Consider a GREAT SupremeHealth claim recovery

GREAT SupremeHealth is a Medisave-approved integrated medical insurance plan (Integrated Shield plan), other insurers providing similar medical coverage are required to refund the amounts paid out under the individual's GREAT SupremeHealth plan.

We encourage you to recover your GREAT SupremeHealth claims payout from other parties - most typically your employer's Group Hospitalisation & Surgical Plan. This is beneficial to you as it will preserve the annual benefit limit under your GREAT SupremeHealth for any future claimable events.  The premiums can also be kept affordable in the long run for consumers across the board.

In doing so, you can receive up to $200* worth of shopping vouchers as a token of appreciation from us upon successful recovery of your GREAT SupremeHealth claims.

For GREAT TotalCare P and P Select customers, under the Claims-Adjusted Pricing framework, you will also benefit by moving down a premium level upon successful claim recoveries of more than $2,000^{^}. 

^{^}For renewals on and after 1 April 2024, GREAT TotalCare P and P Select customers who manage to recover more than $2,000 by claiming for the medical expenses from other insurance policies will be able to
move down 1 level, after their premium level has been subject to CAP assessment based on nett claims paid.

You must first make a claim from your GHS plan and if hyour GHS plan cannot cover the hospitalisation bill in full, you may then claim the balance amount from GREAT SupremeHealth and GREAT TotalCare.

To do so, prior to the hospital admission, please get reach out to your employer's Human Resource (HR) to obtain a Letter of Guarantee (LOG) from the GHS insurer. Present the LOG to the hospital at the time of admission and inform the hospital to submit the GHS LOG amount with the hospital bill electronically (e-file) to us upon discharge for processing of any balance amount of the hospitalisation bill under your GREAT SupremeHealth and GREAT TotalCare.

If the claim is approved, we will pay the balance amount (subject to Pro-ration Factor(s), Deductible, Co-insurance and Co-payment, where applicable) to the hospital directly.

If you did not manage to obtain a GHS LOG prior to the hospital admission and made a claim under GREAT SupremeHealth and GREAT TotalCare through e-filing, you should seek recovery from your GHS insurer, so as to reduce the total claim amount paid by Great Eastern. Please refer to the next section on the process of claim recovery from GHS insurer. 

Doing so is easy! Simply follow these steps:

1. Check with your company's Human Resource (HR) if you have any Group Hospitalisation & Surgical Insurance coverage provided by your employer.
2. If so, please submit the following documents to your company's HR:

• Group Hospitalisation claim form. This can be downloaded from most group insurers' websites or claim can be submitted via online submission portal arranged by your company's HR.
• Original final and itemised bills.
• Hospital (or Inpatient) Discharge Summary.
• GREAT SupremeHealth claim settlement letter - For each approved claim, we will send out the settlement letter to you providing details on claim payment made.

1. Your company's HR will liaise with your employer's group insurer for appropriate reimbursements.
   
2. Complete the Integrated Shield Claims Recovery Authorisation Form (PDF) and send it back to us @ MedicalClaims-SG@greateasternlife.com.
3. Any assistance required from us on the above steps, please feel free to contact us at 1800 248 2888.

Upon successful reimbursement from your employer's Group Hospitalisation & Surgical Plan to Great Eastern, you will receive up to $200* worth of shopping vouchers as a token of appreciation from us within one month.

*Please note that the value of voucher depends on amount successfully recovered. The Company reserves the right to replace the voucher/credits with an item of similar value at any time.