VHIS Hong Kong
AIA · F00054-05-000-02

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 F00054-05-000-02. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$1,124
45HK$1,623
60HK$3,303
75HK$8,700

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 applicationNo coverage for first 30 days of first Policy Year, full coverage from 31st day of first Policy Year onwards p.21
Waiting period30 days for unknown pre-existing conditions p.21
Cancellation and refundFull refund if cancelled within 21-day cooling-off period; no refund after cooling-off period if benefits paid in relevant Policy Year p.4
Switching from another planSwitching to another plan with upgraded/additional benefits is possible, but re-underwriting applies to 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 if a room class above Covered Room is used p.41
Geographical coverAsia (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.44
Psychiatric treatment areaHong Kong and Macau p.17
Emergency treatment abroadWorldwide, but reduced to 50% for US citizens staying 182+ days in the US for Emergency Treatment in the US p.41
Full cover on core benefitsyes p.45
Annual limitUSD1,250,000 p.45
Lifetime limitUSD6,250,000 p.45
Deductible optionsUSD2,000, with a guaranteed zero Deductible option available for reduction at certain ages p.45
How the deductible appliesPer Policy Year, with options to reduce at ages 50, 55, 60, 65, 70, 75, or 81 p.22
Coinsurancenone p.45
Pre-admission outpatientFully covered for all prior outpatient visits or emergency consultations within 30 days before admission/Day Case Procedure, and 1 prior visit/consultation more than 30 days before p.45
Post-discharge outpatientFully covered for all follow-up outpatient visits (except dietitian) within 90 days after discharge/Day Case Procedure; 4 dietitian consultation visits at $85 per visit within 90 days p.45
General outpatientnone
Psychiatric treatmentUSD5,000 per Policy Year p.45
Diagnostic imaging coinsurancenone p.45
Non-surgical cancer treatmentFully covered p.45
Kidney dialysisFully covered p.45
Day case proceduresCovered as in-patient, fully covered p.45
Home nursingFully covered, maximum 196 days per Policy Year (within 196 days after discharge from Hospital following surgery or ICU admission) p.45
Hospice careUSD10,000 per Policy Year p.46
Chinese medicineUSD75 per visit, 1 visit per day, max 15 visits per Confinement/Day Case Procedure (within 90 days after discharge/completion) p.46
PhysiotherapyCovered during Confinement, as follow-up outpatient care (within 90 days) after Confinement/Day Case Procedure, and under Stroke ancillary benefit p.16
Congenital conditionsCovered if manifested or diagnosed after age 8 p.24
Pregnancy complicationsnone p.24
Emergency dentalFully covered for emergency treatment necessitated by injury to sound natural teeth due to an Accident, within 3 months of the Accident p.46
Hospital cashUSD150 per day, maximum 60 days per Policy Year, for using a room below Covered Room class in a private Hospital in Hong Kong and Macau p.46
Companion bedFully covered for an extra bed for one companion during Confinement p.46
Second medical opinionAvailable through personal medical case management services, including recommendations for suitable medical professionals p.46
Direct billing and pre-authorisationnot stated
No-claim discountYes, 5% for 3 claims-free years, 10% for 4 claims-free years, 15% for 5+ claims-free years p.60
Exclusions beyond the VHIS standard listScreening or surveillance procedures based on health history of Insured Person and/or family members, Hair Mineral Analysis (HMA), immunisation or health supplements; Sexual dysfunction including impotence, erectile dysfunction or pre-mature ejaculation 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$1,190 to HK$1,623.

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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