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How can I file for reimbursement?

To file for reimbursement, please download, read, and submit the listed documents below:

  1. Reimbursement Claim Form
  2. EPayout Online Reimbursement Enrollment Form
  3. (For Death Claim Only) Physicians Statement Form for Death Claim

You can submit the reimbursement requirements via:


In Person: MediCard Reimbursement Section, 15/F The World Centre Building, 330 Sen. Gil Puyat Avenue, Salcedo Village, Bel-air, Makati City

Please note that submission of the basic requirements should be within thirty (30) calendar days from the date of availment.
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