VHIS Hong Kong
SUN LIFE · F00026-01-000-03

Sun Life WeHealth Plus

Sun Life WeHealth Plus is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00026-01-000-03. It entitles the insured to a ward room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$3,098
45HK$5,080
60HK$9,433
75HK$18,020

Female non-smoker, the plan currency, before levy. Age is the only thing that changes down this table; it is the plan's own filed schedule, not a quotation.

What it pays

RoomWard
Geographical coverworldwide
Annual limitHK$500,000
Lifetime limitNone
Room and boardHK$1,100
Hospital chargesHK$15,000
Doctor's visitsHK$750
Specialist feesHK$4,300
Intensive careHK$4,500
Surgeon's feeHK$50,000
AnaesthetistAs stated in the schedule
Operating theatreAs stated in the schedule
Diagnostic imagingHK$20,000
Non-surgical cancer treatmentHK$80,000
Outpatient before and afterHK$3,000
Psychiatric treatmentHK$30,000

Also includes home nursing, hospital cash, rehabilitation, hospice care, kidney dialysis, a death benefit.

What the plan document states

Read from the certified Terms and Benefits. Each page link opens that page of the filed document. Fields the document does not state are left out.

Guaranteed renewal to age100 p.16
Pre-existing conditions unknown at application0% for first 30 days of Policy Year 1, 100% from day 31 of Policy Year 1 p.28
Waiting period30 days for unknown pre-existing conditions; 90 days for kidney dialysis treatment p.28
Cancellation and refundFull refund within 21-day cooling-off period if no claims. After cooling-off, cancellation with 30 days notice, no refund if benefit paid in policy year. Pro-rata refund upon death of Insured Person or company ceasing authorization. p.4
Switching from another planSwitching to a plan with upgraded/additional benefits allows re-underwriting for those benefits. Switching to a plan with downgraded/reduced benefits does not allow re-underwriting but is subject to company discretion. p.18
Room classnot restricted p.23
If a higher room is usedFor Supplementary medical benefit, 50% adjustment factor for Semi-Private Room, 25% for Standard Private Room and/or above p.49
Geographical coverworldwide p.23
Psychiatric treatment areaHong Kong only p.27
Emergency treatment abroadCovered worldwide, Emergency outpatient treatment up to HKD 5,000 per Policy Year p.23
Full cover on core benefitsno p.56
Annual limitHKD 500,000 p.57
Lifetime limitnone p.57
Coinsurance30% for Prescribed Diagnostic Imaging Tests; 20% for Supplementary medical benefit p.33
Pre-admission outpatient1 visit per Confinement/Day Case Procedure, up to HKD 580 per visit and HKD 3,000 per Policy Year p.57
Post-discharge outpatient3 visits per Confinement/Day Case Procedure (within 90 days), up to HKD 580 per visit and HKD 3,000 per Policy Year p.57
General outpatientnone
Psychiatric treatmentHKD 30,000 per Policy Year p.57
Diagnostic imaging coinsurance30% p.56
Non-surgical cancer treatmentHKD 80,000 per Policy Year p.56
Kidney dialysisHKD 60,000 per Policy Year, after 90-day waiting period p.57
Day case proceduresCovered as in-patient, with a cash benefit of HKD 1,000 per procedure p.34
Home nursingHKD 800 per day, max 15 days/year (below 60) or 30 days/year (60 or above), within 90 days post-discharge p.57
Hospice carenone p.35
Chinese medicineAcupuncture treatment covered post-confinement/day case, HKD 400 per visit, up to 15 visits per Policy Year (within 90 days); other traditional Chinese medicine treatments are excluded p.31
PhysiotherapyCovered during confinement, and post-confinement/day case up to HKD 400 per visit, up to 15 visits per Policy Year (within 90 days) p.24
Congenital conditionsCovered if manifested or diagnosed at age 8 or later p.32
Pregnancy complicationsnone p.31
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.31
Hospital cashHKD 500 per day of Confinement (max 90 days/year) or per Day Case Procedure, if reimbursed by another policy p.58
Companion bedHKD 400 per day, max 30 days per Policy Year, for Insured Person below 19 or 60 or above p.57
Second medical opinionnot stated
Direct billing and pre-authorisationPre-authorisation for claimable amount estimate is available p.21
No-claim discount15% discount on Standard Premium and Premium Loading if no claims for 3+ consecutive Policy Years p.44
Exclusions beyond the VHIS standard listPurchase of durable medical equipment or appliances p.31

Premium record since 2021

At a constant age of 45, Sun Life has filed 3 schedule changes on this plan since 2021, an average of +2.4% a year, taking the premium from HK$4,245 to HK$5,080.

YearChange
2022+6.0%
2023no change
2024+7.5%
2025+5.0%
2026no change

A record of what has been filed, not a forecast of what you will pay.

What a claim on this plan would look like

Private hospitals publish what they billed for common operations. These pages take those bills and work out what a plan pays of them.

Colonoscopy with or without polypectomyHK$21,098 to HK$54,834 depending on the hospital
ColposcopyHK$23,320 to HK$43,971 depending on the hospital
Trigger finger releaseHK$25,622 to HK$58,423 depending on the hospital
Cystoscopy with or without biopsyHK$23,116 to HK$62,569 depending on the hospital
CircumcisionHK$25,841 to HK$55,602 depending on the hospital
Gastroscopy with or without polypectomyHK$18,484 to HK$72,307 depending on the hospital

Every procedure with published bills

The certified plan document as filed, on the Health Bureau's VHIS site.

Price this plan for your age

Premiums are annual, in the plan currency, before the Insurance Authority levy, taken from the Standard Premium Schedules filed with the Health Bureau. Rate records come from every schedule archived on data.gov.hk since March 2021 and are a track record, not a forecast. Information only, not regulated advice.

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