VHIS Hong Kong
PRUDENTIAL · F00050-11-000-01

Prudential PRUHealth VHIS VIP Plan

Prudential PRUHealth VHIS VIP Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00050-11-000-01. It entitles the insured to a semi-private room and covers treatment worldwide_ex_us.

Premium by age, current schedule

AgeAnnual premium
30HK$5,210
45HK$7,494
60HK$16,778
75HK$39,851

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 p.15
Cancellation and refundFull refund within 21-day cooling-off period. No refund after cooling-off if benefits paid. Pro-rata refund for current policy year upon death or company ceasing authorization. p.3
Switching from another planAllowed 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 (except USA for non-accidents) p.47
If a higher room is usedBenefits multiplied by adjustment percentage: Private Room to Semi-private Room 50%; Above Private Room to Room 25%; Above Private Room to Private Room 25% p.1
Geographical coverWorldwide except USA p.47
Psychiatric treatment areaHong Kong only p.14
Emergency treatment abroadCovered for accidents in USA; for other emergencies outside Worldwide except USA, reverts to Standard Plan Terms and Benefits p.47
Full cover on core benefitsyes p.49
Annual limit12,000,000 p.47
Lifetime limit56,000,000 p.47
Deductible options0, 50000 p.47
How the deductible appliesPer Policy Year, reducible at ages 50, 55, 60, 65, 70, 75, 80, 85 p.47
Coinsurancenone p.48
Pre-admission outpatientFull cover for all visits within 30 days before admission, and 1 visit more than 30 days before admission p.48
Post-discharge outpatientFull cover for all visits within 90 days after discharge, and all visits within 365 days for complex/major surgery p.48
General outpatientnone
Psychiatric treatmentFull cover p.48
Diagnostic imaging coinsurance0% p.48
Non-surgical cancer treatmentFull cover p.48
Kidney dialysisFull cover for haemodialysis or peritoneal dialysis due to chronic and irreversible kidney failure p.6
Day case proceduresCovered as in-patient, full cover for related expenses p.12
Home nursingHKD 1,600 per day, max 30 days per policy year, within 60 days after discharge p.6
Hospice careHKD 60,000 per policy year for terminal illness p.9
Chinese medicineHKD 30,000 per policy year, max HKD 400 per day during confinement, max HKD 600 per visit within 90 days post-discharge p.7
PhysiotherapyFull cover during confinement and as part of post-discharge outpatient care p.13
Congenital conditionsCovered from age 8, subject to general limits p.17
Pregnancy complicationsCovered for specified complications, subject to benefit limits of I(a)-(i), I(k) and II(a)-(d), after 300 days waiting period p.9
Emergency dentalFull cover for emergency treatment due to accident within 2 weeks of accident, excluding restorative, precious metals, orthodontic p.7
Hospital cashHKD 1,000 per day for staying in a room lower than Semi-private Room in a private hospital in Hong Kong p.16
Companion bedFull cover for one extra bed for immediate family member during confinement p.5
Exclusions beyond the VHIS standard liststandard VHIS exclusions only

Premium record since 2021

At a constant age of 45, Prudential has filed 2 schedule changes on this plan since 2021, an average of +2.2% a year, taking the premium from HK$6,934 to HK$7,494.

YearChange
2024+5.0%
2025+2.9%
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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