智采医疗-免现金住院服务申请表-富卫香港.PDFVIP

如何申請 「智采醫療 - 免現金住院服務」? How to apply for TheChoice Medical - Cashless Inpatient Facility? 智采醫療 -免現金住院服務– 簡易步驟 ( 適用於入住香港私家醫院) TheChoice Medical - Cashless Inpatient Facility – Simple Steps (applicable for admission to private hospitals in Hong Kong) 請填妥免現金住院服務申請表並於入住醫院前最少四個工作天提交給指定住院預先批核服務供應商 - 聯康醫療。 Please complete the Cashless Inpatient Facility Application Form and return to the pre-admission approval service provider, Union Concordia Medical Group (UCMG) at least 4 working days prior to 1 admission to private hospital in Hong Kong. 傳真號碼 Fax no. : (852) 2710-8289 (Mon-Fri: 09:00 - 18:00; Sat: 09:00 - 13:00) (852) 3010-0210 ( Non-office hours) 電郵地址 E-mail : inpatient@ 如果您的申請獲批，聯康醫療會以電話方式通知閣下有關住院安排的細節及提供「住院付款保證書」及「聯康 醫療確認書」以供入院之用。 2 If your application is approved , UCMG will inform you of the arrangement details by phone and will send you the In-Patient Credit Arranegment Authorization and UCMG confirmation. 入院後，您只需填寫住院/ 意外索賠表的甲部。醫院將安排您的主診醫生填寫住院/ 意外索賠表的乙部並提交給 我們。出院時，您或須繳付每年自付費或其餘額 (如有) 。 After admission, you only have to complete part I of the Hospitalisation / Accident Claim Fo rm. The 3 hospital will arrange for your attending physician to complete part II of the Hospitalisation / Accident Claim Form and submit to us. Upon discharge, you may have to pay the annual deductible or its balance (if any).