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  1. This form is applicable to outpatient claim. Each claim form is for one Insured (Patient) only. You can find the Policy number and Insured number on Blue Cross Certificate of Insurance or Blue Cross Healthcare Card, you may also visit www.bluecross.com.hk/supercare to view account information after logging in.

    • 購買保險

      索償表格. 下載. 藍十字下載區,提供各類保險計劃的申請表 ...

    • 易Claims

      1. 輸入. 2. 上傳. 3. 確認. 類型. 新的索償. 補充資料及文 ...

  2. 此申請表適用於住院及醫院/門診日症手術索償Blue Cross HK App. 您可於藍十字保險證明書或藍十字醫療卡上查看保單號碼及受保人號碼,您亦可登入www.bluecross.com.hk/supercare 查閱賬戶資料。 請以A4 紙打印此索償申請表,並於治療或出院後90天內,連同收據正本一併交回藍十字(亞太)保險有限公司(「本公司」)醫療保險理賠部隨本申請表附上的收集個人資料聲明,是供閣下參閱及保留之用,請無需於提交索償申請時退回。 本公司有權要求閣下提供更多資料及文件或填寫其他專用索償表格。 索償申請指示.

  3. Download. Claim Forms. Download. You can select from a number of comprehensive insurance downloads via our online form.

  4. Complete the Outpatient Claim Form and Hospitalisation and Surgical Claim Form with the required documents and return to Medical Claims Department of The Company by mail or in person: 54/F Hopewell Centre, 183 Queen's Road East, Wan Chai, Hong Kong. To make a claim:

  5. Outpatient Claim Form. 29/F, BEA Tower, Millennium City 5, 418 Kwun Tong Road, Kwun Tong, Kowloon, Hong Kong. 香港九龍觀塘道418 號創紀之城5 期東亞銀行中心29樓 Tel 電話: 3608 2988 Fax 傳真: 3608 2989 www.bluecross.com.hk. OUTPATIENT CLAIM FORM. 門診索償申請表. Claim Notes . This form is applicable to outpatient claim. Each claim form is for one Insured (Patient) only.