Claims reimbursement (PMI)

1. Prepare the documents as following;

• Original receipt specific all expenses, such as treatment, medicine, physician’s fee, and laboratory fee.
• Medical certificate containing materials symptoms, diagnosis and treatments indicate the name of illness and types of medications used form medical treatment.
• Claims reimbursement form which can be downloaded here
• Summary report document specific all medical expense which the doctor use for procedure or treatment, how much does it cost per each item.
• A copy of your passport.
• A copy of your bank book (Thai Bank only)

2. Submit the documents via registered postal mail or EMS to prevent loss items to address as below
   
    Address:
    Allianz Ayudhya General Insurance PCL.  (Claim Department – Health Insurance)
    898 Ploenchit Tower, Ploenchit Rd, Khwang Lumpini
    Khet Pathumwan, Bangkok 10330

Remark:
Claim documents should be submitted within 30 days of treatment or discharge from a hospital, medical center or clinic. Original receipts must be submitted (not photocopies).