1Applicable to individual accident, hospitalisation and group medical claims.
2Applicable to individual accident and hospitalisation e-claim clean cases via FPS for payments up to HK$ 100,000.
1This report only calculates the individual insurance claim cases received and settled in 2023, including death, critical illness, medical and personal accident claims applications.
2Applicable to clean claim case, which means all required documents and information are provided for consideration of claims decision.
Please keep all original copies of any documents for three months (even after you’ve been paid). This is because occasionally we need to see these to either verify a claim or as part of our own internal auditing and checks.
We will assess your medical claims based on the principles of “Reasonable and Customary” charges and “Medical Necessary.” Please click here to understand the detailed definitions of “Reasonable and Customary” charges and “Medical Necessary.”
We hope you won't need it but for easy reference, our complaints procedure is here.