How to file for refund

  1. Fill NMI Claim Form. Click here
  2. Attach original copies of prescription or lab request form and receipts covering payment made.
    • Receipt for drugs
      Should be accompanied by a valid prescription (prescription with the beneficiary’s name, date, clinical information, doctor’s signature, doctor’s name and stamp)
    • Receipts for Labs and diagnosis
      Should be accompanied by a valid lab request form (lab request with the beneficiary’s name, clinical information, date, doctor’s signature, doctor’s name and stamp)
    • Receipt for a surgery
      Should be accompanied by a valid itemized bill on  a hospital letter head. (letter head with the beneficiary’s name, clinical information, date, doctor’s signature, doctor’s name and stamp)
    • Receipt for admissions
      Should be accompanied by a valid itemized bill on  a hospital letter head. (letter head with the beneficiary’s name, clinical information, date, specific drugs administered, labs and scans accessed, doctor’s signature, doctor’s name and facility stamp)
  3. The refund form should be endorsed by the HR Manager / contact person and submitted to NMI.
  4. Refunds should be submitted to NMI for reimbursement within 90days after date of attendance