VHIS Hong Kong
BUPA · F00040-16-000-03

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-16-000-03. It entitles the insured to a private room and covers treatment worldwide_ex_us.

Premium by age, current schedule

AgeAnnual premium
30HK$8,163
45HK$15,322
60HK$34,797
75HK$74,091

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 coverworldwide_ex_us
Annual limitHK$40,000,000
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. After cooling-off, cancellation with 30 days prior written notice if no benefit payment in policy year. p.4
Switching from another planSwitching to a higher plan level (Core to Core Pro, or Core Pro to Advance) is allowed once without re-underwriting under specific conditions. p.41
Room classStandard Private Room p.50
If a higher room is usedIf a room class higher than Standard Private Room is used, the benefit limits of the Standard Plan Terms and Benefits shall apply. p.44
Geographical coverWorldwide excluding the United States p.50
Psychiatric treatment areaWorldwide excluding the United States p.20
Emergency treatment abroadCovered, but benefit limits under Standard Plan Terms and Benefits apply, and no enhanced benefits are payable. p.43
Full cover on core benefitsyes p.50
Annual limit40,000,000 p.51
Lifetime limitnone p.51
Deductible options80000 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, or 85. p.41
Coinsurancenone p.50
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 outpatientnone p.53
Psychiatric treatmentFull cover p.50
Diagnostic imaging coinsurancenone p.50
Non-surgical cancer treatmentFull cover p.50
Kidney dialysisFull cover p.51
Day case proceduresCovered as in-patient, full cover for various related benefits. p.50
Home nursingFull cover, maximum 90 days per Policy Year p.51
Hospice care150,000 per Policy Year p.51
Chinese medicine850 per visit, maximum 20 visits per Policy Year, after Confinement or specific treatments p.51
PhysiotherapyFull cover for follow-up outpatient visits within 365 days after discharge or Day Case Procedure, if directly related. p.50
Congenital conditionsCovered from age 8 p.24
Pregnancy complications230,000 per Policy Year, for complications from conception after first 12 months of Policy Effective Date. p.36
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident. p.24
Hospital cash2,400 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.36
Second medical opinionnot stated
Direct billing and pre-authorisationnot stated
No-claim discountnone
Exclusions beyond the VHIS standard listTreatments not Medically Necessary; Venereal and sexually transmitted diseases; Purchase of durable medical equipment or appliances; Traditional Chinese medicine treatment and other alternative treatments (with specific exceptions). 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 +9.0% a year, taking the premium from HK$10,313 to HK$15,322.

YearChange
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 Pro (HKD80,000 Deductible)PrivateHK$80,000HKD 40,000,000 per Policy Year
Deluxe Pro (HKD80,000 Deductible)PrivateHK$80,000HKD 40,000,000 per Policy Year
Deluxe Pro (HKD80,000 Deductible)PrivateHK$80,000HKD 40,000,000 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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