BCG Bupa Health Insurance Program Survey Form

1. Have you used a Bupa direct billing in-network clinic to date? *

YesNo

2. Was it convenient for you to locate an in-network clinic? *

YesNo

2a. If No, can you tell us why not:

3. Did you ever encounter a clinic not covered under the Bupa plan that was previously direct billed with Cigna? *

YesNo

3a. Please name the clinic:

4. Did you ever encounter a clinic with direct billing by the Bupa plan which was previously not covered with Cigna? *

YesNo

4a. Please name the clinic:

5. On average, how many claims did you submit over the last six months under Bupa (inclusive of your dependents)? *

01-1010+

6. You submit claims mainly using *

Web portalBupa APPhard copies by post

7. How long does it usually take to get a reimbursement from submission date once all documents been provided to the insurer? *

0-5 Days5-10 Days10+ Days

8. Did you encounter any issues during claim submission/review process? *

YesNo

8a. If yes, can you tell us what happened?

9. Who did you contact to resolve the issue? *

Direct contact with the insurer BupaBCG broker Pacific PrimeNA

9a. Was it resolved to your satisfaction?

YesNo

10. How would you rate the Bupa APP? *

User FriendlyAverageNot user friendlyNot used the APP

11. How would you rate the Bupa online portal? *

User FriendlyAverageNot user friendlyNot used the Portal

12. For claims queries, you can easily contact pacific prime via calls and/or receive email responses in a timely manner: *

YesNo

12a. If No, can you tell us why not

13. Pacific Prime generally are helpful and provide valuable support on your claims queries: *

YesNo

13a. If No, can you tell us why not

14. Are there any issues understanding the scope of benefits under the current medical insurance policy? *

15. Are you overall satisfied with your current medical policy? *

16. Do you have other feedback or concerns? *

Medical Insurance Survey Form