VHIS Hong Kong
BUPA · F00040-10-000-03

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-10-000-03. It entitles the insured to a semi-private room and covers treatment worldwide_ex_us.

Premium by age, current schedule

AgeAnnual premium
30HK$10,440
45HK$17,521
60HK$35,018
75HK$77,973

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_ex_us
Annual limitHK$30,000,000
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 if no benefit paid; after cooling-off, cancellation with 30 days notice if no benefit paid in current Policy Year p.4
Switching from another planAllowed to switch to another plan with upgrade or additional benefits (subject to re-underwriting for new benefits); one-off right to upgrade plan level without re-underwriting for specific plan changes p.14
Room classSemi-private Room for HK, Macau, Taiwan, mainland China; Standard Private Room for other areas worldwide excluding USA p.50
If a higher room is usedWard Room to Semi-Private Room: 50% adjustment; Ward Room to Standard Private Room: 25% adjustment; Ward Room to Above Standard Private Room: Standard Plan limits apply; Semi-Private Room to Standard Private Room: 50% adjustment; Semi-Private Room to Above Standard Private Room: Standard Plan limits apply; Standard Private Room to Above Standard Private Room: Standard Plan limits apply. p.44
Geographical coverWorldwide excluding the United States p.50
Psychiatric treatment areaHong Kong only p.20
Emergency treatment abroadCovered, but with Standard Plan limits and no enhanced benefits if incurred outside applicable area of cover p.43
Full cover on core benefitsyes p.50
Annual limit30,000,000 p.51
Lifetime limitnone p.51
Deductible options0, 12000 p.50
How the deductible appliesPer Policy Year; reduced to $0 for cancer treatment; one-off reduction/removal right at ages 50, 55, 60, 65, 70, 75, 80, 85 p.50
Coinsurancenone p.50
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 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 haemodialysis or peritoneal dialysis as Day Patient p.51
Day case proceduresCovered as in-patient for many benefits, including room and board p.18
Home nursingFull cover for up to 90 days per Policy Year, within 180 days after discharge p.51
Hospice careHKD 110,000 per Policy Year for institutional palliative care p.51
Chinese medicineHKD 700 per visit, up to 20 visits per Policy Year, for consultation or acupuncture after Confinement or specific treatments p.51
PhysiotherapyFull cover for physiotherapy during Confinement and as part of post-discharge outpatient care p.18
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsHKD 165,000 per Policy Year, for complications from conception after 12 months of Policy Effective Date p.51
Emergency dentalCovered for emergency treatment and surgery during Confinement arising from an Accident p.23
Hospital cashHKD 1,260 per day if expenses are fully or partly paid by another insurance company p.51
Companion bedFull cover for one companion bed during Confinement p.51
Exclusions beyond the VHIS standard listNot Medically Necessary; Venereal and sexually transmitted disease; Purchase of durable medical equipment or appliances; Traditional Chinese medicine treatment and other alternative treatments p.23

Premium record since 2021

At a constant age of 45, Bupa has filed 4 schedule changes on this plan since 2021, an average of +6.8% a year, taking the premium from HK$12,955 to HK$17,521.

YearChange
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 Pro (HKD12,000 Deductible)Semi-privateHK$12,000HKD 30,000,000 per Policy Year
Advance Pro (HKD12,000 Deductible)Semi-privateHK$12,000HKD 30,000,000 per Policy Year
Advance Pro (HKD12,000 Deductible)Semi-privateHK$12,000HKD 30,000,000 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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