Make a pre and post hospitalisation claim

How to make a pre and post hospitalisation claim

For official proof and verification, we would require you to submit the following documents for the type of claim you are making. 

1. Get the following documents

Document requirements for Pre & Post Hospitalisation Claims:

  1. Requirement Checklist for Individual & Group Health Claims Submission
  2. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
  3. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
  4. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
  5. Direct Credit Facility Form (if not submitted before)
  6. Original bill(s) /tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any)
  7. Itemised Breakdown, if:
    1. Pre hospitalisation bill/tax invoice-each bill /tax invoice> RM150 (detail listing of consultation fee, medication, test/investigation charges etc)
    2. Post hospitalisation bill/tax invoice-each bill /tax invoice if medicine > RM300 (detail listing of medicine name, unit price, prescribed quantity and supply duration)
  8. Certified True Copy of Laboratory Test Result, X-Ray, MRI/CT scan, Ultrasound, Histopathology report (if any)

2. Submit documents

You are advised to use Requirement Checklist for Individual & Group Health Claims Submission as a guide on documents requirement for the Medical Claims Submission.

You may submit the claim via the following channels:

a) Online Claim Submission

  • For Policy Owners, click here to log in to e-Connect customer portal. Click My Claim > Online Claims which will navigate you to a new web browser tab. Proceed to click 'Create New Claim' and follow the step by step instructions to complete the submission. You may refer to the eClaims Customer Guide-eConnect for more details.

b) Through your servicing agent

c) At Head Office or the nearest branches. View Location of Head Office and Branches

d) Post the claim forms along with supporting documents to us            

Medical Claim
Menara Great Eastern
Level 4, Healthcare Services Department
No. 303 Jalan Ampang
50450 Kuala Lumpur

Check medical claim status

a) Click here to log in to e-Connect customer portal. Click My Claim > Claim Status or
b) Email us at: healthcareservices@greateasternlife.com

Questions and Answers

The documents required are:

  • Requirement Checklist for Individual & Group Health Claims Submission
  • Original Bill/Invoice
  • Original Receipt
  • Certified True Copy of claimant NRIC

Within the first policy year, the insurer has the right to void the policy due to non disclosure, without the need to prove fraud.

The estimated timeframe to process a claim is within 10 – 14 working days upon receiving the complete claim documents.