VHIS Hong Kong
BUPA · F00040-03-000-05

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-03-000-05. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$6,847
45HK$12,178
60HK$27,321
75HK$58,652

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, the deductible waived for critical conditions.

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 within 21-day cooling-off period. After cooling-off, cancellation with 30 days' notice if no benefits paid, refund not specified. p.4
Switching from another planSwitching to a higher plan level (e.g., Core Pro to Advance) is possible without re-underwriting under specific conditions; other upgrades or additions are subject to re-underwriting. p.14
Room classSemi-private for Hong Kong, Macau, Taiwan and mainland China; Standard Private for other areas in Asia, Australia and New Zealand p.50
If a higher room is usedBenefits are adjusted by a factor (25% or 50%) or reduced to Standard Plan 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.43
Psychiatric treatment areaAsia, Australia and New Zealand p.20
Emergency treatment abroadCovered up to Standard Plan benefit limits, no enhanced benefits p.43
Full cover on core benefitsyes p.50
Annual limit25000000 p.51
Lifetime limitnone p.51
Deductible options0, 40000 p.41
How the deductible appliesPer Policy Year, waived for Cancer treatment p.50
Coinsurancenone p.50
Pre-admission outpatient1 visit more than 90 days before admission, all visits within 90 days before admission, full cover p.50
Post-discharge outpatientAll follow-up visits within 365 days after discharge, full cover p.50
General outpatientnone
Psychiatric treatmentFull cover (subject to Annual Benefit Limit) p.50
Diagnostic imaging coinsurancenone p.50
Non-surgical cancer treatmentFull cover (subject to Annual Benefit Limit) p.50
Kidney dialysisFull cover (subject to Annual Benefit Limit) p.51
Day case proceduresCovered as inpatient benefits, full cover for most items p.17
Home nursingFull cover for up to 90 days per policy year for nursing care at home within 180 days after discharge p.36
Hospice careHKD 100,000 per Policy Year p.51
Chinese medicineHKD 650 per visit, maximum 20 visits per Policy Year, after Confinement or specific treatments p.51
PhysiotherapyFull cover when part of miscellaneous charges during confinement or post-discharge outpatient care p.18
Congenital conditionsNot covered if manifested or diagnosed before age 8 p.24
Pregnancy complicationsHKD 150,000 per Policy Year, with 12-month waiting period from Policy Effective Date p.36
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident, no specific limit stated p.24
Hospital cashHKD 1,260 per day for confinement if expenses are paid by another insurer p.47
Companion bedFull cover for one companion bed during confinement, excluding meals p.36
Direct billing and pre-authorisationPre-approval available for rehabilitation and organ transplant surgery; claimable amount estimate available p.16
No-claim discountnone
Exclusions beyond the VHIS standard liststandard VHIS exclusions only 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 +5.3% a year, taking the premium from HK$8,601 to HK$12,178.

YearChange
2022+4.7%
2023+5.1%
2024+8.0%
2025+10.8%
2026+7.5%

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

Options under this certification

OptionRoomDeductibleAnnual limit
Advance (HKD40,000 Deductible)Semi-privateHK$40,000HKD 25,000,000 per Policy Year
Advance (HKD40,000 Deductible)Semi-privateHK$40,000HKD 25,000,000 per Policy Year
Advance (HKD40,000 Deductible)Semi-privateHK$40,000HKD 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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