Sukoon Insurance is the former Oman Insurance, which is a public joint shareholding company that primarily serves life and general insurance in the UAE. The company’s headquarters are located in Dubai while its operations extend throughout UAE, Turkey, and Oman. They specialize in healthcare plans, insurance, and general life insurance, and they offer a smooth process for benefits and claim processes. To get an insurance claim, one must use the Sukoon Insurance claim form.
What are the different types of Insurance claims offered?
Sukoon Insurance offers two different types of health insurance claims, namely direct cashless claims and reimbursement claims. With direct claims, you can settle your hospital bill directly from the company without paying anything from your pocket. The reimbursement claims, on the other hand, require you to bear all the expenses, such as surgeries, tests, and treatment. Once you submit the bills, the company reimburses you.
Sukoon Insurance Reimbursement Claims
For reimbursement claims, you need to fill out a form and provide supporting documents for expenses incurred.
Filling the Sukoon Insurance Reimbursement Claim Form
Here are the steps to follow when filling out the Sukoon Insurance reimbursement claim form:
- Download the form from the official company website using an authentic site.
- Enter basic insurance details like the insurance holder’s name, insurance plan, insurance card, and contact details, including email and phone number.
- Provide your bank details, which the company will use to transfer your claim settlement funds. Ensure you enter your correct bank details to avoid delays.
- Specify the hospital name, country of treatment, the total number of invoices submitted, the amount you are requesting for reimbursement, and other necessary details.
- In this section, enter all the invoice details and expenses that require reimbursement, including surgeries, tests, and treatment. Ensure you gather all printed copies of your invoices, write down the page numbers, and check them thoroughly. Sign and submit the record.
- In this section, the doctor’s team provides the details of treatment, including diagnosis, treatment type, and other essential details. They sign and authenticate the form.
Documents Required for Sukoon Insurance Reimbursement Claim
- A properly filled reimbursement claim form
- Original documents, invoices, bills, daily reports of the doctors, nurses’ notes, and others
- All lab tests and other related reports
- All contract copies, insurance plans, and other hard copies
- All documents, including discharge summary, payment receipts, and any medical prescriptions.
How to Submit a Claim Form for Sukoon Insurance?
You can either submit your claim form online or offline. If your claim is above AED 5000, and you are submitting online, ensure you submit the original documents physically with scanned copies. When submitting offline, you need to go to the branch office and submit the documents.
Sukoon Insurance Direct Claim
The hospital accepts direct claim requests. All you need to do is fill out the insurance claim form, sign it, and let the treating doctor fill out most of the pages related to the treatment.
Filling out Sukoon Insurance Direct Claim Form
When filling out the direct claim form, follow these steps:
- Download the form available on Sukoon Insurance’s official website and verify if it’s a direct claim or reimbursement form.
- On a single page, input all details seamlessly. Seek help from the hospital administrative staff when necessary.
- You’ll be required to put in the insurance provider and code of the hospital under Section 1.
- In Section 2, the insurance company will fill out patients’ details, such as the name, insurance card number, phone number, reason for visiting, and other details.
- For Section 3, provide a comprehensive explanation of your illness, why you require treatment, and the type of treatment you want to undertake.
- Section 4 requires doctors’ details, including their stamp, registration number, sign, and date.
- Sign, date, and submit the form under Section 5.
Submitting Sukoon Insurance Direct Claim
To submit the direct claim form, deliver it to the administrative hospital, which will be responsible for processing it. Once processed, all the bills, invoices, doctors’ consultations, and other related documents are submitted to the insurance company. Be sure to notify the company that you have submitted your claim form.
Conclusions
Submitting an insurance claim, whether direct or reimbursement claim, is quite simple and straightforward. Ensure you submit all the requested information and documentation to avoid delays. If you are submitting a reimbursement claim, make sure you submit the request within 120 days. The insurance company will review the documents and settle with the insurer.
