Claims Process
At Zurich, we believe in making your claims process as easy and as hassle free as possible.
All that we ask in return is that you notify us immediately, or as soon as practically possible, of any potential claims so that we can assist you with your claim without delay.General Insurance
-
Non-Motor
Step 1
Make a police report within 24 hours for the following types of claims*:
- Incidents where there is evidence of a criminal act
- Involving foreign workers’ compensation due to fatal/motor accidents, (loss of) money, personal accident or public liability
Step 2
Prepare all required supporting documents
Kindly note that the following list of required documents may not be exhaustive. You may talk to us regarding your claims by writing in to us.
Step 3
Kindly notify us through one of the following channels below:
- Submit your claim online or,
- Head over to any of our
Zurich General Insurance branches with completed claim form and other supporting documents or, - Talk to your respective servicing agent.
*Disclaimer: We may also request the police report for claims which are not listed above if deemed necessary.CLASS OF INSURANCE SUPPORTING DOCUMENTS REQUIRED Burglary - Police report
- List of items you are claiming for along with the purchase and sales invoices, stock records, cash receipts, collection records, bank statement, etc.
Fire - Police report
- Fire brigade report
- Chemist report (in certain cases)
- Purchase and sales invoices, stock records, company balance sheets, bank statements, quotation for repairs / replacement, etc.
Marine - Claim bill
- Original policy
- Original Bill of Lading
- Packing list, outward and inward survey reports, commercial invoices, tally sheets
- Correspondence exchange with Port Authority, Carrier and Shipping Sales Advisor, etc.
Personal Accident Injury or Permanent Disablement:
- Original medical bill & receipts
- Medical report and/or specialist report
- Medical certificate
- Police report and valid driving license; if related to a motor vehicle accident
- Death certificate
- Post mortem report
- Police report and valid driving license; if related to motor vehicle accident
- Beneficiary identity card
- Marriage certificate (if married) or birth certificate (if single), etc.
Travel To download the Travel Insurance Claim forms, please click here. Foreign Workers' Compensation Scheme Injury or Permanent Disablement:
For accidents within working hours:
- Labour assessment (PP5 for Injury, PP6 for Permanent Disablement)
- Original medical bill & receipts
- Accident form (PP2)
- Original medical bill & receipts
- Medical certificate
- Medical report (Lab 90) and/or specialist report
- Passport
- Work permit
- Accident Form (PP2)
- Labour assessment (PP7)
- Death certificate
- Original repatriation bill & receipts
- Airway bill
- Passport
- Work permit
- Police report, etc.
-
Motor
Just got yourself into a motor accident? Here's what you need to do:
Step 1
Call our 24-hour Roadside Assistance at 1-300-88-6222 to help you on getting your vehicle to any authorised or panel workshop
Take photos of the accident scene.
Make police report within 24 hours.
Step 2
Submit all required documents to the authorised or panel workshop within 7 days from the date of incident.
- Police Report
- Copy of Insured’s and / or Driver’s Driving License
- Copy of Insured’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
- Copy of Policy Schedule or Cover Note (for workshop’s verification)
Sign on the Zurich claim form provided to you by our panel workshop.
Step 3
Upon receipt of full documents, the authorised or panel workshop will submit your claim to Zurich for processing within 3 working days*
You may check your claim status here (for Private Cars and Commercial Vehicles only).
Step 4
Look forward to receiving an SMS at the point of successful registration and approval.
The authorised or panel workshop will contact you as soon as your vehicle is ready for collection.
Note: Duly completed and signed Motor Accident Claim Form is required for submission if your vehicle is sent to a non-panel workshop. We may also request for additional documents or information if further investigation is required.
*Excluding claims under further investigation and claims with severe vehicle damage.
Just realised that your vehicle has been stolen? Here’s what you need to do:
Step 1
Make a police report within 24 hours.
Step 2
Submit all required documents to any Zurich General Insurance branch within 7 days from the date of incident.
- Duly completed and signed Theft Claim Form
- Police Report
- Copy of Insured’s and / or Driver’s Driving License
- Copy of Insured’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
Step 3
Upon receipt of full documents, Zurich will be in touch with you as part of the processing procedures.
For Agreed Value policy, we shall get back to you on the claim decision within 21 working days*.
For Non Agreed Value policy, this shall be within 48 working days*.
Note: We may request for additional documents or information if further investigation is required.*Subject to the outcome of the investigation.
Broken windscreen? Here’s what you need to do:
Step 1
Prepare all required documents before proceeding to our recommended authorised or panel workshop / windscreen specialist.
- Copy of Insured’s and / or Driver’s Driving License
- Copy of Insured’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
- Copy of Policy Schedule or Cover Note (for workshop’s verification)
Step 2
Bring your vehicle to any of our authorised or panel workshop / windscreen specialist for a 24-hour windscreen repair or replacement*
Sign the Zurich claim form provided to you by our authorised workshop / windscreen specialist.
Step 3
Got it fixed at our authorised or panel workshop / windscreen specialist?
Great! You can check-out your vehicle without paying a single cent**
Note: Duly completed and signed Windscreen Claim Form is required for submission if your vehicle is sent to the non-panel workshop.
*Subject to the availability of the parts.
**Provided your windscreen is adequately insured.
General Takaful
-
Non-Motor
Step 1
Make a police report within 24 hours for the following types of claims*:
- Incidents where there is evidence of a criminal act
- Involving foreign workers’ compensation due to fatal/motor accidents, (loss of) money, personal accident or public liability
Step 2
Prepare all required supporting documents
Kindly note that the following list of required documents may not be exhaustive. You may talk to us regarding your claims by writing in to us.
Step 3
Kindly notify us through one of the following channels below:
- Submit your claim online or,
- Head over to any of our
Zurich General Takaful branches with completed claim form and other supporting documents or, - Talk to your respective servicing agent.
*Disclaimer: We may also request the police report for claims which are not listed above if deemed necessary.CLASS OF INSURANCE SUPPORTING DOCUMENTS REQUIRED Burglary - Police report
- List of items you are claiming for along with the purchase and sales invoices, stock records, cash receipts, collection records, bank statement, etc.
Fire - Police report
- Fire brigade report
- Chemist report (in certain cases)
- Purchase and sales invoices, stock records, company balance sheets, bank statements, quotation for repairs / replacement, etc.
Marine - Claim bill
- Original certificate
- Original Bill of Lading
- Packing list, outward and inward survey reports, commercial invoices, tally sheets
- Correspondence exchange with Port Authority, Carrier and Shipping Sales Advisor, etc.
Personal Accident Injury or Permanent Disablement:
- Original medical bill & receipts
- Medical report and/or specialist report
- Medical certificate
- Police report and valid driving license; if related to a motor vehicle accident
- Death certificate
- Post mortem report
- Police report and valid driving license; if related to motor vehicle accident
- Participant's identity card
- Marriage certificate (if married) or birth certificate (if single), etc.
Travel To download the Travel Insurance Claim forms, please click here. Foreign Workers' Compensation Scheme Injury or Permanent Disablement:
For accidents within working hours:
- Labour assessment (PP5 for Injury, PP6 for Permanent Disablement)
- Original medical bill & receipts
- Accident form (PP2)
- Original medical bill & receipts
- Medical certificate
- Medical report (Lab 90) and/or specialist report
- Passport
- Work permit
- Accident Form (PP2)
- Labour assessment (PP7)
- Death certificate
- Original repatriation bill & receipts
- Airway bill
- Passport
- Work permit
- Police report, etc.
-
Motor
Just got yourself into a motor accident? Here's what you need to do:
Step 1
Call our 24-hour Roadside Assistance at 1-300-88-6222 to help you on getting your vehicle to any authorised or panel workshop
Take photos of the accident scene.
Make police report within 24 hours.
Step 2
Submit all required documents to the authorised or panel workshop within 7 days from the date of incident.
- Police Report
- Copy of Person Covered's and / or Driver’s Driving License
- Copy of Person Covered’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
- Copy of Certificate of Takaful or Cover Note (for workshop’s verification)
Sign on the Zurich claim form provided to you by our panel workshop.
Step 3
Upon receipt of full documents, the authorised or panel workshop will submit your claim to Zurich for processing within 3 working days*
You may check your claim status here (for Private Cars and Commercial Vehicles only).
Step 4
Look forward to receiving an SMS at the point of successful registration and approval.
The authorised or panel workshop will contact you as soon as your vehicle is ready for collection.
Note: Duly completed and signed Motor Accident Claim Form is required for submission if your vehicle is sent to a non-panel workshop. We may also request for additional documents or information if further investigation is required.
*Excluding claims under further investigation and claims with severe vehicle damage.
Just realised that your vehicle has been stolen? Here’s what you need to do:
Step 1
Make a police report within 24 hours.
Step 2
Submit all required documents to any Zurich General Takaful branch within 7 days from the date of incident.
- Duly completed and signed Theft Claim Form
- Police Report
- Copy of Person Covered's and / or Driver’s Driving License
- Copy of Person Covered’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
Step 3
Upon receipt of full documents, Zurich will be in touch with you as part of the processing procedures.
For Agreed Value certificate, we shall get back to you on the claim decision within 21 working days*.
For Non Agreed Value certificate, this shall be within 48 working days*.
Note: We may request for additional documents or information if further investigation is required.*Subject to the outcome of the investigation.
Broken windscreen? Here’s what you need to do:
Step 1
Prepare all required documents before proceeding to our recommended authorised or panel workshop / windscreen specialist.
- Copy of Person Covered's and / or Driver’s Driving License
- Copy of Person Covered’s Identity Card or Business Registration Card
- Copy of Driver’s Identity Card
- Copy of Vehicle Registration Card or Vehicle Ownership Certificate
- Copy of Certificate of Takaful or Cover Note (for workshop’s verification)
Step 2
Bring your vehicle to any of our authorised or panel workshop / windscreen specialist for a 24-hour windscreen repair or replacement*
Sign the Zurich claim form provided to you by our authorised workshop / windscreen specialist.
Step 3
Got it fixed at our authorised or panel workshop / windscreen specialist?
Great! You can check-out your vehicle without paying a single cent**
Note: Duly completed and signed Windscreen Claim Form is required for submission if your vehicle is sent to the non-panel workshop.
*Subject to the availability of the parts.
**Provided your windscreen is adequately insured.
Life Insurance
-
Individual
Step 1
Prepare the required documents as stated below.
Step 2
Complete the required form(s) and get your attending doctor to complete the required Physician’s Statement form (if applicable).
Step 3
Ensure all the required documents are complete and submit them via your servicing agent or your nearest Zurich branch.
A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500 or certificate duration of less than 2 years from the Issue Date or Reinstatement Date, whichever is later)
4. CTC of Admission and Discharge Notes / Summary or Hospital Bills/Invoices
5. CTC of Histopathology Report (applicable for Female Illnesses claims i.e Fibroid, Ovarian Cyst etc)
6. CTC of Blood Test / Pap Smear / Mammogram / Abdomen / Pelvis Ultrasound Report (applicable for Annual Medical Check Up Allowance claim)
7. CTC of Child’s Birth Certificate (applicable for Newborn Allowance claim)
8. Original Bills and Receipts (applicable for reimbursement claims i.e Fibroid, Ovarian Cyst, Annual Medical Check Up etc that are under Maaster / Maax Wanita)
B. Additional documents (if any):
1. CTC of MRI, X-ray, CT Scan or other Radiology / Medical Reports
A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500)
4. Original/CTC of Medical Certificates or Light Duty Certificates
5. Original Bills and Receipts (applicable for reimbursement claims)
B. Additional documents (if any):
1. CTC of other relevant Medical Reports
2. CTC of Police Report
3. Newspaper Cutting (Please translate to English or Bahasa Malaysia if article is not in either of these languages)
4. Photograph of Dismemberment / Injured Part (applicable for Permanent Dismemberment / Disablement claims)
5. CTC of Imaging reports i.e MRI, X-ray, CT Scan (applicable for Broken Bones and Burns claims)A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Confidential Medical Questionnaire or Life Claim Questionnaire (Download ONE of the following forms which is applicable to your illness)
- CMQ – Bacterial Meningitis & Encephalitis
- CMQ – CABG / Balloon Angioplasty
- CMQ – Cancer
- CMQ – Full Blown Aids
- CMQ – Heart Attack
- CMQ – Kidney Failure
- CMQ – Stroke
- Life Claim Questionnaire (for type of illnesses that do not fall under the items listed above)
4. CTC of relevant Diagnostic Imaging / Post-Surgical Report
5. CTC of Histopathology / Histology Report (for cancer claim only)
B. Additional documents (if any):
1. CTC of other Medical Report (if applicable)
2. Original Policy Contract
3. Original Letter of Consent (4 copies)A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. CTC of Death Certificate
B. Additional documents (if any):
1. CTC of Marriage Certificate (if claimant is spouse) or Birth Certificate of Claimant (if claimant is child) or Birth Certificate of Deceased (if claimant is parents) as Proof of Relationship
2. Original Policy Contract
3. Original Letter of Consent (4 copies)
4. CTC of report of death abroad from National Registration Department (NRD) - if Insured died abroad
5. Letter of Administration / Grant of Probate / Distribution Order (applicable for policy without nomination)
6. CTC of Deceased’s NRIC / Passport / Residence card
C. Documents to be completed if death due to sickness or natural cause:
1. Physician’s Statement Form (for policy duration within 2 years from the Issue Date or Reinstatement Date, whichever is later, except for Senior Gold policies)
D. Documents to be submitted if death due to accident:
1. CTC of Post Mortem / Coroner’s Report (for policy duration of less than 5 years from the Issue Date or Reinstatement Date, whichever is later)
2. CTC of Toxicology Report, if any
3. CTC of Police Report
4. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Total and Permanent Disability Claim Form (Part B - Attending Physician’s Statement)
4. Neurological Examination Report (NER)
B. Additional documents (if any):
1. CTC of other Medical Report (if relevant)
2. CTC of EPF Withdrawal letter, if applicable
3. CTC of SOCSO Offer Letter/ SOCSO “Keputusan Jemaah Doktor Mengenai Keilatan” (if applicable)
4. Original Letter of Consent (4 copies)
5. Original Policy Contract
6. CTC of Employment Termination Letter, if applicable
C. Documents to be submitted if the disability due to accident:
1. CTC of Police Report
2. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)
If you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.
Important Notes:
1. CTC - Certified True Copy
2. To facilitate the processing, please submit to us all required documents.
3. The copy of documents must be certified by Zurich Chief Agency Manager / Zurich Officer / Commissioner for Oaths / Judge / Magistrate / Solicitors.
4. The list of required documents for Life Insurance Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
5. For Waiver of Premium claim (on Death / Critical Illness / Total and Permanent Disability), please refer to the required documents as listed under Death / Critical Illness / Total and Permanent Disability.Enjoy cashless hospital admission at our panel hospitals with your Zurich medical card (subject to the terms and conditions as stipulated in the policy).
Please call the hotline number that is printed on your medical card prior to your hospital admission.
Step 1
Present the following:
- Medical Card,
- NRIC or Passport &
- Referral Letter
Step 2
Upon receipt of the requested documents for hospital admission, the hospital will liaise with the Third Party Administrator (TPA) for validation and authentication of the information. The TPA will issue the initial guarantee letter if the admission is eligible for cover.
*Please allow waiting time for the hospital and TPA to process issuance of the initial guarantee letter (subject to complexity of the claim).
Step 3
Pay a deposit (if requested by the hospital).
Step 4
The hospital will fax all relevant documents and bills to the TPA for issuance of the final Guarantee Letter (if eligible for cover). Patient to pay for uncovered charges (if any).
*Please allow waiting time for the hospital and TPA to process issuance of the final guarantee letter (subject to complexity of the claim).
Step 1
Prepare the following documents.
A. Compulsory documents:
B. Document to be submitted if due to an accident:
1. Reimbursement Claim Form (TPA - MediExpress Sdn Bhd) or Reimbursement Claim Form (TPA - Micare Sdn Bhd)
2. Original Hospital Bill(s) & Receipt(s)
3. Copy of Claimant's NRIC / PAssport / Residence card
1. Copy of Police Report (if any)
2. Copy of Incident Report (if required)
Step 2
Complete the required form(s) and get your attending doctor to complete the required Treatment Details (if applicable).
Prepare additional documents (if any):
1. Copy of Itemised Bill(s)
2. Copy of Referral Letter (if any)
3. Copy of Excess Letter (if any)
4. Copy of MRI, X-ray, CT Scan, HPE & other radiology / lab reports & other relevant reports (if any, depends on the tests performed by the doctor(s))
Step 3
Ensure all the required documents are complete and submit them via any one of the following options:
- Our appointed TPA - MediExpress Sdn Bhd or MiCare Sdn Bhd
- Your servicing agent
- Your nearest Zurich branch
Step 4
Check your claim status by contacting our appointed TPA.
MediExpress
24 Hours Service Hotline
1-300-8000-20 or 03-7884 1818
www.medix.com.myMiCARE
24 Hours Service Hotline
1-800-88-2318
www.micaresvc.comIf you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.
Important Notes:
1. If the outpatient accident claim amount per policy is less than RM300, the treating doctor can indicate the diagnosis on the receipt itself. The Treatment Details in the Reimbursement Claim Form will not be required.
2. For post-hospitalisation claim (following the cashless admission by using the Zurich medical card), the claimant is not required to complete the Treatment Details in the Reimbursement Claim Form.
3. To facilitate prompt processing of claims, please submit all required documents.
4. The list of required documents for Life Insurance Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
Family Takaful
-
Individual
Step 1
Prepare the required documents as stated below.
Step 2
Complete the required form(s) and get your attending doctor to complete the required Physician’s Statement form (if applicable).
Step 3
Ensure all the required documents are complete and submit them via your servicing agent or your nearest Zurich branch.
A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500 or certificate duration of less than 2 years from the Issue Date or Reinstatement Date, whichever is later)
4. CTC of Admission and Discharge Notes / Summary or Hospital Bills/Invoices
5. CTC of Histopathology Report (applicable for Female Illnesses claims i.e Fibroid, Ovarian Cyst etc)
6. CTC of Blood Test / Pap Smear / Mammogram / Abdomen / Pelvis Ultrasound Report (applicable for Annual Medical Check Up Allowance claim)
7. CTC of Child’s Birth Certificate (applicable for Newborn Allowance claim)
8. Original Bills and Receipts (applicable for reimbursement claims i.e Fibroid, Ovarian Cyst, Annual Medical Check Up etc that are under Maaster / Maax Wanita)
B. Additional documents (if any):
1. CTC of MRI, X-ray, CT Scan or other Radiology / Medical Reports
A. Compulsory documents:
1. Claimant’s Statement Form
2. Attending Physician’s Statement (Accident & Hospitalisation Claim) Form (for claim amount exceeding RM500)
3. CTC of Claimant’s NRIC / Passport / Residence card
4. Original/CTC of Medical Certificates or Light Duty Certificates
5. Original Bills and Receipts (applicable for reimbursement claims)B. Additional documents (if any):
1. CTC of other relevant Medical Reports
2. CTC of Police Report
3. Newspaper Cutting (Please translate to English or Bahasa Malaysia if article is not in either of these languages)
4. Photograph of Dismemberment / Injured Part (applicable for Permanent Dismemberment/ Disablement claims)
5. CTC of Imaging reports i.e MRI, X-ray, CT Scan (applicable for Broken Bones and Burns claims)A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Confidential Medical Questionnaire (Download ONE of the following forms which is applicable to your illness)
4. CTC of relevant Diagnostic Imaging / Post-Surgical Report
5. CTC of Histopathology / Histology Report (for cancer claim only)
B. Additional documents (if any):
1. CTC of other Medical Report (if relevant)
2. Original Certificate Contract
3. Original Letter of Consent (4 copies)
A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. CTC of Death Certificate
B. Additional documents (if any):
1. CTC of Marriage Certificate (if claimant is spouse) or Birth Certificate of Claimant (if claimant is child) or Birth Certificate of Deceased (if claimant is parents) as Proof of Relationship
2. Original Certificate Contract
3. Original Letter of Consent (4 copies)
4. CTC of report of death abroad from National Registration Department (NRD) - if Person Covered died abroad
5. Letter of Administration / Grant of Probate / Distribution Order (applicable for certificate without nomination)
6. CTC of Deceased’s NRIC / Passport / Residence card
C. Documents to be completed if death due to sickness or natural cause:
1. Physician’s Statement Form (for certificate duration within 2 years from the Issue Date or Reinstatement Date, whichever is later)
D. Documents to be submitted if death due to accident:
1. CTC of Post Mortem / Coroner’s Report (for certificate duration of less than 5 years from the Issue Date or Reinstatement Date, whichever is later)
2. CTC of Toxicology Report, if any
3. CTC of Police Report
4. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)A. Compulsory documents:
1. Claimant’s Statement Form
2. CTC of Claimant’s NRIC / Passport / Residence card
3. Total and Permanent Disability Claim Form (Part B - Attending Physician’s Statement)
4. Neurological Examination Report (NER)
B. Additional documents (if any):
1. CTC of other Medical Report (if relevant)
2. CTC of EPF Withdrawal letter, if applicable
3. CTC of SOCSO Offer Letter / SOCSO “Keputusan Jemaah Doktor Mengenai Keilatan” (if applicable)
4. Original Letter of Consent (4 copies)
5. Original Certificate Contract
6. CTC of Employment Termination Letter, if applicable
C. Documents to be submitted if the disability is due to accident:
1. CTC of Police Report
2. Newspaper Cutting, if any (Please translate to English or Bahasa Malaysia if the article is not in either of these languages)
If you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.
Important Notes:
1. CTC - Certified True Copy
2. To facilitate the processing, please submit to us all required documents.
3. The copy of documents must be certified by Zurich Takaful Officer, Judge, Magistrate or Solicitors
4. The list of required documents for Family Takaful Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
5. For Waiver of Contribution claim (on Death / Critical Illness / Total and Permanent Disability), please refer to the required documents as listed under Death / Critical Illness / Total and Permanent Disability.Enjoy cashless hospital admission at our panel hospitals with your Zurich medical card (subject to the terms and conditions as stipulated in the certificate).
Please call the hotline number that is printed on your medical card prior to your hospital admission.
Step 1
Present the following:
- Medical Card,
- NRIC or Passport &
- Referral Letter
Step 2
Upon receipt of the requested documents for hospital admission, the hospital will liaise with the Third Party Administrator (TPA) for validation and authentication of the information. The TPA will issue the initial guarantee letter if the admission is eligible for cover.
*Please allow waiting time for the hospital and TPA to process issuance of the initial guarantee letter (subject to complexity of the claim).
Step 3
Pay a deposit (if requested by the hospital).
Step 4
The hospital will fax all relevant documents and bills to the TPA for issuance of the final Guarantee Letter (if eligible for cover). Patient to pay for uncovered charges (if any).
*Please allow waiting time for the hospital and TPA to process issuance of the final guarantee letter (subject to complexity of the claim).
Step 1
Prepare the following documents.
A. Compulsory documents:
B. Document to be submitted if due to an accident:
1. Reimbursement Claim Form (TPA - MediExpress Sdn Bhd)
2. Original Hospital Bill(s) & Receipt(s)
3. Copy of Claimant's NRIC / PAssport / Residence card
1. Copy of Police Report (if any)
2. Copy of Incident Report (if required)
Step 2
Complete the required form(s) and get your attending doctor to complete the required Treatment Details (if applicable).
Prepare additional documents (if any):
1. Copy of Itemised Bill(s)
2. Copy of Referral Letter (if any)
3. Copy of Excess Letter (if any)
4. Copy of MRI, X-ray, CT Scan, HPE & other radiology / lab reports & other relevant reports (if any, depends on the tests performed by the doctor(s))
Step 3
Ensure all the required documents are complete and submit them via any one of the following options:
- Our appointed TPA - MediExpress Sdn Bhd
- Your servicing agent
- Your nearest Zurich branch
Step 4
Check your claim status by contacting our appointed TPA.
MediExpress
24 Hours Service Hotline
1-300-8000-20 or 03-7884 1818
www.medix.com.myIf you wish to talk to us regarding your claim and have any queries on the above, you may call us at 1-300-888-622 or write in to us.
Important Notes:
1. If the outpatient accident claim amount per certificate is less than RM300, the treating doctor can indicate the diagnosis on the receipt itself. The Treatment Details in the Reimbursement Claim Form will not be required.
2. For post-hospitalisation claim (following the cashless admission by using the Zurich medical card), the claimant is not required to complete the Treatment Details in the Reimbursement Claim Form.
3. To facilitate prompt processing of claims, please submit all required documents.
4. The list of required documents for Family Takaful Claims serves as a guideline for claims submission. The Company reserves the right to request for further information or documents if deemed necessary.
