Health Insurance Claims

Step 1: Complete the claim form

Complete the appropriate claim form depending on the type of claim to be made namely:

  • Out-Patient Claim
  • In-Patient Claim

The following information MUST be provided:

  • member’s ID card/passport number
  • policy/membership numbers
  • name of policyholder
  • name of claimant
  • date of employment (Group policy)
  • details of illness/injury
  • diagnosis

Step 2: Obtain original documents, medical reports & invoices

In case of hospitalization or medical-related claims, please submit all:

  • Original medical receipts together with itemized invoices and bills
  • Original or photocopies of Medical report issued by the attending registered physician
  • Other appropriate documents as the case may be:

For admission to Government/Restructured Hospitals

  • A copy of the Inpatient Discharge Summary given to the patient upon discharge.
  • A copy of the Day Surgery Authorization Form signed by the patient before surgery.
  • A copy of the Referral Letter from a General Practitioner, if any.
  • The original final Summary Bill and Original Detailed Final Hospital Bill.
  • Original Outpatient Bills/Receipts for any Pre-Hospitalisation / Pre-Surgery and Post-Hospitalisation follow-up bills for expenses incurred.

For admission to a Private Hospital

  • Medical Certification of Treatment to be completed by the attending physician/surgeon.
  • A copy of Referral Letter from a General Practitioner, if any.
  • Original Final Summary Bill and Original Detailed Final Hospital bill.
  • All other Original Outpatient Hospital / doctor’s bill and receipts related to admission/surgery