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 (Prostate/Thyroid/Bladder/CLL/Melanoma)
• Carcinoma-in-situ (Breast/ Cervix Uteri/ Uterus/ Ovary/ Fallopian Tube/ Vagina)
• Mastectomy For Carcinoma-In-Situ Breast
• Prostatectomy For Stage 1 Prostate Cancer
• Hysterectomy (surgical Uterus Removal)
• Salpingectomy (surgical Fallopian Tube Removal)
• Oopherectomy (surgical Ovary(ies) Removal)
• Partial Colectomy/Gastrectomy with End-to-end Anastomosis
• 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
• Minimally Invasive Direct Coronary Artery Bypass Grafting (MIDCAB)
• Enhanced External Counterpulsation Procedure
• Transmyocardial Laser Therapy
• Heart Attack/ Acute Myocardial Infarction
• Heart Valve Replacement/ Surgery
• Percutaneous Heart Valve Surgery
• Surgery of AortaMinimally invasive surgery to Aorta
• Large Asymptomatic Aortic Aneurysm/ Dissection
• (Hypertrophic) Cardiomyopathy
• Pericardiectomy (with Surgery)
• Insertion of Pacemaker
• Insertion of Cardiac Defibrillator
• Infective Endocarditis (Early/Late)
• Eisenmenger's Syndrome (Early/Late)

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 (SLE) with with Lupus Nephritis or Severe Kidney Complications
• Medulla Cystic Disease
• Nephrectomy/ Removal of one Kidney
• End Stage Liver Failure
• Fulminant Viral Hepatitis
• Cirrhosis of the Liver
• Autoimmune Hepatitis (Early / Chronic)
• Partial Hepatectomy
• Portal Vein Thrombosis
• End Stage Lung Disease
• Primary Pulmonary Arterial Hypertension
• Surgical Removal of the Lungs (whole lung or lobes)
• Status Asthmaticus
• Surgical Insertion of a Vena-cava Filter
• Heart Failure due to Chronic Lung Disease
• Acute Necrotizing / Chronic Relapsing Pancreatitis
• Biliary Tract Reconstruction Surgery
• Chronic Primary Sclerosing Cholangitis
• Chronic Crohn's Disease
• Chronic Ulcerative Colitis
• Adrenalectomy For Adrenal Adenoma
• Chronic Adrenal Insufficiency

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

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• Apallic Syndrome
• Akinetic Mutism / Locked In Syndrome
• Encephalitis (With Recovery)
• Meningitis (With Recovery / Reversible Neurological Deficits)
• Tuberculous Myelitis / Meningeal Tuberculosis
• Brain (Aneurysm) Surgery
• Surgical Removal Of Pituitary Tumour
• Insertion of Cerebral Shunt
• Insertion of Ventriculoperitoneal Shunt
• Endovascular Treatment of Cerebral AVM
• Craniotomy for Treatment of Aneurysm/ AVM
• Benign Brain Tumour
• Surgical Excision of a Spinal Meningioma
• Surgery for Drug Resistant (Severe) Epilepsy
• Major Head Trauma (Mild / Severe)
• Cervical Spinal Cord Injury (Accident)
• Head Trauma (Accident) Requiring Re-constructive Surgery / Open Craniotomy
• Surgical Repair of Depressed Skull Fracture
• Motor Neuron Disease (Early / Severe)
• Peripheral Neuropathy
• Myasthenia Gravis (Less Severe / Severe)
• Spinal Cord Disease/Injury Cause Bowel & Bladder Dysfunction
• Multiple Sclerosis (Early / Severe)
• Guillain-Barre Syndrome
• Parkinson's Disease (Early / Moderate / Severe)
• Progressive Supranuclear Palsy (Early / Late)
• Diagnosis of Alzheimer's Disease or Dementia
• Alzheimer's Disease or Dementia (Moderate / Severe)
• Stroke
• Stroke Treatment By Carotid Angioplasty & Stent
• Carotid Artery Surgery
• Surgery For Subdural Haematoma Due To Accident
• 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 Use of One Limb
• Loss Of Limbs/Fingers
• Surgical Reattachment Of Amputated Limb
• Loss Of A Single Hand/ Foot By Amputation
• Limb Amputation Due To Type 2 Diabetic Complications
• Muscular Dystrophy (Moderate / Severe)
• Rheumatoid Arthritis (Moderate / Severe / Chronic)
• Joint Replacement Due to Severe Osteoarthritis
• Total Knee/ Hip Replacement
• Osteoporotic Fracture Requiring Surgery
• Osteoporotic Fracture Of The Hip/ Vertebra
• Osteogenesis Imperfecta
• Poliomyelitis (Moderate / Severe)
• Progressive Scleroderma (Early / Late)
• Progressive Scleroderma With CREST Syndrome
• Major Burns/ Third Degree Burns
• Mild/ 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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• HIV Infection due to Blood Transfusion / Organ Transplant
• HIV Infection due to Assault
• Full Blown AIDS
• Occupationally Acquired HIV / Hepatitis B or C Infection
• Aplastic Anaemia (Acute or Chronic)
• Myelodysplastic Syndrome or Myelofibrosis
• Loss of Independent Existence
• Loss of Speech
• Tracheostomy
• 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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