Cashless Arrangement Service

Cashless Arrangement Service¹ ² ³

Once the cashless arrangement is approved prior to your hospital admission or day case surgery, all eligible medical expenses incurred during your hospital stay or day case surgery will be settled on your behalf - allowing you to focus on recovery without having to worry about making claims upon discharge or performed day case surgery.

Designated client should be insured under any of the following plans:

Step 1:  Contact us5

  • Call HMG 24-hour hotline at (852) 3002 0816 or China toll free hotline 400 616 0151 and provide the required information:

             o   Your personal information for identification

             o   Your policy number and mobile number

             o   Your preferred network hospital or specialist (if any)

  •  HMG will inform you the turnaround time of booking and arrange the appointment

Step 2: : Get pre-approval

a. Cashless Services for Designated Day Case Surgery

Complete and email the “Pre-Authorization Application Form - For Day Surgery” to  sunlife_pa@hmg.com.hk

b. Cashless Hospitalization Services

Complete and email the “Pre-Authorization Application Form” to  sunlife_pa@hmg.com.hk

Step 3: Admission to the hospital or clinic

Present your personal identification document upon admission to the hospital or clinic.

Step 4: Discharge

In general, you are not required to pay any extra if the cost is within the approved credit amount. And there is no need to file a claim upon discharge or the day case surgery.

Should your medical bill contain any deposits, expenses or services that are not approved nor mentioned in your Letter of Guarantee, you may need to settle the deductible or shortfall upon discharge before making a subsequent claim.

 

  1. The Value-added Services are provided by HealthMutual Group Limited ("HMG"). The Value-added Services do not form part of the contractual benefits of the insurance policy issued by Sun Life Hong Kong Limited ("Sun Life HK"). Sun Life HK is not the service provider of any of the Value-added Services and we do not guarantee the end results of your use of the Value-added Services. We make no representation, warranty or undertaking as to the quality and availability of the Value-added Services and shall not be responsible for any act, negligence or failure to act on the part of HMG. Sun Life HK will not be liable for any loss or damage, costs or other expenses whatsoever and howsoever, directly or indirectly, caused by, arising from or in connection with the Value-added Services provided by HMG (no matter what and how such loss or damage is caused). 
  2. The insured is entitled for the cashless hospitalization and cashless day case surgery after 180 calendar days’ waiting period from the Policy effective date or the date of reinstatement, whichever is the later. You may be required to settle the deductible and/or shortfall in your medical bill (if any).
  3. This service is subject to approval, and such approval is subject to the relevant terms and conditions and the acceptance of the Letter of Guarantee (“LoG”) by the designated hospitals. The giving of the LoG or subsequent LoG from Sun Life HK or our designated medical service providers shall not be deemed as admission of our liability to pay and/or reimburse the policy owner under the policy or a waiver of any breach of the terms and conditions of the policy.
  4. We facilitate the cashless arrangement of hospital deposit fees for maximum amount of RMB40,000 only, and all other hospitalization fees and the deposit fee shall be settled by the insured with the hospital upon discharge.
  5. Cashless arrangement application form must be sent to HMG at least 4 days prior to the hospitalization or date of surgery.

These services are subject to terms and conditions. For details, please refer to the services leaflet.

Download services leaflet

Download List of Network Hospitals with Cashless arrangement

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