VHIS Hong Kong
AIA · F00053-03-000-02

AIA Voluntary Health Insurance Privilege Scheme

AIA Voluntary Health Insurance Privilege Scheme is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00053-03-000-02. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$6,064
45HK$8,992
60HK$18,200
75HK$47,928

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$10,000,000
Lifetime limitHK$50,000,000
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 treatmentHK$40,000

Also includes outpatient general, dental, chinese medicine, health check, home nursing, a companion bed, hospital cash, rehabilitation, hospice care, kidney dialysis, reconstructive surgery, a death benefit, no claim.

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.12
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.21
Waiting periodnone
Cancellation and refundFull refund if cancelled within 21-day cooling-off period p.4
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, discretion to accept/reject) p.13
Room classSemi-Private Room in Hong Kong, Macau or Mainland China; Standard Private Room elsewhere in Asia; Standard Private Room outside Asia for Emergency Treatment p.39
If a higher room is usedBenefits reduced by an Adjustment Factor p.41
Geographical coverAsia p.44
Psychiatric treatment areaHong Kong and Macau p.17
Emergency treatment abroadWorldwide, 50% reduction for US citizens staying 182+ days in US prior to treatment p.41
Full cover on core benefitsyes p.44
Annual limit10000000 p.44
Lifetime limit50000000 p.44
Deductible options25000, 0 (at older ages) p.22
How the deductible appliesPer Policy Year, can be reduced at ages 50, 55, 60, 65, 70, 75, 81 p.22
Coinsurancenone p.44
Pre-admission outpatientAll 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.44
Post-discharge outpatientAll follow-up outpatient visits (except dietitian) within 90 days after discharge, $680 per visit; 4 dietitian consultation follow-up outpatient visits within 90 days after discharge p.44
General outpatientnone
Psychiatric treatmentHKD40,000 per Policy Year p.44
Diagnostic imaging coinsurancenone p.44
Non-surgical cancer treatmentfull cover p.44
Kidney dialysisfull cover p.44
Day case proceduresCovered as in-patient for various benefits; Day surgery cash benefit of HKD1,600 per procedure, max 1 procedure per Policy Year p.45
Home nursingFully covered, maximum 196 days per Policy Year (within 196 days after discharge from Hospital following surgery or ICU admission) p.44
Hospice careHKD80,000 per Policy Year p.45
Chinese medicineHKD600 per visit, max 1 visit per day, max 15 visits per Confinement/Day Case Procedure (within 90 days after discharge) p.45
PhysiotherapyCovered during Confinement, pre- and post-Confinement/Day Case Procedure outpatient care, and as part of Stroke ancillary benefit p.16
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsnone p.24
Emergency dentalFully covered within 3 months of the Accident p.45
Hospital cashHKD1,200 per day, maximum 60 days per Policy Year for using a lower ward class p.45
Companion bedFully covered p.45
Second medical opinionAvailable through Personal medical case management services p.45
No-claim discountMedical check-up services if no benefits paid in preceding Policy Year p.45
Exclusions beyond the VHIS standard liststandard VHIS exclusions only p.23

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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