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Fill out the forms from our list according to your type of claim.
Doctor’s statement
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
- 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 AortaMinimally 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)
- 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 AortaMinimally 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)
- 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
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
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
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
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