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How to submit a claim
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Group Outpatient Medical Claim
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Group Outpatient Medical Claim
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Claim required documents
《Group Outpatient Claim Form (HK-CL-GCLA-02) 》
- Original medical receipt
- For applying claim for specialist consultation fee, xray & laboratory test fee, Chiropractor & physiotherapist, and prescription fee, referral letter issued by a registered western medical practitioner is required ( except if referral letter is waived)
- Settlement advice from other insurers/ parties (applicable to claims paid by other insurers)
Remarks
- 1.The insured employee/ dependent must complete and send the 《Group Outpatient Claim Form (HK-CL-GCLA-02) 》 together with original receipts within 90 days from date of treatment to our company for processing. Late submissions will not be processed.
- 2.Insured employees can use e-claim service（https://gp.chinalife.com.hk）and upload medical receipts for application of outpatient medical claim. Claim will be approved within 1 working day (For the amount of single medical receipt above HK$ 10,000，please mail us the original medical receipts and claim form within 2 working days for claim assessment).
- 3.For autopay payment method, the claim payment will be transferred to your designated bank account within 3 working days from the date of settlement
- 4.Claim under the policy exclusions will not be processed
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Group Hospitalization Claim
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Group Hospitalization Claim
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（includes hospitalization medical expenses, outpatient surgery/day surgery and pre-admission consultation/post hospitalization follow-up）
Claim required documents
《Group Hospitalization Claim Form (HK-CL-GCLA-03)》
- Original medical receipt
- Statement of account and doctor slip
- Discharge slip/sick leave certificate/medical certificate with clear exact diagnosis
- Medical records including: hospitalization summary, admission record, discharge summary, outpatient records and itemized breakdown of hospital charge (applicable to hospitalization in Mainland China)
- Diagnosis report and test report during hospitalization (such as pathological report, blood test report, PET Scan/CT Scan/MRI report, ECG report, ultrasound report and X-ray report etc.) (if necessary)
- Settlement advice from other insurers/ parties (applicable to claims paid by other insurers)
Remarks
- 1.The insured employee/ dependent must send the duly completed part I and part II of 《Group Hospitalization Claim Form (HK-CL-GCLA-03) 》 together with original receipts and relevant claim documents within 90 days from date of discharge/date of treatment to our company for processing. Late submissions will not be processed.
- 2.Insured employees can use e-claim service（https://gp.chinalife.com.hk）and upload claim form with medical receipts and relevant claim documents for application of hospitalization claim. For the amount of single medical receipt above HK$ 10,000，please mail us the original medical receipts and claim form within 2 working days for claim assessment.
- 3.Claim under the policy exclusions will not be processed