Bowtie 保險申請索償程序

Over 90% Customer Satisfaction

Claims Handled:
70,000+
VHIS Claims Approval Rate1
98%
Average Approval Time2
4.4 Working Days
90
%
醫療費用​​賠償率*
10
工作天
完成批核 (80% 個案)^
3
工作天
完成轉帳
1 The average successful claims approval rate across Bowtie’s VHIS "Standard," "Flexi Regular," "Flexi Plus," and "Bowtie Pink" as of December 2025
2 As of March 2024. The average approval time for Bowtie claims is 4.4 working days. Actual time may vary depending on case complexity, medical report waiting time, or other required documents.

Making a Claim Is Easier Than You Think

Follow these simple steps to complete your claim and get compensated from the comfort of your home.

自願醫保
索償程序
治療前
Initial assessment
Optional

Want to know how much you can claim before treatment or check-up?

Follow these easy steps to get an estimated claim amount, so you can plan your medical expenses better:
1
Download the Medical Cost Estimate Form and ask your doctor to fill it out
2
Log in to your Bowtie account and upload the form
3
Our Claims Team will follow up. You’ll usually get results within 4–6 working days
Note: The estimate depends on the info provided by the doctor and is not the final claim amount.
治療後
Prepare Documents

What documents do you need?

After treatment, ask your medical provider to fill out and provide the original versions of the following:
1 Claim Application Form (filled in by the doctor before discharge)

We’ll review your claim based on the Claim Application Form filled out by your doctor before discharge. Download the Hospital Claim Application Form。
‍

2 Medical Receipts

Your medical receipts are used to calculate your reimbursement amount.
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3 Medical Reports (if any)

Medical reports help us better understand and assess your claim. These may include:

  • Surgical Reports (e.g. colonoscopy, gastroscopy)
  • Lab Test Reports (e.g. blood tests, urine samples, pathology)
  • Scans (e.g. MRI, PET-CT)
  • Imaging Reports (e.g. angiography, ultrasound, ECG, X-rays)
4 Other Documents

If there are any additional documents related to your hospitalization or treatment, please provide them to help us better assess your case. For example:

  • Reimbursement estimate or claim breakdown from other insurance companies (if you’re also claiming elsewhere)
  • Referral letter from your attending doctor
Even if your check-up shows nothing serious, you can still claim the cost.
If your doctor recommends a diagnostic imaging test* and the results show no issues, you can still claim by submitting the required documents online.

*Includes: CT scan, MRI scan, PET scan, PET-CT, PET-MRI
Apply Online

How to apply online?

You can submit your claim anytime, anywhere.
1
Log in to your Bowtie account to start your claim.
2
Answer a few questions about your illness or injury.
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3
Provide your bank account details.
‍
4
Upload the required documents.
Wait for Approval

How long does it take?

Processing time varies based on case complexity, but we’ll handle it as quickly as possible. As of March 2024 (for reference):
7
working day
94% of cases processed
You’ll be notified of the result by email.
You can also log in to check your claim status anytime.
Get Reimbursed

How long until you receive the payment?

After approval, the payment will be transferred to your bank account within:
3
3 working days
No need to mail receipts or go to the bank — everything is handled online.

No deposit at admission, no payment at discharge

Cashless Service Available at All Private Hospitals
If you're admitted to a private hospital, you can apply for Cashless Service to ease your financial burden. Just focus on getting better.
1
Download Form
Log in to the Bowtie platform and download the Pre-Approval Form. Ask your attending doctor to fill it in.
2
Apply for Pre-Approval
Upload the completed form on the Bowtie platform. Results take at least 5 working days. We may request extra documents if needed.
3
Admit to Hospital
At check-in, tell the hospital you have pre-approval. Show your ID, Bowtie’s approval letter, and the hospital’s admission note.
4
Discharge Without Payment
Bowtie will pay the approved medical fees directly to the hospital.
Cashless Day Surgery Service at Designated Medical Networks
The "Cashless Day Surgery Service" is only applicable to designated day surgeries and procedures (including gastroscopy, colonoscopy, and wart removal surgery) performed at designated medical networks. The service process is as follows:
1
Feeling unwell/ holding a doctor's referral letter
Log in to the Bowtie online platform to check the "Day Surgery Network List" and book an appointment with a designated doctor.
2
Doctor Consultation
Present your Bowtie policy page at the clinic.
3
Pre-Approval Service
After the doctor confirms that you need a designated day surgery or procedure, the clinic will apply for "Pre-Approval Service" on your behalf with Bowtie.
4
Confirmation
Once Bowtie receives the application, you will receive a confirmation notification via SMS and email.
5
Approval Result
Within approximately 5 working days (depending on case complexity), a Bowtie claims specialist will call you directly to inform you of the approval result.
6
Complete Treatment
After successful approval, attend your appointment at the clinic to complete treatment and enjoy cashless service.
7
Submit Claim
If any expenses arise during treatment that were not pre-approved, you will need to pay first, then upload the relevant receipts to the Bowtie online platform to submit a claim.
*The "Cashless Day Surgery Service" is only applicable to designated day surgery networks and designated day surgeries and procedures, and must be pre-approved by Bowtie.Network clinics may submit pre-approval applications to Bowtie on behalf of the insured for designated day surgeries and procedures. The insured must pay the network clinic directly for all expenses not pre-approved by Bowtie. For details on the terms and conditions of the service, please refer to the relevant service application form.Bowtie reserves the right to review and revise the "Designated Day Surgery Network List" from time to time without prior notice. Before receiving medical services, we recommend that you log in to the Bowtie online platform to check the latest list.
Download Form:
Pre-Approval Form

Service Guidelines

Important Notes:
  • Cashless service applies to all Bowtie products (except Cancer Fighter) and all private hospitals and affiliated day surgery centers — not clinics.
  • It’s only available for non-emergency treatments, surgeries, or hospital stays.
  • Not applicable for emergency admissions.
  • Room upgrades are not covered.
  • Personal expenses like companion fees, newspapers, TV, phone, meals, etc., must be paid by you unless pre-approved.
  • If the final medical expenses exceed the pre-approved compensation amount, you will need to pay the excess amount yourself upon discharge and keep the relevant receipts. After discharge, you can apply for a reimbursement of the out-of-pocket medical expenses through the Bowtie online platform, following the standard claims procedure.
Changing treatment plans
Terms & Conditions:
  • Cashless service is an administrative arrangement, not part of your policy coverage. Bowtie may cancel it at any time without notice.
  • It does not apply to non-covered treatments or stays.
  • The actual pre-approval notice date depends on how quickly all documents are submitted.
  • Approval does not guarantee payment. Final decision depends on bills, policy terms, and exclusions. If any costs are not covered or exceed limits, you must pay them.
  • Cashless service is provided by a third-party provider. Bowtie does not guarantee or take responsibility for the quality of the service or any legal liabilities from it.
有疑問?請致電 3008 8123,Bowtie 索償團隊幫會全力​​協助。
Life Insurance
Have questions? Call 3001 5670.
Our Bowtie Claims Team is here to help.
Prepare Documents

What documents are needed?

A family member or beneficiary can collect the following documents:
1  If the death occurred in Hong Kong
  • Original Death Certificate
  • Copy of the Cancelled HKID of the insured (the Immigration Department cancels it when issuing the death certificate)
  • Copy of the Beneficiary’s HKID
  • Proof of relationship between the beneficiary and the insured (e.g. birth certificate or marriage certificate)
  • Relevant medical documents issued by the hospital/doctor (if any)
  • Authorization letter signed by the beneficiary to request medical reports from the hospital/doctor (if applicable)
  • Authorization letter from the beneficiary if a third party is handling the claim (if applicable)
2 If the death occurred outside Hong Kong – In addition to the documents above, you will also need:
  • "Proof of HKID Cancellation" issued by the Hong Kong Immigration Department
  • Proof of household deregistration (if the insured was a Mainland China resident)
  • Original Death Notarization Certificate (if the death occurred in China) / Official death registration certificate from the respective country
Apply Online

How to apply online?

You can apply through the No Login Claim page or call 3001 5670。
Get Reimbursed

How long until payment is received?

Once the claim is approved, the payout will be transferred to your designated bank account within:
3
working days
(We’ll notify you by email / SMS / phone once the payment is made.)
We understand that difficult times call for timely help.Our Claims Team will process the payment quickly to support your financial needs.
有疑問?請致電 3008 8123,Bowtie 索償團隊幫會全力​​協助。
Critical Illness Insurance
Have questions? Call 3001 5670.
Our Bowtie Claims Team is ready to help.
Prepare Documents

What documents do you need?

Before discharge, ask your medical provider to fill in and give you the original copies of the following:
1 Claim Application Form (filled in by the doctor before discharge)

If you've been diagnosed with another serious illness not listed , or are applying for a claim under the Children's Growth Term CI, please contact our claims specialist at 3001 5670 or claim@bowtie.com.hk to obtain the claim forms.

2 Medical Reports (if any)

These help us better assess your claim. They may include:

  • Surgical Reports (e.g. colonoscopy, gastroscopy)
  • Lab Test Reports (e.g. blood tests, urine samples, pathology reports)
  • Scans (e.g. MRI, PET-CT)
  • Imaging Reports (e.g. angiogram, ultrasound, ECG, X-ray)
Apply Online

How to apply online?

You can apply anytime, anywhere:
1
Log in to your Bowtie account to start the claim
2
Answer a few medical-related questions
3
Provide your bank details
‍
4
Upload the required documents
Get Reimbursed

When will you receive the money?

Once approved, the payout will be transferred to your bank account within:
3
3 working days
No need to mail receipts or go to the bank — the money will be transferred directly to your account.
有疑問?請致電 3008 8123,Bowtie 索償團隊幫會全力​​協助。

Required Documents & Form Downloads

Voluntary Health Insurance / Touchwood Plan / Cancer Fighter / Group Medical Insurance
  • Medical Claim Form
  • Original hospital/clinic receipts
  • Surgical/pathology reports (if any)
  • Claim breakdown from other insurers (if any)
  • Referral letter from the attending doctor (if any)
Life Insurance

Documents Required – Death in Hong Kong:

  • Original Death Certificate
  • Copy of the cancelled HKID of the insured (Immigration Department cancels it when processing the death certificate)
  • Copy of the beneficiary's HKID
  • Proof of relationship between beneficiary and insured (e.g. birth or marriage certificate)
  • Medical documents issued by the hospital/doctor (if any)
  • Authorization form signed by the beneficiary to request the insured's medical records (if applicable)
  • Authorization form if a third party is handling the claim (if applicable)

Additional Documents – Death outside Hong Kong:

  • HKID cancellation certificate issued by Hong Kong Immigration
  • Proof of household deregistration (if the insured was a Mainland China citizen)
  • Original death notarization (if death occurred in China) / Official death registration from the relevant country

FAQ

Can a family member or policyholder submit a claim on behalf of the insured?

Yes. A family member or the policyholder can download the Pre-Approval Form, ask the doctor to complete it, and email it to claim@bowtie.com.hk to apply.

If the insured is underage or unable to sign due to an accident, a family member or legal guardian may sign and submit the application on their behalf.

When might pre-approval be declined?

Bowtie has the right to reject your application if any of the following applies (including but not limited to):

  • The treatment or surgery is not medically necessary
  • The doctor’s charges exceed reasonable and customary levels
  • The reason for the claim falls under policy exclusions
  • The pre-approval form is incomplete
  • Insufficient hospital admission information
  • The case involves emergency admission
How do I check my application status?
  • Log in to your Bowtie online account
  • Select the policy you used to apply
  • Click "Claims"
  • Go to "Claim/Pre-Approval Records"
  • Select the application you want to track to view the status
  • ‍

    What should I do when getting admitted to the hospital?

    Before admission, make sure your pre-approval has been confirmed. You can check the status on the Bowtie online platform using the steps above.

    At check-in, present your ID for verification and inform the hospital that you have received pre-approval.

    Will I need to pay anything at discharge?

    It depends on the services you receive during your stay. If your medical expenses exceed the approved amount, the hospital may charge you the difference. You can submit another claim to Bowtie for this eligible extra amount. However, if the final bill includes costs not covered by your plan, or if it exceeds coverage limits, you will need to pay those yourself. Bowtie will not cover any non-eligible expenses.

    When should I ask the doctor to complete the “Medical Cost Estimate Form”?

    If you'd like a preliminary estimate of your claim amount, ask your doctor to fill out the Medical Cost Estimate Form when they recommend a check-up or surgery.

    How do I gather all the required medical reports?

    Before discharge, simply ask the hospital nurse to help collect all the necessary medical reports.

    Can I claim for a general outpatient visit or a BowtieGo consultation (e.g. cold or flu)?

    No. Voluntary Health Insurance (VHIS) only covers:

    • Hospitalization
    • Surgeries
    • Pre- and post-hospital outpatient care
    • Day surgery follow-ups
    • Emergency outpatient treatment due to an accident
    • Outpatient kidney dialysis
    • Prescribed diagnostic imaging

    General outpatient visits for things like a cold or flu are not covered.

    ‍

    What if I lost my original receipts?

    Usually, you must submit original receipts for your claim.If lost, you can request a certified true copy from the hospital or doctor. Upload this copy along with an explanation for the lost receipt via the Bowtie online platform for special approval.

    Is it really possible to complete the claim just by uploading documents and answering a few questions?

    Yes. To simplify the process, you only need to follow a few easy steps and provide basic information. If additional documents or original receipts are needed, we’ll notify you by email.
    You can always check your claim status on the Bowtie online platform.

    ‍

    How can I check my claim status?
    1. Log in to your Bowtie account
    2. Go to the Claims Homepage
    3. View your latest claim records or select "Claim/Pre-Approval History" to check past claims
    My employer provides group medical insurance, and I also have a Bowtie policy. What should I do when claiming?

    After completing your group insurance claim, upload the returned original receipt (or certified copy), medical report, and the payout summary from the other insurer to the Bowtie platform. We’ll handle the rest.

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    I have policies from two insurance companies. Which one should I claim from first?

    You may choose to claim from either insurer first. If claiming from both, submit the claim form and original receipts (or certified copies) along with the first insurer’s payout summary to the second insurer for processing.

    What if I have more than one Bowtie medical policy?

    If you have multiple Bowtie policies, just apply once online. Make sure to upload all required documents. Our Claims Team will handle payouts under each policy accordingly.

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    Can I claim for outpatient care after discharge?

    Yes. You can claim up to 3 post-discharge or post-day-surgery outpatient visits, including:

    • Consultations
    • Prescribed Western medicine
    • Wound care
    • Physiotherapy
    • Occupational therapy
    • Speech therapy
    • Diagnostic tests

    ‍

    Where is medication given at discharge claimed under?

    Medication prescribed for use within 4 weeks after discharge or day surgery is considered Miscellaneous Expenses and is covered under that category.

    Is there a time limit for seeking emergency treatment after an accident?

    Yes. You must visit the hospital outpatient department or emergency room within 24 hours after the accident to qualify under the Accident Emergency Outpatient benefit.

    If the doctor recommends admission to a rehabilitation center after discharge, is it covered?

    Yes. You may claim eligible rehab center expenses under the Rehabilitation benefit, but:
    The center must be in Hong Kong / The reason for rehab must be directly related to the original hospitalization (including complications)

    ‍

    How long does it take to receive a payout from a life insurance claim?

    The processing time depends on the individual case.

    • Simple cases: If the insured meets the claim conditions and all required documents are submitted, the claim is usually approved within 1 month, and the payout is directly transferred to the beneficiary’s bank account.
    • Cases requiring extra documents: If Bowtie needs to collect medical records from a hospital/clinic for assessment, the process may take longer due to varying response times from those institutions.

    Steps for cases requiring medical documents:

    • Bowtie requests the insured’s medical records from the hospital/clinic
    • The hospital/clinic responds based on their own procedures
    • Processing time depends on how quickly they reply
    Is there a time limit to submit a life insurance claim?

    No, Bowtie does not set a time limit for submitting life insurance claims.

    When might extra documents be required?

    Extra documents are needed when Bowtie’s claims team needs more information to fully assess the case.

    Example case:
    Mr. Chan buys a Bowtie life policy. One week later, he passes away due to cancer. During the underwriting process, he had declared no symptoms and no serious illness. In this case, the claims team would investigate further and request past medical records. If it turns out he did not disclose existing health conditions, the policy may be cancelled, and the claim could be rejected.

    Is the claim process different if the insured passed away outside Hong Kong?

    The claim process is mostly the same, but additional documents may be required:

    • “HKID Cancellation Certificate” from the Hong Kong Immigration Department
    • Household deregistration proof (if the insured was a Mainland China resident)
    • Original notarized death certificate (if death occurred in China) or official death certificate from the respective country
    How can beneficiaries ensure they receive the payout if the insured passes away?

    The insured should keep a record of their policy details and inform the beneficiary. This includes: Policy terms / Coverage amount, Policy number/account

    The insured should also share Bowtie’s contact details with the beneficiary (phone/email) so the claim can be followed up smoothly.

    Can the payout be made in a different currency?

    No, Bowtie only pays in Hong Kong Dollars (HKD).

    Can someone else help with the claim process?

    Yes. The beneficiary or an authorized family member can file the claim.

    Can a beneficiary living overseas still make a claim?

    Yes. As long as all required documents are prepared, the claim can be submitted by calling +852 3001 5670 or emailing claim@bowtie.com.hk.

    What happens if the insured and beneficiary pass away at the same time?

    If both pass away together, the claim will be processed assuming the older person passed away first. The death benefit becomes part of the estate of the insured or beneficiary, and Bowtie will pay the amount to the estate administrator or executor. They must first obtain Letters of Administration or Probate before making a claim.

    What if the beneficiary dies before the insured, or if no beneficiary is listed?

    The death benefit becomes part of the insured’s estate.

    If no will is in place, the claimant must apply for Letters of Administration

    If a will exists, the executor must apply for Probate to submit the claim

    If the insured is seriously ill, can someone else help with the claim?

    Yes. An authorized family member can handle the claim application on behalf of the insured.

    Can I still make a claim from overseas?

    Yes. As long as you have all the required documents, you can submit a claim by calling +852 3001 5670 or emailing claim@bowtie.com.hk.