Critical Illness Insurance


Gender
Date of Birth
Have you ever used tobacco products?
Do you drink alcohol on a daily / weekly basis or been treated or advised in connection with your alcohol consumption?
Have you ever taken any habit forming drugs or been treated or advised in connection with the taking of drugs?
Do you have a regular doctor?
Occupation
Terms and Conditions
Key Features
Liberty Insurance
Bupa
Sunlife Financial
Monthly Premium (HK$) 357.88 680.00 706.67
Policy Term  5 years and guaranteed renewable up to age 79. Premiums are yearly renewable from age 66. 5 years and guaranteed renewable up to age 79. 1 year and guaranteed renewable up to age 100.
Number of Critical Illnesses Covered  40 49 51
Early Stage or Other Minor Illnesses Covered  NA 9 1 to 5 conditions depending on your age.
Other Benefits  Free Second Medical Opinion from world renowned specialists Free additional medical top-up: Buy a BUPA Hospital Insurance product and get up to HKD300k additional payment on for hospital bills. 90 days waiting period. See brochure for details. Includes a Major Medical Care Benefit that covers a wide range of medical costs related to critical illness or a long term care condition. 90 days waiting period. See brochure for details.
Product Brochure 
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First Name
Room / Flat
Floor
Block
Last Name
Name of Building / Estate
Street No.and Name
Identity / Passport No.
Contact No.
District
Postal Code
Country of Residence

Employer's Company Name
Employer's Address
Nature of Employer's Business

Name of Insurer
Sum Insured
Date of Issuance

Bank Account Number
English Name of Account Holder
ID No. of Account Holder