Group Insurance Letter of
Guarantee (LOG) Request

Fill up the form below to request for a LOG to waive your hospitalisation deposit.

Procedure To Follow

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

Step 1

Get your documents in order.

1. Admission form stating medical diagnosis

2. Financial counselling form with
estimated total charges

3. Attending physician statement and procedure to be done (if any)

4. Referral letter from general practitioner or specialist (if any)

Step 2

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

Request for Group LOG

  • Date Format: MM slash DD slash YYYY
  • Drop files here or
    e.g. medical reports, receipts of invoices (max file size 5 MB)

Enjoy greater protection at no additional cost with our

Raffles Shield 2+2 Coverage Booster

Free outpatient coverage for all Raffles Shield plans

2 x teleconsultation via Raffles Connect
2 x GP visits at Raffles Medical Clinics
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.