• Bookmark and Share

Submit your claim online

Submit your insurance claim online by completing the form below. This service is only available to Bupa Global members with a health insurance policy. Please remember to:

  • upload information of diagnosis if possible
  • keep your original bills and receipts until your claims have been processed

You can attach as many itemised bills as you need to so there is no need to fill out the online claim form for each bill. Please also remember to include receipts and any other relevant documentation such as medical reports. Once the claim has been submitted, you will receive an email as proof of submission.

If you have any questions, please visit the FAQ or contact us by email or phone (+45 70 23 00 42).

Personal information


Policy number *
Date of birth *
First name(s) *
Last name *
Email *

(Confirmation will be sent to this email address)
                   

Health information


Diagnoses *

   

Insurance information


Do you have a health, travel or accident insurance with another insurance provider? *
 

     

Payment information


How would you like your claim to be paid? *
 



                                 

Attach documents


Attach your bills and related documents one at a time. Click on "Browse", choose the file in the new window and click on "attach". Repeat this for each document you want to attach.
Please make sure that all attachments are legible and not in a secured format.
Attach documents *
(pdf, jpg, tiff, max 10 Mb per file)
All files size0.00 MB
 

Other information


Comments

 

Terms and conditions


 
 *