VHIS Hong Kong
PRUDENTIAL · F00050-01-000-04

Prudential PRUHealth VHIS VIP Plan

Prudential PRUHealth VHIS VIP Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00050-01-000-04. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$15,654
45HK$23,814
60HK$48,000
75HK$112,181

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 coverasia
Annual limitHK$12,000,000
Lifetime limitHK$56,000,000
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, dental, maternity, chinese medicine, health check, vaccination, home nursing, a companion bed, hospital cash, rehabilitation, hospice care, kidney dialysis, reconstructive surgery, a death benefit.

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.8
Pre-existing conditions unknown at application0% for first 30 days of Policy Year 1, 100% from day 31 of Policy Year 1 p.15
Waiting period300 days for pregnancy complications p.9
Cancellation and refundFull refund within 21-day cooling-off period if no claim; after cooling-off, cancellation with 30 days notice if no claim in policy year; pro-rata refund for termination due to death or company ceasing authorization p.3
Switching from another planSwitching to another plan with upgraded benefits may require re-underwriting for the upgraded benefits; switching to a plan with downgraded benefits does not require re-underwriting but is subject to company discretion p.10
Room classSemi-private in HK, Macau, mainland China; Private in rest of Asia; Private outside Asia for accidents p.47
If a higher room is used50% for Private Room if entitled to Semi-private; 25% for Above Private Room if entitled to Semi-private; 25% for Above Private Room if entitled to Private p.1
Geographical coverAsia / Worldwide except USA p.49
Psychiatric treatment areaHong Kong only p.14
Emergency treatment abroadCovered outside Asia if due to accidents p.49
Full cover on core benefitsyes p.49
Annual limit12,000,000 p.47
Lifetime limit56,000,000 p.47
Deductible options0 p.47
How the deductible appliesPer Policy Year, reducible at ages 50, 55, 60, 65, 70, 75, 80, 85 p.47
Coinsurancenone p.47
Pre-admission outpatientFull cover for all visits within 30 days before admission, and 1 visit more than 30 days before admission p.47
Post-discharge outpatientFull cover for all visits within 90 days after discharge; or within 365 days after discharge for complex/major surgery p.47
General outpatientnone
Psychiatric treatmentFull cover, subject to annual and lifetime limits p.47
Diagnostic imaging coinsurance0% p.47
Non-surgical cancer treatmentFull cover, subject to annual and lifetime limits p.47
Kidney dialysisFull cover, subject to annual and lifetime limits p.48
Day case proceduresCovered as in-patient, full cover p.47
Home nursingHKD 1,600 per day, max 30 days per policy year, within 60 days after discharge p.48
Hospice careHKD 60,000 per Policy Year p.48
Chinese medicineHKD 30,000 per Policy Year, with sub-limits of HKD 400 per day during confinement and HKD 600 per visit post-discharge (max 1 visit/day for 90 days) p.48
PhysiotherapyFull cover under pre- and post-confinement outpatient care; HKD 1,000 per visit, max 15 visits/year, max HKD 45,000 per incident for rehabilitation treatments for Covered Cancer, Heart Attack and Stroke p.48
Congenital conditionsCovered from age 8 p.17
Pregnancy complicationsCovered, payable according to benefit limits of relevant items (mostly full cover) p.48
Emergency dentalFull cover for emergency treatment necessitated by accident to natural teeth within 2 weeks of accident p.48
Hospital cashHKD 1,000 per day for staying in a room class lower than Semi-private in Hong Kong private hospitals p.49
Companion bedFull cover for one extra bed for immediate family member during confinement p.48
Exclusions beyond the VHIS standard listHair Mineral Analysis (HMA); sex reassignment; sexual dysfunction; purchase of durable medical equipment p.16

Premium record since 2021

At a constant age of 45, Prudential has filed 3 schedule changes on this plan since 2021, an average of +2.2% a year, taking the premium from HK$20,904 to HK$23,814.

YearChange
2022no change
2023+2.5%
2024+5.0%
2025+5.8%
2026no change

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

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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