Handling a medical claim

We understand that hospital bills and insurance claims can be complicated. Well, that is before we are here. With Swingvy, you can submit medical claims like a pro to your insurance providers!
 
Before you start submitting a medical claim, there are few things you should understand clearly about types of Medical Claims:
 
Hospitalisation Claim - Pre Hospitalisation
 
Pre-hospitalisation expenses include various charges related to medical tests before an individual gets hospitalised. Doctors/physicians conduct a slew of tests to accurately diagnose the medical condition of a patient before prescribing treatment. It is important to note that the number of days which are covered, tends to vary depending upon the type of health insurance provider. However, in most cases, charges incurred by an individual in up to 90 days prior to his or her admission to any hospital fall within the ambit of pre-hospitalisation expenses. (depending on your insurance provider**) For instance, several tests such as blood test, urine test and X-ray among others are categorised as pre-hospitalisation expenses.
 
Hospitalisation Claim - In Hospital
 
If your insurance policy covers hospitalisation, here is how you can claim for your medical bills or daily hospitalisation benefit (depending on your plan).
 
Hospitalisation Claim - Post Hospitalisation
 
Post hospitalisation is additional cover benefits which the insurance company extends the policyholder whereby they provide cover for expenses covered for an illness or injury for a certain period before and after the treatment for that injury or illness is done. 
 
Clinical Claim - General Practitioner
 
This claim pays for the clinical outpatient consultation, medical fees, outpatient diagnostic x-ray and laboratory tests when the Insured Member visits a General Practitioner under the FWD panel of clinics or polyclinics.
 

1. Singapore

Oops! For Singaporean, please use Aviva ClaimConnect to submitting your medical claims. 
 

2. Malaysia

Follow these simple steps to expedite the filing of a medical claim.
 

Step 1: Contact Swingvy team to get a right claim form.

To file a claim you must first obtain the correct claim form. It could be very confusing which form need to be completed. Contact Swingvy Insurance team for assistance by email to insurance@swingvy.com, cc support@swingvy.com
 
Reminder:
Upon receiving the form you need to fill-up the form policy number, name of claimant, name of the hospital, date of admission or accident, diagnosis/accident as soon as possible but no later than 30 days.
 

Step 2: Collect important documents from your employee

To prevent unnecessary delays during your claim process, kindly get your employee to prepare all the necessary documents:
 

(a) All types of Hospitalisation Claims

  • Original Receipts
  • Original Final Tax Invoices
  • Itemised Bills/Detailed Bills indicating: 
    • Doctor’s Fee
    • Medicine Charges (including medicine name, unit price, prescribed quantity and supply duration)
    • Test/Investigation Charges
  • Diagnostic Reports (if any)
    • Magnetic Resonance Imaging (MRI)
    • X-ray
    • Histopathology Examination (HPE)
    • Blood Test
    • Computed Tomography (CT) Scan
    • Coronary Angiogram
    • Electrocardiography (ECG)
  • Medical Report fill up by attending doctor (if Hospitalisation Claim)

(b) Clinical Claim - General Practitioner

  • Original receipt 
  • Details of charges (for bill above RM75) 

Step 3 - Submit your claim to Swingvy

You're almost there! Gather all your hard copy documents and forward it (via post or dispatch) to our address as follow: 
 
Swingvy Sdn Bhd 
S-23A-08, Wisma YNH, Kiara 163,
No. 8, Jalan Kiara, Mont Kiara,
50480 Kuala Lumpur, Malaysia.
 
Make sure to notify Swingvy by dropping us an email at insurance@swingvy.com and cc support@swingvy.com
 
Pro tips:
1. Swingvy Sdn Bhd will not bear any postage costs associated with this document delivery
2. Make at least one copy to your self before you send the document to Swingvy

Insurance companies are expected to promptly assess all of the claims that are made, and to pay out all claims that are covered by the wording in their policies. 
 
If the insurance company needs more detailed information before making a decision, it will let you know what information it needs from you within 10 business days of receiving your claim.
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