Fillable Online WorldCare claim form - Now Health Fax Email Print 2026

1. Click ‘Get Form’ to open the Fillable Online WorldCare claim form in our editor.
2. Begin with Section 1, entering your Member and Patient Information. Fill in details such as the Planholder’s name, Patient’s name, and Date of birth in BLOCK CAPITALS.
3. Specify the Reason for doctor visit/diagnosis and Treatment date. Ensure you select the correct Type of service (e.g., Out-Patient, In-Patient) and indicate if the claim is due to an Accident.
4. Proceed to Section 2 for Payment details. Choose whether payment should be made to the Planholder or Provider, and complete either Bank transfer or Cheque details as required.
5. If claiming over USD 500, ensure Section 3 is completed by your Medical Practitioner. This includes providing medical information and treatment details.
6. Finally, review Section 4 for Declaration and authorisation. Confirm your understanding of data privacy and sign where indicated before submitting your claim.

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