All about Claim Steps

Accident claim service in case of advance payment

Do you know you can claim for the medical expenses from the Company after you had an accident and were hospitalized (according to the coverage conditions in the insurance policy)?

   Step 1 Prepare documents

For Outpatients (OPD) and Inpatients (IPD) in case of Medical Expenses
1.Injury/Illness Claim Form
     - For the insured – The insured/the guardian must completely fill in and sign the form.
     - For the attending physician’s reports – The physician must fill in details and sign as well as affixing medical center’s seal.
2.X-ray diagnostic test results (in case of broken bone or fracture)
3.Copy of medical expense receipt and list of medical expenses in detail or copy of CUSTOM-IN-PATIEN summary
(in case of hospitalization as inpatient)

For accident claim according to personal accident insurance contract
1.Injury/Illness Claim Form
 - For the insured – The insured/the guardian completely specify details, marks in and signs.
 - For the attending physician’s reports – The physician must fill in details and sign as well as affixing medical center’s seal.
 - Section for declaration on personal information
2.X-ray diagnostic test results (in case of broken bone or fracture)
3.Original copy of medical expense receipt and list of medical expense in detail or CUSTOM-IN-PATIENT summary
(in case of claim under Personal Accident Contract)

Remarks:
1. In case of signing by fingerprint, signatures of 2 witnesses must be completely provided.
2. In case of a minor (less than 10 years old), a father/mother/legal guardian is required to sign and specify the relationship.
3. In case of a minor (over 10 years old but less than 20 years old), a father/mother/legal guardian is required to sign together with the minor and specify the relationship.
4. In case of a minor aged below 20, father/mother/legal guardian’s copy of ID card is required.
5.Before submitting a copy of ID card/passport, please cross out the “religion” or “race” information, as the case may be, until the text cannot be read, and sign to certify. Otherwise, it will be deemed that you allow the Company to cross out the “religion” or “race” information on your behalf.

Processing Period: Around 3 business days after the Company receives complete and correct documents and information
Remark: Conditions are as specified by Muang Thai Life Assurance PCL.