MetLife Reimbursement Claim Form- Download Insurance Claim Forms

Get Metlife insurance Medical Reimbursement Claim Form both inpatient and outpatient. Submit your claim via my MetLife website or mobile app in 4 simple steps. Just log in, navigate to cash claim, and enter the details and click submit. We also included other important forms for making that are essential for reimbursement claims.

How to Fill MetLife Claim Form:

Remember to update your bank details to receive your reimbursement directly into your bank account.
If you are unable to access myMetLife, please provide the below information. To avoid any delays in the processing of your claim, please ensure that:
1) All claim documents are submitted in English or Arabic. Documents in other languages must be translated by an official public translator prior to
submission.
2) All necessary claim documents are to be submitted within 30 days of the incurred date. Subject to your policy terms and conditions, claims
submitted more than 90 days after the incurred date may be denied.
3) All the required information is provided (marked with *). Without all the required info we will be unable to approve your claim.

Reimbursement Claim Forms:

Must be filled by registered Physicians having precise information about the patient medical history.

Inpatient MetLife Claim Form

Inpatient Reimbursement Form(Arabic)

Predetermination Form for Pre-approvals from medical providers. You can submit these forms through myMetLife application for desktop or for mobile phones (Android / iOS).

Download Pre Authorization form

Metlife Claim form in the case of baggage loss or delays. For travel Insurance Holders.

Baggage Delay/Loss Form

Beneficiary Endorsement Form for financial supports, loan, and credit.

Beneficiary Endorsement Form

Provide Final Proof of Loss for accidents and sickness-related claims.

Final Proof of loss

Submit this form to MetLife Dubai in case of Flight Delay. If flight delays are covered in your insurance policy.

Flight Delays Claim Form

Other Important Individual Claim Forms

For an accident or death-related cases.

Claimant Statement in case of Permanent Total Disability 

Form 321 (English) / (Arabic)

Physician’s Statement Permanent Total Disability

Form 322 (English) / (Arabic)

Claimant Statement for Proof of Death 

Form CL-39 (English) / (Arabic)

Physician’s Statement for Proof of Death

Form CL-40 – (English) / (Arabic)

Documents Required along with Claim Form:

• Claim Form (including Attending Physician Section) Fully completed and signed by you and your physician/surgeon.
• Detailed medical report Detailing ailment/diagnosis or accident with dates it started.
• happened, signed by your treating physician.
• Original hospital/clinic bill Original.
• If applicable Copy of all relevant X-rays/Echography /MRIs and reports Should reflect your name and date they were taken.
• If applicable Copy of all lab tests and reports Only related to this incident.
• If applicable Copy of police report Required if the claim relates to an accident.

Member of Noor Takaful Download their Claim Form