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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 ...
- Bupa Hospital Claim Form 230710
Bupa Hospital & Day Surgery Claim Form 保柏住院及日 ...
- 保柏醫療保障計劃申請表 Pdf, 2.33 Mb
Bupa Health Insurance Scheme Application Form 保柏醫療 ...
- 住院及手術索償
電郵: preauthapp@bupa.com.hk 傳真: 3973 6966 辦公時間 ...
- Clinical Claim Form 230710
Claim form (completed by patient) 申請表 (由病人填寫) ...
- 下載表格
保柏提供保險文件下載服務,可讓您更方便地搜尋有關申請保 ...
- 會籍轉移申請表 Pdf, 1.71 Mb
please fill in the Bupa CarePro / Bupa Care Kid Health ...
- 更改登記申請表 Pdf, 1.35 Mb
Health Declaration and Questionnaire 健康聲明及問卷 ...
- Wise Choice Con Form 1119
By signing this application form, I confirm that I have ...
- Bupa Hospital Claim Form 230710
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 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 form. Important information. 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 fields as shown on the ‘submit a claim’ section.
Claim Form. Please complete all the relevant sections of the claim form using BLACK INK and write within the boxes with CAPITAL LETTERS. Mark all appropriate boxes with a CROSS (X). All areas marked with an ASTERISK (*) must be completed. Claims must be submitted within 2 years from the date of service.
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Claim form. 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 mandatory fields in the ‘submit a claim’ section. (This is the quickest option) { By post. Please either type directly into this form or write clearly in block capitals using black ink.
Claim Form. Please complete all the relevant sections of the claim form using BLACK INK and write within the boxes with CAPITAL LETTERS. Mark all appropriate boxes with a CROSS (X). All areas marked with an ASTERISK (*) must be completed. Claims must be submitted within 2 years from the date of service.