VHIS Hong Kong
BUPA · F00040-07-000-05

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-07-000-05. It entitles the insured to a private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$9,951
45HK$18,554
60HK$41,051
75HK$79,673

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 coverasia
Annual limitHK$35,000,000
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, health check, 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 periodnone
Cancellation and refundFull refund within 21-day cooling-off period from delivery of terms/schedule or cooling-off notice, whichever is earlier. p.4
Switching from another planOne-off right to upgrade plan level (e.g., Core to Core Pro, Core Pro to Advance) without re-underwriting under specific conditions. p.14
Room classStandard Private Room p.50
If a higher room is usedIf confined in a Semi-Private Room, benefits are multiplied by a 50% adjustment factor. If confined in a room above Standard Private Room, Standard Plan Terms and Benefits apply. p.44
Geographical coverAsia, Australia and New Zealand p.50
Psychiatric treatment areaAsia, Australia and New Zealand p.20
Emergency treatment abroadCovered for basic benefits (3a-k) up to Standard Plan limits; no cover for enhanced benefits (Supplement 1). p.43
Full cover on core benefitsyes p.50
Annual limit35,000,000 p.51
Lifetime limitnone p.17
Deductible options0, 40000 p.46
How the deductible appliesPer Policy Year; reduced to $0 for Cancer treatment; one-off right to reduce or remove at ages 50, 55, 60, 65, 70, 75, 80, 85. p.41
Coinsurancenone
Pre-admission outpatientFull cover for 1 prior outpatient visit or emergency consultation more than 90 days before admission, and all prior outpatient visits or emergency consultations within 90 days before admission. p.50
Post-discharge outpatientFull cover for all follow-up outpatient visits within 365 days after discharge from hospital or completion of day case procedure. p.50
General outpatientMedical check-up benefit: free service at designated providers in HK, or reimbursement up to HKD 4,800 per Policy Year in Asia, Australia and New Zealand. p.51
Psychiatric treatmentFull cover p.50
Diagnostic imaging coinsurancenone p.50
Non-surgical cancer treatmentFull cover p.50
Kidney dialysisFull cover for haemodialysis or peritoneal dialysis as a Day Patient. p.51
Day case proceduresCovered as outpatient procedure, full cover for eligible expenses. p.17
Home nursingFull cover for nursing care at residential home within 180 days after discharge, up to 90 days per Policy Year. p.36
Hospice careHKD 120,000 per Policy Year p.51
Chinese medicineHKD 750 per visit, maximum 20 visits per Policy Year, for consultation or acupuncture after confinement or specific treatments. p.51
PhysiotherapyFull cover during confinement under miscellaneous charges; full cover for follow-up outpatient visits within 365 days after discharge. p.18
Congenital conditionsCovered if manifested or diagnosed after age 8. p.24
Pregnancy complicationsHKD 180,000 per Policy Year, provided conception occurred after the first 12 months of Policy Effective Date. p.36
Emergency dentalCovered for emergency treatment and surgery during confinement arising from an accident. p.23
Hospital cashHKD 2,400 per day if eligible expenses are fully or partly paid by another insurance company. p.47
Companion bedFull cover for charges of 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 listDependence, overdose or influence of drugs, alcohol, narcotics; venereal and sexually transmitted disease; Hair Mineral Analysis (HMA), immunisation or health supplements; Sex reassignment; sexual dysfunction (impotence, erectile dysfunction, pre-mature ejaculation). 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 +6.8% a year, taking the premium from HK$11,926 to HK$18,554.

YearChange
2022+4.7%
2023+5.1%
2024+8.8%
2025+16.5%
2026+11.5%

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

Options under this certification

OptionRoomDeductibleAnnual limit
Deluxe (HKD40,000 Deductible)PrivateHK$40,000HKD 35,000,000 per Policy Year
Deluxe (HKD40,000 Deductible)PrivateHK$40,000HKD 35,000,000 per Policy Year
Deluxe (HKD40,000 Deductible)PrivateHK$40,000HKD 35,000,000 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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