Mothership - AIA denies S$100,000 payout to S'pore man with benign brain tumour, said condition 'not life-threatening' at time of surgery & not includ

tmkedmw

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https://mothership.sg/2025/10/insurance-critical-coverage-tumour/


AIA denies S$100,000 payout to S'pore man with benign brain tumour, said condition 'not life-threatening' at time of surgery​

An AIA policyholder submitted a Straits Times forum letter calling for greater regulatory scrutiny of how insurance companies define “life-threatening” conditions.

This was after his claim for critical illness coverage, which he bought "several years ago", was rejected, despite undergoing surgery for a benign brain tumour.

Diagnosed with brain tumour, had surgery​

Frankie Yee Kok Wah was diagnosed with the tumour in 2018, his Oct. 20 forum letter read.

As the tumour was initially small and asymptomatic, his doctor advised against surgery, opting instead for annual MRI surveillance to monitor changes in the tumour's size.

However, in November 2024, a scan revealed significant tumour growth.

Concerned that it could begin affecting his neurological functions and overall quality of life, his neurosurgeon strongly recommended surgical removal.

Yee proceeded with the operation.

Hospitalisation and critical illness claims rejected​

When he submitted his hospitalisation and critical illness claims following the procedure, both were denied.

AIA’s stated reason for rejecting the S$100,000 critical illness claim was apparently that the tumour was "not life-threatening" at the time of surgery.

Yee said this interpretation was deeply problematic and asked if a policyholder must "wait until his condition becomes fatal" before a claim can be accepted:

“No responsible doctor would advise a patient to delay essential surgery until he is at death’s door just to meet an insurer’s definition of ‘life-threatening’.”
 

uponly

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Insurance policies clauses are to protect insurance companies themselves, not patients. Can't see how a normal person without the financial means can fight an army of lawyers.
 

ribena.bing

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thats why read black and white yourself

agents paint u a pretty picture where u can claim most conditions and in poor health, u can profit and cover gaogao

nope
 

GundamG

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insurance companies earn money by customers paying premiums and not claiming anything. what u think?

if all customers claim, how u think they can earn money. is a sure earn job.

they earn by doing nothing and moving money from right to left pocket.
 

Mecisteus

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Those expensive early CI are most scammy.

I will just avoid.
 

~sabaisabai~

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Benign not considered critical illness. Insurance company have own team to review
 
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