VHIS Hong Kong
PRUDENTIAL · F00050-09-000-01

Prudential PRUHealth VHIS VIP Plan

Prudential PRUHealth VHIS VIP Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00050-09-000-01. It entitles the insured to a semi-private room and covers treatment worldwide_ex_us.

Premium by age, current schedule

AgeAnnual premium
30HK$17,218
45HK$26,194
60HK$52,798
75HK$123,398

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 coverworldwide_ex_us
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.9
Pre-existing conditions unknown at application0% for first 30 days of Policy Year 1, 100% from 31st day of Policy Year 1 onwards p.15
Waiting period30 days for pre-existing conditions unknown at application p.15
Cancellation and refundFull refund if cancelled within 21-day cooling-off period; no refund after cooling-off if benefits paid; pro-rata refund if terminated due to death or company ceasing authorization p.3
Switching from another planAllowed to switch to another plan with upgrade/addition of benefits (re-underwriting limited to new benefits) or downgrade/reduction of benefits (no re-underwriting, but company discretion to accept/reject) p.10
Room classSemi-private Room in Hong Kong, Macau or mainland China; Private Room elsewhere (except USA for non-accidents) p.47
If a higher room is used50% adjustment for Private Room if entitled to Semi-private; 25% adjustment for Above Private Room if entitled to Semi-private or Private p.27
Geographical coverWorldwide except USA. Asia includes 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 worldwide except USA for non-accidents. Covered in USA for accidents only. 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, with options 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/emergency consultations within 30 days before admission; 1 prior visit/consultation if more than 30 days before admission p.47
Post-discharge outpatientFull cover for all follow-up outpatient visits within 90 days after discharge; within 365 days for complex or major surgical procedures p.47
General outpatientnone
Psychiatric treatmentFull cover during Confinement in Hong Kong 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, full cover for room and board and other eligible expenses p.12
Home nursingHKD 1,600 per day, maximum 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; HKD 400 per day during Confinement; HKD 600 per visit within 90 days after discharge (up to 1 visit per day) p.48
PhysiotherapyFull cover during Confinement and for pre/post-Confinement outpatient care; for Covered Cancer, Heart Attack and Stroke: HKD 1,000 per visit, maximum 15 visits per Policy Year, maximum HKD 45,000 per Incident p.13
Congenital conditionsNot covered if manifested or diagnosed before age 8 p.17
Pregnancy complicationsCovered for specific complications (e.g., ectopic pregnancy, pre-eclampsia) according to benefit limits of basic and some enhanced items, 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, including staunch bleeding, X-ray, tooth extraction, root canal work p.48
Hospital cashHKD 1,000 per day for staying in a room class lower than 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.48
No-claim discountnone
Exclusions beyond the VHIS standard listHair Mineral Analysis (HMA); purchase of durable medical equipment or appliances unless specified; alternative treatments (e.g., hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy) 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 +3.0% a year, taking the premium from HK$23,569 to HK$26,194.

YearChange
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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