VHIS Hong Kong
AXA · F00034-17-000-05

AXA WiseGuard Pro Medical Insurance Plan

AXA WiseGuard Pro Medical Insurance Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00034-17-000-05. It entitles the insured to a private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$1,304
45HK$2,161
60HK$4,411
75HK$10,095

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$3,870,968
Lifetime limitNone
Room and boardPaid in full
Hospital chargesPaid in full
Doctor's visitsPaid in full
Specialist feesPaid in full
Intensive carePaid in full
Surgeon's feePaid in full
AnaesthetistPaid in full
Operating theatrePaid in full
Diagnostic imagingPaid in full
Non-surgical cancer treatmentPaid in full
Outpatient before and afterPaid in full
Psychiatric treatmentHK$3,898

Also includes outpatient general, dental, home nursing, a companion bed, hospital cash, kidney dialysis, reconstructive surgery, 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.14
Pre-existing conditions unknown at application100% from year 1 p.20
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period. After cooling-off, cancellation with 30 days' notice is possible if no benefits paid in current policy year. Pro-rata refund for termination due to death or company ceasing authorization. p.5
Switching from another planSwitching to a plan with upgraded or additional benefits may require re-underwriting for those specific benefits. Upgrade to Noble level is possible without re-underwriting once per lifetime if deductible is not decreased/removed and residential address changes outside territory. p.13
Room classStandard Private Room p.38
If a higher room is used0% if a ward class higher than Standard Private Room is used p.2
Geographical coverAsia (including Australia and New Zealand) p.38
Psychiatric treatment areaHong Kong and Macau p.19
Emergency treatment abroadWorldwide p.38
Full cover on core benefitsyes p.38
Annual limit3870968 p.38
Lifetime limitnone p.38
Deductible options0, 20000, 50000 p.40
How the deductible appliesper Policy Year; can be removed or decreased without re-underwriting at age 55 or every 5 years thereafter, once per lifetime p.11
Coinsurancenone p.24
Pre-admission outpatientFull cover for 1 prior outpatient visit or emergency consultation more than 30 days before admission, and all prior outpatient visits or emergency consultations within 30 days before admission p.38
Post-discharge outpatientFull cover for all follow-up outpatient visits within 90 days after discharge or Day Case Procedure, or within 180 days after discharge for major/complex surgery p.38
General outpatientnone
Psychiatric treatment3898 per Policy Year p.39
Diagnostic imaging coinsurancenone p.38
Non-surgical cancer treatmentfull cover p.38
Kidney dialysisFull cover p.39
Day case proceduresCovered as in-patient, full cover for eligible expenses p.16
Home nursingFull cover within 90 days after discharge or Day Case Procedure, by 1 Qualified Nurse per day for a maximum of 90 days per Policy Year p.39
Hospice carenone p.26
Chinese medicinenone p.23
PhysiotherapyCovered during confinement; 3 follow-up outpatient visits within 90 days after discharge, plus an additional $1,299 per Policy Year if the limit for item (k) is exhausted p.17
Congenital conditionsCovered if manifested or diagnosed at or after age 8 p.23
Pregnancy complicationsnone p.22
Emergency dentalCovered for emergency treatment and surgery during confinement arising from an Accident p.22
Hospital cashHKD 260 per day for using a ward class below Standard Private Room in a private hospital in Hong Kong or Macau, maximum 10 days per confinement p.39
Companion bedFull cover p.39
No-claim discount5% for 3 claim-free years, 10% for 4 claim-free years, 15% for 5+ claim-free years p.48
Exclusions beyond the VHIS standard listHair Mineral Analysis (HMA) p.22

Premium record since 2021

At a constant age of 45, AXA has filed 2 schedule changes on this plan since 2021, an average of +2.1% a year, taking the premium from HK$1,856 to HK$2,161.

YearChange
2022no change
2023no change
2024+3.5%
2025+12.5%
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.

Compare plans · Insurers · All plans · What treatment costs · Premium increases · MCP server · Privacy · Terms