VHIS Hong Kong
SUN LIFE · F00063-04-000-01

Sun Life WeHealth Prestige

Sun Life WeHealth Prestige is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00063-04-000-01. It entitles the insured to a semi-private room and covers treatment asia.

Premium by age, current schedule

AgeAnnual premium
30HK$3,548
45HK$5,541
60HK$12,189
75HK$27,462

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
Pre-existing conditions unknown at application0% for first 30 days of first policy year, 100% from 31st day of first policy year onwards p.29
Waiting period30 days for pre-existing conditions unknown at application p.29
Cancellation and refundFull refund if cancelled within 21-day cooling-off period, provided no benefit payment. After cooling-off, 30 days prior written notice required, no refund if benefit paid. p.4
Switching from another planPossible to switch to another plan; re-underwriting limited to upgraded benefits; no re-underwriting for downgraded benefits but company discretion applies. 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. If higher than Standard Private Room, benefits payable according to Standard Plan Terms and Benefits, no enhanced benefits. p.65
Geographical coverAsia for non-emergency treatment; Standard Plan benefits only for non-emergency treatment outside Asia p.64
Psychiatric treatment areaHong Kong only p.64
Emergency treatment abroadCovered worldwide 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 p.35
Coinsurancenone p.71
Pre-admission outpatient1 visit more than 30 days before, max 1 visit per day within 30 days before, full cover per visit p.71
Post-discharge outpatientMax 1 visit per day within 90 days after discharge, full cover per visit p.71
General outpatientnone
Psychiatric treatment40,000 p.72
Diagnostic imaging coinsurancenone p.71
Non-surgical cancer treatmentfull cover p.71
Kidney dialysisFull cover for outpatient kidney dialysis treatment p.72
Day case proceduresCovered as in-patient, 1,000 cash benefit per surgical procedure p.25
Home nursingFull cover, max 30 days per policy year, max 1 Qualified Nurse per day (within 90 days after discharge from Hospital following surgery or admission to Intensive Care Unit) p.72
Hospice care100,000 per Policy Year p.72
Chinese medicine1,000 per visit, max 20 visits per policy year (within 90 days after discharge or completion of Day Case Procedure) p.72
PhysiotherapyCovered during confinement, post-discharge outpatient, and under rehabilitation benefit up to 80,000 per policy year p.26
Congenital conditionsCovered from age 8 p.32
Pregnancy complicationsFull cover, subject to 300-day waiting period from policy effective date p.51
Emergency dentalFull cover for emergency treatment necessitated by injury from accident within 90 days 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.53
Companion bedFull cover for extra bed for family members p.72
Second medical opinionnot stated
Direct billing and pre-authorisationnot stated
No-claim discountnone
Exclusions beyond the VHIS standard listHair Mineral Analysis (HMA); purchase of durable medical equipment or appliances; hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy p.31

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$4,947 to HK$5,541.

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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