User Guide

User Guide

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User Guide (Group Life & DMTM)

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Claim Application Form

Claim Form

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Claim Form (English Version)

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Claim Form (Malay Version)

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Claim Form (Group Life & DMTM)

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Doctor's Statement

Medical Claim - Doctor's Statement

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Personal Accident Claim - Doctor's Statement

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Personal Accident Claim - Healing Progress Form

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Critical Illness Claim - Doctor's Statement Reference List

• Cancer/ Early Stage Cancer
• Carcinoma-in-situ (Breast/ Cervix Uteri/ Uterus/ Ovary/ Fallopian Tube/ Vagina)
• Mastectomy For Carcinoma-In-Situ Breast
• Prostatectomy For Stage 1 Prostate Cancer
• Cystectomy For Carcinoma-In-Situ Urinary Bladder/ Papillary Carcinoma Of The Bladder

Critical Illness Claim -
Doctor's Statement
Cancer

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• Coronary Artery Disease Requiring Surgery/ By-Pass Surgery
• Other Serious Coronary Artery Disease
• Angioplasty & Other Invasive Treatments
• Keyhole Coronary By-Pass Surgery
• Enhanced External Counterpulsation Procedure
• Heart Attack/ Acute Myocardial Infarction
• Heart Valve Replacement/ Surgery
• Percutaneous Heart Valve Surgery
• Surgery of Aorta
• Minimally invasive surgery to Aorta
• Cardiomyopathy Pericardiectomy
• Insertion of Pacemaker
• Insertion of Cardiac Defibrillator

Critical Illness Claim -
Doctor's Statement
Heart Related Conditions

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• End Stage Kidney Failure
• Chronic Severe Renal Impairment
• Severe Diabetic Nephropathy resulting in Kidney Failure
• Systemic Lupus Erythematosus
• Medulla Cystic Disease
• Nephrectomy/ Removal of one Kidney
• End Stage Liver Failure
• Fulminant Viral Hepatitis
• Cirrhosis of the Liver
• Partial Hepatectomy
• Portal Vein Thrombosis
• End Stage Lung Disease
• Primary Pulmonary Arterial Hypertension
• Status Asthmaticus
• Surgical Insertion of a Vena-cava Filter
• Removal of one Lobe of the Lungs
• Heart Failure due to Chronic Lung Disease

Critical Illness Claim -
Doctor's Statement
Kidney, Liver & Lung Related Conditions

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• Apallic Syndrome
• Encephalitis
• Meningitis/ Bacterial Meningitis
• Brain Surgery
• Insertion of Cerebral Shunt
• Insertion of Ventriculoperitoneal Shunt
• Endovascular Treatment of Cerebral AVM
• Craniotomy for Treatment of Aneurysm/ AVM
• Benign Tumour of The Brain/ Benign Brain Tumour
• Surgical Excision of a Spinal Meningioma
• Surgery for Drug Resistant Epilepsy
• Major Head Trauma
• Surgical Repair of Depressed Skull Fracture
• Motor Neuro Disease
• Multiple Sclerosis
• Parkinson's Disease
• Early Stage / Moderately Severe Parkinson's Disease
• Alzheimer's Disease
• Moderately Severe Alzheimer's Disease or Dementia
• Stroke
• Carotid Artery Surgery
• Coma

Critical Illness Claim -
Doctor's Statement
Brain and Nerve Related Conditions

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• Blindness/ Loss of Sight (Both Eyes)
• Corneal Transplant
• Loss of Sight in One Eye
• Bilateral Severe Low Vision
• Deafness/ Loss of Hearing
• Cochlea Implant
• Bilateral Severe Hearing Loss
• Surgical Drainage for Cavernous Sinus Thrombosis

Critical Illness Claim -
Doctor's Statement
Eyes and Ears Related Conditions

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• Paralysis/ Paralysis of Limbs
• Loss Of Limbs
• Surgical Reattachment Of Amputated Limb
• Loss Of A Single Hand/ Foot By Amputation
• Limb Amputation Due To Type 2 Diabetic Complications
• Muscular Dystrophy
• Moderately Severe/ Severe Rheumatoid Arthritis Joint
• Replacement Due to Severe Osteoarthritis
• Osteoporotic Fracture Requiring Surgery
• Osteoporotic Fracture Of The Hip/ Vertebra
• Poliomyelitis
• Progressive Scleroderma
• Major Burns/ Third Degree Burns
• Moderately Severe Burns
• Grafting Due To Burns

Critical Illness Claim -
Doctor's Statement
Bone, Joint, Muscle and Connective Tissue Related Conditions

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• AIDS due to blood transfusion/ HIV Due to Blood Transfusion
• Full Blown AIDS
• Aplastic Anaemia / Chronic Aplastic Anaemia
• Loss of Independent Existence
• Loss of Speech
• Facial Reconstructive Surgery
• Type 2 Diabetic Retinopathy
• Limb Amputation due to Type 2 Diabetic Complications
• Major Organ Transplant or Bone Marrow Transplant
• Pending Major Organ Transplant
• Small Bowel Transplant
• Terminal Illness

Critical Illness Claim -
Doctor's Statement
Other Illnesses

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Total & Permanent Disability Claim - Doctor's Statement

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Total & Permanent Disability Instalment Benefit - Doctor's Statement

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Death Claim - Doctor's Statement

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Congenital Condition Claim - Doctor's Statement

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Essential Child Claim - Doctor's Statement

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Infectious Disease Benefit Claim - Doctors' Statement

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Paediatrician – Doctor’s Statement

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Pregnancy Complications Claim - Doctor's Statement

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Checklist

Claim Requirement Checklist

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Consent Letter

Consent To Release Information

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Outstanding Requirement Reply Memorandum

Outstanding Requirement Reply Memorandum

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Claim Feedback Form

Claim Feedback Form

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