VHIS Hong Kong
AIA · F00054-04-000-02

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 F00054-04-000-02. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$2,326
45HK$3,386
60HK$6,674
75HK$17,288

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$1,250,000
Lifetime limitHK$6,250,000
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$5,000

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 if cancelled within 21-day cooling-off period; no refund after cooling-off period if benefits paid p.4
Switching from another planPossible to switch to another plan with upgrade or addition of benefits, subject to re-underwriting for the upgraded/additional benefits 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 only p.39
If a higher room is usedBenefits reduced by an Adjustment Factor p.41
Geographical coverAsia p.45
Psychiatric treatment areaHong Kong and Macau only p.45
Emergency treatment abroadWorldwide p.45
Full cover on core benefitsyes p.45
Annual limitUSD1,250,000 p.45
Lifetime limitUSD6,250,000 p.45
Deductible options0 p.45
How the deductible appliesPer Policy Year, with an option to reduce at ages 50, 55, 60, 65, 70, 75, 81 p.22
Coinsurancenone p.45
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.45
Post-discharge outpatientAll follow-up outpatient visits (excluding dietitian) within 90 days after discharge, fully covered; 4 dietitian consultation follow-up outpatient visits within 90 days after discharge, USD85 per visit p.45
General outpatientnone
Psychiatric treatmentUSD5,000 per Policy Year p.45
Diagnostic imaging coinsurancenone p.45
Non-surgical cancer treatmentfull cover p.45
Kidney dialysisfull cover p.45
Day case proceduresCovered as in-patient, fully covered for core benefits p.15
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 careUSD10,000 per Policy Year p.46
Chinese medicineUSD75 per visit, 1 follow-up visit per day, maximum 15 visits per Confinement/Day Case Procedure (within 90 days after discharge) p.46
PhysiotherapyFully covered as part of pre- and post-Confinement/Day Case Procedure outpatient care; USD125 per visit, maximum 30 visits per Policy Year and USD12,500 per Incident for Stroke ancillary benefit p.17
Congenital conditionsCovered from age 8 p.24
Pregnancy complicationsnone p.24
Emergency dentalFully covered within 3 months of the Accident p.46
Hospital cashUSD150 per day, maximum 60 days per Policy Year p.46
Companion bedFully covered p.46
Second medical opinionAvailable as part of personal medical case management services 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 listNot Medically Necessary; Dependence, overdose or influence of drugs, alcohol, narcotics; venereal and sexually transmitted disease; Purchase of durable medical equipment or appliances; Traditional Chinese medicine treatment and other forms of alternative treatment p.22

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$2,481 to HK$3,386.

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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