Claims Corner

Products

• Hospital Benefit / TaxVantage Plus Medical Plan / TaxVantage Medical Plan
• Hospital Income Benefit
• Extra Cancer Benefit
• Extra Cancer Care
• Prestige MediCare / Supreme MediCare
• VIP Worldwide MediCare / VIP Global MediCare
• TaxVantage Prestige Medical Plan
• Refundable Surgical Protector / Refundable Hospital Cash Plan

Outpatient Surgery Cash Benefit Campaign (Promotion period from January 1, 2025 to December 31, 2025)

• Client who undergoes Designated Outpatient Surgery during the promotion period will enjoy additional HK$800 Outpatient Surgery Cash Benefit.
• The aggregate Outpatient Surgery Cash Benefit under all policies of Designated Medical Plan is limited to HK$800 per day.
• Applicable benefits: E+ Medicare, Hospital & Surgical Benefit, Hospital & Surgical Plus, TaxVantage Medical Plan and TaxVantage Plus Medical Plan.
• Designated Outpatient Surgery includes: Gastroscopy, Oesophagogastroduodenoscopy (OGD), Oesophagoscopy, Colonoscopy and Sigmoidoscopy.
• Click here for the details of Terms and Conditions.

Second Claim Cash Benefit Coverage (Promotion period from January 22, 2025 to December 31, 2025)

• If an insured is hospitalized, undergoes outpatient surgery or outpatient prescribed diagnostic imaging tests for designated benefits during the promotion period, and successfully makes a claim under the medical plan of another insurer, a cash benefit will be provided upon claiming any remaining balance in applicable benefits.
• An additional Second Claim Cash Allowance for each day of hospitalization will be provided, Outpatient surgeries or prescribed designated imaging tests will be calculated as one day.
• The Second Claim Cash Benefit will be limited to the highest daily benefit amount among all applicable benefits, with a maximum of 10 days per hospitalization period.
• Applicable benefits：Hospital & Surgical Benefit, Hospital & Surgical Plus, TaxVantage Medical Plan and TaxVantage Plus Medical Plan.
• Click here for the details of Terms and Conditions.

1Complete Claim Form

• Sign and complete Claim Form Part I
• Sign and complete Claim Form Part II by the attending doctor

2Gather supporting document

• Valid copy of identification document of Policy Owner and *Insured
• Original Hospital / Clinical receipts
• Hospital Discharge Summary / referral letters
• Settlement Statement from other insurance company (if applicable)
• Relevant written examination reports
• Breakdown details of the charges from hospital
• Original receipts issued by Government Hospitals, prescriptions issued by Cancer Specialists and/or other relevant proof.^#
• Medical proof to support the condition matches the equivalent definition of the designated critical illnesses, Cancer Treatment Benefit, Renal Dialysis Benefit or Hospice Care.^#

We may request further documents upon assessment

3Submit Documents

• Submission Timeline: Within 90 days from the date of the suffering was first treated
• By Mail or By Person to our Company at Suite 1211, 12/F, Tower 6, The Gateway, 9 Canton Road, Tsimshatsui, Hong Kong
• In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 working days^{^}

Remark: 
^*Insured over age 18

^#For Extra Cancer Benefit / Extra Cancer Care / Prestige MediCare / Supreme MediCare / VIP Worldwide MediCare / VIP Global MediCare

^{^}Working days do not include weekends and public holidays in Hong Kong.

Useful Support

Products

• Comprehensive Accidental Benefit / Comprehensive Accidental Benefit (I)
• Comprehensive Accidental Benefit Plus / Comprehensive Accident Benefit Plus (I)
• Integrated Accident Benefit
• Smart Kids Accident Protector / Smart Kids Accident Protector (I)
• Refundable Accident Protector / Benefit
• 360 Global Accident Protector
• 100% Reward For You Accident Protector

1Complete Claim Form

• Sign and complete the details on Part I
• Sign and complete Claim Form Part II by the attending doctor

2Gather supporting document

• Valid copy of identification document of Policy Owner and *Insured
• Original Hospital / Clinical receipts
• Sick Leave Certificate issued by Doctor
• Relevant written examination reports
• Medical services referral letters
• Police Report/ Statement (if applicable)
• Settlement Statement from other insurance company (if applicable)

We may request further documents upon assessment

3Submit Documents

• Submission Timeline: Within 90 days from the date of the suffering was first treated
• By Mail or By Person to our Company at Suite 1211, 12/F, Tower 6, The Gateway, 9 Canton Road, Tsimshatsui, Hong Kong
• In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 working days^{^}

Remark: 
^*Insured over age 18 

^{^}Working days do not include weekends and public holidays in Hong Kong.

Useful Support

Products

• Critical Illness Benefit
• Waiver of Premium / Payor’s Benefit
• Accidental Dismemberment Benefit
• Disability Income Protector Benefit
• Female Illness Benefit
• Juvenile Benefit
• Terminal Illness Benefit

1Complete Claim Form

• Sign and complete the details on Part I
• Sign and complete Claim Form Part II by the attending doctor
• Supplement of Critical Illness Claim Form Part II

2Gather supporting document

• Valid copy of identification document of Policy Owner and Insured*
• Histopathology report, imaging reports and relevant written examination reports
• Supplement of Critical Illness Claim Form Part II:

- Supplement of Critical Illness Claim Form Part II- Cancer.

- Supplement of Critical Illness Claim Form Part II- Stroke.

- Supplement of Critical Illness Claim Form Part II- Heart Attack.

Please contact us for the other Critical Illnesses Supplement
We may request further documents upon assessment

3Submit Documents

• Submission Timeline

(1) within 90 days from the first diagnosis of claimed Critical Illness
(2) within 6 months after the commencement date of Total and Permanent Disability
(3) Within 1 year after the commencement of Total Disability and not later than 1 year after the anniversary on or following the Insured’s 65th birthday for Waiver of Premium / Payor’s Benefit
(4) within 3 months from the first diagnosis of Juvenile Illness

• By Mail or By Person to our Company at Suite 1211, 12/F, Tower 6, The Gateway, 9 Canton Road, Tsimshatsui, Hong Kong
• In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 to 7 working days^{^}

Remark: 
^*Insured over age 18  

^{^}Working days do not include weekends and public holidays in Hong Kong.

Useful Support

1Complete Claim Form

• Sign and complete Claim Form

2Gather supporting document

• Original Death Certificate
• Original Policy
• Valid copy of identification document of the Insured and Beneficiary / claimant
• Proof of relationship between the Insured and Beneficiary / claimant
• Recent 3 months’ residential address proof of beneficiary / claimant (Applicable to policy issued in Macau)

Additional Documents (if applicable)

• Death Inquest Report
• Autopsy Report
• Police Report / Statement
• Newspaper Clippings
• Cremation Certificate or Death Certificate issued from the Hospital
• Letter of Administration / Probate on the deceased’s estate (with our Company name and the relevant policy)

We may request further documents upon assessment.

3Submit Documents

• By Mail or By Person to our Company at Suite 1211, 12/F, Tower 6, The Gateway, 9 Canton Road, Tsimshatsui, Hong Kong
• In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 to 7 working days^{^}

Remark: 
^*Insured over age 18  

^{^}Working days do not include weekends and public holidays in Hong Kong.

Useful Support