VHIS Hong Kong
PRUDENTIAL · F00050-08-000-01

Prudential PRUHealth VHIS VIP Plan

Prudential PRUHealth VHIS VIP Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00050-08-000-01. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$445
45HK$640
60HK$1,433
75HK$3,402

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$1,500,000
Lifetime limitHK$7,000,000
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.9
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 periodnone
Cancellation and refundFull refund if cancelled within 21-day cooling-off period; no refund if benefits paid; if no benefits paid after cooling-off, not stated p.3
Switching from another planPossible to switch to another plan with upgrade or additional benefits, subject to re-underwriting for the upgraded/additional benefits p.10
Room classSemi-private Room in Hong Kong, Macau or mainland China; Private Room elsewhere in Asia; Private Room outside Asia for accidents p.47
If a higher room is usedIf higher room is chosen voluntarily: Private Room (if entitled to Semi-private) 50% adjustment; Above Private Room (if entitled to Semi-private) 25% adjustment; Above Private Room (if entitled to Private) 25% adjustment p.27
Geographical coverAsia / Worldwide except USA p.50
Psychiatric treatment areaHong Kong only p.14
Emergency treatment abroadCovered for accidents outside Asia p.49
Full cover on core benefitsyes p.47
Annual limitUSD 1,500,000 p.47
Lifetime limitUSD 7,000,000 p.47
Deductible optionsUSD 0, USD 12,000 p.29
How the deductible appliesPer Policy Year, reducible at ages 50, 55, 60, 65, 70, 75, 80, 85 p.28
Coinsurancenone p.47
Pre-admission outpatientFull cover for all prior outpatient visits or emergency consultations within 30 days before admission; 1 prior outpatient visit or emergency consultation more than 30 days before admission p.47
Post-discharge outpatientFull cover for all follow-up outpatient visits within 90 days after discharge; Full cover for all follow-up outpatient visits within 365 days after discharge for complex or major surgical procedures p.47
General outpatientnone
Psychiatric treatmentFull cover p.47
Diagnostic imaging coinsurance0% p.47
Non-surgical cancer treatmentFull cover p.47
Kidney dialysisFull cover p.48
Day case proceduresCovered as in-patient for various benefits, no specific limit stated beyond overall annual/lifetime limits p.12
Home nursingUSD 200 per day, maximum 30 days per Policy Year, within 60 days after discharge p.48
Hospice careUSD 7,500 per Policy Year p.48
Chinese medicineUSD 3,750 per Policy Year, USD 50 per day during Confinement, USD 75 per visit within 90 days after discharge (up to 1 visit per day) p.48
PhysiotherapyCovered as part of miscellaneous charges during confinement and pre/post confinement care. For Covered Cancer, Heart Attack and Stroke: USD 125 per visit, max 15 visits per Policy Year, max USD 5,625 per Incident. p.48
Congenital conditionsCovered if manifested or diagnosed after age 8 p.17
Pregnancy complicationsCovered for specific complications, payable according to respective benefit items, if diagnosed at least 300 days after Policy Effective Date p.34
Emergency dentalFull cover for emergency treatment necessitated by accident to natural teeth within 2 weeks of accident p.32
Hospital cashUSD 125 per day for staying below Semi-private Room in a private Hospital in Hong Kong p.49
Companion bedFull cover for one extra bed for immediate family member during confinement p.31
No-claim discountnone
Exclusions beyond the VHIS standard liststandard VHIS exclusions only p.16

Premium record since 2021

At a constant age of 45, Prudential has filed 2 schedule changes on this plan since 2021, an average of +3.1% a year, taking the premium from HK$575 to HK$640.

YearChange
2024+5.0%
2025+6.0%
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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