Jubilee general insurance health questionnaire form

Receive approved medical expense compensation as an insurance policy holder!

Reimbursement Form

A reimbursement claim is a formal request for a refund or compensation for out-of-pocket medical expenses. The policyholder pays their hospital bills and submits relevant documents to their insurance provider for payment.

To request reimbursement for your medical expenses, you have the option to personally complete the reimbursement form. Alternatively, if you prefer, an intermediary such as a broker, your HR department, or another trusted third party can assist in filling out the form on your behalf.

Rules and Guidelines

1. Completeness of Claim Documentation:
   If a claim is found to be incomplete, the contractual party(ies) must promptly submit full copies of relevant documents within 10 working days after being informed. Failure to do so will result in the claim(s) remaining unprocessed and closed. To expedite the process, ensure that all necessary paperwork is provided upfront (Claim Form, ETR Receipt/Invoice, etc) .
2. International Reimbursement Claims:
   For international reimbursement claims, the prevailing rate will be used. This ensures fairness and consistency across different regions.
3. Translation Requirement:
   All submitted documents must be translated into English. Clear and accurate translations facilitate efficient claims handling and prevent misunderstandings.
4. Timeliness of Claim Submission:
   Claims submitted after 90 days from the date of illness will not be considered. Adhering to this timeline ensures timely processing and prevents delays.
5. Turnaround Time for Payment:
   Upon receiving complete documentation, the turnaround time for payment will be 10 working days. We aim for efficiency while maintaining accuracy.
6. No Guaranteed Payment:
   Submission of a claim does not guarantee payment. Each claim will be evaluated based on the member policy. Transparency and adherence to policy guidelines are essential.

1. Provide Contact Details: Start by filling out your contact details. This ensures we can reach you promptly and efficiently.
2. Complete Basic Information: Next, provide the basic details required for the reimbursement process. This helps us process your request accurately and in a timely manner.
3. Upload Necessary Documents: Attach the required documents, including receipts and any other supporting paperwork. This helps substantiate your claim and ensures a smooth reimbursement process.
4. Select Your Preferred Payment Method: Select your preferred payment method and provide your details for direct reimbursement of the approved amount.

By following these steps, you can navigate the reimbursement process effortlessly. If you have any questions or need assistance at any point, feel free to reach out to our support team for guidance. Your health and financial well-being are our top priorities.

Get Started

Please provide your contact information to get started. You can choose to independently complete the reimbursement form or seek assistance from a third party, such as a broker or your HR department.

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