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Enjoy hassle-free admission at our panel hospitals with the Allianz Medical Card.

Note: Please refer to your Human Resource Department for the list of panel hospitals appointed by your Company.

To learn more about our pre-scheduled hospital admission process and requirements, please refer to the FAQ.

Please allow a waiting time of several hours for the hospital to process the discharge and bills. For additional enquiries, kindly refer to FAQ.

Please call the Allianz’s Third Party Administrator (TPA) stated on your medical card:

Toll-Free : 1-800-88-8019

Land-Line : 03-7628 3600

Toll-Free : 1-800-87-7928

Land-Line : 03-7843 9459

Upon receiving complete documents by Allianz, we will process claims within 7 working days. Upon claim approval, payment will be issued within 5 working days.

For claim status enquiries:

  • Claimant's Statement (Group Hospitalisation and Surgical) 
    Download form
  • Claimant's Statement (Group Outpatient Claim)
    Download form
  • Medical Report (Hospitalisation Claim)
    Download form
  • Original Receipts
  • Original Final Tax Invoices
  • Itemised Bills / Detailed Bills indicating:
    - Doctor’s Fee
    - Medicine Charges (including medicine name, unit price, prescribed quantity and supply duration)
    - Test/Investigation Charges
  • Diagnostic Reports, for example:
    - Magnetic Resonance Imaging (MRI)
    - X-ray
    - Histopathology Examination (HPE)
    - Blood Test
    - Computed Tomography (CT) Scan
    - Coronary Angiogram
    - Electrocardiography (ECG)
  • For Overseas Treatment (not required for Singapore and Brunei) please include:
    Proof of Life Assured leaving Malaysia:
    - Life Assured’s Passport Copy indicating date of departure from Malaysia
    - Boarding Pass
    - Travel Ticket Details

    Following supporting documents in English:
    - Medical Report
    - Original Receipts
    - Original Final Tax Invoices / Final Bills
    - Itemised Bills / Detailed Bills
    - Diagnostic Reports

  • Claimant's Statement (Group Total and Permanent Disability Claim)
    Download form
  • Employment Letter
  • Salary Slip for the latest 3 months
  • Photograph of Dismemberment (only for Partial Permanent Disability Claim)
  • Police Report (if any)
  • Newspaper Cutting (if any)
  • Medical Report (Total and Permanent Disability Claim)
    Download form
  • Diagnostic Reports, for example:
    - Magnetic Resonance Imaging (MRI)
    - X-ray
    - Histopathology Examination (HPE)
    - Blood Test
    - Computed Tomography (CT) Scan
    - Coronary Angiogram
    - Electrocardiography (ECG)

  • Claimant’s Statement (Group Critical Illness Claim)
    Download form
  • Employment Letter
  • Salary Slip for the latest 3 months
  • Please include the Required Documents for Relevant Illness.

Please request your treating doctor to fill in the medical report, and include other relevant investigation reports.

Angioplasty

  • Medical Report (Angioplasty)
    Download form
  • Coronary Angiogram Report
  • Angioplasty/Percutaneous Coronary Intervention (PCI) Report
  • Electrocardiography (ECG) Report

Cancer

  • Medical Report (Cancer)
    Download form
  • Histopathology Examination (HPE)/Biopsy Report
  • Bone Marrow Trephine/Aspiration Report (for Blood Cancers only)
  • All relevant investigation reports, for example, Blood Test, Laboratory Test, Computed Tomography (CT) Scan, Magnetic Resonance Imaging (MRI), Pap Smear and Mammogram (if any)

Coronary Artery By-Pass

  • Medical Report (Coronary Artery By-Pass Surgery)
    Download form

  • Surgical Report

Heart Attack

  • Medical Report (Heart Attack)
    Download form

  • Cardiac Enzyme (Creatine Kinase-MB (CK-MB), Troponin T, Troponin I) Test Results
  • Electrocardiography (ECG) Report
  • Echocardiogram Report (if any)
  • Coronary Angiogram Report (if any)

Kidney Failure

  • Medical Report (Kidney Failure)
    Download form
  • Kidney Dialysis Appointment Card
  • Copy of Kidney Dialysis Receipts (if any)
  • Kidney Function Test Results
  • If kidney transplantation has been performed, please include a copy of:
    - Surgical Report
    - Admission Bills
    - Discharge Summary

Other Coronary Artery Disease

  • Medical Report (Other Serious Coronary Artery Disease)
    Download form
  • Coronary Angiogram Report

Stroke

  • Medical Report (Stroke)
    Download form

  • Brain Magnetic Resonance Imaging (MRI)/Computed Tomography (CT) Scan Report

Please request your treating doctor to fill in the medical report, and include other relevant investigation reports.

AIDS

  • Medical Report (AIDS)
    Download form
  • Human Immunodeficiency Virus (HIV) Antibody Test Results
  • Western Blot Test Results
  • CD4 Cell Count Results
  • All relevant investigation reports, for example, Computed Tomography (CT) Scan, Magnetic Resonance Imaging (MRI), Biopsy (if any)

Bacterial Meningitis

  • Medical Report (Bacterial Meningitis)
    Download form
  • Brain and Spine Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) Report
  • All relevant investigation reports (if any)

Benign Brain Tumour

  • Medical Report (Benign Brain Tumour)
    Download form
  • Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI)/Biopsy Report

Blindness

  • Medical Report (Blindness)
    Download form
  • Visual Acuity Report on both eyes to be completed by ophthalmologist
  • All relevant investigation reports, for example, Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) (if any)

Cardiomyopathy

  • Medical Report (Cardiomyopathy)
    Download form
  • Echocardiogram Report
  • Electrocardiography (ECG) Report
  • All relevant investigation reports (if any)

Coma

  • Medical Report (Coma)
    Download form
  • Glasgow Coma Scale throughout the whole period of coma
  • All relevant investigation reports, for example, Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) (if any)

Deafness

  • Medical Report (Deafness)
    Download form
  • Audiometry and Sound Threshold Test Results for both ears, to be certified by ear, nose and throat (ENT) specialist
  • All relevant investigation reports, for example, Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) (if any)

Encephalitis

  • Medical Report (Encephalitis)
    Download form
  • Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) Report
  • All relevant investigation reports (if any)

End Stage Liver Failure

  • Medical Report (End Stage Liver Failure)
    Download form
  • Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI)/Biopsy/Ultrasound Liver Reports that showed Ascites, Portal Hypertension and Encephalopathy
  • Liver Function Test Results
  • All relevant investigation reports (if any)

End Stage Lung Disease

  • Medical Report (End Stage Lung Disease)
    Download form
  • All FEV 1 Test Results
  • Arterial Blood Gas Analysis on Partial Oxygen Pressure
  • All relevant investigation reports (if any)

Heart Valve Surgery

  • Medical Report (Heart Valve Surgery)
    Download form
  • Surgical Report

Loss of Independent Existence

  • Medical Report (Loss of Independent Existence)
    Download form
  • All relevant investigation reports, for example, Computed Tomography (CT) Scan, Magnetic Resonance Imaging (MRI), X-ray and Ultrasound

Major Burns

  • Medical Report (Major Burns)
    Download form
  • Total Body Surface Area Burn Assessment Report, as measured by “The Rule of 9” of The Lund and Browder Body Surface Chart
  • Photograph (if deemed necessary)

Major Head Trauma

  • Medical Report (Major Head Trauma)
    Download form
  • Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) Report
  • All relevant investigation reports (if any)

Motor Neurone Disease

  • Medical Report (Motor Neurone Disease)
    Download form
  • Brain and Spine Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) Report
  • Electromyography (EMG) Report
  • Nerve Conduction Study Report (if any)

Multiple Sclerosis

  • Medical Report (Multiple Sclerosis)
    Download form
  • Brain Magnetic Resonance Imaging (MRI)/Computed Tomography (CT) Scan Report
  • Spine Lumbar Puncture Test Report (if any)
  • Evoked Potential Test Report (if any)
  • All relevant investigation reports (if any)

Parkinson’s Disease

  • Medical Report (Parkinson’s Disease)
    Download form
  • All relevant investigation reports, for example, Brain Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) (if any)

Primary Pulmonary Arterial Hypertension

  • Medical Report (Primary Pulmonary Arterial Hypertension)
    Download form
  • Cardiac Catheterisation Test Results
  • Echocardiogram Report
  • All relevant investigation reports (if any)

Surgery to Aorta

  • Medical Report (Surgery to Aorta)
    Download form
  • Surgical Report

Systemic Lupus Erythematosus (SLE) with Lupus Nephritis

  • Medical Report (SLE)
    Download form
  • Renal Biopsy Report
  • All relevant investigation reports, for example, Urinalysis, Anti-Nuclear Antibodies, Blood Count and Renal Function Test
  • Computed Tomography (CT) Scan/Magnetic Resonance Imaging (MRI) Report (if any)

Note: If the Critical Illness that you wish to claim for is not listed above, kindly contact your Human Resource Department or Allianz’s Customer Service for more information.

  • Claimant’s Statement (Group Death Claim)
    Download form
  • Employment Letter
  • Salary Slip for the latest 3 months
  • Death Certificate Copy, duly certified
  • Burial Permit Copy, duly certified
  • Medical Report (Death Claim)
    Download form
  • For Accidental Death Benefit please include the following documents (if any):
    - Detailed Post Mortem Report
    - Police Report
    - Newspaper Cutting