VHIS Hong Kong
BUPA · F00040-01-000-05

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-01-000-05. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$15,670
45HK$26,065
60HK$55,234
75HK$105,267

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$25,000,000
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 treatmentPaid in full

Also includes outpatient general, maternity, chinese medicine, a companion bed, rehabilitation, 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 agelifetime p.13
Pre-existing conditions unknown at application100% from year 1 p.21
Waiting period12 months for pregnancy complications p.36
Cancellation and refundFull refund if cancelled within 21-day cooling-off period, provided no benefit payment has been made. After cooling-off, cancellation requires 30 days' notice, no refund if benefit paid in policy year. p.4
Switching from another planOne-off right to upgrade plan level to Core Pro or Advance without re-underwriting under specific conditions p.41
Room classSemi-private Room for Hong Kong, Macau, Taiwan and mainland China; Standard Private Room for other areas in Asia, Australia and New Zealand p.50
If a higher room is usedIf a higher room class is used, benefits are subject to an adjustment factor (25% or 50%) or reduced to Standard Plan benefit limits, depending on the room class difference. p.44
Geographical coverAsia, Australia and New Zealand (Afghanistan, Australia, Bangladesh, Bhutan, Brunei, Cambodia, mainland China, Hong Kong, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Macau, Malaysia, Maldives, Mongolia, Myanmar, Nepal, New Zealand, North Korea, Pakistan, the Philippines, Singapore, South Korea, Sri Lanka, Taiwan, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan and Vietnam) p.50
Psychiatric treatment areaAsia, Australia and New Zealand p.20
Emergency treatment abroadCovered up to Standard Plan benefit limits, without enhanced benefits p.43
Full cover on core benefitsyes p.50
Annual limit25000000 p.51
Lifetime limitnone p.51
Deductible options0 p.50
How the deductible appliesPer Policy Year, with a one-off right to reduce or remove at ages 50, 55, 60, 65, 70, 75, 80, 85 p.26
Coinsurancenone p.25
Pre-admission outpatientFull cover for 1 prior outpatient visit or emergency consultation more than 90 days before admission, and all prior visits within 90 days before admission p.50
Post-discharge outpatientFull cover for all follow-up outpatient visits within 365 days after discharge or completion of Day Case Procedure p.50
General outpatientnone
Psychiatric treatmentFull cover p.50
Diagnostic imaging coinsurancenone p.50
Non-surgical cancer treatmentFull cover p.50
Kidney dialysisFull cover for Day Patient kidney dialysis p.50
Day case proceduresCovered as in-patient, full cover for eligible expenses p.17
Home nursingFull cover for private nursing at home within 180 days after discharge, maximum 90 days per policy year p.36
Hospice careCovered up to HKD 100,000 per policy year for institutional palliative care, including accommodation, meals, nursing, medication, and support care p.37
Chinese medicineHKD 650 per visit, maximum 20 visits per policy year, for consultation, acupuncture, and prescribed Chinese medicines after confinement or specific treatments p.37
PhysiotherapyCovered during confinement and as part of post-discharge outpatient care (within 365 days after discharge), full cover p.18
Congenital conditionsCovered if manifested or diagnosed after age 8, and unknown at application p.24
Pregnancy complicationsHKD 150,000 per policy year for specified pregnancy complications requiring surgery, subject to a 12-month waiting period from policy effective date p.36
Emergency dentalCovered for emergency treatment and surgery during confinement arising from an accident; follow-up treatment not covered p.24
Hospital cashHKD 1,260 per day if eligible expenses for confinement are partly or fully paid by another insurer p.47
Companion bedFull cover for the cost of one companion bed during confinement, meals not included p.36
Direct billing and pre-authorisationPre-approval required for organ transplant surgery and rehabilitation p.36
No-claim discountnone
Exclusions beyond the VHIS standard listDependence, overdose or influence of drugs, alcohol, narcotics; Venereal and sexually transmitted disease or its sequelae; Purchase of durable medical equipment or appliances; General traditional Chinese medicine treatment and other alternative treatments p.23

Premium record since 2021

At a constant age of 45, Bupa has filed 5 schedule changes on this plan since 2021, an average of +6.9% a year, taking the premium from HK$16,661 to HK$26,065.

YearChange
2022+4.7%
2023+5.1%
2024+8.0%
2025+17.5%
2026+12.0%

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

Options under this certification

OptionRoomDeductibleAnnual limit
Advance (HKD0 Deductible)Semi-privateNoneHKD 25,000,000 per Policy Year
Advance (HKD0 Deductible)Semi-privateNoneHKD 25,000,000 per Policy Year
Advance (HKD0 Deductible)Semi-privateNoneHKD 25,000,000 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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