VHIS Hong Kong
AIA · F00054-01-000-02

AIA Voluntary Health Insurance Privilege Plus Scheme

AIA Voluntary Health Insurance Privilege Plus Scheme is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00054-01-000-02. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$18,608
45HK$27,088
60HK$53,392
75HK$138,304

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, 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.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 during 21-day cooling-off period. After cooling-off, cancellation with 30 days written notice if no benefit payment in current Policy Year. p.4
Switching from another planSwitching to another plan with upgrade or addition of benefits is possible, with re-underwriting limited to such upgrade or additional benefits. p.13
Room classAsia: Semi-Private Room (HK, Macau, Mainland China), Standard Private Room (rest of Asia); Outside Asia: Standard Private Room (Emergency Treatment only) p.39
If a higher room is usedBenefits reduced by multiplying an Adjustment Factor p.41
Geographical coverAsia for non-Emergency Treatment p.45
Psychiatric treatment areaHong Kong and Macau only p.15
Emergency treatment abroadWorldwide p.45
Full cover on core benefitsyes p.46
Annual limit10000000 p.45
Lifetime limit50000000 p.45
Deductible options0 p.45
How the deductible appliesPer Policy Year. Right to reduce deductible at 50, 55, 60, 65, 70, 75 or 81st birthday, exercisable once. p.22
Coinsurancenone p.21
Pre-admission outpatientAll prior outpatient visits or Emergency consultations within 30 days before each admission or Day Case Procedure, fully covered. p.45
Post-discharge outpatientAll follow-up outpatient visits (except dietitian) within 90 days after discharge, fully covered. 4 dietitian consultation follow-up visits within 90 days, HKD680 per visit. p.45
General outpatientnone
Psychiatric treatment40000 p.45
Diagnostic imaging coinsurancenone p.45
Non-surgical cancer treatmentfull cover p.45
Kidney dialysisFully covered p.45
Day case proceduresCovered as in-patient, plus HKD1,600 cash benefit per procedure, maximum 1 procedure per Policy Year. p.46
Home nursingFully covered, maximum 196 days per Policy Year (within 196 days after discharge from Hospital following surgery or admission to Intensive Care Unit). p.45
Hospice careHKD80,000 per Policy Year p.46
Chinese medicineHKD600 per visit, 1 follow-up outpatient visit per day, maximum 15 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge). p.46
PhysiotherapyFully covered during Confinement (Miscellaneous charges) and as follow-up outpatient care (Pre- and post-Confinement/Day Case Procedure outpatient care). HKD1,000 per visit, max 30 visits per Policy Year and HKD100,000 per Incident for 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.46
Hospital cashHKD1,200 per day, maximum 60 days per Policy Year (for using a room below Covered Room class in HK/Macau private hospital). p.46
Companion bedFully covered p.46
Second medical opinionAvailable as part of personal medical case management services, including recommendations for suitable medical professionals. p.36
Direct billing and pre-authorisationnot stated
No-claim discount5% for 3 claims-free years, 10% for 4 claims-free years, 15% for 5 or more claims-free years. p.60
Exclusions beyond the VHIS standard listProphylactic treatment or preventive care, including but not limited to screening procedures for asymptomatic conditions, screening or surveillance procedures based on the health history of the Insured Person and/or his family members, Hair Mineral Analysis (HMA); Purchase of durable medical equipment or appliances; Traditional Chinese medicine treatment, including but not limited to herbal treatment, bone-setting, acupuncture, acupressure and tui na, and other forms of alternative treatment including but not limited to hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy and other similar treatments p.23

Premium record since 2021

At a constant age of 45, AIA has filed 4 schedule changes on this plan since 2021, an average of +5.7% a year, taking the premium from HK$19,848 to HK$27,088.

YearChange
2022no change
2023no change
2024+7.0%
2025+17.0%
2026+9.0%

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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