Hi all expert, can u guys recommend an integrated shield shield plan that has the best claim process and also widest coverage for hospitalization? - Seedly
 

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Hospitalisation Insurance (H&S)

Hi all expert, can u guys recommend an integrated shield shield plan that has the best claim process and also widest coverage for hospitalization?

Hi all expert, regarding hospitalization plan, i did some research through seedly and understand that there's currently up to 7 company that provide the integrated shield plan, there's just too many differences for me to select, to me i just care about the best claim process and also widest coverage for hospitalization, can u guys recommend? thanks!

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Hi Tiffany,

Very briefly, all shield plans are here to achieve one purpose, which is to cover your hospitalization bills, and any associated costs relating to your admission, both before and after.

On that fundamental level, they are largely the same.

However you are right that between the 7 companies, there will be minor differences in their riders, coverage, etc. This is natural, if the plans were all similar down to the last detail, then you'll have a price war and a race to the bottom.

Claims processing is quite similar as well, and any insurer has the right to reject a claim if they feel that more evidence is needed. So there is no sure winner as to who has the 'best' claim process.

Lastly, what do you mean by 'widest coverage'? The pre and post duration? The claim limit? The listing of panel doctors that you can consult? All insurers will be different on these aspects.

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Tiffany_Loh

2w ago

Thanks alot for your comment. regarding "widest coverage" - what i mean is the illness or 'other' operation coverage from this hospitalization plan.
Elijah Lee
Elijah Lee

2w ago

Hi Tiffany, in general if you are warded, it's probably more serious than just a cold or cough, and coverage will be there for such ailments. Some exclusions come to mind of course, such as pregnancy.

Hi Tiffany,

I think in regards to hospitalisation plan, there are guidelines set by MOH so that all insurers have to follow those guidelines actually.

What are you looking at for widest coverage? Do you mean you are looking to be covered up to private healthcare? Just for knowledge, hospitalisation plans now have a co-insurance component, so you will still have to pay a portion of the medical bills.

I think in terms of the claim process, Prudential has been pretty smooth as my father-in-law is a client and also has been in and out of hospital the past 2 years and things have been pretty smooth.

I think compared to the other providers, personally I feel that Prudential's hospitalisation policy is the most straight forward, cause we don't have too many variations of plans and riders, so that also might be something you can consider since most of us do not like over complicated things

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Tiffany_Loh

2w ago

Thank You! What i mean by this is the coverage of illness or other operation that can claim under this hospitalization plan.
Tan Li Xing
Tan Li Xing

2w ago

Ahh, i see, I think in terms of operations or surgeries, Prudential covers as charged. In the event you are warded, you are also covered as charged. However there is a specified limit per year. However this does not factor in the deductible and co-insurance component of the medical bill. Do reach out if you'd like to meet up to have a clearer explanation with no obligation of course. My email is [email protected] Oh do note that hospitalisation due to pregnancy is usually excluded, unless there are complications faced during that period.

Here is a comparison from Ministry of Health on the various integrated shield plans available in the market: https://www.moh.gov.sg/our-healthcare-system/medishield-life/about-integrated-shield-plans/comparison-of-integrated-shield-plans

As you scroll down the page, you will be able to see the claim processing time that the company take to process the claim. That being said, the actual claim situation may differ, depending on the complexity of the claim and how experienced your agent is in helping you with your case.

On the whole, you may wish to consider the option from AIA. Here is some information from the product brochure: https://www.aia.com.sg/content/dam/sg/en/docs/product_brochures/medical-protection/aia-health-shield-gold-max-english-brochure.pdf

I have been in the financial services industry for over 9 years now and I am certainly impressed with the claim experience from the company itself. Furthermore, AIA has exclusive partnership with Medix and WhiteCoat, thereby extending the range of coverage that you will receive.

Through its panel doctor, we will cover for up to 13 months pre-hospitalisation and 13 months post-hospitalisation, ensuring that you are adequately covered for follow-up reviews. This is also one of the highest in the industry.

Additionally, we have one of the most number of panel doctors in the industry. This is fundamentally important to ensure that you get the right medical attention with mininal cash outlay (partly because of the compulsory co-payment).

Feel free to let me know if you have further questions or concern.

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Pang Zhe Liang
Pang Zhe Liang

2w ago

In the first link by MOH, it gives you a broad idea on the claim experience. Beyond that, every insurer has its benchmark and KPI in terms of turnaround time to process the claims. Professionally, I have positive experience with the turnaround time for claims with AIA for all my clients so far. Furthermore, having an experienced agent helps to keep things in check and to ensure that the relevant documents are submitted for smoother claim processing. As for scope of coverage, I'm pretty confident that AIA Singapore provides one of the best value for dollar. If you are looking into the breakdown, then you may use the comparison table by MOH.
Tiffany_Loh

2w ago

Thank You!