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Bupa Hong Kong Claim

  • BUPA logo

    Bupa Hong Kong claims are made by:

  • Direct settlement

    • Bupa Hong Kong health insurance plans have a medical card service which allows its members to make direct settlement of medical bills.
    • Using the medical card, members do not need to pay for their treatment or make a claim with Bupa.
    • No pre-authorisation required
    • Bupa Hong Kong members can use the medical card service at a list of Bupa Hong Kong provider networks.
    • Find out:
      • - Who is entitled to medical card service
      • - How to use the medical card service
      • - Where can I use my Bupa Hong Kong medical card cashless    claims service

    If you do not have a medical card service OR you are not able to use your medical card service:

    • Bupa Hong Kong plans with no medical card service can submit a claim after receiving treatment.
    • Pre-authorisation may be required.
    • Find out:
      • - How to claim if you do not have a medical card

    Who is entitled to medical card service?

    Bupa CarePro  
    Bupa Care Kid  
    Bupa Care HealthNet  
    Bupa Crystal  
    Bupa Gold  
    Bupa Wise Choice  
    Bupa Civil Servants  
    Bupa Critical Essential Care   X     No medical card service

    How to use the Bupa Hong Kong medical card service:

    Using a Bupa Hong Kong medical card allows you to directly pay for medical bills without needing to pay and claim.

    1. Policy holders should call the Bupa helpline to find out whether the treatment is included on the plan benefits.
    2. Prior to hospitalisation, complete a Hospitalisation Pre-admission Form and send to:
      Address: 18/F, DCH Commercial Centre,
      25 Westlands Road, Quarry Bay, Hong Kong.
      Office hours: 9:00 am to 6:00 pm from Monday to Friday
    3. Bupa approves credit limit and issues a Guarantee of Payment letter to the hospital or medical facility.
    4. Claim form is completed by hospital prior to discharge
    5. In an emergency (outside of office hours) approval can be obtained from Bupa the next working day.

    Where can I use my Bupa Hong Kong medical card cashless claims service?

    The Bupa Medical card is accepted by over 1700 doctors including:

    • HK Sanitorium
    • Canossa
    • St. Teresa's
    • Union Hospitals

    If you do not have a medical card service OR you are not able to use your medical card service:

    Bupa Hong Kong members can follow the steps below to make a claim.

    Policy holders should call the Bupa helpline to find out whether the treatment is included on the plan benefits.

    1. Fill in a claim form (within 90 days of treatment)
    2. Send the claim form (with the requested documents) to:
      Address: 18/F, DCH Commercial Centre,
      25 Westlands Road, Quarry Bay, Hong Kong.
      Office hours: 9:00 am to 6:00 pm from Monday to Friday
    3. Bupa may request further information.
    4. A decision is made on claim and reimbursement via a checque is sent to the policy holder.

    * Some treatments must be pre-authorised. See the section on pre-authorisation to find out which treatment should be pre-authorised.

    * See section on pay and claim.

    To make the claims process easier, you can ask your general practitioner to refer you to a Bupa recognized specialist or health care provider.

    For more information about Bupa Hong Kong health insurance plans, or to receive a free Bupa Health Insurance Quote, please contact one of our dedicated advisers today.

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