Individual claims

How to make a claim

Follow the instructions below to submit your claim via email or via post.

For Health Insurance claims (i.e. MyShield and MyHealthPlus)

You may submit to us via email at shieldclaims_submission@aviva-asia.com.

Please use the email subject: Claim Submission: [Policy Number] or Claim Submission: [Name of the Policy/ Plan i.e. MyShield]

The claim form is not required for pre-hospital and post-hospital claims. 

For Life insurance claims

You may submit to us via email at SGlifeclaims_support@aviva-asia.com.

Please use the email subject: Claim Submission: [Policy Number] - [Type of Claim]

 

Important notes

  • Instructions on documents required can be found on page 1 of the relevant claim form, which you can download from the Form Library below.
  • Please provide a copy of policyholder's/claimant's bank statement/book and NRIC of the bank account holder for hassle-free claim payment, straight into policyholder's/claimant's bank account.
  • If you've submitted medical reimbursement claims via email, please keep your original bills for at least 6 months.
  • Alternatively, you may also submit the claim documents to us via post to 

Aviva Ltd | 4 Shenton Way #01-01 SGX Centre 2 Singapore 068807 | Attention: Individual Life Claims (for Life insurance claims)/Attention: Individual Health Claims (for MyShield and MyHealthPlus)

Form Library

Download the relevant claim forms that you'll need

Total & Permanent Disability, Disability Income and Terminal Illness Claim

Living & Disability Benefit Claim Form – Claimant’s Statement Download
Disability Income Claim – Doctor's Statement
Download
Total & Permanent Disability and/or Terminal Illness Claim – Doctor's Statement
Download
Declaration of Beneficial Owner Download

Personal Accident Claim

Personal Accident Claim – Claimant's Statement
Download
Personal Accident Claim – Continuity Claim Form
Download
Personal Accident Claim – Doctor's Statement
Download
Declaration of Beneficial Owner Download

Medical Insurance Claim

Retail & Individual Medical Claim Form
Download
Declaration of Beneficial Owner Download

Benefit Claim

Benefit Claim – Claimant's Statement
Download

Critical Illness &/or Male / Female / Child Illness Claim

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

Living & Disability Benefit Claim Form – Claimant’s Statement

Download
Declaration of Beneficial Owner Download
(B) Doctor's Statement - to be completed by the attending doctor
Severe stage of Critical Illness Early and Intermediate stages of Critical Illness   
Alzheimer's Disease / Severe Dementia Diagnosis of Dementia including Alzhemier's Disease Download
Angioplasty & other Invasive Treatment for Coronary Artery   Download
Apallic Syndrome   Download
Aplastic Anaemia Reversible Aplastic Anaemia Download
Bacterial Meningitis Bacterial Meningitis Download
Benign Brain Tumour

Surgical Removal of Pituitary Tumour

Surgery for Subdural Haematoma

Download
Blindness (Loss of Sight) Loss of sight in one eye or Optic Nerve Atrophy with low vision Download
Coma

Coma for 48 hours

Severe Epilepsy

Download

a. Coronary Artery By-Pass Surgery

b. Other Serious Coronary Artery Disease

Transmyocardial Laser Revascularisation

Keyhole Coronary Bypass Surgery

Coronary Artery Atherectomy

Enhanced External Counterpulsation Device Insertion

Download
Deafness(Loss of Hearing)

Partial loss of hearing

Cavernous sinus thrombosis surgery

Cochlear implant surgery

Download
End Stage Liver Failure

Liver Surgery

Liver Cirrhosis

Download
End Stage Lung Disease

Severe Asthma

Insertion of a Veno-cava filter

Surgical removal of one lung

Download
Fulminant Hepatitis Hepatitis with Cirrhosis Download
Heart Attack of Specified Severity

Cardiac pacemaker insertion

Pericardectomy

Cardiac defibrillator insertion

Cardiomyopathy

Download
Heart Valve Surgery Percutaneous Valve Surgery Download
HIV Due to Blood Transfusion and Occupationally Acquired HIV HIV due to Assault, Organ Transplant or Occupationally Acquired HIV Download
Kidney Failure

Nephrectomy - Surgical Removal of One Kidney

Chronic Kidney Disease

Download
Loss of Independent Existence   Download
Loss of Speech Loss of Speech due to neurological disease Download
Major Burns Mild Burns Download
Major Cancers

Carcinoma in-situ (CIS)

Early Cancers

Download
Major Head Trauma

Facial Reconstructive Surgery

Cervical Spinal Cord Injury

Download
Major Organ / Bone Marrow Transplantation

Small Bowel Transplant

Corneal Transplant

Download
Motor Neurone Disease Early Motor Neurone Disease Download
Multiple Sclerosis Early Multiple Sclerosis Download
Muscular Dystrophy Moderate Muscular Dystrophy Download
Paralysis (Loss of Use of Limbs)   Download
Parkinson's Disease Moderately Severe Parkinson's Disease Download
Poliomyelitis   Download
Primary Pulmonary Hypertension Early Primary or Secondary Pulmonary Hypertension Download
Progressive Scleroderma Systemic Sclerosis with CREST Syndrome Download
Stroke

Brain aneurysm surgery

Cerebral shunt insertion

Carotid artery surgery

Download
Surgery to Aorta

Large Asymptomatic Aortic Aneurysm

Minimally Invasive Surgery to Aorta

Download
Systemic Lupus Erythematosus With Lupus Nephritis   Download
Viral Encephalitis Encephalitis Download
Special Benefit  
Diabetic Complications Download
Severe Rheumatoid Arthritis Download

Maternity and/or Child Benefit Claim

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

Living & Disability Benefit Claim Form – Claimant’s Statement

Download
Declaration of Beneficial Owner Download
(B) Doctor's Statement - to be completed by the attending doctor
Congenital Illness (Child's) Benefit
Absence of Two Limbs Download
Anal Atresia Download
Atrial / Ventricular Septal Defect Download
Cleft Lip & Cleft Palate Download
Club Foot Download
Down's Syndrome Download
Spina Bifida Download
Hospital Care (Child's) Benefit
Hospital Care Benefit
Download
Pregnancy Complications (Mother's) Benefit
Abruptio Placentae
Download
Amniotic Fluid Embolism Download
Disseminated Intravascular Coagulation Download
Fatty Liver of Pregnancy Download
Postpartum Haemorrhage requiring Hysterectomy Download
Pre-Eclampsia or Eclampsia Download
Still Birth Download
Uterine Infection or Transfusion Due to Retained Placenta Download
Uterine Rupture Download

Let us help you

Need assistance? Get in touch with us

Life Claims

+65 6827 9933

Mondays to Fridays from 8:45 to 17:30

Excluding public holidays

Accident & Health Claims

+65 6827 7788

Email: cs_life@aviva-asia.com

Aviva Customer Service Centre

4 Shenton Way, SGX Centre 2
#01-01, Singapore 068807