Critical Illness Claims Procedure

Fill out the following form

Critical Illness Benefit Claim Form

• To be completed and signed by the Policy Owner and Insured

Critical Illness Attending Physician's Statement (submit the applicable one(s) only)

Critical Illness Attending Physician's Statement - Cancer

Critical Illness Attending Physician's Statement - Coronary By-pass Surgery

Critical Illness Attending Physician's Statement - Heart Attack

Critical Illness Attending Physician's Statement - Stroke

• To be completed by the registered medical practitioner at your expense

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Gather supporting documents

• ID card copy of the Policy Owner
• Original receipts and hospital statement (with name of patient, diagnosis and treatment details)
• Copies of supporting documents such as discharge summary, referral letter, pathological and laboratory reports, etc.