Medical claims

The pre-authorisation medical expenses direct billing service makes it easy for you to plan medical expenses and enjoy direct billing medical treatment at our medical network

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    Step 1: Make an appointment for network doctor and register a “H2P” number

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    Step 2: Register for consultation

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    Step 3: Arrange medical expenses direct billing service

Simple

Log onto your myPrudential account to submit a claim online in simple steps

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    Step 1: Log onto your myPrudential

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    Step 2: Input Information and Upload Supporting Documents

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    Step 3: Preview Details

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    Step 4: Complete Submission

Video guides Detailed guides

Your financial consultant can help hand in your form and manage the process, so you don't have to follow up yourself

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    Step 1: Send claim form and relevant documents to your financial consultant and they will manage the claims for you;

Detailed guides

You may also mail the completed form and related documents directly to us

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    Step 1: Our mailing address

    P.O. Box No. 28058, Gloucester Road Post Office, Hong Kong

Detailed guides

Help and Support

You may contact your financial consultant

Our Claims Promise

A Prudential policy protects you and your family during life’s difficult moments. We pay your claim as quickly as possible and with compassion and care. We make it simple and easy, and only ask for necessary information.

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Frequently asked questions

Got a question?  Check our FAQs below or get in touch with us for assistance

How do I fill in my claim form?

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.

Sample hospital claim form

Sample SmartAppoint service claim form

 

Can I get them back?

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.

 

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.

General submission instructions and overseas hospitalisation

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.

 

Individual Life Claims Report

Individual Life Claims Report

Learn more details about the real claims stories and statistics in Prudential for better understanding the gap between your health and protection.

Learn more

I’ve already paid my bills and I want to be compensated for what I spent

Submit these documents within 90 days after discharge from the hospital or the date of treatment.

  • ID copy of life assured and policy owner

  • Original hospital bill(s), Discharge Summary and original medical receipt(s), with the following information clearly indicated:

    • Consultation date (for outpatient)

    • Admission date / discharge date (for inpatient)

    • Name of patient

    • Diagnosis

    • Breakdown of charges(for reimbursement only)

  • Copy of supporting document(s), e.g. laboratory / X-ray / CT scan / MRI / pathological report, etc. (please do not submit any film and specimen.)

  • Copy of settlement advice from another insurance provider, if any

  • Completed hospital claim form

For SmartAppoint service claims only

Along with the completed SmartAppoint service claim form, please also include these additional documents:

  • Proof on mental incapacity of policy owner by 2 medical practitioners (one should be from the policy owner’s attending doctor)

  • Identity Card of Designated Person

  • Relationship proof between the policy owner and Designated Person

Learn more about SmartAppoint service. 

Want to explore more?

Share your contact details and let our expert team guide you through the best options for your needs.

 

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