(Global Elite Health Plan / Executive Health Medical Plan)

1

Download and complete the claim form(s)

2

Prepare all the supporting document(s)

3

Submit claim form(s) with all supporting document(s) within 90 days from the date of consultation/treatment

4

Upon receipt of all required documents, we will process your claim within 7 working days

5

Settlement letter and/ or email will be issued to you after approval

CLAIMS FORM(S)
SUPPORTING DOCUMENT(S) CHECKLIST

Please keep the original receipt(s) and other claim documentation for 6 months from the claim completion date. AXA reserves the right to request additional information/documentation to support each claim.

  1. Completed Inpatient Claim Form(s) with all details filled out by you and your attending doctor
  2. Original payment receipt(s), including Itemized bills and receipts with cost breakdown shown
  3. Diagnostic test results report
  4. Prescription upon discharge
  5. Hospital discharge summary
  6. Medical reports associated with the existing condition (if applicable)

CLAIMS SUBMISSION

  1. By post: Mail the completed form(s) with all supporting document(s) to the mailing address listed on the form
  2. Through Financial consultant: Submit the completed form(s) and supporting document(s) to your financial consultant for assistance
  3. By email*: Send the completed form(s) with all supporting document(s) to acr.hk@europ-assistance.com.hk
  4. By fax*: Fax the completed form(s) with all supporting document(s) to Global Elite Customer Service Team at (852) 3529 1638

Contact Information

Telephone: (852) 2863 5708

Email: acr.hk@europ-assistance.com.hk

Remarks:

*For medical expense claims, please submit the claim form(s) and original receipt(s) to us in hardcopy.

If you disagree with our claim decision, you may submit an appeal to us within 90 days from the notice date of our Claim Settlement Advice or Notification of Claim Decision. Click here for details.