VHIS Hong Kong
BLUE CROSS · F00043-01-001-02

Blue Cross CareForYou Super Flexi Plan for VHIS

Blue Cross CareForYou Super Flexi Plan for VHIS is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00043-01-001-02. It entitles the insured to a private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$22,019
45HK$39,258
60HK$77,556
75HK$147,929

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
Annual limitHK$830,000
Lifetime limitNone
Room and boardHK$4,000
Hospital chargesHK$42,000
Doctor's visitsHK$4,000
Specialist feesHK$10,000
Intensive careHK$10,000
Surgeon's feeHK$150,000
AnaesthetistAs stated in the schedule
Operating theatreAs stated in the schedule
Diagnostic imagingHK$40,000
Non-surgical cancer treatmentHK$120,000
Outpatient before and afterHK$10,800
Psychiatric treatmentHK$40,000

Also includes outpatient general, chinese medicine, a companion bed, hospital cash, rehabilitation, kidney dialysis.

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.12
Pre-existing conditions unknown at application0% year 1, 25% year 2, 50% year 3, 100% from year 4 p.21
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period; no refund after cooling-off if policyholder cancels p.4
Switching from another planSwitching to another plan with upgraded benefits may involve re-underwriting; switching to downgraded benefits does not involve re-underwriting but is subject to company discretion p.14
Room classnot restricted p.17
If a higher room is usedIf a higher room class than designated private room is used, reimbursement is subject to ward class adjustment factors: Semi-private Room 50%, Ward Private Room 25%, Any ward class above Private Room 12.5% p.53
Geographical coverworldwide p.17
Psychiatric treatment areaHong Kong only p.21
Emergency treatment abroadCovered worldwide, Emergency outpatient treatment limit HKD 15,000 per Policy Year p.17
Full cover on core benefitspartial, core benefits have per-item caps, but excess expenses are covered by supplementary medical benefit up to HKD 600,000 per Policy Year p.32
Annual limitunlimited for age 75 or below, HKD 830,000 for age 76 or above p.32
Lifetime limitnone p.32
Deductible optionsnone
Coinsurance30% for Prescribed Diagnostic Imaging Tests p.32
Pre-admission outpatient2 visits per Confinement/Day Case Procedure, limit HKD 10,800 per Policy Year p.32
Post-discharge outpatientAll related follow-up visits within 90 days after discharge/Day Case Procedure, limit HKD 10,800 per Policy Year p.32
General outpatientnone
Psychiatric treatmentHKD 40,000 per Policy Year p.32
Diagnostic imaging coinsurance30% p.32
Non-surgical cancer treatmentHKD 120,000 per Policy Year p.32
Kidney dialysisHKD 120,000 per Policy Year p.32
Day case proceduresCovered as in-patient for various benefits, Outpatient surgery cash allowance HKD 1,000 per Day Case Procedure p.32
Home nursingHKD 3,400 per day, maximum 90 days per Policy Year, for nursing at home within 180 days post-discharge p.32
Hospice carenone p.26
Chinese medicineHKD 200 per visit, max 5 visits per Confinement/Day Case Procedure within 90 days post-discharge p.32
PhysiotherapyCovered during Confinement and as post-discharge outpatient care within overall limits p.19
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsnone p.23
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.23
Hospital cashHKD 1,700 per day, maximum 45 days per Policy Year p.32
Companion bedHKD 3,400 per day, maximum 90 days per Policy Year p.32
No-claim discount5% for 1-2 years, 10% for 3-4 years, 15% for 5+ years of no claims p.57
Exclusions beyond the VHIS standard liststandard VHIS exclusions only p.22

Premium record since 2021

At a constant age of 45, Blue Cross has filed 5 schedule changes on this plan since 2021, an average of +7.1% a year, taking the premium from HK$24,981 to HK$39,258.

YearChange
2022+5.0%
2023+8.0%
2024+13.0%
2025+12.5%
2026+9.0%

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

Options under this certification

OptionRoomDeductibleAnnual limit
Plan A with SMM (No Coinsurance)NoneFor Insured Person, at Age of 75 or below: Nil; at Age of 76 or above: HKD830,000 per Policy Year
Plan A with SMM (No Coinsurance)NoneFor Insured Person, at Age of 75 or below: Nil; at Age of 76 or above: HKD830,000 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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