Download the claim form.
Personal Accident Insurance Claim Form
Complete and sign the form by you and your attending physician.
Submit the claim form together with the required supporting documents to your insurance consultant or to us directly.
Claims review and approval.
Settlement.
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Download and fill in the “Disability/Accident Claim Form” to be completed by yourself and your doctor.
Critical Illness / Disability / Accident / Hospitalisation Claim Form I (To be completed by Insured/Claimant)
Disability/Accident/ Hospitalisation Claim Form II (To be completed by the attending doctor)
Long Term Care - Specialist Claim Form (To be completed by the attending doctor) (For Lifelong Care Partner Insurance only)
Supplement - Tax Residency Self-Certification for Individual (For Claims)
Supplement - Tax Residency Self-Certification for Non-Individual (For Claims)
Gather supporting documents: original medical expense receipt showing diagnosis, Sick leave certificate(s) and X-Ray report.
Submit claim forms signed by you and your doctor, together with the supporting documents, your bank account proof (if not provided before) and ID copy (if not provided before) to your financial consultant or to our service centre within 90 days from the date of the accident.
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Claim review and approval.
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Settlement.
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Download claim forms to be filled in and signed by claimant/beneficiary and the insured’s attending doctor.
Death Claim Form I (To be completed by Beneficiary)
Death Claim Form II (To be completed by the attending doctor)
Supplement - Tax Residency Self-Certification for Individual (For Claims)
Supplement - Tax Residency Self-Certification for Non-Individual (For Claims)
Gather additional required documents: original death certificate, identification documents of the insured and the beneficiary, proof of relationship between the insured and the beneficiary.
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Submit claim forms signed by beneficiary and attending doctor (if policy has been in effect for less than 2 years from the Policy date or the date of reinstatement, whichever is later), together with the supporting documents to your financial consultant or to our service centre.
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Claims review and approval.
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Settlement.
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Download and complete the claim form.
Domestic Helper Insurance Claim Form
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Gather all supporting documents.
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Submit claim form and supporting documents within 30 days.
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Claims review and approval.
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Settlement.
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Download and complete the claim form.
Property Claim Form
Third Party Liability Claim Form
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Gather all supporting documents.
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Submit claim form and supporting documents within 30 days.
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Claims review and approval.
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Settlement.
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Gather all details and evidence of the accident such as photographs and witness statements.
Motor Insurance Claim Form
Letter of Authorisation
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Download and complete the claim form.
Submit claim form together with copy of vehicle registration document, driver's I.D. card and driving licence within seven days. If you have comprehensive coverage, submit the estimate of repair costs within seven days as well.
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Claim review and approval.
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Settlement.
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Download the "Major/Critical/Minor Illness Claim Form I" and the "Major/Critical/Minor Illness Form II".
Critical Illness / Disability / Accident / Hospitalisation Claim Form I (To be completed by Insured/Claimant)
Critical Illness Claim Form II (To be completed by the attending doctor)
Telegraphic Transfer Request Letter
Supplement - Tax Residency Self-Certification for Individual (For Claims)
Supplement - Tax Residency Self-Certification for Non-Individual (For Claims)
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Submit claim forms signed by you and your doctor, together with the supporting documents, supplement -Tax Residency self certification and ID copy (if not provided before) to your financial consultant or to our service centre within 90 days from the date of first diagnosis.
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Gather supporting documents such as the Histopathological report, and other relevant medical proof.
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Submit claims form, supplement - Tax Residency self certification, ID copy (if not provided before) and supporting documents to your financial consultant or to our service centre within 90 days from the day when the major illness is diagnosed.
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Claims review and approval.
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Settlement.
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Download and fill in the Claim Form.
PortaProtection – Outpatient Claim Form (For customers without AXA group medical insurance coverage)
PortaProtection – Hospitalisation & Surgical Claim Form (For customers without AXA group medical insurance coverage)
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form.
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Submit claim form and supporting documents within 60 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Medical Claim Form (In-Patient)
Medical Claim Form (Out-Patient)
Dental Claim Form
Pre-Authorisation Form
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Gather all the supporting documents.
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form.
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form.
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and complete "Medical Claim Form I and II" for each claim, including further claim.
Critical Illness / Disability / Accident / Hospitalisation Claim Form I (To be completed by Insured/Claimant)
Disability/Accident/ Hospitalisation Claim Form II (To be completed by the attending doctor)
Telegraphic Transfer Request Letter
Supplement - Tax Residency Self-Certification for Individual (For Claims)
Supplement - Tax Residency Self-Certification for Non-Individual (For Claims)
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Gather required supporting documents such original hospital receipts and bills and lab test reports
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Submit claim forms signed by you and your doctor, together with the supporting documents and your bank account proof (if not provided before), ID copy (if not provided before) to your financial consultant or to our service centre within 60 days after the illness or disability was first attended or treated.
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Claims review and approval.
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Settlement.
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Download and complete the claim form.
Travel Insurance Claim Form
Gather all supporting documents, as well as copy of travel document (e.g. air ticket/ passport) that shows the entire trip.
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Submit claim form and supporting documents.
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Claims review and approval.
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Settlement.
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Gather all details and evidence of the accident such as photographs and witness statements.
Motor Insurance Claim Form
Letter of Authorisation
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Download and complete the claim form.
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Submit claim form together with the copy of vehicle registration document, driver's I.D. card and driving licence within seven days. If you have comprehensive coverage, submit the estimate of repair costs within seven days as well.
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Claims review and approval.
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Settlement.
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Download and complete the claim form (Form 2).
Employees' Compensation Claim Form (Form 2)
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Gather any supporting documents, if applicable.
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Submit the original of the completed Form 2 and supporting documents (as applicable) directly to the Labour Department, and provide a copy of all the documents to us.
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Claims review and approval.
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Settlement.
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Download and fill in the "Group Disability Preliminary Claim Report " to be completed by yourself and your attending doctor.
Group Disability Preliminary Claim Report
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Gather supporting documents: Sick leave certificate and Attendance record and Salary record during the disabled period.
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Submit Claimant’s Statement and supporting documents within 90 days from the date of incident.
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Claim review and approval.
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Settlement.
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Download and fill in the "Group Life Claimant’s Statement" to be completed by the claimant/beneficiary and the Policyholder.
Group Life Claimant’s Statement
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Gather supporting documents: original death certificate, identification documents of the insured and the beneficiary, Employee Benefits Life Insurance Policy Beneficiary Designation From or Letters of Administration, Salary Proof of Insured (If applicable).
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Submit claim form and supporting documents within 90 days from the date of discharge from the hospital.
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Claim review and approval.
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Settlement.
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Download and complete the claim form.
Marine Cargo Insurance Claim Form
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Gather all supporting documents.
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Submit claim form and supporting documents.
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Claims review and approval.
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Settlement.
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Download and fill in the Claim Form.
Reimbursement claim form (in-patient)
Reimbursement claim form (out-patient)
Dental claim form
Direct billing/pre-authorization approval claim form
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Gather all the supporting documents.
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
Confirm your AXA medical card below
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Select and download the Claim Form for your AXA medical card
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form
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Submit claim form and supporting documents within 90 days
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form.
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and fill in the Claim Form.
Hospitalisation and Surgical Claim Form
Outpatient Claim Form
Dental Claim Form
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Gather all applicable supporting documents as mentioned in the Document Checklist on the claim form
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Submit claim form and supporting documents within 90 days.
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Claim review and approval.
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Settlement.
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Download and complete the claim form.
Property Claim Form
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Gather all supporting documents.
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Submit claim form and supporting documents.
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Claims review and approval.
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Settlement.
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Download and complete the claim form.
Property Claim Form
Employees' Compensation Claim Form (Form 2)
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Gather all supporting documents.
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Submit claim form and supporting documents.
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Claim review and approval.
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Settlement.
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Download and complete the claim form.
Third Party Liability Claim Form
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Gather all supporting documents.
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Submit claim form and supporting documents. The claim form must include a full description of the incident irrespective of whether a claim has been received from a third party or not.
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Claims review and approval.
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Settlement.
