Singapore Statutory Boards Employees’ Co-operative Thrift and Loan Society Ltd

Hospitalisation Benefit Claim

Please complete the claim details accurately. Fields marked * are mandatory.

Important: Claims must be made within 60 days from the date of discharge. Members must have been admitted and warded for at least 24 hours. Approved benefits are credited to the member's SSBEC Savings Account (S2).
1

Personal Particulars

Enter the member's particulars.

An acknowledgement and copies of your submitted documents will be sent to this email address.
2

Hospitalisation Particulars

Provide the details of the hospitalisation.

Automatically calculated from the From Date and To Date.
SSBEC Savings Account (S2)
3

Supporting Documents

Upload the documents supporting your claim.

The claim procedure states that the original Hospital Bill shall be attached. If the bill is not available at the time of claim, a Discharge Summary shall be attached and the original bill may be forwarded upon receipt.
PDF, JPG, JPEG or PNG. Maximum 5 MB.
PDF, JPG, JPEG or PNG. Maximum 5 MB.
4

Declaration by Member

Please read the declaration before accepting.

I read the rules and regulations with regard to the Hospitalization Benefits Scheme on the reverse page. I confirm that the information given above is TRUE and CORRECT. The Society shall have the authority to recover the sum paid to me should there be any information found which disqualify the claim.

I hereby authorized my surgeon or physician to release any information with regard to my hospitalisation to the Society.

5

Scheme Information

Key conditions from the Hospitalisation Benefit Scheme.

EligibilityCompleted 12 months of membership and 12 months continuous contribution to Subscription Capital.
HospitalisationMust be admitted and warded for at least 24 hours in a licensed hospital in Singapore.
BenefitS$20 per day, subject to the applicable maximum claimable days per calendar year.
SubmissionClaim must be made within 60 days from the date of discharge.
Supporting documents contain sensitive medical information. They should be handled securely and used only for claim processing.