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Claims

Making a medical claim

Learn about our seamless process for medical claims.

Forms and documents you will need

Medical claim basic documentary requirements
Please prepare the following documents for your claims request. All documents originating overseas must be authenticated by the Philippine Consul in the respective country.
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

Accidental Medical Reimbursement
If someone got involved in a minor or major accident, please also submit the following documents.
1. Incident report for minor incident

The statement should be from the insured or any witness/witnesses to the incident.

2. If major accident:
  • Certified true copy of the Final Investigation report of Police Authorities or NBI;

  • Original or certified true copy of Sworn Statement or Affidavits on file of at least two witnesses to the incident or Affidavit of at least two persons cognizant of the circumstances surrounding the Insured’s violent death;

  • Certified true copy of Medico-Legal Report/Autopsy Report, if any;

  • Driver’s license and vehicle registration if the Insured was driving a vehicle at the time of death;

  • Duly certified copy of the criminal Complaint filed in court, if any; or

  • Fiscal’s Resolution, if any.

 

3. Original official receipts related to the treatment of the injury and photocopy of the prescription

This should cover the expenses incurred within 30 days from the date of the accident

Hospital Income
If someone got hospitalized, please also submit the following documents.
Hospital Statement of Accounts

The statement must show admission and discharge date and time.