Critical Illness Claim

1. Claimant's Statement
   Complete this form for us to find out more details.
   
   
2. Clinical Abstract Application
   This form provides us with your consent to attain your medical information from the hospital on your behalf.
   
   
3. Doctor's Statement (Cancer/Major Cancers)
   Learn more about completing the document below.

(b) Obtain these supporting documents from your doctor:
 

• Histopathology/Biopsy reports (for Cancer/Benign Brain Tumour)
• All available laboratory and test results (as specified in the Doctor’s Statement for the type of claim which you are claiming for)

1. Claimant's Statement
   Complete this form for us to find out more details.
   
   
2. Clinical Abstract Application
   This form provides us with your consent to attain your medical information from the hospital on your behalf.
   
   
3. Doctor's Statement (Stroke)
   Learn more about completing the document below.

(b) Obtain these supporting documents from your doctor:
 

• All available laboratory and test results (as specified in the Doctor’s Statement for the type of claim which you are claiming for)
• CT scan/MRI scan/PET scan results (for Stroke)

1. Claimant's Statement
   Complete this form for us to find out more details.
   
   
2. Clinical Abstract Application
   This form provides us with your consent to attain your medical information from the hospital on your behalf.
   
   
3. Doctor's Statement (Heart Attack)
   Learn more about completing the document below.

(b) Obtain these supporting documents from your doctor:

• All available laboratory and test results (as specified in the Doctor’s Statement for the type of claim which you are claiming for)
• ECG Report and Enzyme Assays Report (for Heart Attack)

1. Claimant's Statement
   Complete this form for us to find out more details.
   
   
2. Clinical Abstract Application
   This form provides us with your consent to attain your medical information from the hospital on your behalf.
   
   
3. Doctor's Statement (Coronary Artery By-pass Surgery)
   Learn more about completing the document below.

(b) Obtain these supporting documents from your doctor:

• All available laboratory and test results (as specified in the Doctor’s Statement for the type of claim which you are claiming for)

1. Claimant's Statement
   Complete this form for us to find out more details.
   
   
2. Clinical Abstract Application
   This form provides us with your consent to attain your medical information from the hospital on your behalf.
   
   
3. Doctor's Statement (Coronary Angioplasty / Angioplasty & Other Invasive Treatment for Coronary Artery)
   Learn more about completing the document below.

(b) Obtain these supporting documents from your doctor:

• All available laboratory and test results (as specified in the Doctor’s Statement for the type of claim which you are claiming for)

For the following diagnosis conditions, download the forms by clicking on the respective conditions. Kindly complete these downloaded forms. 

Blood Disorders

• Aplastic Anaemia
• Major Organ / Bone Marrow Transplantation 

Central Nervous System

• Bacterial Meningitis 
• Benign Brain Tumour
• Major Head Trauma 
• Viral Encephalitis 

Digestive 

• End Stage Liver Failure 
• Fulminant Hepatitis 

Heart 

• Heart Valve Surgery 
  
• Surgery to Aorta
  

Neurological 

• Alzheimer's Disease / Severe Dementia
• Motor Neurone Disease
• Multiple Sclerosis 
• Muscular Dystrophy 
• Parkinson's Disease
• Poliomyelitis 

Respiratory 

• Chronic Lung Disease / End Stage Lung Disease
• Primary Pulmonary Arterial Hypertension / Primary Pulmonary Hypertension

Speech, Hearing & Sight 

• Blindness (Loss of Sight)
• Deafness (Loss of Hearing)
• Loss of Speech

Others 

• Coma
• Diabetic complication
• Kidney Failure
• Major Burns 
• Muscular Paralysis (Loss of use of Limbs)
• Progressive Systematic Sclerosis (Systematic Scleroderma) / Progressive Scleroderma
• Severe Rheumatoid Arthritis
• Terminal Illness
  
• Aids Cover of Medical Staff / Occupationally acquired  HIV
• HIV Due to Blood Transfusion and Occupationally Acquired HIV
  
• HIV Organ Transplant
• HIV Sexual Assault
• Loss of Independent Existence
• Systemic Lupus Erythematosus with Lupus Nephritis

Note: You do not need to provide additional supporting documents at the first submission. We will contact you directly if further supporting documents are required. 

For the following diagnosed conditions, kindly contact our Customer Service for assistance:
 

• Apallic Syndrome
• Other Serious Coronary Artery Disease 

How to check your claim status  

• View online: e-Connect
  
• Contact your Great Eastern Financial Representative
  
• Call our customer service at: 1800 248 2888
  
• Email us at: LifePAClaims-SG@greateasternlife.com
  

View our FAQs for Critical Illness claims.
 

For General Insurance claims, visit our General Insurance claims page.