Dana Sehat Insurance Claim Procedures

Dana Sehat Claims Process

Follow these simple steps to expedite filing of Dana Sehat claim.

1

SUPPORTING DOCUMENTS FOR DEATH OF INSURED DUE TO ACCIDENT

Fulfilled claim form
Copy of Insurance Policy
Copy of E-KTP, Student Card & Family Card
Original police report for the accident that occurred
Certificate of the results of the post-mortem (visum et repertum) from the hospital
Statements of witnesses
Death certificate from a local government (kelurahan)
Copy of death certificate
Certificate of heir from the sub-district/kelurahan/authorized authority
Other relevant, reasonable and appropriate documents are requested by the Company (TMI) in connection with the settlement of claims

2

SUPPORTING DOCUMENTS FOR DAILY HOSPITAL CASH (DUE TO ACCIDENT OR 5 SICKNESS STATED ON POLICY), LABORATORY, EXPENSES, OPERATION OR SURGERY

Fulfilled claim form
Copy of Insurance Policy
Copy of E-KTP & Family Card
Original police report for the accident that occurred
Original treatment receipts
Legalized copy of laboratory results / X-rays, and medicine prescription given from the hospital
The results of the diagnosis from the treating doctor
Certificate of being treated in a hospital or at home from a doctor
Other relevant, reasonable and appropriate documents are requested by the Company (TMI) in connection with the settlement of claims

3

SUPPORTING DOCUMENTS FOR DAILY HOSPITAL CASH & LABORATORY EXPENSES DUE TO COVID-19 (PERIOD OF COVERAGE 14 DAYS FROM THE EFFECTIVE DATE OF THE POLICY)

Fulfilled claim form
Copy of Insurance Policy
Copy of E-KTP & Family Card
Original treatment receipts
Legalized copy of laboratory results / X-rays, and medicine prescription given from the hospital
The results of the diagnosis from the treating doctor
Certificate of being treated in a hospital or at home from a doctor
Other relevant, reasonable and appropriate documents are requested by the Company (TMI) in connection with the settlement of claims

4

IMPORTANT & NOTES

Policy holders and/or the Insured are mandatory to submit all documents/information related to the claims submitted
Request of supporting documents/information depends on the type of claim submitted
Claims can only be processed if all documents have been completed
The Company (TMI) has the right to carry out further investigations on the claims submitted by Policy Holders and/or the Insured if found document and/or information that is deemed contradictory or inconsistent with the claims submitted

The above requested documents shall not be deemed as final and we reserve our right to obtain additional information/documents apart of the above if necessary

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