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Claims

Claims Procedure

Please note that the claims listed are only indicative and not exhaustive and that the Company may require additional information / documentation / proof to be furnished, depending on the circumstances of each claim.


Death Claim
To be submitted
  • Original Death Certificate
  • Original Policy Document
  • Original Proof of entitlement, e.g. Marriage Certificate, Birth Certificate, Will, Trust deed, etc.
  • Copy of NRIC / Passport of the claimant(s)
  • Medical Reports, if any
To be completed and returned
  • Death Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Download PDF

  • Attending Physician Statement for Death
    Download PDF

If death is due to an accident or unnatural causes, additional requirements are:
  • Original Post Mortem Report and Toxicology Report
  • Coroner's Report
  • Mass Media publications, e.g. Newspaper cuttings etc
  • Copy of Police Report, if applicable

If death occurs outside of Singapore, additional requirements are:

If death occurred in countries other than in Singapore and if the policyholder is not a Singaporean, the death certificate and all documents which are not written in English must be translated and authenticated by the Singapore Embassy.
Total & Permanent Disability Claim

To be submitted
  • Original Policy Document (for lump sum benefit)
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Supporting laboratory and radiological reports

To be completed and returned
  • Total & Permanent Disability Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Attending Physician Statement for Total & Permanent Disability*
    Download PDF

Major Illness Claim

To be submitted
  • Original Policy Document (for claiming on basic benefit)
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Supporting laboratory and radiological reports

To be completed and returned
  • Major / Minor Illness Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Download PDF

  • Attending Physician Statement* (obtain the relevant major illness to be claimed)
    Download PDF

Minor Illness Claim/Juvenile Illness Claim

To be submitted
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Supporting laboratory and radiological reports from the hospital

To be completed and returned
  • Major / Minor Illness Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Download PDF

  • Attending Physician Statement* (obtain the relevant minor or juvenile illness to be claimed)
    Download PDF

Payor Benefit Claim

To be submitted
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Supporting laboratory and radiological reports

For Death

To be completed and returned
  • Death Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Download PDF

  • Attending Physician Statement for Death*
    Download PDF

For Total & Permanent Disability

To be completed and returned
  • Total & Permanent Disability Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Attending Physician Statement * [obtain the relevant minor or juvenile illness to be claimed]
    Download PDF

For Major/Minor Illness

To be completed and returned
  • Major / Minor Illness Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Download PDF

  • Attending Physician Statement * [obtain the relevant major illness to be claimed]
    Download PDF

Personal Accident / Accident Insurance Claim

To be submitted
  • Medical Certificates
  • Original Final Hospital / Medical Bills [for rider with Medical Indemnity benefit]
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Medical reports, if any
  • Copy of Police Report, if applicable
  • Mass Media publications, e.g. Newspaper cuttings etc

To be completed and returned
  • Accident Insurance Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Attending Physician Statement — Accident Insurance*
    Download PDF

Hospitalisation Benefit Claim

To be submitted
  • Copy of Final Hospital Bills
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate

To be completed and returned
  • Hospitalisation Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Attending Physician Statement *
    Download PDF

Hospital And Surgical Claim (Prime and Premier Care)

To be submitted
  • Supporting laboratory, histology and radiology reports from the hospital
  • Original Final Hospital Bills / Medical Bills
    • For Prime Care, photocopies of bills are acceptable for claiming Inpatient Benefits.
    • For Premier Care, photocopies of bills are only acceptable if claim has been filed with and paid by other insurers. However, you will need to submit a copy of the settlement letter/details from the other insurers.
    • For Prime Care, photocopies of bills are only acceptable for claiming Additional Benefits if claim has been filed with and paid by other insurers. However, you will need to submit a copy of the settlement letter/details from the other insurers.
  • Copy of Assured's NRIC and Life Assured's NRIC or Birth Certificate
  • Copy of passport showing the date of departure from Singapore if the Medical Condition is sustained outside Singapore.

To be completed and returned
  • Hospitalisation Claim Form (Claimant's Statement)
    Clinical Abstract Application Form **
    Attending Physician Statement *
    Download PDF

GlobalCare Health Plan Claims

If you have any questions regarding these forms or any other aspects of the coverage, please contact our AXA Health Customer Care Centre at (+65) 6308 9525 quoting your policy / membership numbers. Claims must be submitted along with all supporting documents within 90 days from date of service. Send this claim form together with all supporting documents to AXA Health Customer Care Centre at 123 Penang Road, #06-13 Regency House, Singapore 238465.

* Attending Physician Statements are to be completed by the attending doctor at the Claimant's expense.
** Clinical Abstract Application form is required to be signed and submitted in the event that further medical reports are required to be obtained.
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