Service Header
Individual Claim E Self-Service and Form Library
Form Menu
- HK-CL-ICLA02Hospitalization Claim Form
- HK-CL-CLA21MasterCare Medical Plan Direct Billing Pre-approval Form
- HK-CL-ICLA25Hospitalization Direct Billing Pre-Approval Form (Applicable For Non Mastercare Medical Plan)
- HK-CL-CLA26Application Form For VHIS Claimable Amount Estimate
- HK-CL-ICLA32Icare Medical Insurance Plan/Health Guard Hospital Care Benefit Plan -Application Form For Claimable Amount Estimate
- HK-CL-ICLA01Death Claim Form
- HK-CL-ICLA03Accident Claim Form
- FPR_latestCritical Illness Claim Form Part I
- HK-CL-ICLA05Critical Illness Claim Form Part II - Cancer
- HK-CL-ICLA06Critical Illness Claim Form Part II - Stroke
- HK-CL-ICLA07Critical Illness Claim Form Part II – Heart Attack/ Coronary Artery Disease Requiring Surgery / Angioplasty
- HK-CL-ICLA08Critical Illness Claim Form Part II - Heart Valve Replacement
- HK-CL-ICLA09Critical Illness Claim Form Part II - Others
- HK-CL-ICLA27Critical Illness Claim Form Part II – Brain Damage
- HK-CL-ICLA28Critical Illness Claim Form Part II – Carcinoma-In-Situ Or Early Malignancies
- HK-CL-ICLA29Critical Illness Claim Form Part II – Benign Brain Tumour
- HK-CL-ICLA30Critical Illness Claim Form Part II – Autism
- HK-CL-ICLA31Critical Illness Claim Form Part II – Kawasaki Disease
- HK-CL-ICLA33Critical Illness Claim Form Part II - Diabetes
- HK-CL-ICLA34Critical Illness Claim Form Part II - Hyperlipidaemia
- HK-CL-ICLA35Critical Illness Claim Form Part II - Hypertension
- HK-CL-ICLA36Critical Illness Claim Form Part II - Continuous Cancer Support Benefit
- HK-CL-ICLA11Terminal Illness Claim Form
- HK-CL-ICLA04Time Lady Insurance Claim Form
- HK-CL-ICLA10Individual Out-Patient Claim Form
- HK-CL-ICLA12Long Term Sick Leave Claim Form
- HK-CL-ICLA13Waiver of Premium / Payor Benefit Claim Form
- HK-CL-ICLA19LadyVital Female Protection Claim Form
- HK-CL-ICLA23Application for Share Happiness Reward
- PLDPolicy Lost Declaration
- HK-CL-ICLA22Beneficiary Withdraw Annuity Benefit Form
- Self-Certification-Form-CRS-IncSelf-Certification Form – Controlling Person (For Claims Use)
- Self-Certification-Form-CRS-IncSelf-Certification Form – Entity (For Claims Use)
- Self-Certification-Form-CRS-IncSelf-Certification Form – Individual (For Claims Use)
- HK-CL-ICLA18Claim Remittance Service Application Form
- HK-CL-ICLA24Claims Cross Border Remittance Service Application Form (Only Applicable For Greater Bay Area CGB’S Account Holder)
- HK-CS-FIN-08Special Payment Arrangement Request Form
Service Body