How to Make a Claim

To file a claim, an application form must be fully and accurately completed by the policyholder or beneficiary. Each claim must be submitted with the original claim form and its requirements.

 

Steps for Claim Procedure

ACE Life Indonesia provides each policy with a claim form. However, other ways in which you can obtain one claim form are as follows:

1. Through ACE Life Indonesia Customer Service Centre
   Phone: (62-21) 2356 8887
   Monday–Friday, 09.00 AM to 05.00 PM
2. Visit ACE Life Indonesia Marketing Offices
3. Through a request email to CustomerService.IDLife@acegroupx.com
4. Download the e-form of Formulir Klaim ACE Life Indonesia
5. Contact your agent.
   

List of Documents Needed for Claim Procedure

Policyholders need to complete the following documents:

1. Formulir Keterangan Kesehatan Klaim (FKKK)completed by the doctor
2. Copy of Policy Holder's identity card
3. Original (or legalized copy of) Medical Records (resume) from the hospital filled and signed by Doctor
4. Original (or legalized copy of) laboratory and radiology test results (if any)
5. Original (or legalized copy of) hospitalization receipts and/or doctor bills
6. Original (or legalized copy of) statement letter from Police if claim caused by traffic accident
7. Original (or legalized copy of) statement letter from the Indonesian Embassy if the accident occurred overseas

 

Information for Hospital Provider

Click here to find out about PT ACE Life Assurance's Hospital Provider List:

ACE Life in Indonesia's Hospital Provider List