Make a Claim

We’re sorry for the loss of your loved one.

Call us at 6827 9933 for us to help you through the death claim process.

Alternately, you may submit the claim form and doctor’s statement, together with the supporting documents to us via post or personally at our Customer Service Centre.

(For Early, Intermediate, and Severe Stage Critical Illnesses, Male, Female & Child’s Illness)

(A) Claim Form – to be completed by the life assured

(B) Doctor's Statement – to be completed by the attending doctor

Severe stage of Critical Illness	Early and Intermediate stages of Critical Illness	Attending Doctor’s Statement (APS)
Major Cancers	Carcinoma in-situ (CIS) Early Cancers
Heart Attack of Specified Severity	Cardiac pacemaker insertion Pericardectomy Cardiac defibrillator insertion Cardiomyopathy
Stroke	Brain aneurysm surgery Cerebral shunt insertion Carotid artery surgery
Coronary Artery By-Pass Surgery Other Serious Coronary Artery Disease	Transmyocardial Laser Revascularisation Keyhole Coronary Bypass Surgery Coronary Artery Atherectomy Enhanced External Counterpulsation Device Insertion
Kidney Failure	Nephrectomy - Surgical Removal of One Kidney Chronic Kidney Disease
End Stage Lung Disease	Severe Asthma Insertion of a Veno-cava filter Surgical removal of one lung
End Stage Liver Failure	Liver Surgery Liver Cirrhosis
Angioplasty & other Invasive Treatment for Coronary Artery
Heart Valve Surgery	Percutaneous Valve Surgery
Benign Brain Tumour	Surgical Removal of Pituitary Tumour Surgery for Subdural Haematoma
Surgery to Aorta	Large Asymptomatic Aortic Aneurysm Minimally Invasive Surgery to Aorta
Blindness (Loss of Sight)	Loss of sight in one eye or Optic Nerve Atrophy with low vision
Coma	Coma for 48 hours Severe Epilepsy
Deafness (Loss of Hearing)	Partial loss of hearing Cavernous sinus thrombosis surgery Cochlear implant surgery
Loss of Speech	Loss of Speech due to neurological disease
Major Burns	Mild Burns
Major Organ / Bone Marrow Transplantation	Small Bowel Transplant Corneal Transplant
Multiple Sclerosis	Early Multiple Sclerosis
Muscular Dystrophy	Moderate Muscular Dystrophy
Alzheimer’s Disease / Severe Dementia	Diagnosis of Dementia including Alzhemier’s Disease
Fulminant Hepatitis	Hepatitis with Cirrhosis
Motor Neurone Disease	Early Motor Neurone Disease
Parkinson's Disease	Moderately Severe Parkinson’s Disease
Primary Pulmonary Hypertension	Early Primary or Secondary Pulmonary Hypertension
HIV Due to Blood Transfusion and Occupationally Acquired HIV	HIV due to Assault, Organ Transplant or Occupationally Acquired HIV
Viral Encephalitis	Encephalitis
Bacterial Meningitis	Bacterial Meningitis
Major Head Trauma	Facial Reconstructive Surgery Cervical Spinal Cord Injury
Paralysis (Loss of Use of Limbs)
Apallic Syndrome
Aplastic Anaemia	Reversible Aplastic Anaemia
Loss of Independent Existence
Poliomyelitis
Progressive Scleroderma	Systemic Sclerosis with CREST Syndrome
Systemic Lupus Erythematosus With Lupus Nephritis

(A) Claim Form – to be completed by Life Assured

(B) Doctor’s Statement – to be completed by the attending doctor

Child's Benefit

Congenital Illness Benefit	Attending Doctor’s Statement (APS)
Absence of Two Limbs
Cleft Lip & Cleft Palate
Club Foot
Down’s Syndrome
Spina Bifida

Hospital Care Benefit	Attending Doctor’s Statement (APS)
For Child

Mother's Benefit

Pregnancy Complications Benefit	Attending Doctor’s Statement (APS)
Abruptio Placentae
Amniotic Fluid Embolism
Disseminated Intravascular Coagulation
Fatty Liver of Pregnancy
Postpartum Haemorrhage requiring Hysterectomy
Pre-Eclampsia or Eclampsia
Still Birth

Please follow the steps below to submit a claim.

Step One: Complete the relevant claim form and gather the documents required for the submission.

You may refer to the “Claims Procedures at a Glance” (the cover page of the Claim Form) for information on the documents required.

Step Two: Email us the complete set of the documents and we will acknowledge your electronic claim submission within 2 business days.

For more information or guide about the claim process, please call us on
6827 7991 (9am – 6pm from Mondays – Fridays) or email to the relevant address below:

Email address:
SAF_insurance@aviva-asia.com
(For SAF members on SAF Group Insurance claims)
MINDEF_claims@aviva-asia.com
(For MINDEF members/affiliate members on MINDEF & MHA Group Insurance claims)
MHA_claims@aviva-asia.com
(For MHA members/affiliate members on MINDEF & MHA Group Insurance claims)

Claim Forms