Documents Required

1. The insured is to check with Network Hospital List (applicable for hospitals listed in the network)
2. The presence of the insured must be with an identification card strictly (to fasten the process please inform policy number),
    for underage children please present your guardian card.
3. The listed hospital will coordinate with the Company directly and advise further.

Documents Required

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Receipt or a copy (applicable for Inpatient treatment only)
3. Police Report on the case (applicable for assault or complaints to the police)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Documents Required

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Original receipt
3. Summary statement of expenses (Inpatient case)
4. Police Report on the case (applicable for assault or complaints to the police)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Documents Required

1. Daily Expenses and Health Insurance or Accidents Claim Form
2. Original receipt or a copy
3. X-ray film and readings (bones fracture or cracks)
4. Police Report on the case (applicable for assault or complaints to the police)
5. A copy of Overnight Infirmary License of the Institution of treatment (applicable for admission of non-hospital institution cases)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Health Insurance Claim

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Original receipt or a copy
3. X-ray film and readings (bones fracture or cracks)
4. Police Report on the case (applicable for assault or complaints to the police)
5. A copy of Overnight Infirmary License of the Institution of treatment (applicable for admission of non-hospital institution cases)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Dread Disease

1. Daily Medical Expenses and Health Insurance or Accidents Claim Form

Request for Guardian's Term Rider ,Waiver of Premium

1. A copy of Death Certificate with authorised signature by the District
2. A copy of Resident Certificate of the insured that the insured has been sorted out
3. Claims Form B

In case of death by accident or murder, the following additional documents are required

1. A copy of police report about the case with authorised signature
2. A copy of autopsy with authorised signature

Request for Death Claim

1. A copy of Death Certificate with authorised signature by the District
2. Original and a copy of Resident Certificate of the insured that the insured has been sorted out, or with authorised signature by the District
3. A copy of Resident Certificate of the beneficiary
4. A copy of identification card of the beneficiary or a copy of Birth Certificate (in case of underage and without ID card)
5. Original Insurance Policy
6. Police Report
7. Claim form A. (The beneficiary must fill in the form / person)
8. Claim form B. the doctor in charge is to fill the form
9. A copy of police report of the case with authorised signature (if any)
10. A copy of autopsy with authorised signature (unusual or unnatural death)
11. Addition documents for Death Claim (consignment)

Additional Detail

Referring to claims under the death of the insured.

Documents Required

1. Permanent Disablement Compensation Claim Form

Health 1st Hospital Networks

Network Hospital List

***Please check for the OPD acceptance symbol from each hospital***