Application Form and Submission Guideline
Claims Forms and Submission Guideline
Life Claims
Application Form for Claimable Amount Estimate and Submission Guideline
Claimable Amount Estimate
Please select claims type








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Download and complete the application form of claimable amount estimate
Claimable Amount Estimate#
  • Application Form
Sample*
Download
*The above sample is for reference only. It does not guarantee any successful applications or constitute any contract or any part thereof between Prudential Hong Kong Limited and any other parties. Please contact your Financial Consultant or our Customer Service for assistance if you experience any difficulty during the completion of the application form for claimable amount estimate when necessary.

#Claimable Amount Estimate is applicable to VHIS products only
#Claimable Amount Estimate is applicable to VHIS products only
Important Note
  • Prudential Hong Kong Limited (“Prudential”) will provide the claimable amount estimates and estimated out-of-pocket expenses in accordance with all eligible Voluntary Health Insurance Scheme (VHIS) policies which cover the life assured. The claimable amount estimates remain estimate and do not constitute a liability to Prudential. Claims decision will depend on the submission of all supporting documents as required for claim assessment in accordance with the policy terms and conditions and benefit entitlement in the policy year. The final claimable amounts and out-of-pocket expenses will be subject to the actual bill amounts and breakdowns as stated in the invoices or receipts issued by the healthcare services provider.
  • The claimable amount estimate is subject to benefit reduction or limitation in relation to the regions where the eligible medical services are incurred (applicable for psychiatric treatments only) or the choice of higher ward class.
  • The claimable amount estimate is provided with reference to the Surgical Procedure Schedule and the Benefit Limit of the relevant policy(ies) only. ANY EXCLUSION and ANY CLAIMS YET TO BE APPROVED will not be taken into account for this estimation.
  • Receipt of this form by your Financial Consultant or your Broker does not constitute receipt by Prudential.
  • If you request your Financial Consultant to submit the application form for claimable amount estimate through askPRU, it means you have authorized your Financial Consultant to enter the relevant information for applying the claimable amount estimate. The claimable amount estimate is only based on the information entered into askPRU.
  • Prudential reserves the right to reject this form if it fails to fulfill Prudential’s relevant requirements.
  • Applicants are requested to submit the application within one year from the date of signing by the doctor and the date of stamp by the healthcare services provider, otherwise Prudential reserves the right to reject this form.
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Submit application form of the claimable amount estimate & relevant document(s)
Applicant can submit the form and the relevant document(s):
  • via Financial Consultant, or
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Turnaround Time for applying claimable amount estimate
The turnaround time upon we receive the application of claimable amount estimate:
  • Via Financial Consultant —
    Immediate**
or
  • by yourself: around 3 working days
**The consultant can get the estimation result immediately after the relevant information are input into the system
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Result / Status
We will send a SMS to customer as notification of result or status.

For more details on the claimable amount estimate, please check it through:
  • , or
  • your Financial Consultant
?
Please check FAQ or contact your Financial Consultant or our Customer Service if you have any question related to the VHIS.
Important Note
  • Prudential Hong Kong Limited (“Prudential”) will provide the claimable amount estimates and estimated out-of-pocket expenses in accordance with all eligible Voluntary Health Insurance Scheme (VHIS) policies which cover the life assured. The claimable amount estimates remain estimate and do not constitute a liability to Prudential. Claims decision will depend on the submission of all supporting documents as required for claim assessment in accordance with the policy terms and conditions and benefit entitlement in the policy year. The final claimable amounts and out-of-pocket expenses will be subject to the actual bill amounts and breakdowns as stated in the invoices or receipts issued by the healthcare services provider.
  • The claimable amount estimate is subject to benefit reduction or limitation in relation to the regions where the eligible medical services are incurred (applicable for psychiatric treatments only) or the choice of higher ward class.
  • The claimable amount estimate is provided with reference to the Surgical Procedure Schedule and the Benefit Limit of the relevant policy(ies) only. ANY EXCLUSION and ANY CLAIMS YET TO BE APPROVED will not be taken into account for this estimation.
  • Receipt of this form by your Financial Consultant or your Broker does not constitute receipt by Prudential.
  • If you request your Financial Consultant to submit the application form for claimable amount estimate through askPRU, it means you have authorized your Financial Consultant to enter the relevant information for applying the claimable amount estimate. The claimable amount estimate is only based on the information entered into askPRU.
  • Prudential reserves the right to reject this form if it fails to fulfill Prudential’s relevant requirements.
  • Applicants are requested to submit the application within one year from the date of signing by the doctor and the date of stamp by the healthcare services provider, otherwise Prudential reserves the right to reject this form.
?
Please check FAQ or contact your Financial Consultant or our Customer Service if you have any question related to the VHIS.