jud sa mga provisions and exclusions para well-informed ka sa imong gikuha... Kay HMO providers are more or less the same with respect to provisions and exclusions.. If you assume lang, then you might get disappointed lang pud gihapon bisan dili na i-care imong gikuha... And you might end up generalizing the health insurance industry...

    Suggestion lang bro, para dili mo maghinayang sa inyong benefits later on, if ever naa moy bag-ong provider, ASK A LOT OF QUESTIONS jud... From the basic benefits to the provisions and exclusions so that you'll know what to expect... And since it's a company benefit, DEMAND from your employer to have the HMO provider do a presentation to all employees para ma-inform pud mo... I'd like to emphasize on this kay naa baya koy nahibaw-an nga company nga wala nila gi-prioritize ang kining mga benefit orientation kay maka-cause daw ug downtime sa ilang productivity...

    So mao ra na akong masulti bro.. If it's not too much to ask lang bro, can you PM me your company name and kung kanus-a to cya, para ma-check nako kung kinsa nag-handle ninyo and para mapa-call pud nako ang attention sa right person... Lisud pud if the way she handled you kay mupadayon... Sakto jud ka, loss sa insular... And as a proud affiliate of Insular, I would like to address concerns that may cost insular... Especially kanang mga customer service related...

  6. #56

    Default

    People should join a group who will educate about healthcare, Life Insurance, and investment para dili sad tawn ma ignorante ani nga field. Ako I'm Engineer by profession, pero I really got to get into this industry para ako na mismo makahibaw unsay maayo.

    Because Financial Industry ni then we should not other people fool us, we must learn it by ourselves then dili lang sad ta mag salig ato agent kay dili sad permanete na naa na sila. Better your become your own broker.
    Last edited by lorenzoleo; 09-02-2010 at 11:49 PM.

  7. #57

    Default

    Quote Originally Posted by honey2723 View Post
    @MK - as per printed exclusions:
    "2. All pregnancy related conditions requiring medical/surgical care and screen tests related thereto."
    Yup, thats what I thought too thx...basi a case of misunderstanding lang gyud ila case

  8. #58

    Default

    Quote Originally Posted by JamesCo View Post
    I hope someday the government will in-force all school to teach students (the future of the Philippines) on the importance of Life Insurance. If *** education and family planning are important to control the population, Financial Education and Life Insurance are also important to avoid financial burden in the future.

    you can't wait on the govt to teach you. in fact, insurance companies have been existing for so many years, yet most people are still money-illiterate. it's because the focus is never on educating, but selling.

    Thousands of insurance agents boast of being a financial planner/advisor, yet they're just selling their product. they never spend time to EDUCATE, every family/person, client on a personal basis.

    that's why, SELLING/BUYING financial products, insurance, investments doesnt translate to becoming wealthy, it's Financial Literacy, Planning and proper application that holds the Key. cheers!

  9. #59

    Default

    Quote Originally Posted by MK View Post
    @honey
    maam, you said pregnancy is not covered, that's understandable and common. Pero if I understand correctly sa reklamo ni James kay dili magamit ang insurance in the period of 9 months during her pregnancy? hmmm I think thats a rip off...I think not all health problem in that period can be attributed to pregnancy just trying to clarify kay dili baya tanan like that
    It means: it cannot be used within the nine-month-period if illness is pregnancy related. That's how it usually is. I am insured by Insular and I have experienced that.

  10. #60

    Default

    Totally agree..!!!!

    Quote Originally Posted by jess View Post
    Thousands of insurance agents boast of being a financial planner/advisor, yet they're just selling their product. they never spend time to EDUCATE, every family/person, client on a personal basis.

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