VHIS Hong Kong
HONG KONG LIFE · F00039-02-001-02

Hong Kong Life Health Supreme Medical Plan

Hong Kong Life Health Supreme Medical Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00039-02-001-02. It entitles the insured to a semi-private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$9,623
45HK$16,284
60HK$25,721
75HK$45,708

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 coverworldwide
Annual limitHK$850,000
Lifetime limitNone
Room and boardHK$2,000
Hospital chargesHK$22,000
Doctor's visitsHK$2,000
Specialist feesHK$6,000
Intensive careHK$6,000
Surgeon's feeHK$80,000
AnaesthetistAs stated in the schedule
Operating theatreAs stated in the schedule
Diagnostic imagingHK$30,000
Non-surgical cancer treatmentHK$120,000
Outpatient before and afterHK$4,000
Psychiatric treatmentHK$850,000

Also includes outpatient general, maternity, chinese medicine, home nursing, a companion bed, hospital cash, rehabilitation, kidney dialysis, a death benefit, no claim.

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.17
Pre-existing conditions unknown at application0% year 1, 25% year 2, 50% year 3, 100% from year 4 p.29
Cancellation and refundFull refund within 21-day cooling-off period; cancellation after cooling-off period with 30 days notice if no benefit payment in current Policy Year; pro-rata refund for certain terminations p.5
Switching from another planSwitching to another plan with upgraded/additional benefits requires re-underwriting limited to those benefits; switching to downgraded/reduced benefits does not require re-underwriting but is at company's discretion p.19
Room classnot restricted p.24
If a higher room is usedEligible Excess Expenses reduced by 25% or 50% depending on the room class used, if higher than Semi-Private Room p.50
Geographical coverworldwide p.24
Psychiatric treatment areaHong Kong only p.29
Emergency treatment abroadcovered worldwide p.24
Full cover on core benefitsno p.58
Annual limit850000 p.58
Lifetime limitnone p.58
How the deductible appliesper Policy Year p.35
Coinsurance15% for supplementary major medical benefit; 30% for Prescribed Diagnostic Imaging Tests p.59
Pre-admission outpatient1 visit per Confinement/Day Case Procedure, up to $4,000 per Policy Year p.58
Post-discharge outpatient3 visits within 90 days after discharge/Day Case Procedure, up to $4,000 per Policy Year p.58
General outpatientnone
Psychiatric treatment35000 p.58
Diagnostic imaging coinsurance30% p.58
Non-surgical cancer treatment120000 p.58
Kidney dialysisCovered up to $100,000 per Policy Year p.59
Day case proceduresCovered as in-patient for various benefits; $800 cash benefit per surgery p.60
Home nursing$920 per visit, up to 15 visits per Policy Year within 30 days after discharge/Day Case Procedure p.59
Hospice carenone p.37
Chinese medicine$500 per visit, up to 15 visits per Policy Year for Designated Cancer within 30 days after discharge/treatment p.59
PhysiotherapyCovered during Confinement and for 3 follow-up outpatient visits within 90 days after discharge/Day Case Procedure, up to $4,000 per Policy Year p.58
Congenital conditionsCovered from age 8 p.33
Pregnancy complicationsCovered for specific complications, limits vary by benefit item p.48
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.32
Hospital cash$800 per surgery for Day Case Procedure p.60
Companion bed$500 per day, up to 90 days per Policy Year p.59
Direct billing and pre-authorisationPre-authorisation for claimable amount estimate available p.22
No-claim discount10% after 2 claim-free years, 16% after 5 claim-free years p.56
Exclusions beyond the VHIS standard listvenereal/sexually transmitted disease; Hair Mineral Analysis (HMA); birth control, sterilisation, sex reassignment; purchase of durable medical equipment for home use p.31

Premium record since 2021

At a constant age of 45, Hong Kong Life has filed 2 schedule changes on this plan since 2021, an average of +2.1% a year, taking the premium from HK$14,099 to HK$16,284.

YearChange
2022no change
2023no change
2024+10.0%
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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