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Medical claims
Via Medical Network - Medical Expenses Direct Billing Service
Via eClaims
Via your financial consultant
Know what kind of medical claim you’re making?
Medical Network - Medical Expenses Direct Billing Service
Learn more about Medical Network - Medical Expenses Direct Billing Service
Hospital claims
Submit these documents within 90 days after discharge from the hospital or the date of treatment.
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ID copy of life assured and policy owner
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Original hospital bill(s), Discharge Summary and original medical receipt(s), with the following information clearly indicated:
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Consultation date (for outpatient)
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Admission date / discharge date (for inpatient)
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Name of patient
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Diagnosis
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Breakdown of charges(for reimbursement only)
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Copy of supporting document(s), e.g. laboratory / X-ray / CT scan / MRI / pathological report, etc. (please do not submit any film and specimen.)
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Copy of settlement advice from another insurance provider, if any
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Completed hospital claim form
For SmartAppoint service claims only
Along with the completed SmartAppoint service claim form, please also include these additional documents:
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Proof on mental incapacity of policy owner by 2 medical practitioners (one should be from the policy owner’s attending doctor)
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Identity Card of Designated Person
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Relationship proof between the policy owner and Designated Person
Learn more about SmartAppoint service.
Dental benefit claims & outpatient benefit claims
Submit these documents within 90 days after the date of treatment.
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ID copy of life assured and policy owner
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Original medical receipt(s), with the following information clearly indicated:
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Consultation date
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Name of patient
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Diagnosis
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Breakdown of charges
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Copy of supporting document(s), e.g. laboratory / X-ray / CT scan / MRI / pathological report, etc. (please do not submit any film and specimen.)
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Copy of settlement advice from another insurance provider, if any
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Completed claim form:
VHIS
Our turnaround time
Submit your completed claim amount estimate form and we will respond to you within 3 working days.
Other claims
Submission instructions
Via eClaim:
Log in to submit a claim.
Via your financial consultant:
Send claim form and relevant documents to your financial consultant and they will manage the claims for you.
Via Post:
Our mailing address
P.O. Box No. 28058, Gloucester Road Post Office, Hong Kong
Frequently asked questions
Help with claim forms
Need help with the forms? We’ve prepared some sample claim forms to assist you.
Sample forms
These samples are for reference only. They do not guarantee successful claims or constitute any contract or any part thereof between Prudential Hong Kong Limited and any other parties.
Original medical receipts
Yes, you can. Remember to complete the Request form for certified true copy of medical receipts and submit it along with your claim form and original medical receipt(s).
Please specify your preferred return delivery option and provide a valid correspondence address.
If you’re from mainland China, you can only request for the return if your medical receipt is issued by a hospital in mainland China. Do reach out to your financial consultant for more details.
Must a doctor complete part II of the claim form?
Yes, it is mandatory in order for us to assess your claim. Unfortunately, you bear the cost of consultation. We may waive part II if client can submit sufficient supporting document eg. discharge slip with final diagnosis for Hospital Authority admission.
Frequently asked questions about hospital claims
When should I make my hospital claim?
You're required to submit your claim to us within 90 days from your date of discharge.
Can I claim for my hospitalisation overseas?
Yes, just provide us will all the relevant documents along with your claim form. Only under special circumstances will your claim not be processed.