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Claim Submission
Claim type
Accidental Medical Expenses
Details of the Accident
HKID First Name
HKID Last Name
HKID / Passport Number
Email address
Date of injury
Invalid date
The booking number for the incident trip
Please state in detail how the injury occurred.
Name of attending doctor/hospital
Address of attending doctor/hospital
Are you fully recovered now?
Yes
Claim amount
HKD
Supporting Documents
Hospital / medical bill(s) / receipt(s) / medical report (s)
Police reporting record
Claim Settlement
Did you file the claim at another insurance company?
Yes
Insurance company name
Policy number
Bank name
-
Branch code
Bank account number
Name of the account holder