VHIS Hong Kong
CHINA LIFE · F00030-02-001-03

China Life Healthy Life Premier Medical Insurance Plan

China Life Healthy Life Premier Medical Insurance Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00030-02-001-03. It entitles the insured to a private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$9,994
45HK$15,816
60HK$24,676
75HK$46,197

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

RoomPrivate
Geographical coverworldwide
Annual limitHK$1,500,000
Lifetime limitNone
Room and boardHK$4,500
Hospital chargesHK$35,000
Doctor's visitsHK$4,000
Specialist feesHK$12,000
Intensive careHK$9,000
Surgeon's feeHK$120,000
AnaesthetistAs stated in the schedule
Operating theatreAs stated in the schedule
Diagnostic imagingHK$40,000
Non-surgical cancer treatmentHK$200,000
Outpatient before and afterHK$8,000
Psychiatric treatmentHK$40,000

Also includes outpatient general, home nursing, a companion bed, 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.12
Pre-existing conditions unknown at application0% for first 30 days of Policy Year 1, 100% from day 31 of Policy Year 1 p.22
Waiting periodnone p.22
Cancellation and refundFull refund within 21-day cooling-off period if no benefits paid. After cooling-off, cancellation with 30 days notice if no benefits paid, no refund specified. p.4
Switching from another planSwitching to another plan with upgraded/additional benefits is possible, subject to re-underwriting for the upgraded/additional benefits p.14
Room classStandard Private Room p.45
If a higher room is used50% adjustment factor applied to eligible expenses if a higher ward class is voluntarily chosen p.35
Geographical coverWorldwide, with exceptions for psychiatric treatment, organ donor benefit, and cash benefit for Designated Surgeries in GBA p.17
Psychiatric treatment areaHong Kong only p.22
Emergency treatment abroadCovered worldwide p.17
Full cover on core benefitsno p.45
Annual limitHKD 1,980,000 p.45
Lifetime limitnone p.17
Deductible optionsnot stated in this document
How the deductible appliesPer Policy Year p.27
Coinsurance30% for Prescribed Diagnostic Imaging Tests; 20% for Supplementary Major Medical Benefit p.45
Pre-admission outpatient1 visit prior to confinement/day case procedure, up to HKD 2,000 per visit, combined with post-discharge up to HKD 8,000 per Policy Year p.45
Post-discharge outpatient3 visits within 90 days after discharge/day case procedure, up to HKD 2,000 per visit, combined with pre-admission up to HKD 8,000 per Policy Year p.45
General outpatientnone
Psychiatric treatmentHKD 40,000 per Policy Year p.45
Diagnostic imaging coinsurance30% p.45
Non-surgical cancer treatmentHKD 200,000 per Policy Year p.45
Kidney dialysisHKD 150,000 per Policy Year, maximum 60 days per Policy Year p.45
Day case proceduresCovered as in-patient, individual benefit limits apply p.19
Home nursingHKD 1,600 per visit, maximum 30 visits per Policy Year, maximum 1 visit per day (within 90 days post-discharge) p.45
Hospice carenone p.28
Chinese medicinenone p.24
PhysiotherapyCovered during confinement and for 3 post-discharge visits within 90 days, subject to limits for pre/post-confinement outpatient care p.19
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsnone p.24
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.24
Hospital cashHKD 300 per day for second claim (max 30 days/HKD 9,000 per year); HKD 1,500 per Designated Surgery in GBA (max 2 times per year) p.45
Companion bedFull Cover, maximum 180 days per Policy Year p.45
Direct billing and pre-authorisationReimbursement basis only p.2
No-claim discount15% of premium if no benefits paid for 3+ consecutive policy years p.42
Exclusions beyond the VHIS standard listVenereal and sexually transmitted disease or its sequelae; Purchase of durable medical equipment or appliances; Traditional Chinese medicine treatment and other alternative treatments p.24

Premium record since 2021

At a constant age of 45, China Life has filed 1 schedule change on this plan since 2021, an average of +1.8% a year, taking the premium from HK$13,874 to HK$15,816.

YearChange
2022no change
2023no change
2024no change
2025no change
2026+14.0%

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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