Health Insurance Claim

Claim Online

Click the button below to visit the Claim Form. Complete the form and click a button to submit it to us.

Health Claim Form

Download PDF

icon-claim1-2x Step 1: Download PDF form
icon-claim2-2x Step 2: Fill in details & Save PDF
  • The documents you download is a editable PDF, please fill your details directly to the form and Save! Therefore, you can easily email them back to us.

icon-claim3-2x Step 3: Submit Online
  • Before submitting, please prepare all evident files and saved PDF forms. Then, please send all documents to the following email address: axathai@axa.co.th to complete your online claim.

Health Insurance Claim Guideline

motor-2x-03 Hospital services within contract
  1. Health and Accident Policy (Hotline Service 0-2119-4055)
  2. International Exclusive Policy (Hotline Service 0-2119-4059)
motor-2x-05 Hospital services outside contract (Please complete the claim form and provided the below document and then send to Claims Department (Health), AXA Insurance PCL)
motor-2x-07 Document submission and contact channels

Health Claims Department
AXA Insurance Public Co.,Ltd
23rd Fl., Lumpini Tower 1168/67 Rama IV Road,Sathorn,Bangkok 10120

  1. Health and Accident Policy (Hotline Service 0-2119-4055)
  2. International Exclusive Policy (Hotline Service 0-2119-4059)
motor-2x-12 The time taken to consider and settle claims