Make an outpatient treatment claim

For official proof and verification, we would require you to submit the following documents for the type of claim you are making.

1. Get the following documents

Outpatient Cancer Treatment, Outpatient Kidney Dialysis Treatment:

1. Requirement Checklist for Individual & Group Health Claims Submission
   
2. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
3. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
4. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
   
5. Direct Credit Facility Form (if not submitted before)
6. Original bill(s) /tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any)
7. Certified True Copy of Laboratory Test Result, X-Ray, MRI/CT scan, Ultrasound, Histopathology report (if any)

Emergency Accident Outpatient Treatment Claims:

1. Requirement Checklist for Individual & Group Health Claims Submission
   
2. Hospitalisation & Surgical - Claimant's Statement / Claim Form For Group Hospitalisation & Surgical Benefit
3. Hospitalisation & Surgical - Attending Physician's Statement, if total bill(s) ≥ RM350 {if total bill(s)/invoice(s) less than RM350, attending doctor to endorse the diagnosis (with signature and stamping) and confirm the date of accident}
4. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
5. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
6. Direct Credit Facility Form (if not submitted before)
7. Original bill(s) /tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any)
8. Certified True Copy of X-Ray, MRI/CT scan report (if any)

Emergency Sickness Outpatient Treatment Claims (from 12 midnight to 6am)-Applicable to Group Policy only:

1. Requirement Checklist for Individual & Group Health Claims Submission
   
2. Claim Form For Group Hospitalisation & Surgical Benefit
3. Attending Doctor to endorse diagnosis (with signature and stamping)
4. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
5. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
6. Direct Credit Facility Form (if not submitted before)
7. Original bill(s) /tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any)

Outpatient Clinical & Dental Claims/Specialist-Applicable to Group Policy only:

1. Claim Form For Outpatient Clinical & Dental Benefit
2. Certified True Copy of Claimant's NRIC/Passport indicating Biodata
3. Certified True Copy of Life Assured's NRIC/Passport/Birth Certificate
4. Direct Credit Facility Form (if not submitted before)
5. Original bill (s)/tax invoice(s) and Original receipt(s) (including deposit and refund receipt, if any). Kindly provide itemised pharmacy breakdown if total each bill /tax invoice>RM200 (detail listing of medicine name and unit price)

2. Submit documents

You are advised to use Requirement Checklist for Individual & Group Health Claims Submission as a guide on documents requirement for the Medical Claims Submission.

You may submit the claim via the following channels:

a) Online Claim Submission

• For Policy Owners, click here to log in to e-Connect customer portal. Click My Claim > Online Claims which will navigate you to a new web browser tab. Proceed to click 'Create New Claim' and follow the step by step instructions to complete the submission. You may refer to the eClaims Customer Guide-eConnect for more details.

b) Through your servicing agent

c) At Head Office or the nearest branches. View Location of Head Office and Branches

d) Post the claim forms along with supporting documents to us            

Medical Claim
Menara Great Eastern
Level 4, Healthcare Services Department
No. 303 Jalan Ampang
50450 Kuala Lumpur

Check medical claim status

a) Click here to log in to e-Connect customer portal. Click My Claim > Claim Status or
b) Email us at: healthcareservices@greateasternlife.com