Group Hospitalisation Claims Process

Follow these simple steps to expedite filing of Group Hospitalisation Claims Process

Group Hospitalisation Claims Process

  • Group Hospitalisation Claims Process

    1
  • Someone will Contact You

    2
  • Submission

    3
  • Evaluate

    4
  • Close Claim

    5


  • Report your claim to your respective banker/ brokers/customer service personnel of each branch
  • Your respective banker/ brokers/ customer service personnel of each branch will provide required claim forms to you
  • Submit the completed form(s) and supporting documents via the respective banker/ brokers/customer service personnel of each branch
  • TMLM will evaluate to ensure all the required form(s) are completed accurately by relevant parties, e.g. doctor.
  • Once all the forms are completed, TMLM will proceed to claim assessments

Documentation Required

  1. Duly completed Group Hospitalisation claim form Part I - with Signature, company stamp 
  2. Duly completed Group Hospitalisation claim form Part II - Attending Physician Physician Statement (Claim above RM500.00)   
  3. Original Official Receipt
  4. Original Invoices/Bills
  5. Itemized Bill
  6. Copy of the Police Report (Accidental cause)
  7. Cover letter for plan entitlement/ coverage (Headcount policy)
  8. Certified True Copy of worksheet and bills from other Insurer (excess not covered by other Insurer)
  9. Discharge Note/Copy of all related investigation report

Important Notes Prior to Submission

  1. Ensure completion of claim forms and completeness of all documents to avoid unnecessary delay.
  2. Ensure your signature on the claim form tallies with the one in the records.
  3. The Medical Report is to be completed at the claimant's own expense.
  4. The checklist provides a reference of the point-of-submission requirements only. The Company reserves the right to request for other relevant documents and information.

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