Get Prudential Medical Claim Form

Filing a medical claim can seem overwhelming, but the Prudential Medical Claim Form is designed to guide you through the process. Follow this comprehensive guide to successfully complete the form online.

Follow the steps to fill out the Prudential Medical Claim Form online.

1. Click ‘Get Form’ button to obtain the Prudential Medical Claim Form and open it in the editor.
2. Begin by filling in the Life Assured's particulars, including their full name, identification number (NRIC No), address, date of birth, contact number, occupation, and method of delivery for claim settlement (mail, self-collection, or by a Prudential financial consultant). Ensure all fields are completed accurately.
3. In the policy details section, indicate the policy number corresponding to the type of benefit you are claiming. It's essential to provide accurate information to avoid delays in processing your claim.
4. Complete the declaration section by affirming that all information provided is true and complete. This includes authorizing Prudential to obtain medical information related to the claim. The person filling out the form must provide their name and signature, along with the date.
5. Next, specify the type of claim you are making by selecting the appropriate claim type, such as hospital room and board, surgical procedure, or long term care.
6. Detail the nature of the claim. This includes the cause of the illness or injury, dates of symptoms or accidents, and any related police reports if applicable. Provide comprehensive details about the surgical procedures performed and the period of hospitalization.
7. Fill in the Activities of Daily Living section if you are claiming for long term care, indicating which activities you are unable to perform independently and the date you became unable to perform those activities.
8. List all doctors or specialists consulted regarding the illness or injury, including their names, clinic/hospital addresses, and reasons for the visits. If there is a usual medical attendant, provide their details as well.
9. Finally, review your entries for accuracy and completeness before submitting the claim. Once you are satisfied with all the information provided, you can save changes, download, print, or share the form for submission.

Complete your Prudential Medical Claim Form online now to ensure a smooth claims process.