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Claims


Request for Claims

1.Request for Claims

    - Contact in person at any BLA branches nationwide

    - Download Claiming form manually under required topics

       If you have further inquiries please contact BLA branches, Customer Service or Call Centre 0 2777 8888

 

2.Submit Claiming Forms and Documents

    - Submit your documents to your agent at Head Office or any branches of convenience

    - Mail you documents to Claim and Compensation:

      Bangkok Life Assurance Public Company Limited

      23/115-121 Royal City Avenue, Rama 9 Road, Huaykwang, Bangkok 10310

 

3.Claim Consideration Duration

   The duration of consideration is 3-15 days after complete documents have been submitted. If there are any reasonable doubts,

      evidence must be proven and so the period may be extended as needed in which no more than 90 days.

 

4.Compensation Payment Channels

    - Cheque/Bank draft payment send directly to the insured with the address listed

    - Direct transfer to the insured’s bank account or the beneficiary’s as stated.

       *** To fasten the payment process, you can receive the payment via direct transfer into your bank account. 
      Please fill the Payable Amount Direct Transfer Form, along with a copy of Bank Book cover page and Claiming
      form.

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Request for Health Claim through Network Hospitals (Fax Claim)

Request for Health Claim through Network Hospitals (Fax Claim)

Documents Required

1. The insured is to check with Network Hospital List (applicable for hospitals listed in the network)
2. The presence of the insured must be with an identification card strictly (to fasten the process please inform policy number),
    for underage children please present your guardian card.
3. The listed hospital will coordinate with the Company directly and advise further.

Request for Accidents Claim [Accidental Death & Dismemberment, Accidental Death, Dismemberment & Disability]

Request for Accidents Claim [Accidental Death & Dismemberment , Accidental Death , Dismemberment & Disability]

Documents Required

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Receipt or a copy (applicable for Inpatient treatment only)
3. Police Report on the case (applicable for assault or complaints to the police)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Injury Treatment Compensation

Request for Injury Treatment Compensation

Documents Required

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Original receipt
3. Summary statement of expenses (Inpatient case)
4. Police Report on the case (applicable for assault or complaints to the police)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Dayly Hospitalization Compensation

Request for Dayly Hospitalization Compensation

Documents Required

1. Daily Expenses and Health Insurance or Accidents Claim Form
2. Original receipt or a copy
3. X-ray film and readings (bones fracture or cracks)
4. Police Report on the case (applicable for assault or complaints to the police)
5. A copy of Overnight Infirmary License of the Institution of treatment (applicable for admission of non-hospital institution cases)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Health Insurance Claim

Request for Health Insurance Claim

Request for Health Insurance Claim

1. Medical Expenses Daily and Health Insurance or Accidents Claim Form
2. Original receipt or a copy
3. X-ray film and readings (bones fracture or cracks)
4. Police Report on the case (applicable for assault or complaints to the police)
5. A copy of Overnight Infirmary License of the Institution of treatment (applicable for admission of non-hospital institution cases)

Additional Detail

Referring to claims for medical expenses submitting by a representative due to injury or dismemberment from accidents of the insured.

Request for Dread Disease

Request for Dread Disease

Request for Dread Disease

1. Daily Medical Expenses and Health Insurance or Accidents Claim Form

Request for Guardian's Term Rider ,Waiver of Premium

Request for Guardian's Term Rider ,Waiver of Premium

Request for Guardian's Term Rider ,Waiver of Premium

1. A copy of Death Certificate with authorised signature by the District
2. A copy of Resident Certificate of the insured that the insured has been sorted out
3. Claims Form B

In case of death by accident or murder, the following additional documents are required

1. A copy of police report about the case with authorised signature
2. A copy of autopsy with authorised signature

Request for Death Claim

Request for Death Claim

Request for Death Claim

1. A copy of Death Certificate with authorised signature by the District
2. Original and a copy of Resident Certificate of the insured that the insured has been sorted out, or with authorised signature by the District
3. A copy of Resident Certificate of the beneficiary
4. A copy of identification card of the beneficiary or a copy of Birth Certificate (in case of underage and without ID card)
5. Original Insurance Policy
6. Police Report
7. Claim form A. (The beneficiary must fill in the form / person)
8. Claim form B. the doctor in charge is to fill the form
9. A copy of police report of the case with authorised signature (if any)
10. A copy of autopsy with authorised signature (unusual or unnatural death)
11. Addition documents for Death Claim (consignment)

Additional Detail

Referring to claims under the death of the insured.

Request for Total Permanent Disability Claim

Request for Total Permanent Disability Claim

Documents Required

1. Permanent Disablement Compensation Claim Form

Request for Bancassurance Health Claim (Health 1st )

Request for Bancassurance Health Claim (Health 1st )

Health 1st Hospital Networks

Network Hospital List

***Please check for the OPD acceptance symbol from each hospital***

OPD Credit Claim (Network hospitals only)

1.Submit your Health 1st member card and identification card
2. Your previlege is checked through the internet system by the hospital staff
3. Receive OPD treatment
4. The insured sign with acknowledgement of the protection amount as stated on the card

Fax Claim (Hospital admission or Day surgery)

1.Submit your Health 1st member card and identification card
2. Your previlege is checked through the internet system by the hospital staff
3. Fax Claim Officer approves the medical treatment amount in accordance of IPD rights
4. The insured sign and acknowledged on the approved amount

Reimbursement (hospitals not included in the network hospital list)

You can submit your documents through 3 channels
 1. Bangkok Bank branches or Marketing Development Operators
 2. Bangkok Life Assurance branches 
 3. Bangkok Life Assurance Head Office or postal mail

Claim Documents

 1. Claim form or medical certificate
 2. Original receipt with detail of charges
 3. X-ray film (instance of bone fractures)
 4. Police report / a dossier lawsuit summary (instance of assault or complaints with Police officers)
 5. A photocopy of bank book (instance of direct transfer to the insured’s bank account)

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