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  1. 電話Tel:28670888傳真Fax:3906 9906. HOSPITALISATION & SURGICAL CLAIM FORM 住院及手術索賠申請書住院及手術索賠申請書住院及手術索賠申請書住院及手術索賠申請書. Please complete and sign this claim form and make sure the original copies of invoices and receipts are attached 請填妥本申請書及簽署後 ...

  2. No reimbursement of outpatient claims if: Claim(s) submitted after 90 days from the date of consultation / visit. Insufficient of required information. Please send this completed claim form with attachment(s) to: Bank of China Group Insurance Co. Ltd. – Medical Insurance Dept. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong.

  3. 本人現授權任何西醫、醫院、診所保險公司及其他人士,均可向中銀集團保險有限公司提供本人或本人家屬之健康情況、傷病資料及病歷記錄,作為審核有關醫療保險索賠之用。本授權書之影印本與正本有同等效力。

  4. 本人現授權任何西醫、醫院、診所保險公司及其他人士,均可向中銀集團保險有限公司 提供本人或本人家屬之健康情 況、傷病資料及病歷記錄,作為審核有關醫療保險索賠之用。本授權書之影印本與正本有同等效力。 聲明 1、本人聲明上述所填報之 ...

  5. Claim(s) submitted after 90 days date of consultation / visit. Insufficient of required information. Please send this completed claim form with attachment(s) to: Bank of China Group Insurance Co. Ltd. – Health Insurance Dept. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. Customer Service Hotline: 3187 5100.

  6. 中銀集團保險有限公司 (「中銀集團保險」)瞭解您的需要,特別為您呈獻「中銀靈活自願醫保計劃 ... 保障涵蓋在醫院進行的日症手術 3或在診所 進行的診所手術 3。 5. 多項額外保障,保障更周全 本計劃照顧您不同情況的需要,提供多項額外保障 ...

  7. 1. 投保人請以英文正楷填寫及在適當方格內加「 」號。. 任何答案如有更改,敬請在旁簽署。. The proposed Insured has to complete the form in English BLOCK LETTERS and please put a“ ”in the box as appropriate. Any changes to be made should be signed by the proposed Insured. 2. 為保障受保人的利益 ...