Note: Please refer to your Human Resource Department for the list of panel hospitals appointed by your Company.
Medical card process
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Benefit
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Pre-scheduled hospital admission
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Admission and discharge process
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Guarantee letter status enquiries
Note: Please refer to your Human Resource Department for the list of panel hospitals appointed by your Company.
Please call the Allianz’s Third Party Administrator (TPA) or Allianz Care Solutions (ACS) stated on your medical card:
File a claim
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Process
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Status enquiries
For claim status enquiries:
- Contact your Human Resource Department
- Call Allianz’s Contact Centre Hotline (Monday to Friday, 8am to 8pm)
- Email to customer.service@allianz.com.my
File a medical claim
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Claim documents for group hospitalisation and surgical
Documents to be provided by Claimant
- Claimant's Statement (Group Hospitalisation and Surgical)
Download form - Claimant's Statement (Group Outpatient Claim)
Download form - Updating of e-Invoice Details Form (if not previously submitted)
Download form
Documents to be collected from hospital
- 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
File a Partial Permanent Disability or Total Permanent Disability claim
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Claim documents for Partial Permanent Disability or Total Permanent Disability
Documents to be provided by Claimant
- 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)
- Updating of e-Invoice Details Form (if not previously submitted)
Download form
Documents to be collected from hospital or clinic
- 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)
File a Critical Illness claim
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Claim documents for Critical Illness
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Required documents for common illness
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Required documents for other illnesses
Documents to be provided by Claimant
- 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.
- Updating of e-Invoice Details Form (if not previously submitted)
Download form
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.
File a death claim
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Claim documents for death
Documents to be provided by Claimant
- Claimant's Statement - Group Death Claim (EB)
Download form - Employment Letter
- Salary Slip for the latest 3 months
- Death Certificate Copy, duly certified
- Burial Permit Copy, duly certified
Documents to be collected from hospital
- 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