General Information
Application Procedure
For new application please submit following document :
- Copy of Valid ID (KTP /SIM /PASSPORT /KITAS)
- Birth Certificate (for Insurer below 17 year)
- Fully Filled and Signed Application and Medical Questions
- Medical Questioner for Related Illness (if any)
Claims Procedure
Claim Related Download Center For Individual
USD Plan
Claim Procedure for Health Insurance
Claim Procedure for Travel Insurance
Claims Submission Slip – USD
Individu Outpatient Claim Form
Individu Inpatient Claim Form
Dental Claim Form
Oral Examination Report
Claim Form for Travel Insurance
Referral for Follow Up Care
Treatment Plan for Chemotherapy Radiotherapy
Treatment Plan for Physiotherapy Chiropractic Acupuncture
IDR Plan
Claim Related Download Center For Group
Cashless Process
COB BPJS Process & HCP Process
For more information and request for quotation,
please call us at (6221) 2598 9878 or email us for:
Individual Health Plan at Health.individual@pacificcross.co.id and
Group Health Plan at consultant@pacificcross.co.id
News and Media
Thank you for expressing your interest in our company. We currently do not have any openings at this time. However, we are always keen to meet energetic and talented professionals who would like to join our team. If you are interested in possible future opportunities, please send your CV and covering letter to: abdul.malik@pacificcross.co.id
