PDF Medical Claim Form 醫療賠償申請書 - 友邦保險 香港

表格 | 友邦保險 香港

斷肢賠償申請表. 完全及永久喪失工作能力賠償申請表. 範本表格. 了解如何索償. 如填寫有關表格時需要協助，請聯絡我們的業務代表或致電友邦客戶熱線 (852) 2232 8888 / 澳門客戶熱線 (853) 8988 1822 。. 請將您的索償申請交予友邦財務策劃顧問 / 您的保險顧問 / 投資 ...

PDF Hospital Claim Form 住院理賠申請書 - Prudential

hospital discharge or surgical procedure. 理賠申請 . 於出院或手術後 90 天內遞交。Pleas. do not sign on blank or incomplete form. 請勿在空白. 格或尚未填妥的表格上簽署。Any changes or amendments in this form must be counte. signed by the Claimant in full signature. 索償人必須在此表格內任. 更改或 ...

PDF Hospitalization/Accident Claim Form 意外索償申請表 - FWD

(a) Approved claims amount over HK$100,000；and 獲批的賠償金額高於港幣十萬元；及 (b) Claims under individual medical insurance plan underwritten by FWD General Insurance Company Limited. 任何由富衛保險有限公司承保之個人醫療保險計劃的索償。 a wrong/ invalid "Proxy ID" has been provided. ii.

PDF Hospitalisation & Surgical Claim Form - Blue Cross

Claim Instructions. Complete and sign this form and attach the original receipts issued by the doctor and/or hospital or certified true copy of receipts issued by other insurers (if applicable). Each receipt MUST state the following information: Full name of patient Date of treatment. Doctor's signature and official stamp.

PDF Personal accident and medical insurance claim form 個人意外

e this claim form, together with supporting document(s) submit to us via email or post.除了以上 . Email 電郵:[email protected] Address: Zurich Insurance Company Ltd, Claims Department, 26/F, One Island East, 18 Westlands Road, Island East, HK.地址:香港港島東華蘭路18 號港島東中心26樓蘇黎世保險有限公司賠償部 ...

PDF 住院和手術賠償申請書 Hospital and Surgical Claim Form

住院和手術賠償申請書 Hospital and Surgical Claim Form. 院和手術賠償申請書Hospital and Surgical Claim Form 提供此賠償申請書或進行有關此索償調查並不表示富通保險有限公司(以下簡稱"富通保險") . 認此項索償或同意豁免保單條款中的任何規定。By providing this claim form and ...

PDF 意外保險賠償申請書 Accident Claim Form - 富通保險香港

Accident Claim Form 意外每週入息賠償 Weekly Indemnity 意外醫療費用賠償 Medical Reimbursement 提供此賠償申請書或進行有關此索償的調查並不表示富通保險有限公司（以下簡稱"富通保險"）會確認此項索償或同意豁免保單條款中的任何規定。

索償申請 - 香港保險賠償及理賠程序 |【信諾環球保險 Cigna】

住院治療－費用索償及免找數醫療服務的初步保障審核申請. 你可登入我們的客戶平台或於 www.mycigna.com.hk 註冊成用户或由Google Play 或 App Store搜尋「MyCigna HK」下載我們的應用程式。. 住院 / 醫療費用索償. 以下所需索償文件須在有關醫療費用支付後九十日內提交 ...

PDF Hospitalisation & Surgical Claim Form 住院及手術索賠申請書

hospitalisation & surgical claim form ... 蹘保險的關連公司(以《公司條例》內的定義為準)；(i) 現存或不時成立的任何保險公司協會或聯會或類同組織(「聯會」)及其會員，以跲到任何上述或有關目的，或以便「聯會」執行其監管職能，或其他基於保險業或任何「聯會 ...

申請保險索償及更改客戶資料 | 下載表格 | 保柏醫療保險 | 香港

常用表格. 住院賠償申請表 (pdf, 2.55 MB) 索償於醫院或醫院日症房內進行留院治療或手術之費用，或於診所進行治療或手術之費用。. 門診賠償申請表 (pdf, 2.01 MB) 索償於診所或醫院門診部診症之費用。. 初步保障審核表 (pdf, 1.4 MB) 如選擇非保柏網絡的專科醫生為你 ...

PDF Medical insurance claim form 醫療保險索償申請表 - ZurichCare

Medical insurance claim form醫療保險索償申請表Enquiry no. 查詢電話:+852 2903 9388 Fax 傳真:+852 2968 1660 Email 電郵:[email protected] Please the appropriate box and * delete where inappropriate.請適用方格及於*號刪去不適用者Please. se blue or black ink and write clearly in BLOCK LETTERS. 請用藍 .

PDF 分行編號 CLAIM FORM FOR ACCIDENT 意外索償表格 - Manulife

30 days after the date of injury caused by an accident. 以下所需索償 . Claims Document Checklist - Basic Requirements 索償文件清單..基本要求. Fully completed Claim Form for Accident (C12); and 完整填妥「意外索償表格」(C12);及Copy of Sick Leave Certificate(s) with Diagnosis (for disablement claims); and 列明診斷 ...

PDF Medical Claim Form 醫療賠償申請書 - 友邦保險 香港

MEDICAL CLAIM FORM 醫療賠償申請書. PART I (TO BE COMPLETED BY INSURED / CLAIMANT) 第一部份(由受保人或申請人填寫) Policy Number Name of Insured ID Card Number / Passport Number. 保單號碼受保人姓名身份證號碼 / 護照號碼. Area Code. 區域編號. Agency / Broker Name. 營業員組別 / 經紀名稱. XXXX.

下載索償申請表 - Insurance from AIG in Hongkong

家庭傭工保險索償申請表 高爾夫球保險索償申請表 家居保險索償申請表 錢包丟失重置費用保障索償申請表 鑰匙更換費用補償保障索償申請表; 安租保 第三者責任遇事報告 / 索償申請表 (適用於個人保險) 信用卡盜用保障索償申請表

PDF Group Medical Claim Form - 友邦保險 香港

GROUP INSURANCE MEDICAL CLAIM FORM 團 體 保 險 醫 療 賠 償 申 請 表 This form is to be completed in block letter by the Insured Employee / Member and separate forms must be used for different claimants (i.e. patients) 此申請表由受保僱員／成員以正楷填寫，每表祇限一位賠償申請人（即病者）使用。

索償及預先授權 - Axa

如果您對團體傷殘保險計劃有任何疑問，請隨時致電（852）2519 1166 或電郵至[email protected] 與我們的客戶服務代表聯繫，以獲取更多信息。 您希望提出索償的計劃是⋯⋯

PDF Health Insurance Claim Form (醫療保險索償申請表

The completion and submission of this form is not an acceptance of your claim (填妥及提交此表格並不代表我們已接受您的索償申請) Please ensure the following required documents will be submitted as well to speed up the claim processing, if applicable. (請確保以下所需文件一併遞交以加快索償申請，如適用)

PDF Travel Insurance Claim Form - Blue Cross

Enjoy Speedy Claim Submission via eClaim in 3 simple steps透過電子索償平台簡單3步遞交索償申請. Input claim details. Upload the scanned copies/photos of receipt. Confirm. 輸入索償資料. 上載收據之掃瞄副本 /相片. 確認Smart. Please complete this Claim Form in BLOCK LETTERS and provide the relevant documents ...

PDF Accident & Health Insurance Claim Form 意外及醫療保險索償申請表

Claims Department 賠償部. 46/F, One Island East 18 Westlands Road Island East Hong Kong 香港港島東華蘭路18號港島東中心46樓. Telephone: 852 3666 7090 電話 : 852 3666 7090 Facsimile: 852 2834 8962 傳真 : 852 2834 8962 Email address: pa.claim[email protected] 電郵地址 : pa.claim[email protected] www.aig.com.hk www.aig.com.hk.

下載 - Axa

個人保險醫療索償每項索償申請，索償金額上限最高可達港幣二萬五千元(取決於保單資格)。 點擊 "網上索償"或"下載 EMMA BY AXA 應用程式" 於 EMMA BY AXA 內填妥索償表格

旅遊保險索償｜一文看清保險公司Claim Form、理賠熱線、電郵 - 香港經濟日報 - 理財 - 博客 - D240704

【文章來源：10Life；原題︰【旅遊保險索償】一文睇晒保險公司Claim Form、理賠熱線、電郵】 10Life是個保險比較平台，為用戶提供專業及中立的保險資訊。10Life團隊有精算師、保險產品專家及醫生顧問，致力解構各種複雜的保險產品。

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PDF Accident Claim Form 意外賠償申請書 - 友邦保險 香港

Benefits to Claim 索償類別. ntary Group Assurance 自選團體保障Remarks: Please take the appropriate box; otherwise we will apply th. s claim to all of your eligible benefits.註: 請選擇適用者,否則我們將會把是次索償. Date and time of accident A.M. 上午 意外日期及時間. MM月DD日YYYY年HR時MIN分.

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