Coverage at a Glance

* Medical Expenses Benefit
* Overseas Hospital or Quarantine Cash Allowance Benefit
* Personal Accident Benefit
* Travel Interruption Benefit covering trip cancellation, curtailment and delay
* Rental Vehicle Excess Protection
* Exclusive Cruise Benefit

Plan Highlights

* Comprehensive Outbound Travel Alerts Extension covering Amber, Red, and Black Travel Alerts
* Rental Vehicle Excess Protection covering excess of claims for motor insurance
* Up to HK$1,200,000 for worldwide medical expenses and follow-up medical expenses within 90 days after returning to Hong Kong
* Upgraded Personal Accident benefit covering various types of permanent disablement without additional premium
* Trip Cancellation and Curtailment of Trip benefits including admission fees for major sports events, musicals, concerts, museums, and theme parks
* 24-hour Worldwide Emergency Aid services including unlimited coverage for emergency evacuation and repatriation
(such expenses will not be deducted from the benefit amount under Medical Expenses Benefit)
* Coverage for damage to/loss of home contents due to burglary during the journey
* Coverage for leisure and non-professional sports activities including skiing and other winter sports, diving, parachuting, bungee jumping, hiking, and all water sports
* No deductible for all benefits
* Unlimited number of insured children for family plans

TravelSafe Plus Insurance Application Form
(I) Details of applicant

Name of Applicant (Surname First)
Mr Mrs Miss Ms 
(Application must be aged 18 or above )

HKID Card / Passport No. :

Correspondence address in Hong Kong :

Flat Floor Block
Building Name Estate Phase
Street Name

District  HK KLN NT / Outlying Islands

Contact Telephone No : Home Office Mobile Email Address

(II) Policy Particulars
Plan Selection :  Global Diamond Global Gold China Basic
Premium Package :  Individual Individual+Children Family

(III) Details of Insured Person(s)

Commencement Date : [date date-274] For Days
Total Premium (HK$)

The Personal Data (Privacy) Ordinance (“the Ordinance”) – Personal Information Collection Statement
In compliance with the Ordinance, Blue Cross (Asia-Pacific) Insurance Limited (“the Company”) would like to inform you of the following:

(1) The personal information collected or held by the Company (whether obtained verbally or in writing) may be used, stored, disclosed and transferred (within or outside Hong Kong) to any individuals / organizations associated with us or to any third party as the Company may consider necessary including any other company carrying on insurance or reinsurance related business, any intermediary, claims investigator, medical facilities, other service providers relevant to insurance business, professional advisor, government authority or industry association / federation of insurance companies that exists or is formed from time to time.

(2) Your personal information is collected or held by the Company for the purpose of:
a. processing of applications / requests and provision of insurance or financial related product or service or any addition, alteration, variation, cancellation, renewal, or reinstatement thereof;
b. enabling the provision of insurance coverage , claim processing, investigation or analysis of such claim;
c. performing statistical or actuarial research, or data matching;
d. exercising any right of subrogation (if applicable);
e. promoting financial products or services by the Company, its affiliated companies or business partners;
f. communicating with you, the insured or any relevant organization / person as the Company considers appropriate; and
g. meeting any disclosure requirements imposed by law or court orders or pursuant to guidelines issued by regulatory or other relevant authorities.

(3) Your personal information will be kept confidential but the Company may transfer such information to the above-mentioned parties for the purposes referred to in point (2).

(4) You have the right to access and to request correction of any personal information concerning yourself held by the Company. Request for access to or correction of your personal information can be made in writing to the Company's Corporate Data Protection Officer. According to the Ordinance, the Company has the right to charge a reasonable fee for the processing of any data access request.

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