VHIS Hong Kong
BUPA · F00040-22-000-02

Bupa Hero VHIS Plan

Bupa Hero VHIS Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00040-22-000-02. It entitles the insured to a ward room and covers treatment worldwide_ex_us.

Premium by age, current schedule

AgeAnnual premium
30HK$5,294
45HK$9,608
60HK$18,356
75HK$38,337

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

RoomWard
Geographical coverworldwide_ex_us
Annual limitHK$10,000,000
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.37
Cancellation and refundFull refund within 21-day cooling-off period; no refund after cooling-off if benefits paid; pro-rata refund for death or company ceasing authorization p.4
Switching from another planSwitching to another plan with upgraded benefits is subject to re-underwriting; one-off right to upgrade plan level without re-underwriting under specific conditions p.14
Room classWard Room p.50
If a higher room is used50% adjustment factor for Semi-Private Room; 25% adjustment factor for Standard Private Room; Standard Plan limits for Above Standard Private Room p.44
Geographical coverWorldwide excluding the United States p.50
Psychiatric treatment areaWorldwide excluding the United States p.20
Emergency treatment abroadCovered at Standard Plan limits, no enhanced benefits p.43
Full cover on core benefitsyes p.50
Annual limit10,000,000 p.50
Lifetime limitnone p.50
Deductible options15000 p.50
How the deductible appliesPer Policy Year, with one-off right to reduce or remove at ages 50, 55, 60, 65, 70, 75, 80, 85 p.41
Coinsurancenone p.22
Pre-admission outpatientFull cover for 1 visit >30 days before admission, 2 visits <30 days before admission p.50
Post-discharge outpatientFull cover for 30 visits within 90 days after discharge p.50
General outpatientnone
Psychiatric treatmentFull cover p.50
Diagnostic imaging coinsurancenone p.50
Non-surgical cancer treatmentFull cover p.50
Kidney dialysisFull cover p.50
Day case proceduresCovered as in-patient, full cover p.50
Home nursingFull cover, maximum 90 days per Policy Year, at residential home within 180 days after discharge p.36
Hospice careHKD 80,000 per Policy Year p.50
Chinese medicineHKD 550 per visit, maximum 20 visits per Policy Year p.50
PhysiotherapyFull cover during Confinement; Full cover for 30 follow-up outpatient visits within 90 days after discharge p.18
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsHKD 100,000 per Policy Year, after 12-month waiting period p.37
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.24
Hospital cashHKD 600 per day for second claims incentive p.47
Companion bedFull cover for one companion bed, excluding meals p.36
Direct billing and pre-authorisationPre-approval available for rehabilitation and organ transplant surgery p.16
No-claim discountnone
Exclusions beyond the VHIS standard listpurchase of durable medical equipment or appliances (e.g., wheelchairs, oxygen devices, spectacles, air purifiers); traditional Chinese medicine and other alternative treatments (e.g., herbal, qigong, aromatherapy, homeotherapy) p.23

Premium record since 2021

At a constant age of 45, Bupa has filed 2 schedule changes on this plan since 2021, an average of +1.4% a year, taking the premium from HK$9,328 to HK$9,608.

YearChange
2025no change
2026+3.0%

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

Options under this certification

OptionRoomDeductibleAnnual limit
Core Pro (HKD15,000 Deductible)WardHK$15,000HKD 10,000,000 per Policy Year
Core Pro (HKD15,000 Deductible)WardHK$15,000HKD 10,000,000 per Policy Year
Core Pro (HKD15,000 Deductible)WardHK$15,000HKD 10,000,000 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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