Medical Insurance

Care your health, the best tailor-made health insurance for you

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Claim Procedures
Claim Forms
Quotation

Please Select your ideal Medical Insurance

Winbloom Plus

Medical insurance can protect you and your family against illnesses

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Group Medical Insurance

As a caring employer, you may wish to provide medical benefits to your employees

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Service Pledge

Claims Processing Time:
Hospital Claims – within 12 working days
Outpatient Claims – within 5 working days

Response To Inquiry:
Hotline inquiry – within 1 working day
Email inquiry – within 1 working day

Designated hotline and email inquiry account for our customers.

Claim Procedures

  1. Attach the Original receipt(s) issued by the doctor or certified true copy of receipt(s) issued by other insurers (if applicable). Each receipt MUST state the following information:
    • Full name of patient
    • Date of consultation / Date of treatment
    • Diagnosis
    • Breakdown of charges
    • Doctor’s signature and official stamp
    • Name of Clinic / Laboratory / Hospital
  2. For outpatient visits in public hospital/clinic, please attach the original receipts together with a copy of medical certificate / sick leave certificate with specified diagnosis or discharge summary. If no diagnosis is provided by the doctor, the Claimant (Patient) is required to supplement the exact diagnosis (e.g. Hypertension) on the abovementioned documents and confirm with a signatory.
  3. For Laboratory Test, Specialist Consultation, Physiotherapy / Chiropractor and Prescribed Medicines claims, the Attending Physician’s recommendation must be attached unless it is waived.
  4. For Chinese Herbalist claims, the following documents must be submitted:
    • original receipt
    • prescription
  5. Complete and sign Out-patient Claim Form.
  6. Provide copy of claim settlement advice from other insurers, if applicable.
  7. Original itemized bills, receipts and relevant documents with completed Out-patient Claim Form must be submitted within 90 days of incurring such expenses.
  8. Please tick the appropriate box if certified true copy of receipt is required. Falcon Insurance Company (Hong Kong) Limited will retain the original receipt for record purpose.

  1. Attach the Original receipt(s) issued by the doctor and / or hospital or certified true copy of receipt(s) issued by other insurers (if applicable). Each receipt MUST state the following information:

    • Full name of patient
    • Date of treatment
    • Diagnosis
    • Breakdown of charges
    • Doctor’s signature and official stamp
    • Name of surgery (if applicable)
    • Name of Hospital or Clinic
  2. Please attach copies of hospital discharge summary, laboratory test report(s), pathology report, physician’s statement and any other related information. All information required by us shall be furnished at the Claimant (Patient)’s own expense.
  3. Complete and sign Hospitalization & Surgical Claim Form
  4. Provide copy of claim settlement advice from other insurers, if applicable.
  5. Original itemized bills, receipts and relevant documents with completed Hospitalization & Surgical Claim Form must be submitted within 90 days from the date of discharge from hospital.
  6. Please tick the appropriate box if certified true copy of receipt is required. Falcon Insurance Company (Hong Kong) Limited will retain the original receipt for record purpose.
    1. Attach the original receipt(s) issued by the dentist or certified true copy of receipt(s) issued by other insurers (if applicable). Each receipt MUST state the following information:
      • Full name of patient
      • Date of treatment
      • Breakdown of charges
      • Dentist’s signature and official stamp
      • Dental service rendered
      • Name of Clinic / Hospital
    2. Complete and sign Dental Claim Form.
    3. Provide copy of claim settlement advice from other insurers, if applicable.
    4. Original itemized bills, receipts and relevant documents with completed. Dental Claim Form must be submitted within 90 days of incurring such expenses.
    5. Please tick the appropriate box if certified true copy of receipt is required. Falcon Insurance Company (Hong Kong) Limited will retain the original receipt for record purpose.

Download Claim Form

Outpatient Claim Form
Hospitalization & Surgical Claim Form
Dental Claim Form

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Quotation

We are always ready to provide quality services to you. If you are interested in our product, please feel free to contact us at:
Hotline: (852) 2232 2777
Fax: (852) 3909 4208
Email: [email protected]
Or please simply leave your contact and we will serve you with professional advice.