Online Claim Form

Submitting your claim online gives you more control and convenience. Just fill in the form and attach all relevant documents before submitting. This online service is for hospital benefits and accident indemnity claims only.

*Copy of Book Bank required to upload for Bank transfer option

Lists of supporting documents:

  1. Medical certificate (Mandatory)
  2. Copy of receipt (Optional)
  3. Reference pictures or documents (Optional)
  4. Copy of book bank (for Bank transfer option)

Files Requirements:

  1. File format must be in doc, pdf, jpg or png
  2. Total file size < 10MB
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By clicking Submit, you agree to our Disclaimer and that you have read our Data Protection Principle.