Get the free FORM MSH/11A: MediShield Claim Form for ... - CPF Board - mycpf cpf gov

Central Provident Fund Board 79 Robinson Road, CPF Building, Singapore 068897 Website: www.cpf.gov.sg CPF Call Center: 1800-227 1188 Facsimiles: 6229 6075 MSH/11A Medishield Claim Form for Cyclosporin/

How to fill out form msh11a medishield claim

How to fill out form msh11a medishield claim:

1. Make sure you have all the necessary documents and information ready before filling out the form. This includes your personal details, such as your name, identification number, and contact information, as well as relevant medical documents, receipts, and bills.
2. Begin by filling out the top section of the form, which asks for your personal information. Provide accurate details such as your full name, NRIC or FIN number, date of birth, and contact details. Double-check the information for any errors before proceeding.
3. Move on to the section that requires you to provide details about the treatment or service you are claiming for. Fill in the relevant information, such as the date of the treatment, the name of the healthcare institution or clinic, the cost incurred, and any supporting documents that validate your claim.
4. If you have sought medical treatment overseas, you need to complete an additional section on the form. Provide details about the foreign medical practitioner or hospital where you received treatment, along with any relevant documents.
5. Make sure to read the declaration section carefully and sign where required to confirm that all the information provided is accurate and complete. Remember that any false or misleading information can result in your claim being rejected or delayed.

Who needs form msh11a medishield claim?

1. Individuals who have undergone medical treatments or services that are covered under Medishield can use form msh11a to claim for reimbursement of the incurred expenses.
2. This form is necessary for Singaporean citizens, permanent residents, and foreigners who are covered under the Medishield scheme.
3. Those who have obtained proper authorization from Medishield to seek medical treatment overseas may also need to use form msh11a to claim for reimbursement of medical expenses incurred abroad.
4. Employers or family members who are assisting someone in making a Medishield claim on their behalf would also require form msh11a to properly document and submit the claim.

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