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  • Individual
  • Medical

    Medical

  • Accident

    Accident

  • Critical Illness & Disability

    Critical Illness & Disability

  • Death

    Death

Products
    • Critical Illness Benefit
    • Waiver of Premium / Payor’s Benefit
    • Accidental Dismemberment Benefit
    • Disability Income Protector Benefit
    • Female Illness Benefit
    • Juvenile Benefit
    • Comprehensive Accidental Benefit / Comprehensive Accidental Benefit (I)
    • Comprehensive Accidental Benefit Plus / Comprehensive Accident Benefit Plus (I)
    • Integrated Accident Benefit
    • Smart Kids Accident Protector / Smart Kids Accident Protector (I)
    • Refundable Accident Protector / Benefit
    • 360 Global Accident Protector
    • 100% Reward For You Accident Protector
    • Hospital Benefit
    • Hospital Income Benefit
    • Extra Cancer Benefit
    • Extra Cancer Care
    • Prestige MediCare / Supreme MediCare
    • VIP Worldwide MediCare / VIP Global MediCare
    • Refundable Surgical Protector / Refundable Hospital Cash Plan
Promotions
  • Second Claim Cash Benefit

    Cash benefits will be provided to the Client who undergoes the Confinement, Outpatient Surgery, or Outpatient Prescribed Diagnostic Imaging after being reimbursed by other insurance companies.*

    Second Claim Cash Benefit
  • Outpatient Surgery Cash Benefit

    Cash benefits will be provided to the Client who undergoes the Designated Outpatient Surgery.

    Outpatient Surgery Cash Benefit
eClaims Submission
  • eClaims Submission

    4 Simple Steps to Submit Your e-Claim

    eClaims Submission
  • eClaims Submission

    4 Simple Steps to Submit Your e-Claim

    eClaims Submission
  • eClaims Submission

    4 Simple Steps to Submit Your e-Claim

    eClaims Submission
Claims Submission Instructions
1. Complete Claim Form
  • Sign and complete claim form
  • Sign and complete the details on Part I
  • Sign and complete Claim Form Part II by the attending doctor
  • Supplement of Critical Illness Claim Form Part II
  • Sign and complete the details on Part I
  • Sign and complete Claim Form Part II by the attending doctor
  • Sign and complete Claim Form Part I
  • Sign and complete Claim Form Part II by the attending doctor
2. Gather supporting document
  • Original Death Certificate
  • Original Policy
  • Valid copy of identification document of the Insured and Beneficiary/claimant
  • Proof of relationship between the Insured and Beneficiary/claimant
  • Recent 3 months’ residential address proof of beneficiary / claimant (Applicable to policy issued in Macau)
  • Additional Documents (if applicable)
  • Death Inquest Report
  • Autopsy Report
  • Police Report/Statement
  • Newspaper Clippings
  • Cremation Certificate or Death Certificate issued from the Hospital
  • Letter of Administration/Probate on the deceased’s estate (with our Company name and the relevant policy)
We may request further documents upon assessment
  • Valid copy of identification document of Policy Owner and Insured*
  • Histopathology report, imaging reports and relevant written examination reports
  • Supplement of Critical Illness Claim Form Part II:
  • Valid copy of identification document of Policy Owner and *Insured
  • Original Hospital/Clinical receipts
  • Sick Leave Certificate issued by Doctor
  • Relevant written examination reports
  • Medical services referral letters
  • Police Report/Statement (if applicable)
  • Settlement Statement from other insurance company (if applicable)
We may request further documents upon assessment
  • Valid copy of identification document of Policy Owner and *Insured
  • Original Hospital/Clinical receipts
  • Hospital Discharge Summary/referral letters
  • Settlement Statement from other insurance company (if applicable)
  • Relevant written examination reports
  • Breakdown details of the charges from hospital
  • Original receipts issued by Government Hospitals, prescriptions issued by Cancer Specialists and/or other relevant proof.#
  • Medical proof to support the condition matches the equivalent definition of the designated critical illnesses, Cancer Treatment Benefit, Renal Dialysis Benefit or Hospice Care.#
We may request further documents upon assessment
Please contact us for the other Critical Illnesses Supplement.
We may request further documents upon assessment.
3. Submit Documents
  • By Mail or By Person to our Company at Avenida Doutor Mario Soares No. 320, Finance and IT Center of Macau, 8 Andar A, Macau
  • In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 to 7 working days^
  • Submission Timeline:
    • within 90 days from the first diagnosis of claimed Critical Illness
    • within 6 months after the commencement date of Total and Permanent Disability
    • Within 1 year after the commencement of Total Disability and not later than 1 year after the anniversary on or following the Insured’s 65th birthday for Waiver of Premium / Payor’s Benefit
    • within 3 months from the first diagnosis of Juvenile Illness
  • By Mail or By Person to our Company at Avenida Doutor Mario Soares No. 320, Finance and IT Center of Macau, 8 Andar A, Macau
  • In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 to 7 working days^
  • Submission Timeline: Within 90 days from the date of the accident or injury
  • By Mail or By Person to our Company at Avenida Doutor Mario Soares No. 320, Finance and IT Center of Macau, 8 Andar A, Macau
  • In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 working days^
  • Submission Timeline: Within 90 days from the date of the suffering was first treated
  • By Mail or By Person to our Company at Avenida Doutor Mario Soares No. 320, Finance and IT Center of Macau, 8 Andar A, Macau
  • In general, upon receiving the claims application, we will provide a status update and list of outstanding documents (if applicable) to your consultant within 5 working days^
Remark

^Working days do not include weekends and public holidays in Hong Kong.

*Insured over age 18


*Working days do not include weekends and public holidays in Hong Kong.

*Insured over age 18


#For Extra Cancer Benefit / Extra Cancer Care / Prestige MediCare / Supreme MediCare / VIP Worldwide MediCare / VIP Global MediCare )


^Working days do not include weekends and public holidays in Hong Kong.

*Insured over age 18


^Working days do not include weekends and public holidays in Hong Kong.

1. Complete Application Form
2. Supporting Document Ready
/en/support/claims-corner-macau/index.html