Your Library
Find the information and documents for our health plans and/or applications and forms needed in our processes.
Solicitud de Reembolso: para hacer una solicitud de reembolso a través de Mi Bupa, haz clic aquí
----Seguros Internacionales----
Red de Proveedores - Bupa Essential 100 | 50
- 2023 (2.21 MB)
Certificado de Buena Salud Rehabilitación de póliza - Dominicana
- 2022 (66.98 KB)
Cuestionario de Enfermedades Cardiacas e Hipertensión - Dominicana
- 2022 (152.76 KB)
Red de Proveedores - Bupa Secure Care
- 2023 (435.55 KB)
Red de Proveedores - Bupa Essential Care
- 2023 (661.15 KB)
----Bupa Care----
Anexo de Cobertura Adicional - Trasplante - Bupa Essential Care - Bolivia
Cotizador Excel - Bupa Care (Renovaciones) - Perú
- 2023 (4.24 MB)
----Bupa Insurance Company (BIC)----
Tabla de Beneficios - Bupa Max - BIC
- 2023 (87.43 KB)
Tabla de Beneficios - Bupa Exclusive Care - BIC
- 2023 (92.24 KB)
Tabla de Beneficios - Bupa Flex - BIC
- 2023 (70 KB)
Tabla de Beneficios - Bupa Exclusive Care - BIC
- 2023 (92.24 KB)
Tabla de Beneficios - Bupa Essential - BIC
- 2023 (73.77 KB)
Tabla de Beneficios - Bupa Critical - BIC
- 2023 (66.65 KB)
Tabla de Beneficios - Bupa Alpha - BIC
- 2023 (74.13 KB)
Tabla de Beneficios - Bupa Advantage - BIC
- 2023 (75.86 KB)
Términos y Condiciones - Corporate Care - BIC
- 2023 (261.14 KB)
Tabla de Beneficios - Bupa Privilege - BIC
- 2023 (77.92 KB)
Tabla de Beneficios - Bupa Secure - BIC
- 2023 (74.54 KB)
Tabla de Beneficios - Corporate Care - Opción 1- BIC
- 2023 (101.48 KB)
Tabla de Beneficios - Corporate Care Opción 2 - BIC
- 2023 (121.34 KB)
Términos y Condiciones - Bupa Advantage CFG - BIC
- 2023 (256.38 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2023 (223.2 KB)
Términos y Condiciones - Bupa Care - BIC
- 2023 (264.03 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2023 (227.54 KB)
Términos y Condiciones - Bupa Max - BIC
- 2023 (218.1 KB)
Solicitud de Seguro de Salud Individual - BIC
- 2022 (3.97 MB)
Health Insurance Application (Special) - Individual - BIC
- 2022 (2.85 MB)
International Health Insurance Application - Individual - BIC (Supreme/Optimum)
- 2022 (738.53 KB)
Health Insurance Application - Individual - BIC
- 2022 (885.45 KB)
Solicitud de Seguro de Salud - Corporate Care - BIC
- 2022 (106.29 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2022 (165.14 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2022 (165.09 KB)
Términos y Condiciones - Bupa Max - BIC
- 2022 (165.79 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2022 (215.69 KB)
Terms and Conditions - Bupa Flex - English - BIC
- 2022 (214.05 KB)
Terms and Conditions - Bupa Flex - BIC
- 2022 (214.05 KB)
Folleto de Ventas - Bupa Alpha - BIC
- 2022 (2.15 MB)
Folleto de Ventas - Bupa Flex - BIC
- 2022 (2.74 MB)
Folleto de Ventas - Bupa Max - BIC
- 2022 (1.06 MB)
Sales Brochure - Bupa Alpha - BIC
- 2022 (2.15 MB)
Sales Brochure - Bupa Flex - BIC
- 2022 (2.74 MB)
Sales Brochure - Bupa Max - BIC
- 2022 (1.06 MB)
Términos y Condiciones - Bupa Care - BIC
- 2022 (189.39 KB)
Términos y Condiciones - Bupa Advantage CFG - BIC
- 2022 (181.75 KB)
Terms and Conditions - Bupa Supreme - BIC
- 2022 (214.43 KB)
Terms and Conditions - Bupa Optimum - BIC
- 2022 (215.82 KB)
Terms and Conditions - Bupa Critical Care - BIC
- 2022 (150.22 KB)
Terms and Conditions - Bupa Advantage CFG - BIC
- 2022 (250.18 KB)
Términos y Condiciones - Critical Care - BIC
- 2022 (161.23 KB)
Table of Benefits - Bupa Optimum - BIC
- 2022 (72.97 KB)
Table of Benefits - Bupa Supreme - BIC
- 2022 (50.08 KB)
Table of Benefits - Bupa Flex - BIC
- 2022 (48.19 KB)
Table of Benefits - Exclusive Care - BIC
- 2022 (102.07 KB)
Table of Benefits - Essential Care - BIC
- 2022 (99.96 KB)
Table of Benefits - Critical Care - BIC
- 2022 (94.53 KB)
Table of Benefits - Bupa Alpha - BIC
- 2022 (99.53 KB)
Table of Benefits - Privilege Care - BIC
- 2022 (100.97 KB)
Table of Benefits - Bupa Optimum - BIC
- 2022 (72.97 KB)
Table of Benefits - Advantage Care - BIC
- 2022 (101.19 KB)
Table of Benefits - Bupa Max - English BIC
- 2022 (119.03 KB)
Table of Benefits - Secure Care - BIC
- 2022 (99.62 KB)
Tabla de Beneficios - Exclusive Care - BIC
- 2022 (53.74 KB)
Tabla de Beneficios - Advantage Care - BIC
- 2022 (52.73 KB)
Tabla de Beneficios - Essential Care - BIC
- 2022 (98.83 KB)
Tabla de Beneficios - Critical Care - BIC
- 2022 (47.22 KB)
Tabla de Beneficios - Secure Care - BIC
- 2022 (50.52 KB)
Tabla de Beneficios - Privilege Care - BIC
- 2022 (52.32 KB)
Tabla de Beneficios - Bupa Max - BIC
- 2022 (69.91 KB)
Tabla de Beneficios - Bupa Flex - BIC
- 2022 (48.96 KB)
Folleto de Ventas - Bupa Advantage Care - BIC
- 2022 (1.83 MB)
Folleto de Ventas - Essential Care - BIC
- 2022 (1.72 MB)
Folleto de Ventas - Bupa Privilege Care - BIC
- 2022 (872.73 KB)
Folleto de Ventas - Bupa Secure Care - BIC
- 2022 (870.69 KB)
Folleto de Ventas - Privilege Care International VEN - BIC
- 2022 (872.96 KB)
Sales Brochure - Bupa Exclusive Care - BIC
- 2022 (1.14 MB)
Sales Brochure - Bupa Essential Care - BIC
- 2022 (1.72 MB)
Sales Brochure - Bupa Secure Care - BIC
- 2022 (870.52 KB)
Sales Brochure - Bupa Privilege - BIC
- 2022 (873.46 KB)
Guía de Bienvenida - Bupa Care - BIC
- 2022 (3.39 MB)
Welcome Guide - Bupa Care - BIC
- 2022 (3.36 MB)
Membership Guide - Bupa Choice - BIC
- 2022 (937.52 KB)
Membership Guide - Bupa Group - BIC
- 2022 (1.22 MB)
Membership Guide - Bupa Prestige - BIC
- 2022 (1.25 MB)
Membership Guide - Bupa Select - BIC
- 2022 (1.53 MB)
Membership Guide - Bupa Worldwide - BIC
- 2022 (1.63 MB)
Cotizador Excel - Bupa Solutions: Max - BIC
- 2023 (328.99 KB)
Cotizador Excel - Bupa Solutions: Flex - BIC
- 2023 (432.74 KB)
Cotizador Excel - Bupa Solutions: Alpha - BIC
- 2023 (603.05 KB)
Cotizador Excel - Región 9 (Ecuador) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Región 8 (Trinidad & Tobago) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Región 6 (Argentina, Colombia, Paraguay, Panamá) - BIC
- 2023 (4.19 MB)
Cotizador Excel - Región 5 (Venezuela) (Renovaciones) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Region 4 (Belice, Guatemala, Guyana, Nicaragua, Surinam, Uruguay, Perú, el Caribe) - BIC
- 2023 (4.1 MB)
Cotizador Excel - Región 3 (Costa Rica, El Salvador, Bolivia) - BIC
- 2023 (4.1 MB)
Cotizador Excel - Región 2 (Chile, Haití, Honduras) - BIC
- 2023 (4.18 MB)
Credit Card Authorization Form for Insurance Premium - BIC
- 2022 (83.41 KB)
Claim Form - BIC
- 2022 (172.32 KB)
Formulario de Autorización para pago de la prima -BIC
- 2022 (78.08 KB)
Formulario de Solicitud de Reembolso - BIC
- 2022 (145.1 KB)
Enrollment Form for CMB - Corporate Care - BIC
- 2022 (120.61 KB)
Solicitud de seguro de salud - Corporate Care - BIC
- 2022 (320.46 KB)
Application for Group Health - Corporate Care - BIC
- 2022 (163.95 KB)
Terms and Conditions - Critical Care - BIC
- 2022 (150.22 KB)
Terms and Conditions - Supreme - BIC
- 2022 (214.43 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2022 (215.69 KB)
Terms and Conditions - Bupa Flex - BIC
- 2022 (214.05 KB)
Terms and Conditions - Bupa Max - English - BIC
- 2022 (216.54 KB)
Términos y Condiciones - Critical Care - BIC
- 2022 (161.23 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2022 (165.09 KB)
Términos y Condiciones - Bupa Care- BIC
- 2022 (189.39 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2022 (165.14 KB)
Sales Brochure - Exclusive Care - BIC
- 2022 (1.14 MB)
Sales Brochure - Bupa Flex - BIC
- 2022 (2.74 MB)
Sales Brochure - Bupa Max - English - BIC
- 2022 (1.06 MB)
Sales Brochure - Secure Care - BIC
- 2022 (870.52 KB)
Sales Brochure - Essential Care - BIC
- 2022 (1.72 MB)
Sales Brochure - Bupa Alpha - BIC
- 2022 (2.15 MB)
Sales Brochure - Advantage Care - BIC
- 2022 (1.83 MB)
Folleto de Ventas - Secure Care - BIC
- 2022 (870.69 KB)
Folleto de Ventas - Privilege Care - BIC
- 2022 (872.73 KB)
Folleto de Ventas - Bupa Flex - BIC
- 2022 (2.74 MB)
Folleto de Ventas - Exclusive Care - BIC
- 2022 (1.15 MB)
Folleto de Ventas - Bupa Alpha - BIC
- 2022 (2.15 MB)
Folleto de Ventas- Advantage Care - BIC
- 2022 (1.83 MB)
Welcome Guide - Bupa Care - BIC
- 2022 (3.36 MB)
Guía de Bienvenida - Bupa Care - BIC
- 2022 (3.39 MB)
Membership Guide - Worldwide - BIC
- 2022 (1.63 MB)
Membership Guide - Select - BIC
- 2022 (1.53 MB)
Membership Guide - Bupa Prestige - BIC
- 2022 (1.25 MB)
Membership Guide - Bupa Group - BIC
- 2022 (1.22 MB)
Membership Guide - Choice - BIC
- 2022 (937.52 KB)
----Bupa Insurance Limited (BINS)----
Solicitud para Cambios y Adiciones - BINS
- 2022 (552.87 KB)
Changes and Additions Application - BINS
- 2022 (259.61 KB)
Términos y Condiciones - Bupa Complete Care - BINS
- 2022 (154.11 KB)
Términos y Condiciones - Diamond - BINS
- 2022 (174.13 KB)
Terms and Conditions - Complete Care - BINS
- 2022 (213.56 KB)
Terms and Conditions - Diamond Care - BINS
- 2022 (210.96 KB)
Guía para Asegurados - Premier 1 Gold - BINS
- 2022 (1.07 MB)
Guía para Asegurados - Premier 1 Silver - BINS
- 2022 (816.4 KB)
Membership Guide - Bupa Complete Care - BINS
- 2022 (1.18 MB)
Guía para Asegurados - Premier Care - BINS
- 2022 (2.83 MB)
Guía para Asegurados - Silver - BINS
- 2022 (1.96 MB)
Membership Guide - Bupa Diamond Care - BINS
- 2022 (1.19 MB)
Membership Guide - Premier 1 Diamond - BINS
- 2022 (1.19 MB)
Membership Guide - Premier 1 Gold - BINS
- 2022 (1.06 MB)
Membership Guide - Premier 1 Silver - BINS
- 2022 (814.41 KB)
Membership Guide - Silver - BINS
- 2022 (1.96 MB)
Membership Guide - Premier Care - BINS
- 2022 (2.91 MB)
Guía para Asegurados - Premier Diamond - BINS
- 2022 (1.2 MB)
Formulario de Autorización para pago de la prima -BINS
- 2022 (117.36 KB)
Guía para Asegurados - Complete Care - BINS
- 2022 (1.18 MB)
Guía para Asegurados - Bupa Diamond Care - BINS
- 2022 (1.17 MB)
----Seguros para Empresas----
Formulario de Selección Familiar para Seguro de Salud de Grupo - Dominicana
- 2022 (96.21 KB)
Family Selection Form for Group Health Ins - Corporate Care - BIC
- 2022 (111.23 KB)
Application for Group Health - Corporate Care - BIC
- 2022 (163.95 KB)
Medical Supplement - Corporate Care - BIC
- 2022 (314.13 KB)
Enrollment Form for CMB Cardholders - Corporate Care - BIC
- 2022 (120.61 KB)
Formulario de Inscripción del Asegurado - Corporate Care - BIC
- 2022 (232.01 KB)
Group Medical Underwriting - Corporate Care - BIC
- 2022 (94.65 KB)
Suplémento Medico - Corporate Care - BIC
- 2022 (169.22 KB)
Solicitud de Reembolso - Corporate Care - BIC
- 2022 (374.25 KB)
Enrollment Form for Group Health - Corporate Care - BIC
- 2022 (287.79 KB)
Terms and Conditions - Corporate Care - BIC
- 2022 (117.32 KB)
Términos y Condiciones - Corporate Care - BIC
- 2022 (132.09 KB)
Anexo de Cobertura Adicional Cuidado Dental - Corporate - BIC
- 2022 (269.78 KB)
Anexo de Cobertura Adicional Cuidado de la Vista - Corporate - BIC
- 2022 (339.57 KB)
Dental Care Rider- Corporate - BIC
- 2022 (163.75 KB)
Vision Care Rider- Corporate - BIC
- 2022 (259.75 KB)
Tabla de Beneficios - Corporate - Opción 1- BIC
- 2022 (95.92 KB)
Tabla de Beneficios - Corporate - Opción 2 - BIC
- 2022 (97.68 KB)
Table of Benefits - Corporate - Option 2 - BIC
- 2022 (161.82 KB)
Table of Benefits - Corporate - Option1 - BIC
- 2022 (157.78 KB)
Sales Brochure - Corporate - BIC
- 2022 (677.44 KB)
Folleto de Ventas - Corporate - BIC
- 2022 (680.62 KB)
Membership Guide - Corporate Care - BIC
- 2022 (975.25 KB)
Guía para Asegurados - Corporate - BIC
- 2022 (969.3 KB)
Table of Benefits - Corporate Care - Option 2
- 2022 (97.9 KB)
Table of Benefits - Corporate Care - Option 1
- 2022 (95.8 KB)
Tabla de Beneficios - Corporate Care - Opción 2
- 2022 (97.9 KB)
Tabla de Beneficios - Corporate Care - Opción 1
- 2022 (95.8 KB)
Formulario de Inscripción - Corporate Care - BIC
- 2022 (232.01 KB)
Claim Form - Corporate Care - BIC
- 2022 (153.3 KB)
Medical Supplement - Corporate Care - BIC
- 2022 (314.13 KB)
Solicitud de Reembolso - Corporate Care - BIC
- 2022 (374.25 KB)
Suplemento Médico - Corporate Care - BIC
- 2022 (169.22 KB)
Group Medical Underwriting Form - Corporate Care - BIC
- 2022 (94.65 KB)
Member Enrollment Form for Group Health Ins - Corporate Care - BIC
- 2022 (287.79 KB)
Terms and Conditions - Corporate Care - BIC
- 2022 (117.32 KB)
Membership Guide - Corporate Care - BIC
- 2022 (975.25 KB)
Guía para Asegurados - Corporate Care - BIC
- 2022 (969.3 KB)
----BIC-BINS----
Application for Transplant Procedures Rider - BIC BINS
- 2022 (91.39 KB)
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2022 (64.59 KB)
Formulario de Autorización de Transferencia Bancaria para Reembolso - BIC BINS
- 2022 (61.19 KB)
Bank Transfer form for Claim Reimbursement - BIC BINS
- 2022 (59.05 KB)
Certificado de Buena Salud Rehabilitación de póliza - BIC BINS
- 2022 (57.92 KB)
Certificado para Estudiante Dependiente - BIC BINS
- 2022 (51.52 KB)
Certificado Médico - BIC BINS
- 2022 (51.47 KB)
Certificate for Dependent Student - BIC BINS
- 2022 (49.3 KB)
Certificate of Good Health for Policy Reinstatement - BIC BINS
- 2022 (44.15 KB)
Cuestionario de Asma y Enfermedades Plmonares - BIC BINS
- 2022 (55.97 KB)
Cuestionario de Convulsiones - BIC BINS
- 2022 (99.45 KB)
Cuestionario de Desordenes Psiquiátricos - BIC BINS
- 2022 (65.38 KB)
Cuestionario de Diabetes y Otros Trastornos Metabólicos - BIC BINS
- 2022 (81.95 KB)
Declaración de Médico Tratante - BIC BINS
- 2022 (75.11 KB)
Declaración de Buena Salud - BIC BINS
- 2022 (41.21 KB)
Cuestionario de Maternidad - BIC BINS
- 2022 (68.76 KB)
Cuestionario de Enfermedades Tiroideas - BIC BINS
- 2022 (67.59 KB)
Cuestionario de Enfermedades Cardiacas e Hipertension - BIC BINS
- 2022 (95.63 KB)
Address Certification Form - BIC BINS
- 2022 (501.04 KB)
Extraordinary Benefits Request Form - BIC BINS
- 2022 (58.97 KB)
Application to Request Review of Exclusions - BIC BINS
- 2022 (37.62 KB)
Diabetes and Other Gluclose Metabolism Disorders Questionnaire - BIC BINS
- 2022 (86.76 KB)
Medical Statement - BIC BINS
- 2022 (44.89 KB)
Medical Statement - BIC BINS
Maternity Questionnaire - BIC BINS
- 2022 (61.49 KB)
Heart Disease and Hypertension Questionnaire - BIC BINS
- 2022 (87.88 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2022 (106.21 KB)
Formulario de Autorización para el reembolso electrónico -BIC BINS
- 2021 (61.19 KB)
Treating Physician Statement - BIC BINS
- 2022 (67.3 KB)
Thyroid Disorders Questionanire - BIC BINS
- 2022 (66.84 KB)
Maternity Questionnaire - BIC BINS
- 2022 (61.49 KB)
Psychiatric Disorders Questionnaire - BIC BINS
- 2022 (69.7 KB)
Seizures Questionnaire - BIC BINS
- 2022 (88.03 KB)
Solicitud de Beneficios Extraordinarios - BIC BINS
- 2022 (62 KB)
Solicitud de Cobertura para Trasplante - BIC BINS
- 2022 (75.41 KB)
Statement of Good Health - BIC BINS
- 2022 (37.82 KB)
Application to request review of exclusions - BIC BINS
- 2022 (37.62 KB)
Formulario de Divulgación de Propietarios Reales - BIC BINS
- 2022 (39.85 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2022 (106.21 KB)
Heart Disease Hypertension Questionnaire - BIC BINS
- 2022 (87.88 KB)
Declaración del Médico Tratante - BIC BINS
- 2022 (75.11 KB)
Medical Statement - BIC BINS
- 2022 (44.89 KB)
Diabetes and other Gluclose Disorders Questionnaire - BIC BINS
- 2022 (86.76 KB)
Cuestionario Convulsiones - BIC BINS
- 2022 (99.45 KB)
Cuestionario de Desórdenes Gastrointestinales - BIC BINS
- 2022 (64.49 KB)
Cuestionario de Desórdenes Psiquiátricos - BIC BINS
- 2022 (65.38 KB)
Cuestionario de Diabetes y Otro Trastornos Metabolicós - BIC BINS
- 2022 (81.95 KB)
Cuestionario de Enfermadades Cardiacas - BIC BINS
- 2022 (95.63 KB)
Cuestionario de Enfermedades Tiroideas - BIC BINS
- 2022 (67.59 KB)
Cuestionario de Maternidad - BIC BINS
- 2022 (68.76 KB)
Declaración de Buena Salud - BIC BINS
- 2022 (41.21 KB)
Certificado para estudiante dependiente - BIC BINS
- 2022 (51.52 KB)
Cuestionario de Asma y Enfermedades Pulmonares - BIC BINS
- 2022 (55.97 KB)
Application for Transplant Procedures - BIC BINS
- 2022 (91.39 KB)
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2022 (64.59 KB)
Formulario de Autorización para reembolso -BIC BINS
- 2022 (61.19 KB)
Bank transfer authorization for claim reimbursement - BIC BINS
- 2022 (59.05 KB)
Certificado de buena salud para rehabilitación - BIC BINS
- 2021 (57.92 KB)
Certificado médico - BIC BINS
- 2022 (51.47 KB)
Certificate of good health reinstatement - BIC BINS
- 2022 (44.15 KB)
Certificate for dependent student - BIC BINS
- 2022 (49.3 KB)
----Seguros Internacionales----
Red de Proveedores - Bupa Essential 100 | 50
- 2023 (2.21 MB)
Certificado de Buena Salud Rehabilitación de póliza - Dominicana
- 2022 (66.98 KB)
Cuestionario de Enfermedades Cardiacas e Hipertensión - Dominicana
- 2022 (152.76 KB)
Red de Proveedores - Bupa Secure Care
- 2023 (435.55 KB)
Red de Proveedores - Bupa Essential Care
- 2023 (661.15 KB)
----Bupa Insurance Company (BIC)----
Tabla de Beneficios - Bupa Max - BIC
- 2023 (87.43 KB)
Tabla de Beneficios - Bupa Exclusive Care - BIC
- 2023 (92.24 KB)
Tabla de Beneficios - Bupa Flex - BIC
- 2023 (70 KB)
Tabla de Beneficios - Bupa Exclusive Care - BIC
- 2023 (92.24 KB)
Tabla de Beneficios - Bupa Essential - BIC
- 2023 (73.77 KB)
Tabla de Beneficios - Bupa Critical - BIC
- 2023 (66.65 KB)
Tabla de Beneficios - Bupa Alpha - BIC
- 2023 (74.13 KB)
Tabla de Beneficios - Bupa Advantage - BIC
- 2023 (75.86 KB)
Términos y Condiciones - Corporate Care - BIC
- 2023 (261.14 KB)
Tabla de Beneficios - Bupa Privilege - BIC
- 2023 (77.92 KB)
Tabla de Beneficios - Bupa Secure - BIC
- 2023 (74.54 KB)
Tabla de Beneficios - Corporate Care - Opción 1- BIC
- 2023 (101.48 KB)
Tabla de Beneficios - Corporate Care Opción 2 - BIC
- 2023 (121.34 KB)
Términos y Condiciones - Bupa Advantage CFG - BIC
- 2023 (256.38 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2023 (223.2 KB)
Términos y Condiciones - Bupa Care - BIC
- 2023 (264.03 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2023 (227.54 KB)
Términos y Condiciones - Bupa Max - BIC
- 2023 (218.1 KB)
Solicitud de Seguro de Salud Individual - BIC
- 2022 (3.97 MB)
Health Insurance Application (Special) - Individual - BIC
- 2022 (2.85 MB)
International Health Insurance Application - Individual - BIC (Supreme/Optimum)
- 2022 (738.53 KB)
Health Insurance Application - Individual - BIC
- 2022 (885.45 KB)
Solicitud de Seguro de Salud - Corporate Care - BIC
- 2022 (106.29 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2022 (165.14 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2022 (165.09 KB)
Términos y Condiciones - Bupa Max - BIC
- 2022 (165.79 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2022 (215.69 KB)
Terms and Conditions - Bupa Flex - English - BIC
- 2022 (214.05 KB)
Terms and Conditions - Bupa Flex - BIC
- 2022 (214.05 KB)
Folleto de Ventas - Bupa Alpha - BIC
- 2022 (2.15 MB)
Folleto de Ventas - Bupa Flex - BIC
- 2022 (2.74 MB)
Folleto de Ventas - Bupa Max - BIC
- 2022 (1.06 MB)
Sales Brochure - Bupa Alpha - BIC
- 2022 (2.15 MB)
Sales Brochure - Bupa Flex - BIC
- 2022 (2.74 MB)
Sales Brochure - Bupa Max - BIC
- 2022 (1.06 MB)
Términos y Condiciones - Bupa Care - BIC
- 2022 (189.39 KB)
Términos y Condiciones - Bupa Advantage CFG - BIC
- 2022 (181.75 KB)
Terms and Conditions - Bupa Supreme - BIC
- 2022 (214.43 KB)
Terms and Conditions - Bupa Optimum - BIC
- 2022 (215.82 KB)
Terms and Conditions - Bupa Critical Care - BIC
- 2022 (150.22 KB)
Terms and Conditions - Bupa Advantage CFG - BIC
- 2022 (250.18 KB)
Términos y Condiciones - Critical Care - BIC
- 2022 (161.23 KB)
Table of Benefits - Bupa Optimum - BIC
- 2022 (72.97 KB)
Table of Benefits - Bupa Supreme - BIC
- 2022 (50.08 KB)
Table of Benefits - Bupa Flex - BIC
- 2022 (48.19 KB)
Table of Benefits - Exclusive Care - BIC
- 2022 (102.07 KB)
Table of Benefits - Essential Care - BIC
- 2022 (99.96 KB)
Table of Benefits - Critical Care - BIC
- 2022 (94.53 KB)
Table of Benefits - Bupa Alpha - BIC
- 2022 (99.53 KB)
Table of Benefits - Privilege Care - BIC
- 2022 (100.97 KB)
Table of Benefits - Bupa Optimum - BIC
- 2022 (72.97 KB)
Table of Benefits - Advantage Care - BIC
- 2022 (101.19 KB)
Table of Benefits - Bupa Max - English BIC
- 2022 (119.03 KB)
Table of Benefits - Secure Care - BIC
- 2022 (99.62 KB)
Tabla de Beneficios - Exclusive Care - BIC
- 2022 (53.74 KB)
Tabla de Beneficios - Advantage Care - BIC
- 2022 (52.73 KB)
Tabla de Beneficios - Essential Care - BIC
- 2022 (98.83 KB)
Tabla de Beneficios - Critical Care - BIC
- 2022 (47.22 KB)
Tabla de Beneficios - Secure Care - BIC
- 2022 (50.52 KB)
Tabla de Beneficios - Privilege Care - BIC
- 2022 (52.32 KB)
Tabla de Beneficios - Bupa Max - BIC
- 2022 (69.91 KB)
Tabla de Beneficios - Bupa Flex - BIC
- 2022 (48.96 KB)
Folleto de Ventas - Bupa Advantage Care - BIC
- 2022 (1.83 MB)
Folleto de Ventas - Essential Care - BIC
- 2022 (1.72 MB)
Folleto de Ventas - Bupa Privilege Care - BIC
- 2022 (872.73 KB)
Folleto de Ventas - Bupa Secure Care - BIC
- 2022 (870.69 KB)
Folleto de Ventas - Privilege Care International VEN - BIC
- 2022 (872.96 KB)
Sales Brochure - Bupa Exclusive Care - BIC
- 2022 (1.14 MB)
Sales Brochure - Bupa Essential Care - BIC
- 2022 (1.72 MB)
Sales Brochure - Bupa Secure Care - BIC
- 2022 (870.52 KB)
Sales Brochure - Bupa Privilege - BIC
- 2022 (873.46 KB)
Guía de Bienvenida - Bupa Care - BIC
- 2022 (3.39 MB)
Welcome Guide - Bupa Care - BIC
- 2022 (3.36 MB)
Membership Guide - Bupa Choice - BIC
- 2022 (937.52 KB)
Membership Guide - Bupa Group - BIC
- 2022 (1.22 MB)
Membership Guide - Bupa Prestige - BIC
- 2022 (1.25 MB)
Membership Guide - Bupa Select - BIC
- 2022 (1.53 MB)
Membership Guide - Bupa Worldwide - BIC
- 2022 (1.63 MB)
Cotizador Excel - Bupa Solutions: Max - BIC
- 2023 (328.99 KB)
Cotizador Excel - Bupa Solutions: Flex - BIC
- 2023 (432.74 KB)
Cotizador Excel - Bupa Solutions: Alpha - BIC
- 2023 (603.05 KB)
Cotizador Excel - Región 9 (Ecuador) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Región 8 (Trinidad & Tobago) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Región 6 (Argentina, Colombia, Paraguay, Panamá) - BIC
- 2023 (4.19 MB)
Cotizador Excel - Región 5 (Venezuela) (Renovaciones) - BIC
- 2023 (4.18 MB)
Cotizador Excel - Region 4 (Belice, Guatemala, Guyana, Nicaragua, Surinam, Uruguay, Perú, el Caribe) - BIC
- 2023 (4.1 MB)
Cotizador Excel - Región 3 (Costa Rica, El Salvador, Bolivia) - BIC
- 2023 (4.1 MB)
Cotizador Excel - Región 2 (Chile, Haití, Honduras) - BIC
- 2023 (4.18 MB)
Credit Card Authorization Form for Insurance Premium - BIC
- 2022 (83.41 KB)
Claim Form - BIC
- 2022 (172.32 KB)
Formulario de Autorización para pago de la prima -BIC
- 2022 (78.08 KB)
Formulario de Solicitud de Reembolso - BIC
- 2022 (145.1 KB)
Enrollment Form for CMB - Corporate Care - BIC
- 2022 (120.61 KB)
Solicitud de seguro de salud - Corporate Care - BIC
- 2022 (320.46 KB)
Application for Group Health - Corporate Care - BIC
- 2022 (163.95 KB)
Terms and Conditions - Critical Care - BIC
- 2022 (150.22 KB)
Terms and Conditions - Supreme - BIC
- 2022 (214.43 KB)
Terms and Conditions - Bupa Alpha - BIC
- 2022 (215.69 KB)
Terms and Conditions - Bupa Flex - BIC
- 2022 (214.05 KB)
Terms and Conditions - Bupa Max - English - BIC
- 2022 (216.54 KB)
Términos y Condiciones - Critical Care - BIC
- 2022 (161.23 KB)
Términos y Condiciones - Bupa Flex - BIC
- 2022 (165.09 KB)
Términos y Condiciones - Bupa Care- BIC
- 2022 (189.39 KB)
Términos y Condiciones - Bupa Alpha - BIC
- 2022 (165.14 KB)
Sales Brochure - Exclusive Care - BIC
- 2022 (1.14 MB)
Sales Brochure - Bupa Flex - BIC
- 2022 (2.74 MB)
Sales Brochure - Bupa Max - English - BIC
- 2022 (1.06 MB)
Sales Brochure - Secure Care - BIC
- 2022 (870.52 KB)
Sales Brochure - Essential Care - BIC
- 2022 (1.72 MB)
Sales Brochure - Bupa Alpha - BIC
- 2022 (2.15 MB)
Sales Brochure - Advantage Care - BIC
- 2022 (1.83 MB)
Folleto de Ventas - Secure Care - BIC
- 2022 (870.69 KB)
Folleto de Ventas - Privilege Care - BIC
- 2022 (872.73 KB)
Folleto de Ventas - Bupa Flex - BIC
- 2022 (2.74 MB)
Folleto de Ventas - Exclusive Care - BIC
- 2022 (1.15 MB)
Folleto de Ventas - Bupa Alpha - BIC
- 2022 (2.15 MB)
Folleto de Ventas- Advantage Care - BIC
- 2022 (1.83 MB)
Welcome Guide - Bupa Care - BIC
- 2022 (3.36 MB)
Guía de Bienvenida - Bupa Care - BIC
- 2022 (3.39 MB)
Membership Guide - Worldwide - BIC
- 2022 (1.63 MB)
Membership Guide - Select - BIC
- 2022 (1.53 MB)
Membership Guide - Bupa Prestige - BIC
- 2022 (1.25 MB)
Membership Guide - Bupa Group - BIC
- 2022 (1.22 MB)
Membership Guide - Choice - BIC
- 2022 (937.52 KB)
----Bupa Insurance Limited (BINS)----
Solicitud para Cambios y Adiciones - BINS
- 2022 (552.87 KB)
Changes and Additions Application - BINS
- 2022 (259.61 KB)
Términos y Condiciones - Bupa Complete Care - BINS
- 2022 (154.11 KB)
Términos y Condiciones - Diamond - BINS
- 2022 (174.13 KB)
Terms and Conditions - Complete Care - BINS
- 2022 (213.56 KB)
Terms and Conditions - Diamond Care - BINS
- 2022 (210.96 KB)
Guía para Asegurados - Premier 1 Gold - BINS
- 2022 (1.07 MB)
Guía para Asegurados - Premier 1 Silver - BINS
- 2022 (816.4 KB)
Membership Guide - Bupa Complete Care - BINS
- 2022 (1.18 MB)
Guía para Asegurados - Premier Care - BINS
- 2022 (2.83 MB)
Guía para Asegurados - Silver - BINS
- 2022 (1.96 MB)
Membership Guide - Bupa Diamond Care - BINS
- 2022 (1.19 MB)
Membership Guide - Premier 1 Diamond - BINS
- 2022 (1.19 MB)
Membership Guide - Premier 1 Gold - BINS
- 2022 (1.06 MB)
Membership Guide - Premier 1 Silver - BINS
- 2022 (814.41 KB)
Membership Guide - Silver - BINS
- 2022 (1.96 MB)
Membership Guide - Premier Care - BINS
- 2022 (2.91 MB)
Guía para Asegurados - Premier Diamond - BINS
- 2022 (1.2 MB)
Formulario de Autorización para pago de la prima -BINS
- 2022 (117.36 KB)
Guía para Asegurados - Complete Care - BINS
- 2022 (1.18 MB)
Guía para Asegurados - Bupa Diamond Care - BINS
- 2022 (1.17 MB)
----Seguros para Empresas----
Formulario de Selección Familiar para Seguro de Salud de Grupo - Dominicana
- 2022 (96.21 KB)
Family Selection Form for Group Health Ins - Corporate Care - BIC
- 2022 (111.23 KB)
Application for Group Health - Corporate Care - BIC
- 2022 (163.95 KB)
Medical Supplement - Corporate Care - BIC
- 2022 (314.13 KB)
Enrollment Form for CMB Cardholders - Corporate Care - BIC
- 2022 (120.61 KB)
Formulario de Inscripción del Asegurado - Corporate Care - BIC
- 2022 (232.01 KB)
Group Medical Underwriting - Corporate Care - BIC
- 2022 (94.65 KB)
Suplémento Medico - Corporate Care - BIC
- 2022 (169.22 KB)
Solicitud de Reembolso - Corporate Care - BIC
- 2022 (374.25 KB)
Enrollment Form for Group Health - Corporate Care - BIC
- 2022 (287.79 KB)
Terms and Conditions - Corporate Care - BIC
- 2022 (117.32 KB)
Términos y Condiciones - Corporate Care - BIC
- 2022 (132.09 KB)
Anexo de Cobertura Adicional Cuidado Dental - Corporate - BIC
- 2022 (269.78 KB)
Anexo de Cobertura Adicional Cuidado de la Vista - Corporate - BIC
- 2022 (339.57 KB)
Dental Care Rider- Corporate - BIC
- 2022 (163.75 KB)
Vision Care Rider- Corporate - BIC
- 2022 (259.75 KB)
Tabla de Beneficios - Corporate - Opción 1- BIC
- 2022 (95.92 KB)
Tabla de Beneficios - Corporate - Opción 2 - BIC
- 2022 (97.68 KB)
Table of Benefits - Corporate - Option 2 - BIC
- 2022 (161.82 KB)
Table of Benefits - Corporate - Option1 - BIC
- 2022 (157.78 KB)
Sales Brochure - Corporate - BIC
- 2022 (677.44 KB)
Folleto de Ventas - Corporate - BIC
- 2022 (680.62 KB)
Membership Guide - Corporate Care - BIC
- 2022 (975.25 KB)
Guía para Asegurados - Corporate - BIC
- 2022 (969.3 KB)
Table of Benefits - Corporate Care - Option 2
- 2022 (97.9 KB)
Table of Benefits - Corporate Care - Option 1
- 2022 (95.8 KB)
Tabla de Beneficios - Corporate Care - Opción 2
- 2022 (97.9 KB)
Tabla de Beneficios - Corporate Care - Opción 1
- 2022 (95.8 KB)
Formulario de Inscripción - Corporate Care - BIC
- 2022 (232.01 KB)
Claim Form - Corporate Care - BIC
- 2022 (153.3 KB)
Medical Supplement - Corporate Care - BIC
- 2022 (314.13 KB)
Solicitud de Reembolso - Corporate Care - BIC
- 2022 (374.25 KB)
Suplemento Médico - Corporate Care - BIC
- 2022 (169.22 KB)
Group Medical Underwriting Form - Corporate Care - BIC
- 2022 (94.65 KB)
Member Enrollment Form for Group Health Ins - Corporate Care - BIC
- 2022 (287.79 KB)
Terms and Conditions - Corporate Care - BIC
- 2022 (117.32 KB)
Membership Guide - Corporate Care - BIC
- 2022 (975.25 KB)
Guía para Asegurados - Corporate Care - BIC
- 2022 (969.3 KB)
----BIC-BINS----
Application for Transplant Procedures Rider - BIC BINS
- 2022 (91.39 KB)
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2022 (64.59 KB)
Formulario de Autorización de Transferencia Bancaria para Reembolso - BIC BINS
- 2022 (61.19 KB)
Bank Transfer form for Claim Reimbursement - BIC BINS
- 2022 (59.05 KB)
Certificado de Buena Salud Rehabilitación de póliza - BIC BINS
- 2022 (57.92 KB)
Certificado para Estudiante Dependiente - BIC BINS
- 2022 (51.52 KB)
Certificado Médico - BIC BINS
- 2022 (51.47 KB)
Certificate for Dependent Student - BIC BINS
- 2022 (49.3 KB)
Certificate of Good Health for Policy Reinstatement - BIC BINS
- 2022 (44.15 KB)
Cuestionario de Asma y Enfermedades Plmonares - BIC BINS
- 2022 (55.97 KB)
Cuestionario de Convulsiones - BIC BINS
- 2022 (99.45 KB)
Cuestionario de Desordenes Psiquiátricos - BIC BINS
- 2022 (65.38 KB)
Cuestionario de Diabetes y Otros Trastornos Metabólicos - BIC BINS
- 2022 (81.95 KB)
Declaración de Médico Tratante - BIC BINS
- 2022 (75.11 KB)
Declaración de Buena Salud - BIC BINS
- 2022 (41.21 KB)
Cuestionario de Maternidad - BIC BINS
- 2022 (68.76 KB)
Cuestionario de Enfermedades Tiroideas - BIC BINS
- 2022 (67.59 KB)
Cuestionario de Enfermedades Cardiacas e Hipertension - BIC BINS
- 2022 (95.63 KB)
Address Certification Form - BIC BINS
- 2022 (501.04 KB)
Extraordinary Benefits Request Form - BIC BINS
- 2022 (58.97 KB)
Application to Request Review of Exclusions - BIC BINS
- 2022 (37.62 KB)
Diabetes and Other Gluclose Metabolism Disorders Questionnaire - BIC BINS
- 2022 (86.76 KB)
Medical Statement - BIC BINS
- 2022 (44.89 KB)
Medical Statement - BIC BINS
Maternity Questionnaire - BIC BINS
- 2022 (61.49 KB)
Heart Disease and Hypertension Questionnaire - BIC BINS
- 2022 (87.88 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2022 (106.21 KB)
Formulario de Autorización para el reembolso electrónico -BIC BINS
- 2021 (61.19 KB)
Treating Physician Statement - BIC BINS
- 2022 (67.3 KB)
Thyroid Disorders Questionanire - BIC BINS
- 2022 (66.84 KB)
Maternity Questionnaire - BIC BINS
- 2022 (61.49 KB)
Psychiatric Disorders Questionnaire - BIC BINS
- 2022 (69.7 KB)
Seizures Questionnaire - BIC BINS
- 2022 (88.03 KB)
Solicitud de Beneficios Extraordinarios - BIC BINS
- 2022 (62 KB)
Solicitud de Cobertura para Trasplante - BIC BINS
- 2022 (75.41 KB)
Statement of Good Health - BIC BINS
- 2022 (37.82 KB)
Application to request review of exclusions - BIC BINS
- 2022 (37.62 KB)
Formulario de Divulgación de Propietarios Reales - BIC BINS
- 2022 (39.85 KB)
Gastrointestinal Disorders Questionnaire - BIC BINS
- 2022 (106.21 KB)
Heart Disease Hypertension Questionnaire - BIC BINS
- 2022 (87.88 KB)
Declaración del Médico Tratante - BIC BINS
- 2022 (75.11 KB)
Medical Statement - BIC BINS
- 2022 (44.89 KB)
Diabetes and other Gluclose Disorders Questionnaire - BIC BINS
- 2022 (86.76 KB)
Cuestionario Convulsiones - BIC BINS
- 2022 (99.45 KB)
Cuestionario de Desórdenes Gastrointestinales - BIC BINS
- 2022 (64.49 KB)
Cuestionario de Desórdenes Psiquiátricos - BIC BINS
- 2022 (65.38 KB)
Cuestionario de Diabetes y Otro Trastornos Metabolicós - BIC BINS
- 2022 (81.95 KB)
Cuestionario de Enfermadades Cardiacas - BIC BINS
- 2022 (95.63 KB)
Cuestionario de Enfermedades Tiroideas - BIC BINS
- 2022 (67.59 KB)
Cuestionario de Maternidad - BIC BINS
- 2022 (68.76 KB)
Declaración de Buena Salud - BIC BINS
- 2022 (41.21 KB)
Certificado para estudiante dependiente - BIC BINS
- 2022 (51.52 KB)
Cuestionario de Asma y Enfermedades Pulmonares - BIC BINS
- 2022 (55.97 KB)
Application for Transplant Procedures - BIC BINS
- 2022 (91.39 KB)
Asthma and Respiratory Disorders Questionnaire - BIC BINS
- 2022 (64.59 KB)
Formulario de Autorización para reembolso -BIC BINS
- 2022 (61.19 KB)
Bank transfer authorization for claim reimbursement - BIC BINS
- 2022 (59.05 KB)
Certificado de buena salud para rehabilitación - BIC BINS
- 2021 (57.92 KB)
Certificado médico - BIC BINS
- 2022 (51.47 KB)
Certificate of good health reinstatement - BIC BINS
- 2022 (44.15 KB)
Certificate for dependent student - BIC BINS
- 2022 (49.3 KB)
