Types of Claims

Types of Claims
Hospital Benefit Claims

Documents Required

  1. Duly completed Hospital Benefit Claim Form
  2. Duly completed Attending Physician's Statement Medical report (Part B)
  3. Hospital bill/discharge note showing admission and discharge date
  4. Admission and Discharge Card
  5. Laboratory and Radiology Reports

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

Documents Required

  1. Duly completed Accident Claim Form
  2. Duly completed Attending Physician's Statement Medical report (Part B)
  3. Appendix A duly completed by Employer
  4. Original Medical Certificate(s) (if Life Assured is self-employed)
  5. Certified True Copy of Medical Certificate(s) (if Life Assured is under employment)
  6. Original official receipt(s) (for reimbursement benefit only)
  7. Original itemized bill(s) (for reimbursement benefit only)
  8. Police report

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

Documents Required

  1. Duly completed Medical Benefit And Hospital & Surgical Claim Form
  2. Duly completed Attending Physician's Statement Medical report (Part B)
  3. Original official receipt(s) (including deposit and refund receipt, if any)
  4. Original itemised bill(s)
  5. Laboratory and Radiology Reports
  6. For Overseas claims:
    a. Certified True Copy of passport indicating Biodata, Dates of Departure from Malaysia and Arrival overseas
    b. Original detailed admission bill and receipt (translation of foreign language to English)
  7. Original itemized bill(s) (for reimbursement benefit only)
  8. Police report

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

• Pre- and Post- Hospitalisation/Outpatient Cancer Treatment/Outpatient Kidney Dialysis
Treatment Claims
Documents Required

  1. Duly completed Pre / Post Hospitalisation Claim Form
  2. Original official receipt(s) (including deposit and refund receipt, if any)
  3. Original itemised bill(s)
  4. Laboratory and Radiology Reports

• Excess amount of Medical Benefit Claims not covered by other insurers/employer
Documents Required

  1. Duly completed Medical Benefit Claim Form
  2. Certified True Copy of Medical report
  3. Original official receipt(s)
  4. Original itemised bill(s)
  5. Laboratory and Radiology Reports
  6. Settlement letter from employer/other insurer indicating the amount paid

Documents Required

  1. Duly completed Living Assurance Claim Form
  2. Duly completed Attending Physician's Statement on Critical Illness Claim
  3. Certified true copy of Diagnostic report, e.g. biopsy, CT scan, x-ray, if available
  4. Original Policy Contract
  5. Proof of age, if not admitted (certified IC, passport or birth certificate)

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

Documents Required

  1. Duly completed Total and Permanent Disability Claim Form
  2. Duly completed Attending Physician's Statement on TPD claim
  3. Certified true copy of Diagnostic report, e.g. biopsy, CT scan, x-ray, if available
  4. Original Policy Contract
  5. Proof of age, if not admitted (certified IC, passport or birth certificate)
  6. Medical certificate, if available
  7. Police report, if any
  8. Newspaper cutting, if available

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

Documents Required

  1. Duly completed Death Claim Form
  2. Duly completed Attending Physician's Statement on Death Claim (where applicable)
  3. Certified true copy of Diagnostic report, e.g. biopsy, CT scan, x-ray, if available
  4. Original Policy Contract
  5. Proof of age, if not admitted (certified IC, passport or birth certificate)
  6. Certified Death Certificate
  7. Police report for accidental death
  8. Certified post mortem report for accidental death
  9. Proof of relationship
  10. Newspaper cutting, if available

Note:The items listed may not be exhaustive and the Company reserves the rights to request for further information/documents.

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