VHIS Hong Kong
BLUE CROSS · F00043-04-000-02

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 F00043-04-000-02. It entitles the insured to a ward room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$5,456
45HK$11,106
60HK$23,023
75HK$41,451

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
Annual limitHK$420,000
Lifetime limitNone
Room and boardHK$800
Hospital chargesHK$14,000
Doctor's visitsHK$750
Specialist feesHK$4,300
Intensive careHK$3,500
Surgeon's feeHK$50,000
AnaesthetistAs stated in the schedule
Operating theatreAs stated in the schedule
Diagnostic imagingHK$20,000
Non-surgical cancer treatmentHK$80,000
Outpatient before and afterHK$3,000
Psychiatric treatmentHK$30,000

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.13
Pre-existing conditions unknown at application0% year 1, 25% year 2, 50% year 3, 100% from year 4 p.22
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period; no refund after cooling-off period if benefits paid, otherwise 30-day notice required p.4
Switching from another planSwitching to another plan is possible; re-underwriting applies for upgrades, discretion for downgrades p.14
Room classward p.32
If a higher room is usedIf designated ward class is ward: Semi-private Room 50% adjustment; Private Room 25% adjustment; Any ward class above Private Room 12.5% adjustment p.55
Geographical coverworldwide excluding psychiatric treatment p.18
Psychiatric treatment areaHong Kong only p.21
Emergency treatment abroadCovered worldwide, emergency outpatient treatment up to HKD 2,500 per Policy Year p.32
Full cover on core benefitspartial p.32
Annual limitUnlimited for age 75 or below; HKD 420,000 for age 76 or above p.32
Lifetime limitnone p.18
Deductible optionsnone
Coinsurance20% for supplementary medical benefit; 30% for Prescribed Diagnostic Imaging Tests p.32
Pre-admission outpatient2 visits per Confinement/Day Case Procedure, HKD 3,000 per Policy Year p.32
Post-discharge outpatientAll related follow-up visits within 90 days after discharge, HKD 3,000 per Policy Year p.32
General outpatientnone
Psychiatric treatmentHKD 30,000 per Policy Year p.32
Diagnostic imaging coinsurance30% p.32
Non-surgical cancer treatmentHKD 80,000 per Policy Year p.32
Kidney dialysisCovered up to HKD 50,000 per Policy Year for regular haemodialysis or peritoneal dialysis p.32
Day case proceduresCovered as in-patient for Medically Necessary surgical procedures p.18
Home nursingHKD 800 per day, maximum 90 days per Policy Year, at home within 180 days post-discharge p.32
Hospice carenone p.27
Chinese medicineHKD 150 per visit, max 5 visits per Confinement/Day Case Procedure within 90 days post-discharge p.32
PhysiotherapyCovered during Confinement and as follow-up outpatient care within 90 days post-discharge, subject to overall limits p.19
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsnone p.24
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident p.24
Hospital cashHKD 400 per day, maximum 45 days per Policy Year p.32
Companion bedHKD 800 per day, maximum 90 days per Policy Year p.32
Second medical opinionnot available
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 listdependence, overdose or influence of drugs, alcohol, narcotics; 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, Blue Cross has filed 5 schedule changes on this plan since 2021, an average of +7.1% a year, taking the premium from HK$7,065 to HK$11,106.

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 D with SMM (with 20% Coinsurance)NoneFor Insured Person, at Age of 75 or below: Nil; at Age of 76 or above: HKD420,000 per Policy Year
Plan D with SMM (with 20% Coinsurance)NoneFor Insured Person, at Age of 75 or below: Nil; at Age of 76 or above: HKD420,000 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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