1.A. Death Claims
1) Accidental/Unnatural Death
Documents Required
i. Duly completed Death Claim Form
ii. Medical report pertaining to the cause of death (where applicable)
iii. Original Policy Document
iv. Certified True Copy of Death Certificate ( by PAMB branch PIC or Business Development Executive/Manager)
v. Certified True Copy of Deceased's IC/Birth Certificate
vi. Certified True Copy of Claimant's IC and:
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 bills
xii. Hospital's original receipts
Note:
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.
2) Natural Causes(illness)Documents Required
i. Duly completed Death Claim Form
ii. Medical report pertaining to the cause of death (where applicable)
iii. Original Policy Document
iv. Certified True Copy of Death Certificate (by PAMB branch PIC or Business Development Executive/Manager)
v. Certified True Copy of Deceased's IC/Birth Certificate
vi. Certified True Copy of Claimant's IC and:
vii. Others: Biopsy, MRI, scan and investigation results (where applicable)
viii. Hospital's itemized bills
xi. Hospital's original receipts
2. B. Crisis Cover Claims
Documents Required
i. Duly completed Crisis Cover Claim Form
ii. Medical report pertaining to your medical condition
iii. Origial Policy Document
iv. 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
3. C. Total & Permanent Disability Claims
Documents Required
i. Duly completed TPD Claim Form
ii. Total & Permanent Disability Medical Report
iii. Original Policy Document
iv. Others Supporting Test/Laboratory Report : Biopsy, MRI, scan and investigation results (where applicable)
4. D. Personal Accident (PA)/PRUacci guard, Weekly Indemnity/PRUacci income & Accidental Medical Reimbursement/PRUacci med
Documents required
i. Duly Completed Claim Form
ii. Personal Accident Medical Report
iii. Police Report (if any)
iv. Original itemised bills
v. Original receipts
5. E. PRUmajor med/PRUhealth/PRUguard My Family Claims
Documents Required
i. Duly completed Hospitalisation Claim Form
ii. Hospitalization Medical Report
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Original itemised bills
v. Original receipts
6. F. Pre & Post Hospitalization/Emergency Accident Treatment Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Hospitalization Medical report pertaining to your medical condition (For Emergency Accidental Treatment only)
iii. Original itemised bills
iv. Original receipts
7. G. PRUmed/Hospital Benefits/Daily Hospital Benefit Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Medical report pertaining to your medical condition
iii. Itemized bills (certified photocopy is allowed)
8. H. Surgical and Nursing (S&N) Claims
Documents Required
i. Duly Completed S&N Claims Form
ii. Hospitalization Medical Report
iii. Original itemised Bill
iv. Original receipts
9. I. PRUparent/PRUsenior med Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Hospitalization Medical Report
iii. Original Itemised Bill
iv. Original receipts
10. J. PRUlady/PRUessential lady/PRUessential mother/PRUguard my lady Claims
A) Lifestage Benefit Claims
Documents Required
i. Duly Completed PruLady Lifestage Benefit Claim Form
ii. Certified true copy of birth certificate OR
iii. Certified true copy of marriage certificate OR
iv. Certified true copy of retrenchment letter OR
v. Certified true copy of Final divorce decree OR
vi. Certified true copy of death certificate
B) Medical Claim
Documents Required
i. Duly Completed PruLady Claim Form
ii. 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 Erithematosus
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Original Policy Document (if applicable)
11. K. Excess amount of PRUmajor med/PRUhealth/PRUguard My Family Claims not covered by employer/other insurers
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Certified True Copy of Medical report pertaining to your medical condition
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Certified True Copy of itemized bills
v. Certified True Copy of original receipts
vi. Letter from employer/other insurers indicating the amount paid
Go to Claims FAQ
1) Accidental/Unnatural Death
Documents Required
i. Duly completed Death Claim Form
ii. Medical report pertaining to the cause of death (where applicable)
iii. Original Policy Document
iv. Certified True Copy of Death Certificate ( by PAMB branch PIC or Business Development Executive/Manager)
v. Certified True Copy of Deceased's IC/Birth Certificate
vi. 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 bills
xii. Hospital's original receipts
Note:
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.
2) Natural Causes(illness)Documents Required
i. Duly completed Death Claim Form
ii. Medical report pertaining to the cause of death (where applicable)
iii. Original Policy Document
iv. Certified True Copy of Death Certificate (by PAMB branch PIC or Business Development Executive/Manager)
v. Certified True Copy of Deceased's IC/Birth Certificate
vi. 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. Hospital's itemized bills
xi. Hospital's original receipts
2. B. Crisis Cover Claims
Documents Required
i. Duly completed Crisis Cover Claim Form
ii. Medical report pertaining to your medical condition
iii. Origial Policy Document
iv. 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
3. C. Total & Permanent Disability Claims
Documents Required
i. Duly completed TPD Claim Form
ii. Total & Permanent Disability Medical Report
iii. Original Policy Document
iv. Others Supporting Test/Laboratory Report : Biopsy, MRI, scan and investigation results (where applicable)
4. D. Personal Accident (PA)/PRUacci guard, Weekly Indemnity/PRUacci income & Accidental Medical Reimbursement/PRUacci med
Documents required
i. Duly Completed Claim Form
ii. Personal Accident Medical Report
iii. Police Report (if any)
iv. Original itemised bills
v. Original receipts
5. E. PRUmajor med/PRUhealth/PRUguard My Family Claims
Documents Required
i. Duly completed Hospitalisation Claim Form
ii. Hospitalization Medical Report
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Original itemised bills
v. Original receipts
6. F. Pre & Post Hospitalization/Emergency Accident Treatment Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Hospitalization Medical report pertaining to your medical condition (For Emergency Accidental Treatment only)
iii. Original itemised bills
iv. Original receipts
7. G. PRUmed/Hospital Benefits/Daily Hospital Benefit Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Medical report pertaining to your medical condition
iii. Itemized bills (certified photocopy is allowed)
8. H. Surgical and Nursing (S&N) Claims
Documents Required
i. Duly Completed S&N Claims Form
ii. Hospitalization Medical Report
iii. Original itemised Bill
iv. Original receipts
9. I. PRUparent/PRUsenior med Claims
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Hospitalization Medical Report
iii. Original Itemised Bill
iv. Original receipts
10. J. PRUlady/PRUessential lady/PRUessential mother/PRUguard my lady Claims
A) Lifestage Benefit Claims
Documents Required
i. Duly Completed PruLady Lifestage Benefit Claim Form
ii. Certified true copy of birth certificate OR
iii. Certified true copy of marriage certificate OR
iv. Certified true copy of retrenchment letter OR
v. Certified true copy of Final divorce decree OR
vi. Certified true copy of death certificate
B) Medical Claim
Documents Required
i. Duly Completed PruLady Claim Form
ii. 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 Erithematosus
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Original Policy Document (if applicable)
11. K. Excess amount of PRUmajor med/PRUhealth/PRUguard My Family Claims not covered by employer/other insurers
Documents Required
i. Duly completed Hospitalization Claim Form
ii. Certified True Copy of Medical report pertaining to your medical condition
iii. Others: Biopsy, MRI, scan and investigation results (where applicable)
iv. Certified True Copy of itemized bills
v. Certified True Copy of original receipts
vi. Letter from employer/other insurers indicating the amount paid
Go to Claims FAQ
