Medical Claim Notification

Submit your medical claim information online

At FPG Insurance, we’ve made it very easy for you to submit your medical claim online. Simply complete the following form and attach the relevant documents. We will then review your claim and if needed, a medical claim representative will contact you directly to confirm your claim details and request any additional information.

Basic Documents for Medical Insurance Claim

  1. Download: Attending Physician's Result Form (to be filled and signed by attending physician)
  2. Hospital statement of account with charge slips
  3. Original Official Receipts of Hospital bill and Professional fees
  4. Original Official Receipts of medicines purchased outside the hospital and their prescriptions (taken during confinement)
  5. Admitting History Report
  6. Discharge Summary

Need help with your claim? Call (+632) 8859 1200, (+632) 8662 8600, (+632) 8771 8550, (+632) 7944 1300 or you can e-mail phnonmotorclaims@fpgins.com and phcustomercare@fpgins.com

Particulars of Claimant
Statement by Claimant (By Parent when claimant is a minor)
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Upload Documents
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Declaration