Restricted
First Time Login
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Step 1: Key in Mobile no to request OTP
First Time Login
Step 2: Click “Healthcare” to Setup Profile
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Key in validation code receive
via email
Key in Passport Number
Key in Name as per Passport
First Time Login
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Step 3: Setup Passcode
*This 6 digit passcode is required every time you access the Healthcare Module
First Time Login
Step 4: Click “Healthcare” to update policy/ certificate no
Key in Policy/ Certificate No: TGWH001029
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Smile App for members covered with Etiqa
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Healthcare Module
To navigate nearest Panel Providers
View GL & Status
View Room Entitlement (if applicable)
View Outpatient Balance limit (if applicable)
Request Outpatient GL (if applicable)
Submit Claims
Submit Reimbursement Medical Claims
Medication & Health Product Deals
For Corporate Outpatient members only.
Request for Long Term Medication Refill
Restricted
1. View Policy Details (R & B)
2. Panel Search
7. Request Outpatient GL
For Outpatient Coverage with Cashless Outpatient Specialist Benefit only
Healthcare Module Features
3. View Guarantee Letter (GL)
4. View All Claims
5. Hospital Admission Guide
6. View Balance Limit
For Outpatient Coverage only
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Healthcare Module Features
TGWH001029 TOPW000040
Inpatient
Outpatient
Swipe left to view other
Medical Coverage with Etiqa
Only for Group Outpatient Coverage
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Medical Product Name
ULTRA MEDIC RIDER PLAN 3
Click to view your dependent’s
coverage.
Healthcare Module Features_Inpatient Coverage
Click to view Annual Limit & Room
Entitlement
Click View Guarantee Letter (GL) to view GL’s issued for admission
Click View to view reimbursement claims
Click Panel Providers to navigate to the nearest panel hospital
Click Hospital Admission guide to watch a video on hospital admission
TGWH001029
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Click to view your dependent’s
coverage.
Healthcare Module Features_Outpatient Coverage
Click to outpatient entitlement and balance
Click View Guarantee Letter (GL) to view GL’s issued for outpatient specialist
Click View to view Clinical and reimbursement claims
Click Panel Providers to navigate to the nearest panel hospitals and clinics
Click Hospital Admission guide to watch a video on hospital admission
TOPW000040
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Reimbursement Medical Claim Submission via SMILE App
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Submit your Medical Claims via SMILE App now!
Do not need to submit original hardcopy documents
Claims can be submitted immediately after the visit
Claims payment within 5 working days
Reimbursement Medical Claim Submission via SMILE App
Click to submit
medical claims
All medical eligible for
medical claims will be
displayed for member to
select. Member only
allowed select ONE policy
to claim from.
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Reimbursement Medical Claim Submission via SMILE App
Mohd Ali
To select member and update claim details as per below screens.
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Reimbursement Medical Claim Submission via SMILE App
Documents required is customized based on claim type
selected.
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Reimbursement Medical Claim Submission via SMILE App
Claim status can
be tracked over
here
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Pending Claim Submission
Click on
“View Claims”
Click on
“PendingDocument”
Click here to submit
the document
Click to upload file
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Pending Claim Submission
Click to view
pending letter
Click to
upload file
Claim status can
be tracked over
here upon
submission
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Long Term Medication Refill via SMILE App
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Benefits of using Panel Pharmacy (Big Pharmacy)
Average saving of 30% for Long Term Medications
Savings on Consultations Fee
Medication delivered to your doorstep
Annual Limit can be managed better
NEW
You can now request for your long term
medication refill via SMILE App and get it
delivered to your doorstep with no extra cost.
Medication Module_SMILE APP
i. e-Doctor/Prescription Request
ii. Medication Refill (With prescription)
iii. e-prescription
iv. Locate Pharmacy
v. Support
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e-Doctor/ Prescription Request
Select Panel Doctor
Select Doctor from
Panel Doctor on Duty
Start Video/ Chat Consult
Consult and get Prescription at
the comfort from your
Home/Office
Prescription Issued
e-Prescription issued
after consultation
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e-Doctor/ Prescription Request
Select Panel Doctor
Select Doctor from
Panel Doctor on Duty
Start Video/ Chat Consult
Consult and get Prescription at
the comfort from your
Home/Office
Prescription Issued
e-Prescription issued
after consultation
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Medication Refill Request
Request For Medicine Upload Prescription Upload Other Images Submit Request
If you have
Prescription from your
Doctor
Snap OR attach
prescription photo
Add picture of
appointment card/current
medications
Click Request Now
upon confirmation
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Medication Delivery
Office Delivery
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Home Delivery
Other Functions
Prescription History
In App prescription
records
Consult History Pharmacy Customer Support
View Chat History with
Doctor
Locate and Contact
nearest BIG Store
Contact our
Pharmacist for any
enquiries
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Common Q&A
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Q1: I did not received email verification code?
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Click on “Resend verification code” OR “Change email address”
Q2. Do I have to key in each certificate no to access the Healthcare
module if I have more than one medical coverage with Etiqa?
Answer:
No, just need to key in ONE
Certificate numbe & you will be
able to view all medical coverage
with Etiqa
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Q3: “Sorry, no policy found based on your profile”- (Me tab)
Answer:
Member wrongly
clicked on ME
module instead of
Healthcare.
*(ME module is
accessible for members
with Life/ General
Policies with Etiqa)
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Q3: “Sorry, no policy found based on your profile” – (Healthcare Tab)
Answer:
Member’s data is
not in Etiqa’s system
NRIC updated in
profile page is
incorrect
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Q4: How do I update/correct my NRIC number?
a) If error in Mobile App (Data entry error during profile update)
Click on support on the app and email Etiqa a copy of your NRIC.
b) If error due to Incorrect declaration of NRIC by corporate HR
Have to update corporate HR
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Q5: How do I update/change my email address after login?
You may click on your profile page; “View & Edit”
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Q6: Can I access ME module in SMILE App?
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Yes, if you have ANY active policy with Etiqa Insurance or Takaful; eg: Motor
insurance.
Q7. How do I know my inpatient and outpatient medical limits?
For outpatient coverage, click on view details to view balance limit
For inpatient coverage you may also call Etiqa Healthcare at 1800 88 9998 to check
your balance limit.
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Q8. Do I need to still submit the original receipt after submitting my
reimbursement claims via the app?
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No. However if there are any discrepancies, Etiqa may request for the original
receipt to be submitted.
“Submitted to Etiqa” MUST be written in PEN.
To indicate
“Submitted to Etiqa”
on ORIGINAL
RECEIPT
Q9. I can’t find “Maybank” Bank name when I submit reimbursement
claim?
Malayan Banking Berhad = Maybank
It’s the fist on the list as that’s our preferred bank
Q10.This is my first time submit claim. I can’t upload the image (iOS)
Go to Setting Privacy Photos Smile App select “Read and Write”
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Q12. What is the minimum mobile device requirement to use the app?
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The mobile device operating system must be iOS 10.0 and above or Android
version 4.0 and above
The mobile device must not be jailbroken or rooted
The mobile device must have internet connection
Thank you
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