Types of Claims
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1 A. Death Claims
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Accidental/Unnatural Death
Documents Requiredi. Duly completed Death Claim Formii. Medical report pertaining to the cause of death (where applicable)iii. Original Policy Documentiv. Certified True Copy of Death Certificate ( by PAMB branch PIC or Business Development Executive/Manager)v. Certified True Copy of Deceased's IC/Birth Certificatevi. Certified True Copy of Claimant's IC and:Claimant Documents Required (Original or Certified True Copy) Spouse Marriage Certificate Children Birth Certificate of Claimant Parent Birth Certificate of Deceased Sibling Birth Certificate of Deceased and Claimant vii. Others: Biopsy, MRI, scan and investigation results ( where applicable)viii. Original post mortem report ( for Accidental Death only)ix. Police report ( for Accidental Death only)x. Newspaper cutting ( for Accidental Death only)xi. Hospital's itemized billsxii. Hospital's original receiptsNote:Original or Certified True Copy of death certificate and proof of entitlement must be produced at the Customer Centre and will be returned immediately after verification. Death Certificate certified by your lawyer or any Notary Public is also accepted.If death occurred abroad, the death certificate and all related documents must be authenticated by the Malaysian Embassy. All non-English documents need to be translated into English by a certified translator. The translated documents must be authenticated by a Notary Public. -
Natural Causes(illness)
Documents Requiredi. Duly completed Death Claim Formii. Medical report pertaining to the cause of death (where applicable)iii. Original Policy Documentiv. Certified True Copy of Death Certificate (by PAMB branch PIC or Business Development Executive/Manager)v. Certified True Copy of Deceased's IC/Birth Certificatevi. Certified True Copy of Claimant's IC and:ClaimantDocuments Required (Original or Certified True Copy)SpouseMarriage CertificateChildrenBirth Certificate of ClaimantParentBirth Certificate of DeceasedSiblingBirth Certificate of Deceased and Claimantvii. Others: Biopsy, MRI, scan and investigation results (where applicable)viii. Hospital's itemized billsxi. Hospital's original receipts
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Accidental/Unnatural Death
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2 B. Crisis Cover Claims
Documents Requiredi. Duly completed Crisis Cover Claim Formii. Medical report pertaining to your medical conditioniii. Origial Policy Documentiv. Others: Biopsy, MRI, scan and investigation results (where applicable)Note:a. If Cancer or Coronary Artery Disease Requiring Surgery and Heart Attack occurs 90 days from the date of issue of benefit or at the date of reinstatement, Crisis Cover Benefit will not be payable.b. For Crisis Cover Provider claim, Life Assured must survive 30 days from the date of diagnosis for benefit to be payable
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3 C. Total & Permanent Disability Claims
Documents Requiredi. Duly completed TPD Claim Formii. Total & Permanent Disability Medical Reportiii. Original Policy Documentiv. Others Supporting Test/Laboratory Report : Biopsy, MRI, scan and investigation results (where applicable)
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4 D. Personal Accident (PA)/PRUacci guard, Weekly Indemnity/PRUacci income & Accidental Medical Reimbursement/PRUacci med
Documents requiredi. Duly Completed Claim Formii. Personal Accident Medical Reportiii. Police Report (if any)iv. Original itemised billsv. Original receipts
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5 E. PRUmajor med/PRUhealth/PRUguard My Family Claims
Documents Requiredi. Duly completed Hospitalisation Claim Formii. Hospitalization Medical Reportiii. Others: Biopsy, MRI, scan and investigation results (where applicable)iv. Original itemised billsv. Original receipts
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6 F. Pre & Post Hospitalization/Emergency Accident Treatment Claims
Documents Requiredi. Duly completed Hospitalization Claim Formii. Hospitalization Medical report pertaining to your medical condition (For Emergency Accidental Treatment only)iii. Original itemised billsiv. Original receipts
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7 G. PRUmed/Hospital Benefits/Daily Hospital Benefit Claims
Documents Requiredi. Duly completed Hospitalization Claim Formii. Medical report pertaining to your medical conditioniii. Itemized bills (certified photocopy is allowed)
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8 H. Surgical and Nursing (S&N) Claims
Documents Requiredi. Duly Completed S&N Claims Formii. Hospitalization Medical Reportiii. Original itemised Billiv. Original receipts
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9 I. PRUparent/PRUsenior med Claims
Documents Requiredi. Duly completed Hospitalization Claim Formii. Hospitalization Medical Reportiii. Original Itemised Billiv. Original receipts
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10 J. PRUlady/PRUessential lady/PRUessential mother/PRUguard my lady Claims
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Lifestage Benefit Claims
Documents Requiredi. Duly Completed PruLady Lifestage Benefit Claim Formii. Certified true copy of birth certificate ORiii. Certified true copy of marriage certificate ORiv. Certified true copy of retrenchment letter ORv. Certified true copy of Final divorce decree ORvi. Certified true copy of death certificate -
Medical Claim
Documents Requiredi. Duly Completed PruLady Claim Formii. Medical report pertaining to your medical condition (Medical Examiner Report for different illnesses/ medical procedure)> Carcinoma In-Situ of Breast/Cervix uteri> Infant Congenital> Pregnancy Complications> Rheumatoid Arthritis> Skin Grafting due to Burns & Skin cancer> Systemic Lupus Erithematosusiii. Others: Biopsy, MRI, scan and investigation results (where applicable)iv. Original Policy Document (if applicable)
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Lifestage Benefit Claims
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11 K. Excess amount of PRUmajor med/PRUhealth/PRUguard My Family Claims not covered by employer/other insurers
Documents Requiredi. Duly completed Hospitalization Claim Formii. Certified True Copy of Medical report pertaining to your medical conditioniii. Others: Biopsy, MRI, scan and investigation results (where applicable)iv. Certified True Copy of itemized billsv. Certified True Copy of original receiptsvi. Letter from employer/other insurers indicating the amount paid
