Critical illness

I want to claim 

After selected the option, you may refer to the following part for claim document checklist.

You may submit the claim application to our AIA financial planner / your broker / independent financial adviser or send it to us at the following address:
 
  • HK:
    AIA Wealth Select Centre, 12/F, AIA Tower, 183 Electric Road, North Point, Hong Kong
  • Macau:
    Unit 201, 2F, AIA Tower, Nos. 251A-301, Avenida Comercial de Macau, Macau

Claim Tips

Register FPS or e-Bankin via AIA Connect for receiving claims payment directly

  • If you submit the claim application through AIA financial planner / your broker / independent financial adviser, you will receive a notification from the respective channel.
  • If you submit the claim application to us directly, you will receive a notification from us.

Claim Document Checklist

Required Claim Document Severity Factor - Surgery
VHIS major / complex surgery Major organ transplant / on waiting list of major organ transplant
Critical Illness & Severity-based Health Protection Claim Form Part I
Confidential Medical Certificate: Severity-based Health Protection 
Surgery report
Government-regulated official organ transplant waiting list  
Medical reports supporting organ transplantation  
ID card copy

Downloadable form

Please refer to policy provision or Voluntary Health Insurance Scheme (VHIS) website for surgery class.

Required document
A valid ID card copy is required if this has not been submitted previously

We may ask for other documents on a case by case basis.

Note: Apart from claim form, you may submit other supporting documents in copies.

Claim Document Checklist

Required Claim Document Severity Factor - Treatments
Cancer / Carcinoma-in-situ Cancer focused treatment Heart attack Stroke Failure treatment 10 consecutive days or more of hospital confinement
Critical Illness & Severity-based Health Protection Claim Form Part I
Confidential Medical Certificate: Severity-based Health Protection
Histopathological report          
Treatment proof          
PET report 1
(if any)		          
CT / MRI report 2
(if any)		        
Proof of neurological deficit 3          
Electrocardiogram          
Blood test report (test item: cardiac enzymes / troponin)          
Functional test report (and proof of treatment) 4          
Hospital bill / receipt          
Proof of diagnosis          
ID card copy

Downloadable form
Required document
  1. PET refers to positron emission tomography
  2. CT refers to computed tomography and MRI refers to magnetic resonance imaging
  3. Examples: attending physician's assessment, test, investigation and physiotherapy progress report/record
  4. For heart failure: blood test report, chest x-ray report, electrocardiography (ECG), echocardiogram, treadmill report and cardiac nuclear medicine report
    For liver failure: proof of permanent jaundice, ascites and hepatic encephalpathy
    For kidney failure: renal function test report and proof of peritoneal dialysis / haemodialysis or renal transplantation
    For lung function failure: forced expiratory volume (FEV) 1 test report, arterial blood gas analysis report and oxygen therapy recordFor heart failure: blood test report, chest x-ray report, electrocardiography (ECG), echocardiogram, echocardiography, treadmill report and cardiac nuclear medicine report
A valid ID card copy is required if this has not been submitted previously

We may ask for other documents on a case by case basis.

Note: Apart from claim form, you may submit other supporting documents in copies.

Claim Document Checklist

Required Claim Document Severity Factor - Intensive Hospital Stay
3 consecutive days or more in Intensive Care Unit (ICU) Hospitalisation and coma for 96 consecutive hours or more
Critical Illness & Severity-based Health Protection Claim Form Part I
Confidential Medical Certificate: Severity-based Health Protection
Hospital bill / receipt  
Proof of diagnosis
Proof of neurological deficit   
ID card copy

Downloadable form
Required document
Examples: attending physician's assessment, test, investigation and physiotherapy progress report/record
A valid ID card copy is required if this has not been submitted previously.

We may ask for other documents on a case by case basis.

Note: Apart from claim form, you may submit other supporting documents in copies.

Claim Document Checklist

Required Claim Document Severity Factor - Disability
Loss of sight of eye(s) Loss of hearing of ear(s) Loss of limb(s) Permanent inability to perform activities of daily living
Critical Illness & Severity-based Health Protection Claim Form Part I
Confidential Medical Certificate: Severity-based Health Protection
Proof of diagnosis
Visual acuity test report      
Audiometric and sound-threshold test report      
Surgery report of amputation      
Medical investigation report      
Treatment record      
ID card copy

Downloadable form
Required document
A valid ID card copy is required if this has not been submitted previously.

We may ask for other documents on a case by case basis.

Note: Apart from claim form, you may submit other supporting documents in copies.

Claims FAQ

Answers to frequently asked questions

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Recommendation Prompt

Claims Glossary

Definitions of commonly used claims terms

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Recommendation Prompt

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