VHIS Hong Kong
PRUDENTIAL · F00050-02-000-04

Prudential PRUHealth VHIS VIP Plan

Prudential PRUHealth VHIS VIP Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00050-02-000-04. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$5,904
45HK$8,587
60HK$19,665
75HK$45,947

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 applicationFirst 30 days of the first Policy Year no coverage; 31st day of the first Policy Year onwards full coverage p.15
Waiting period30 days for unknown pre-existing conditions p.15
Cancellation and refundFull refund if cancelled within 21-day cooling-off period (no benefit paid); pro-rata refund if terminated due to death of Insured Person or Company ceasing authorization p.3
Switching from another planAllowed to switch to another plan with upgraded/additional benefits, subject to re-underwriting for the upgraded/additional benefits p.10
Room classSemi-private in Hong Kong, Macau or mainland China; Private in other Asia and outside Asia (for accidents only) p.47
If a higher room is usedBenefits multiplied by 50% for Private Room if entitled to Semi-private; 25% for Above Private Room if entitled to Semi-private or Private p.1
Geographical coverAsia (Afghanistan, Australia, Bangladesh, Bhutan, Brunei, Cambodia, mainland China, Hong Kong, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Macau, Malaysia, Maldives, Mongolia, Myanmar, Nepal, New Zealand, North Korea, Pakistan, the Philippines, Singapore, South Korea, Sri Lanka, Taiwan, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan and Vietnam) p.47
Psychiatric treatment areaHong Kong only p.14
Emergency treatment abroadCovered for accidents occurring outside Asia, up to Private Room level p.47
Full cover on core benefitsyes p.49
Annual limit12000000 p.47
Lifetime limit56000000 p.47
Deductible options0, 20000 p.3
How the deductible appliesPer Policy Year, with option to reduce at ages 50, 55, 60, 65, 70, 75, 80, 85 p.47
Coinsurancenone p.47
Pre-admission outpatientFull cover for all prior outpatient visits or emergency consultations within 30 days before admission/Day Case Procedure; 1 prior visit if more than 30 days before p.47
Post-discharge outpatientFull cover for all follow-up outpatient visits within 90 days after discharge/Day Case Procedure, or within 365 days for complex/major surgical procedures 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 per benefit items, subject to annual and lifetime limits p.12
Home nursingHKD 1,600 per day, maximum 30 days per Policy Year, within 60 days after discharge/Day Case Procedure p.48
Hospice careHKD 60,000 per Policy Year p.48
Chinese medicineHKD 30,000 per Policy Year (HKD 400/day during confinement, HKD 600/visit post-discharge within 90 days) p.48
PhysiotherapyFull cover during confinement and for post-discharge outpatient care (within 90/365 days), subject to annual and lifetime limits p.13
Congenital conditionsCovered if manifested or diagnosed at or after age 8 p.17
Pregnancy complicationsCovered for listed complications, subject to benefit limits of I(a)-(i), I(k), II(a)-(d), if diagnosed at least 300 days after Policy Effective Date p.48
Emergency dentalFull cover for emergency treatment necessitated by accident to natural teeth within 2 weeks of accident, excluding restorative/precious metals/orthodontic p.48
Hospital cashHKD 1,000 per day for staying in a room class lower than Semi-private in a Hong Kong private hospital p.49
Companion bedFull cover for one extra bed for immediate family member during confinement p.48
No-claim discountnone
Exclusions beyond the VHIS standard listVenereal and sexually transmitted disease or its sequelae; Hair Mineral Analysis (HMA); Sterilisation or sex reassignment of either sex; Sexual dysfunction; Purchase of durable medical equipment or appliances 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$7,532 to HK$8,587.

YearChange
2022no change
2023+2.5%
2024+5.0%
2025+5.9%
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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