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.
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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
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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