Chow Tai Fook ''FlexiCare'' Medical Insurance Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00064-01-000-02. It entitles the insured to a ward room and covers treatment worldwide.
| Age | Annual premium |
|---|---|
| 30 | HK$9,212 |
| 45 | HK$13,700 |
| 60 | HK$20,818 |
| 75 | HK$47,120 |
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.
| Room | Ward |
|---|---|
| Geographical cover | worldwide |
| Annual limit | None |
| Lifetime limit | None |
| Room and board | Paid in full |
| Hospital charges | Paid in full |
| Doctor's visits | Paid in full |
| Specialist fees | Paid in full |
| Intensive care | Paid in full |
| Surgeon's fee | Paid in full |
| Anaesthetist | Paid in full |
| Operating theatre | Paid in full |
| Diagnostic imaging | Paid in full |
| Non-surgical cancer treatment | Paid in full |
| Outpatient before and after | HK$900 |
| Psychiatric treatment | HK$200,000 |
Also includes outpatient general, dental, maternity, home nursing, a companion bed, hospital cash, hospice care, kidney dialysis, a death benefit.
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 age | 128 p.13 |
|---|---|
| Pre-existing conditions unknown at application | First 30 days of the first Policy Year no coverage; 31st day of the first Policy Year onwards full coverage p.23 |
| Waiting period | First 30 days of the first Policy Year for Pre-existing Condition(s) unknown at application p.23 |
| Cancellation and refund | Full refund within 21-day cooling-off period if no benefit paid. After cooling-off, cancellation by 30 days written notice, no refund of premium paid unless specified otherwise. p.5 |
| Switching from another plan | Policy Holder can request to switch to another plan with downgrade or reduction of benefits without re-underwriting, but Company has discretion to accept or reject. Re-underwriting for upgrade or addition of benefits is limited to such benefits. p.15 |
| Room class | Standard Ward Room p.49 |
| If a higher room is used | If voluntarily confined in a higher ward class, a ward class adjustment factor (50% or 25%) is applied to benefit calculation. p.41 |
| Geographical cover | Worldwide p.18 |
| Psychiatric treatment area | Hong Kong only p.18 |
| Emergency treatment abroad | Covered as part of worldwide territorial scope, no specific limit stated. p.18 |
| Full cover on core benefits | partial p.49 |
| Annual limit | Nil p.49 |
| Lifetime limit | Nil p.49 |
| Deductible options | none |
| How the deductible applies | per Disability per Policy Year p.40 |
| Coinsurance | 30% for Prescribed Diagnostic Imaging Tests performed during Confinement; 20% for Prescribed Diagnostic Imaging Tests performed in a setting for providing Medical Services to a Day Patient p.49 |
| Pre-admission outpatient | 1 prior outpatient visit or Emergency consultation per Confinement/Day Case Procedure, $900 per visit p.49 |
| Post-discharge outpatient | 10 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge or completion of Day Case Procedure), $900 per visit p.49 |
| General outpatient | none |
| Psychiatric treatment | 200000 per Disability per Policy Year p.49 |
| Diagnostic imaging coinsurance | 30% for Confinement, 20% for Day Patient p.49 |
| Non-surgical cancer treatment | Fully covered p.49 |
| Kidney dialysis | Fully covered for outpatient kidney dialysis p.50 |
| Day case procedures | Covered as in-patient, Designated Day Case Procedure cash allowance of $800 once per Policy Year p.44 |
| Home nursing | Fully covered, maximum 30 days per Disability per Policy Year (within 30 days after discharge from Hospital) p.50 |
| Hospice care | 30000 per Policy Year p.51 |
| Chinese medicine | Fully covered for inpatient/Day Case Procedures; $900 per visit, maximum 10 follow-up outpatient visits (within 90 days after discharge or completion of Day Case Procedure) p.50 |
| Physiotherapy | Physiotherapy, occupational therapy and speech therapy during Confinement are covered under Miscellaneous charges. Follow-up physiotherapy is covered under post-Confinement/Day Case Procedure outpatient care. p.20 |
| Congenital conditions | Excluded if manifested or diagnosed before age 8 p.26 |
| Pregnancy complications | Covered for specific complications (e.g., ectopic pregnancy, pre-eclampsia) if diagnosed after 12 months from Policy Effective Date, subject to respective limits of basic and enhanced benefits. p.43 |
| Emergency dental | Fully covered for Emergency Treatment due to Accident, if provided within 30 days of Accident by a registered dentist. p.50 |
| Hospital cash | N/A for Benefit Level 1 p.51 |
| Companion bed | Fully covered for one extra bed for one person to accompany the Insured Person during Confinement. p.42 |
| No-claim discount | 16% discount for first Policy Year. Subsequent years: 16% if no Specified Benefit paid, 8% if Specified Benefit paid. If 8% applied, next year 0%. If 0% applied, 16% after 3 consecutive claim-free years. Extra no claim discount up to 4% based on number of policies. p.38 |
| Exclusions beyond the VHIS standard list | Expenses for treatments not Medically Necessary; Prophylactic treatment or preventive care (with exceptions); Purchase of durable medical equipment or appliances (rental during Confinement/Day Case Procedure is covered); Traditional Chinese medicine treatment and other alternative treatments (unless covered by enhanced benefits); Eligible Expenses reimbursed under any other law/program/insurance p.25 |
At a constant age of 45, Chow Tai Fook has filed 2 schedule changes on this plan since 2021, an average of +3.6% a year, taking the premium from HK$11,746 to HK$13,700.
| Year | Change |
|---|---|
| 2023 | no change |
| 2024 | +8.0% |
| 2025 | +8.0% |
| 2026 | no change |
A record of what has been filed, not a forecast of what you will pay.
| Option | Room | Deductible | Annual limit |
|---|---|---|---|
| Benefit Level 1 (HKD) | Ward | None | No annual limit |
| Benefit Level 1 (HKD) | Ward | None | No annual limit |
Private hospitals publish what they billed for common operations. These pages take those bills and work out what a plan pays of them.
Every procedure with published bills
The certified plan document as filed, on the Health Bureau's VHIS site.