VHIS Hong Kong
ZURICH · F00036-04-000-02

Zurich HealthFlexi Plus Voluntary Health Insurance Plan

Zurich HealthFlexi Plus Voluntary Health Insurance Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00036-04-000-02. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$2,436
45HK$4,536
60HK$7,836
75HK$16,572

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

RoomSemi-private
Geographical coverasia
Annual limitHK$6,000,000
Lifetime limitHK$25,000,000
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 imagingHK$40,000
Non-surgical cancer treatmentAs stated in the schedule
Outpatient before and afterPaid in full
Psychiatric treatmentPaid in full

Also includes home nursing, a companion bed, hospice care, kidney dialysis.

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.1
Pre-existing conditions unknown at application0% year 1, 25% year 2, 50% year 3, 100% from year 4 p.1
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period if no benefit payment made; no refund after cooling-off period p.1
Switching from another planSwitching to another plan with upgraded benefits may require re-underwriting; switching to a plan with downgraded benefits does not require re-underwriting but is subject to company discretion p.4
Room classStandard Semi-private Room p.50
If a higher room is usedIf Standard Private Room, 50% of eligible expenses or Standard Plan benefits (whichever is higher). If Suite/Deluxe/VIP, Standard Plan benefit limits apply. p.50
Geographical coverAsia p.60
Psychiatric treatment areaHong Kong only p.1
Emergency treatment abroadCovered, subject to Standard Plan benefit limits p.49
Full cover on core benefitspartial p.60
Annual limit6000000 p.62
Lifetime limit25000000 p.62
Deductible options150000 p.60
How the deductible appliesPer policy year, with a one-off right to reduce or remove at age 60, 65, or 70 p.45
Coinsurancenone (except 30% for Prescribed Diagnostic Imaging Tests) p.60
Pre-admission outpatient2 visits prior to confinement/day case procedure, $1,600 per visit, up to $10,000 per policy year (combined with post-discharge) p.60
Post-discharge outpatientUnlimited visits within 90 days after discharge/day case procedure, $1,600 per visit, up to $10,000 per policy year (combined with pre-admission) p.60
General outpatientnone
Psychiatric treatmentactual cost p.60
Diagnostic imaging coinsurance30% p.60
Non-surgical cancer treatmentactual cost p.60
Kidney dialysisCovered for chronic and irreversible kidney failure, actual cost p.52
Day case proceduresCovered as in-patient, actual cost for most items p.45
Home nursingCovered for Medically Necessary care after surgical procedure, within 90 days of discharge, per-day basis, actual cost p.51
Hospice careCovered for life-threatening disease, actual cost p.52
Chinese medicinenone p.2
PhysiotherapyCovered during confinement; covered for post-confinement rehabilitative care by registered physiotherapist within 180 days after surgical procedure, actual cost p.2
Congenital conditionsExcluded if manifested or diagnosed before age 8 p.3
Pregnancy complicationsnone p.2
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.2
Hospital cashnone
Companion bedCovered for one immediate family member's accompanying bed during confinement, actual cost p.52
Second medical opinionnot stated
Direct billing and pre-authorisationPre-authorization for claim amount estimate is available p.1
No-claim discountnone
Exclusions beyond the VHIS standard listpurchase of durable medical equipment or appliances; traditional Chinese medicine and other alternative treatments; venereal and sexually transmitted diseases or their sequelae p.1

Premium record since 2021

At a constant age of 45, Zurich has filed 0 schedule changes on this plan since 2021, an average of +0.0% a year, taking the premium from HK$4,536 to HK$4,536.

YearChange
2022no change
2023no change
2024no change
2025no change
2026no change

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

Options under this certification

OptionRoomDeductibleAnnual limit
HKD150,000 Deductible (Asia)Semi-privateHK$150,000HKD 6,000,000 per Policy Year
HKD150,000 Deductible (Asia)Semi-privateHK$150,000HKD 6,000,000 per Policy Year

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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