| Document Type |
Description |
Download |
| Contact Directory |
Medijaring Contact Directory List |
 |
| Official Letter |
|
|
| Maybank Medical Outsourcing |
Administration of the staff medical benefits scheme of Maybank by Etiqa. |
 |
| Medijaring Form |
|
|
| Medical Card Replacement Form |
Medical card replacement request form for missing/replace/etc. |
 |
| Feedback Form |
Medijaring feedback/enquiry/complaint form. |
 |
| Malaysia Airports Holdings Berhad |
|
|
| Medical Card Replacement Form |
Medical card replacement request form for missing/replace/etc. |
 |
| Maybank Claim Form |
|
|
| Spectacles Form |
Claim form for reimbursement of eye examination, Spectacles & Contact Lenses
(excluding staff under Flexi-Benefits Scheme).
|
 |
| Medical Treatment Form |
Non-panel treatment form. |
 |
| Medical/Dental/Miscarriage/H&S Claim Form |
Medical/dental/miscarriage/H&S claim form. |
 |
| Medical Claim Form - Flexi Plan |
Maybank Flexi Plan Medical claim form. |
 |
| Maybank Declaration Form for Hospitalization |
Maybank declaration form for Hospitalization use. |
 |
| EME - Maybank Application Form (English) |
Executive Medical Examination Form. |
 |
| EME - Maybank Application Form (Malay) |
Executive Medical Examination Form. |
 |
| Delivery Charges Form |
Delivery charges for eligible female staff. |
 |
| Declaration Form - Treatment at Panel Clinic |
Maybank Declaration Form for Panel Clinic. |
 |
| Insurance Scheme |
|
|
Medical Claim Form - Etiqa Takaful
|
For Insurance Case. |
 |
| Medical Claim Form - Non Takaful |
For Insurance Case. |
 |
| Medical Claim Form - AmLife |
For Insurance Case. |
 |
| Medical Claim Form - STMB |
For Syarikat Takaful Malaysia Berhad.
|
 |
| Treatment Confirmation Form |
For treatment details submission. |
 |
| Member Claims Form |
Insured statement submission form. |
 |
| Self Funded Scheme |
|
|
| Treatment Conformation Form |
Doctors' confirmation of treatment. |
 |
| Staff Claims Form |
For staff claim submission. |
 |