Making a critical illness claim

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Get coverage for 15 years

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Forms and documents you will need
Critical illness (CI) claim basic documentary requirements
Claimant Statement
Download the Claimant Statement
Policy Contract
The policy contract consists of the Application for Insurance, the Policy Data Page, the Sales Illustration Form and Policy Booklet.
Two (2) valid identification cards of INSURED
Two (2) valid identification cards of POLICYOWNER
Two (2) valid identification cards of BENEFICIARY/IES
Medical records
Admission and Discharge Summary, Clinical Summary and Abstract, Patient History Sheet
Brain tumor
Attending Physician’s Statement (APS)
The statement should be accomplished by the neurologist.
Download the APS - Crisis Cover (Cancer, Terminal, or Other Illnesses) form
All CT scan/s
Biopsy report, if any
MRI Result/s
Record of Operation
Cancer
Attending Physician’s Statement (APS)
The statement should be accomplished by the oncologist.
Download the APS - Crisis Cover (Cancer, Terminal, or Other Illnesses) form
Biopsy and/or Histopathology results
If Leukemia, Bone Marrow diagnostic result
Heart attack
Attending Physician’s Statement (APS)
The statement should be accomplished by the cardiologist.
Download the APS - Crisis Cover (Heart Attack) form
All ECG results and interpretation - Series
Cardiac Enzyme - Troponin/ CK-MB
Present only in the body for 48 to 72 hours
Coronary Angiogram Result
Echocardiogram, if any
Renal Failure
Attending Physician’s Statement
The statement should be accomplished by the nephrologist.
Download the APS - Crisis Cover (Renal Failure) form
24-hour urine collection result
Blood Urea Nitrogen (BUN)
Creatinine
Dialysis Record
Certified True Copy
Stroke
Attending Physician’s Statement
The statement should be accomplished by the neurologist.
Download the APS - Crisis Cover (Stroke) form
MRI result/s