04/06/2022
CLAIM TYPE
DOCUMENTS REQUIRED
Minor Accident Claims:
Weekly Indemnity Medical Reimbursement
Accident Claim Form Part I & II
Original itemised bill and payment receipts
X-ray report, MRI report or other reports related to the injury.
Hospital Income
Individual Hospitalisation Claim Form Part I & II
If Part II is not completed, diagnosis to be endorsed by treating doctor is required.
Certified copy of Hospital Discharge Note or inpatient bill
Hospital & Surgical
Individual Hospitalisation Claim Form Part I & II
Original itemised bill and payment receipts
For outpatient cancer treatment, to submit Histopathology report and Original bills/ receipts for follow-up clinical visits after discharge
For Overseas Treatment
Copy of Passport of Assured’s personal data and indicating Date of Departure from Malaysia and Arrival Overseas or copy of Flight Ticket/Boarding Pass
Original Detailed Admission Bill showing breakdown of each charges
Hospital Discharge Summary (if any)
Certified Medical Test Results e.g. MRI/ CT Scan, Dialysis card, Biopsy / Histopathology report
(Translation of foreign language into English version is required)
For Bill Partially Settled by Third Party
Copy of Settlement Advice issued by Third Party
Certified medical report by Third Party
Certified medical bills/receipts by Third Party
Certified medical test results by Third Party (if any)
For Emergency Outpatient Accidental Treatment or Daycare Procedure for amount not exceeding RM500:
If Part II is not given, certified Diagnosis and Type of Surgical Procedure (if applicable) by the attending doctor are required. For Pre/ post hospitalisation claim to indicate date of event
Critical Illness / Female Product
Claimant Statement – Critical Illness and Female Product Claim
Attending Physician’s Statement (by disease type)
Certified Medical Test Results e.g. MRI/ CT Scan, Dialysis card, Biopsy / Histopathology report (Please refer to the checklist in Claimant Statement for relevant medical test results)
Certified IC of the Assured
5 copies of Consent Form and Patient’s card
Policy Contract (if any)
Death
Claimant Statement – Death Claim
Certified Death Certificate
Claimant's proof of relationship to the Deceased (i.e. marriage certificate, birth certificate, etc.)
Certified IC of Claimant
Policy Contract / Bond of Indemnity with Stamp Duty
Additional documents for death occurring within 2 years from date of issue or reinstatement:
Attending Physician’s Statement - Death
5 copies of Consent Form & Patient’s Card
Additional document for Accidental Death:
Certified Police Report
Certified Third Party Police Report (if any)
Certified Post-mortem & Toxicology report
Certified Burial Permit
Newspaper cutting (if any)
Additional document if death occurred in overseas:
Certified JPN Letter
Certified death certificate issued by the country where the Assured had passed away
Dismemberment
Accident Claim Form Part I & II
Certified Diagnostic report(s), if any
X-ray film & certified imaging report(s)
Full length of photograph showing the loss / amputation
Certified IC of the Assured
Consent Form & Patient’s Card
Policy Contract (if any)
Additional documents for accidental cause:
Certified Police Report (if any)
Certified Third Party Police Report (if any)
Total & Permanent Disability
Claimant Statement – Total & Permanent Disability Claim
Attending Physician’s Statement – Total & Permanent Disability
Certified Medical Test Results e.g. MRI/ CT Scan, Dialysis card & etc
Letter and medical report from Socso.
Medically boarded out letter from employer
Full length of photograph of Assured (for loss /
amputation / bed-ridden)
Certified IC of the Assured
5 copies of Consent Form & Patient’s Appointment Card
Policy Contract
Additional documents for TPD due to accident:
Certified Police report & Newspaper cutting (if any)
Note: The above information serves as a guide. AIA Bhd. reserves the right to request for other relevant document and information or to view the original of copied document submitted whenever necessary. Non original documents must be certified as true copy by AIA authorised staff or AIA Agency leaders
