Step 1: Get the following documents

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

Document Requirement

Inpatient Claims / Day Surgery

1. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
2. Hospitalisation & Surgical - Attending Physician's Statement
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. pharmacy charges >20% of total bill/tax invoice
   2. laboratory charges  >10% of total bill/tax invoice
8. Certified True Copy of Laboratory Test Result, X-Ray, MRI/CT scan, Ultrasound, Histopathology report (if any)
9. Claim settlement details from third party (other insurer/employer) if claiming balance
10. For Overseas claims:
    1. Certified True Copy of passport indicating Biodata, Dates of Departure from Malaysia and Arrival overseas
    2. Original detailed admission bill and receipt (translation of foreign language to English, if deemed necessary)

Pre & Post Hospitalisation Claims, Outpatient Cancer Treatment, Outpatient Kidney Dialysis Treatment

1. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
2. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
3. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
4. Direct Credit Facility Form (if not submitted before)
5. Original bill(s)/tax invoice (s) and Original receipt(s) (including deposit and refund receipt, if any)
6. 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)

Emergency Accident Outpatient Treatment Claims

1. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
2. Hospitalisation & Surgical - Attending Physician's Statement, if total bill (s) ≥ RM350
   {if total bill(s)/invoice(s) less than RM350, attending doctor to endorse the diagnosis (with signature and stamping) and confirm the date of accident}
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. Certified True Copy of X-Ray, MRI/CT scan report (if any)

Hospital Income / Hospitalisation Benefit

1. Hospitalisation & Surgical -Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
2. Hospitalisation & Surgical-Attending Physician's Statement
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. Certified True Copy of hospitalisation bill/tax invoice
7. For Reimbursement Claim-Original bill(s)/tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any)

Emergency Sickness Outpatient Treatment Claims (from 12 midnight to 6am)-Applicable to Group Policy only

1. Claim Form For Group Hospitalisation & Surgical Benefit
2. Attending Doctor to endorse diagnosis (with signature and stamping)
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)

Outpatient Clinical & Dental Claims/Specialist-Applicable to Group Policy only

1. Claim Form For Outpatient Clinical & Dental Benefit
2. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
3. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
4. Direct Credit Facility Form (if not submitted before)
5. Original bill (s)/tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any). Kindly provide itemised pharmacy breakdown if total each bill /tax invoice>RM200 (detail listing of medicine name and unit price)

Requirement Checklist for Individual & Group Health Claims Submission

Correspondence Form for HealthCare Services Department

Step 2: Submit documents

Once you have downloaded and completed the relevant claim forms, please submit the claim to us together with the required documents for assessment.
Please submit all claims documents personally at our Customer Service Centre located at the mezzanine floor at the head office or the nearest branch.

Head office:
Menara Great Eastern
303 Jalan Ampang, 50450 Kuala Lumpur

We will write to you to inform you of the status of the claim.

We know you are keen to get a reply quickly, and you can be sure that we are doing our utmost to get back to you as soon as possible. Thank you!

To read frequently asked questions about claims, click here.