CLAIMS

Claims, handled personally.

When you need to claim, you call your advisor — not a call centre. We manage the process with Allianz from start to finish. This is the service you pay us for.

Answered 07:00–22:00, 7 days
HEALTH COVER · TWO WAYS TO CLAIM

Cashless, or reimbursement.

CASHLESS

Show your membership card

At network hospitals and clinics, your membership card (Kartu Tertanggung) is your identity for cashless treatment — for inpatient care, and outpatient too. The provider verifies cover with Allianz before treatment, so you needn’t pay up front for eligible care.

REIMBURSEMENT

Pay, then claim back

Where cashless isn’t used, pay the provider and submit your claim for reimbursement. Documents must be submitted within 30 calendar days of the billing date or discharge, whichever is later. Approved claims are paid within 7 working days of complete, correct documents.

WHAT YOU’LL TYPICALLY NEED

For a health reimbursement claim

Exact requirements are set out in your policy; your advisor will confirm the list and help you assemble it.

  • Identity document (e-KTP, birth certificate, or passport)
  • Completed and signed claim form
  • Medical resume signed by the treating doctor, with hospital stamp
  • Original itemised receipts
  • Diagnostic-test results and prescriptions
  • Referral letters and medical-information release authorisation
  • Police report (for traffic accidents), where relevant
HOW WE HELP

Your advisor manages it, end to end.

01

Call your advisor

Tell us what’s happened. We confirm your cover and next steps immediately.

02

Assemble documents

We tell you exactly what’s needed and help you gather it correctly.

03

We submit & follow up

We lodge the claim with Allianz and chase it through to a decision.

04

Resolution

Approved claims are settled by Allianz; we keep you informed throughout.

Life, business and property claims follow each product’s own process. Your advisor guides you through the specific requirements and manages the claim with Allianz in the same personal way.

IF SOMETHING GOES WRONG

Complaints & disputes

If you’re not satisfied, tell your advisor first — we’ll work to resolve it quickly. Complaints are handled in line with the rules of the Financial Services Authority (OJK): generally within 5 working days for verbal complaints and 10 working days for written complaints, subject to OJK requirements.

Where a dispute cannot be resolved directly, it may be taken to the OJK-recognised Alternative Dispute Resolution (LAPS) framework. Allianz is supervised by OJK.

Need to make a claim, or have a question?

Your advisor is a call away. If you’re not yet a client, we’re glad to help you understand how claims work.

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