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Claims

To make your insurance claim, please select from the dropdown menu below. Simply follow the step by step guide to submit your claim.

For claims submission related to COVID-19 Vaccine Fund, please refer to COVID-19 Claim Submission Requirement Checklist as a guide.

For claims submission related to COVID-19 Medical Plan Coverage Programme, please refer to COVID-19 Medical Plan Coverage Programme Checklist and COVID-19 Questionnaire for Life Assured as a guide.

 

SUBMISSION OF MEDICAL AND LIFE CLAIMS

Medical Claims Submission

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 documents via following channels:

a)     Through your servicing agent.

b)     Drop box at Agent Service Centre (Head Office / Branches)

c)      Sending the claim documents to address below:
         Menara Great Eastern
         Level 16, HealthCare Service Department
         No. 303 Jalan Ampang,
         50450 Kuala Lumpur.

Please be informed that all supporting claims documents must be duly certified by an authorised party, i.e. Claims Officer or Customer Service Officer or Public Notary or Advocate & Solicitor or Justice of Peace or Ketua Balai Polis or District Officer or Medical Officer or Group Sales Manager or Unit Sales Manager. In addition, for claims incurred outside Malaysia (except Singapore), the confirmation of claim event and all other related documents issued by the Foreign Authority must be certified by Malaysian Embassy or Public Notary in the relevant foreign country.

 

Life Claims Submission

You are advised to use Requirement Checklist for Life Claims Submission as a guide on the documents required for the claim filed.

You may submit the claims with complete documents via the following channels:

a)     Through your servicing agent.

b)     Drop Box at Level 1 or Customer Service Centre at Mezzanine Floor, at the head office or the nearest branch office.

c)      Sending the claims documents to the address below: 

         Menara Great Eastern
         Level 1, Claims Department
         No. 303 Jalan Ampang
         50450 Kuala Lumpur

Please be informed that all supporting claims documents must be duly certified by authorised parties, i.e. Claims Officer or Customer Service Officer or Public Notary or Advocate & Solicitor or Justice of Peace or Ketua Balai Polis or District Officer or Medical Officer or Group Sales Manager or Unit Sales Manager. In addition, for claims incurred outside Malaysia (except Singapore), the confirmation of claim event and all other related documents issued by the Foreign Authority must be certified by Malaysian Embassy or Public Notary in the relevant foreign country.

Important Note:

·         Death certificate is a mandatory requirement for death claim submission. In the absence of death certificate, we will not be able to proceed with the claim. Burial permit is not acceptable. You may refer to the Requirement Checklist for Life Claims Submission as a guide on the documents required for the claim filed.

Make a Life Insurance claim

What type of claim do you want to make?

Make a General Insurance claim

Please click here for motor and non-motor claim form, list of panel workshop, panel of hospitals and specialists etc.


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.

Check Claim Status for Life Insurance

Upon filing a claim, you may check on the status of your submission by emailing us at:


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Great Eastern Holdings Ltd | Great Eastern Life Assurance Co Ltd | Great Eastern General Insurance Ltd
Great Eastern Holdings Ltd | Great Eastern Life Assurance Co Ltd | Great Eastern General Insurance Ltd