April 15, 2005
ABC Insurance Corporation
St. Joseph Subd.
Dear Ms. Solomon:
I am formally request reimbursement for my medical expenses for policy number, A41572. I was hospitalized for 1 week on April 2 to April 8, 2005 due to pneumonia at St. Luke’s Hospital. My wife needed to pay the bill in full. The amount was Php 55,000 for x-rays, laboratory expenses, rooms and medicines.
According to the terms of my policy, respiratory disease like pneumonia is covered. I have enclosed all the documents related to my treatment. I am requesting your good office to reimburse me Php55,000 in keeping with my health care coverage.
I hope for your cooperation regarding this matter. I can be reach at 09451257853 if you have any clarifications.
Thank you for quick action.
Angelina D. Agaloos