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Bupa Hospital & Day Surgery Claim Form 保柏住院及日症手術賠償申請表 Please complete in BLOCK letters and preferably in English. Patient’s membership number is MANDATORY and MUST be provided.
Claim forms, membership change forms and other frequently-used forms are available for download here. Don't forget that you can also submit your hospital and clinical claims on myBupa. It's more efficient and eco-friendly!
下載表格. 您可在此下載賠償申請表、會籍更改申請表及其他常用表格。 別忘記您可透過網上提交住院及門診索償，無須列印表格，保護環境之餘更方便！ 立即登入myBupa. 常用表格. 住院賠償申請表 (pdf, 2.55 MB) 索償於醫院或醫院日症房內進行留院治療或手術之費用，或於診所進行治療或手術之費用。 門診賠償申請表 (pdf, 2.01 MB) 索償於診所或醫院門診部診症之費用。 初步保障審核表 (pdf, 1.4 MB) 如選擇非保柏網絡的專科醫生為你進行住院治療、日症及診所手術而想享有免繳費服務，須申請初步保障審核。 遺失會員卡聲明書 (pdf, 1.25 MB) 報失及重發會員卡或醫療卡 (如你的計劃有提供電子醫療卡，可登記myBupa使用)。 請選擇保障計劃下載表格.
Claim forms, membership change forms and other frequently-used forms are available for download here. Don't forget that you can also submit your hospital and clinical claims on myBupa. It's more efficient and eco-friendly!
Bupa Gold members ۳ާපᙘࢷ! (852) 2517 5383 Facsimile จ;! (852) 2548 1848 Website Ⴉҭ;!www.bupa.com.hk. 18/F, DCH Commercial Centre, 25 Westlands Road, Quarry Bay, Hong Kong ࡷ೫!!!ధफ़ർᛌ 25 ༴˃ؿї੦ ̨̖ 18ᇂ Customer Care helpdesk ̘݊وਜ਼ટሣ; - Individual members ʡࡎ࿒ࢷ! (852) 2517 ...
Claim form 1 Patient’s details (to be completed by the person having treatment or their authorised representative) How to send us a claim You can send us a claim: {Using your MembersWorld account. You can either complete a digital version of this form or the
For quicker handling of your claim, simply log in to your Membersworld account and either complete a digital version of this claim form, or complete the mandatory elds as shown on the submit a claim’ section.
