Raffles Shield Claim Submission

Fill up the form below to submit your Raffles Shield claim.

Procedure To Follow

Please follow the steps below to ensure smooth processing of your claims.

Step 1

Download and fill up the 'Raffles Shield Claim Form'.

Step 2

Get your documents in order.

1. Completed 'Raffles Shield Claim Form'

2. Final Summary and Itemised Hospital Bill (not applicable if claims has been e-filed)

3. For Government Restructured Hospitals: Inpatient Discharge Summary / Day Surgery Discharge Form / Histology Report

4. Medical Report (if any)

5. Referral Letter (if any)

Step 3

Fill up the form below and attach all supporting documents (max 5 MB).

Raffles Shield Claim Submission

  • Drop files here or
    Max. file size: 8 MB.
      e.g. medical reports, receipts of invoices (max file size 5 MB)

    CUSTOMER CARE CENTRE CLOSURE NOTICE: Please be informed that our Customer Care Centre located at Raffles Hospital (Level 1) will be closed until further notice. For enquiries related to Raffles Shield or Raffles Elite Care, kindly contact us here or call our Customer Care Hotline at 6286 9988.