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Bupa´s claim services are fast and easy. Medical card holders have minimum fuss when they need to be hospitalised - no cash payment and no waiting for claim settlement |
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How to claim a medical benefit
Medical card holders
When you present your medical card to receive medical treatment in hospitals or clinics, there is no need to lodge any further claims. Schemes with medical cards include：
Members who make advanced payment and follow with a claim (Individual and package group schemes)
If medical card is not available for your scheme, or you forget to present it upon receiving treatment, please apply for claim settlement in 3 simple steps as follows：
- Step 1：Fill in the claim form and prepare the required documents within 90 days from the date of treatment in hospitals or clinics.
| Claim for hospitalisation and hospital cash benefit |
Claim procedure and required documents at a glance |
| Bupa Hospital Claim Form (PDF) |
- Complete and sign the Bupa Hospital Claim Form
- Submit original medical receipts stating the treatment date, patient´s name, diagnosis and breakdown of charges
- Submit other supporting documents (eg medical reports, claim statements from other insurance companies)
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| Clinical claim |
Claim procedure and required documents at a glance |
| Bupa Clinical Claim Form (PDF) |
- Complete and sign the Bupa Clinical Claim Form
- Submit original medical receipts stating the treatment date, patient´s name, diagnosis and breakdown of charges
- A referral letter provided by the Medical Practitioner is required for the claim of Specialist consultation, Physiotherapy, Chiropractic treatment, diagnostic imaging and laboratory tests or prescribed western medication. A referral letter is only valid for the same or related condition for a period of six months from the date of issuance. Treatment received for a new or unrelated condition will require another referral letter. For diagnostic imaging and laboratory tests or prescribed western medication, the latest referral letter is required for each claim.
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Step 2：Please send the completed original form and documents to Bupa. 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.
- Step 3：We may contact you to obtain further information if necessary. Once our assessment is complete, we will write to you to inform you of the claim result and settle the claim by cheque or credit the amount to your designated bank account by auto-pay.
How to claim a critical illness benefit
Please apply for claim settlement in 3 simple steps as follows：
- Step 1：Fill in the claim form and prepare the required documents within 90 days from the date of diagnosis of the critical illness.
| Claim for critical illness benefit |
Claim procedure and required documents at a glance |
| Bupa Critical Essential Care Claim Form (PDF) |
- Complete and sign the Bupa Critical Essential Care Claim Form, including both Part 1 and Part 2 (Part 2 is related to the specific critical illness and will be issued as required)
- Submit supporting documents such as medical reports signed by the attending physician.
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| Free Medical Top-up Benefit |
- Bupa will assess claims automatically after receiving the hospital and surgical claim from member and reimburse the eligible medical expenses
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Claim service commitment
5 to 7 working days for general hospital and clinical claims and 10 to 12 working days for critical illness claims (upon receiving the claim form and all required documents)
Enquiry hotline
9:00 am to 6:00 pm from Monday to Friday (except public holidays)
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Bupa individual health insurance scheme：2517 5333
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Bupa critical illness insurance scheme: 2517 5333
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Bupa Gold health insurance scheme：2517 5383
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Bupa group health insurance scheme：2517 5388
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Bupa CarePro, Bupa Care Kid Hospitalisation Pre-admission hotline： 2517 5328
Visit Bupa Active to check the status of your claims (Applicable to Bupa health insurance member only)
Registered member
- Please select "member login" , then enter your login ID and password
- Move the cursor to "claims",click on "claims status" to check the claims record for the past 6 months or click on the "shortfall" to check the outstanding shortfall amount or shortfall history
- If you want to check the claims record for periods earlier than the past 6 months, individual member please call 2517 5333 and group member please call 2517 5388; or contact us by email
Non-registered individual member
If you have chosen to use the e-statement service on your Application Form, we will invite you to register by e-mail after your first claim. You are also welcome to visit Bupa Active anytime for free registration as a user.
Non-registered group member
Please visit Bupa Active anytime for free registration as a user.
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Get quote and download
brochure here |
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Individual scheme:
2517 5333 |
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Bupa Gold scheme:
2517 5383 |
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Group scheme:
2517 5388 |
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Bupa CarePro, Bupa Care Kid Hospitalisation Pre-admission hotline:
2517 5328 |
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0900-1800, Mon-Fri |
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Request call back |
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