VHIS Hong Kong
SUN LIFE · F00063-03-000-01

Sun Life WeHealth Prestige

Sun Life WeHealth Prestige is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00063-03-000-01. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$4,336
45HK$6,779
60HK$14,508
75HK$30,905

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$40,000,000
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, maternity, chinese medicine, home nursing, 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.17
Maximum entry age120 p.79
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.29
Waiting period30 days for pre-existing conditions unknown at application; 300 days for pregnancy complications p.29
Cancellation and refundFull refund if cancelled within 21-day cooling-off period p.4
Switching from another planSwitching to a plan with upgraded/additional benefits is subject to re-underwriting limited to those benefits. Switching to a plan with downgraded/reduced benefits is at company's discretion without re-underwriting. p.18
Room classSemi-private Room p.71
If a higher room is usedIf Semi-private Room is entitled: 50% for Standard Private Room, 0% for any ward class above Standard Private Room p.65
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.71
Psychiatric treatment areaHong Kong only p.74
Emergency treatment abroadCovered in accordance with these Terms and Benefits p.64
Full cover on core benefitsyes p.74
Annual limit10,000,000 p.71
Lifetime limit40,000,000 p.71
Deductible options0, 20000, 50000, 80000 p.75
How the deductible appliesPer policy year. Can be reduced at ages 50, 55, 60, 65, 70, 75, 80, 85 upon request. p.68
Coinsurancenone p.34
Pre-admission outpatientFull cover per visit: 1 visit more than 30 days before confinement/day case procedure; maximum 1 visit per day within 30 days before confinement/day case procedure p.71
Post-discharge outpatientFull cover per visit: maximum 1 visit per day within 90 days after discharge or completion of day case procedure p.72
General outpatientnone
Psychiatric treatment40,000 p.72
Diagnostic imaging coinsurancenone p.71
Non-surgical cancer treatmentfull cover p.71
Kidney dialysisFull cover p.72
Day case proceduresCovered as in-patient, full cover for room and board, miscellaneous charges, surgeon's fee, anaesthetist's fee, operating theatre charges, prescribed diagnostic imaging tests, prescribed non-surgical cancer treatments p.25
Home nursingFull cover, maximum 30 days per policy year, maximum 1 Qualified Nurse per day (within 90 days after discharge from hospital following surgery or ICU admission) p.72
Hospice care100,000 per policy year p.72
Chinese medicine1,000 per visit, maximum 20 visits per policy year (within 90 days after discharge from hospital or completion of day case procedure) p.72
PhysiotherapyFull cover for physiotherapy during confinement and for follow-up outpatient visits within 90 days after discharge/day case procedure p.26
Congenital conditionsCovered if manifested or diagnosed at age 8 or later p.33
Pregnancy complicationsFull cover, subject to 300-day waiting period p.73
Emergency dentalFull cover, within 90 days from the accident p.73
Hospital cash1,200 per day, up to 90 days per policy year, for confinement in General Ward of a private Hospital in Hong Kong p.73
Companion bedFull cover for an extra bed for immediate family members accompanying the Insured Person during confinement p.72
No-claim discountnone
Exclusions beyond the VHIS standard listpurchase of durable medical equipment or appliances; other forms of alternative treatment including hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy p.32

Premium record since 2021

At a constant age of 45, Sun Life has filed 1 schedule change on this plan since 2021, an average of +2.4% a year, taking the premium from HK$6,053 to HK$6,779.

YearChange
2023no change
2024no change
2025no change
2026+12.0%

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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