Please tape small receipts on a full size sheet of paper. Bupa global offers a range of global health plans which aim to look out for their customers allround health with a number of wellness services, which can include dental, optical and medical health checks. Use fill to complete blank online others hong kong pdf forms for free. Using the medical card, members do not need to pay for their treatment or make a claim with bupa. Bupa global, ictory house, trafalgar place, brighton, bn1 4fy, uk.
Our insurance claim process is designed to be as easy as possible for the peace of mind you deserve. Developed exclusively for bupa recognized providers, the site is designed to meet the needs of todays clinical provider in private practice. Download forms bupa medical insurance bupa hong kong. Making claims has just become simple and easy with axa hong kong, choose the way you want to claim on your employee benefits, medical expenses, critical illness protection, etc. It means the people of hong kong are never far from quality medical care when they need it. Bupa hong kong careers search results search vacancies. For inpatient treatments at gleneagles hong kong hospital, please click here to get details of the room types and how they are classified under bupa s cover prior to your hospital stay. We process the claim, pay you and send a payment statement advising when. Bupa is a leading hong kong medical insurance company, and no. Bupa is the uks largest medical insurance provider. Bupa started its medical insurance business in hong kong in 1976. Once youve filled out the form, you can send it by email.
Welcome to intermediaryworld login bupa international. Iwe hereby authorise max bupa health insurance company limited to transfer the claim amount payable under this claim to my. Our health insurance plans are designed for individuals, families and businesses who value freedom, generous benefits and quality inhouse. Bupaonline bupa s independent information systems for providers. The submissionreceipt of this form does not amount to admission of any liability under the claim on the part of the insurers. To make a claim you can use our online claims portal at. Fill online, printable, fillable, blank bupa hospital claim form hospital claim form 20190719 form. Bupa is a healthcare leader in australia, proudly looking after the needs of more than three million australians. We are unable to return original documents but we will be happy to provide certied copies on request. Topup medical insurance plan university of hong kong. A separate claim form is needed for each family member. Travel claim forms download the travel claim form you need in order to get reimbursement for expenses.
Download forms, bupa group medical insurance, claims form, membership update form. Please retain a copy for your records policies issued in hong kong are issued by gan assurances iard and administered by aetna global benefits. In hong kong, bupa global is only licensed to use the blue shield marks. Should you need assistance in filling out the form s. Once completed you can sign your fillable form or send for signing. Bupa hong kong medical insurance health and hospital. Genuine emergency hospitalisations will also be approved under the staff medical benefits scheme and the topup medical insurance plan. For preauthorising treatment or for questions when completing this form please call us on 21 342 342. By clicking accept and proceeding to access this website and the information contained herein, users are deemed to be representing and warranting that they are either hong kong residents or are observing the applicable laws and regulations of their relevant jurisdictions and agree to be bound by disclaimer.
Bupa asia was set up in hong kong in 1976 and has since become leading provider of medical insurance in the local market, with around 20% of the local accident and heatlh market. Shortterm international health insurance flexible cover for individuals and families bupa flex is our shortterm international health insurance plan that can cover you for a period of three to 11 months and anywhere in between. Please note that where this medical information is not provided, we may not be able to process your claim. Bupa topup medical insurance plan effective from sep 1, 2019. Bank account direct debit authorization form only applicable to hkd account set up in hong kong credit card direct debit authorization form. You and your medical provider fully complete a claim form and return the claim form to us. Note that claims payment may be delayed if all sections are not completed in full. Gbp great british pound, hkd hong kong dollar, jpy japanese yen, nok.
Hang seng bank is an insurance agent authorised by bupa for the exclusive distribution of the hang seng bupa precioushealth series health insurance schemes and package group schemes. Please remember that it is important to lodge your claim within the specified time frame. Download forms, bupa medical insurance, claims form, membership update form. International travel insurance from bupa global travel. Bupa has all angles covered through a provision business quality healthcare medical services qhms, and an insurance business bupa hong kong, which together make up our operations in this city of more than 7 million.
Clinical claims bupa health insurance bupa hong kong. This service is only available to bupa global members with a health insurance policy. Bupa hong kong health insurance plans have a medical card service which allows its members to make direct settlement of medical bills. Bupa hi pty ltd abn 81 000 057 590 118490716e claim form 11 claim form please complete all the relevant sections of the claim form using black ink and write within the boxes with capital letters. Submit your claim online bupa global can settle payment directly with the hospital where you are being treated or pay you back for medical expenses. Your login id is the unique id or username chose when registering on mybupa. For customers living in a country within the european economic area. Failure to complete all sections of this form may result in claim processing delays. Bupa asia limited bupa is part of the bupa group, is authorised and regulated by the insurance authority in hong kong. Save more money and time with free bupa claim form online coupon and promo codes. If you have any problems with completing this form please contact us on 0345 606 6003. The above general insurance plan plan is underwritten by qbe general insurance hong kong limited which is authorised and regulated in hong kong by the insurance authority. Download brochures and policy conditions for ihhp bupa global. Your details bupa membership number date of birth surname postal address first name email addresscontact details postcode just before you send claims can be submitted.
Hang seng insurance claims service team will process claim additional information may be required from the claimant at this stage, and settle claim payment. Alternatively, you can return this form with original or copied invoices by post to. Making a claim step 3 of 3 please provide your payment details below. If you use a bupa medical card to receive treatment, you do not need to file a claim. This service is only avilable to bupa global members with a health insurance policy. Contact bupa global in hong kong all weekdays from 9am 12. If you do not do so, we may not be able to consider your claim. If you forgot your login id, it is easy to find it.
Hang seng bank limited hang seng bank is an insurance agent authorised by qbe general insurance hong kong limited for the distribution of this plan. Download the travel claim form you need in order to get reimbursement for baggage expenses. Our business travel insurance is designed for companies that want cover for 3 or more employees, who, in total, travel for at least 200 days a year. For more enquiries, contact cigna hong kong customer service hotline. Whether its for an insurance service or your claim, download and fill in the form you need, and let us help you now. Or you can submit a claim form to us by post to bupa, bupa place, 102 the quays, salford m50 3sp.
Lines are open monday to friday 8am to 6pm, saturday 8am to 1pm. Fill free fillable bupahospitalclaimform hospital claim. You need your membership number, first name, last name and date of birth to be able to find your login id. Gpo box 9809, brisbane qld 4001 if you would like any assistance, please call us on. Once the claim has been submitted, you will receive an email as proof of submission. Find out more about worldwide health insurance for organisations and individuals at. Bupa global assistance can also help you find suitable medical facilities.
Hospital claim formstaff topup claim form bupa bupa powerpoint in briefing. All bills and notification forms should be marked with policy number and insured person number and should be sent directly to blue cross asiapacific insurance limited at 29th floor, bea tower, millennium city 5, 418 kwun tong road, kwun tong, kowloon, hong kong. Please remember for claims related to loss or delay of registered baggage to include a special form known as the property irregularity report which will be completed by the airline or. If you do not have a medical card or your card is not applicable to pay for your medical expenses, you should submit a claim form. Claim form 118490716s claim form bupa hi pty ltd abn 81 000 057 590 section a. Download insurance claim forms for motor, home, medical, health, life, travel, maid and fire insurance. Ensure that you always enclose original invoices and receipts. Topup medical insurance plan for staff university health. Policy service forms suitable for life insurance and investment link insurance only.
Company health plan frequently asked questions bupa global. Select your type of insurance to start the process. Bupa global, victory house, trafalgar place, brighton, bn1 4fy, uk. Should you have any question, please contact our hotlines at 2517 5233. Qbe general insurance hong kong limited would provide hang seng bank commission and performance bonus as remuneration for distribution of this plan. Cover and are within 12 months of your membership, and are claiming for a hospital or medical service. As the leading private medical care provider in hong kong, bupa received more than 37,000 hospital claims and 1,100,000 clinical claims in 2010, paying a. If you are an overseas student or on overseas visitors. All areas marked with an asterisk must be completed.
Please submit the completed form s together with necessary information if applicable to our aia representatives to followup or directly mail to our operations. Weve combined the knowledge from three trusted brands hba, mbf and mutual community, with over 60 years of experience to help our members live longer, healthier and happier lives. After filling out the form, you can either send it via email or print it out if you prefer to send it by post. Submit your insurance claim online by completing the form below. We are trusted by 400,000 members and 2,400 companies to provide individual and group medical insurance services. This is to ensure that the claim does not relate to a preexisting condition. Well keep your details safe by processing your claims securely. To prevent delay ith the handling of your claim please complete all sections of the claim form clearly he form should be returned to us ithin years of. Please ensure that all sections of the claim form are fully completed in block letters. Check out our latest promotion and request a quote now. Welcome to intermediaryworld this website is for bupa global intermediaries and agents, helping them to manage their product portfolio and customer accounts online. Insurance claims advice insurance claim form kwiksure. In hong kong, bupa has more than 350,000 members and 2,800 corporate clients.
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