VHIS Hong Kong
CHOW TAI FOOK · F00064-04-000-02

Chow Tai Fook ''FlexiCare'' Medical Insurance Plan

Chow Tai Fook ''FlexiCare'' Medical Insurance Plan is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00064-04-000-02. It entitles the insured to a semi-private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$1,471
45HK$2,299
60HK$3,825
75HK$8,689

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 coverworldwide
Annual limitNone
Lifetime limitNone
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 afterHK$170
Psychiatric treatmentHK$32,260

Also includes outpatient general, dental, maternity, home nursing, a companion bed, hospital cash, hospice care, kidney dialysis, 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 age128 p.14
Pre-existing conditions unknown at application0% for first 30 days of Policy Year 1, 100% from day 31 of Policy Year 1 p.23
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period. After cooling-off, no refund if cancelled, unless benefits paid. p.5
Switching from another planSwitching to another plan with upgraded benefits is possible but subject to re-underwriting for the upgraded benefits. p.15
Room classStandard Semi-private p.49
If a higher room is usedIf Standard Private Room is used, 50% of eligible expenses are covered. If Above Standard Private Room is used, 25% of eligible expenses are covered. p.41
Geographical coverworldwide p.18
Psychiatric treatment areaHong Kong only p.22
Emergency treatment abroadCovered worldwide, subject to annual limit p.18
Full cover on core benefitspartial p.51
Annual limitunlimited (subject to per-disability limits of USD 206,455 or USD 103,230) p.49
Lifetime limitnone p.18
Deductible optionsnone
How the deductible appliesnot applicable
Coinsurancenone (except for Prescribed Diagnostic Imaging Tests) p.24
Pre-admission outpatient1 visit, $170 cap per visit p.50
Post-discharge outpatient10 visits within 90 days, $170 cap per visit p.50
General outpatientnone
Psychiatric treatmentUSD 32,260 per Disability per Policy Year p.50
Diagnostic imaging coinsurance30% for inpatient, 20% for day patient p.50
Non-surgical cancer treatmentFully covered, subject to aggregate limit of USD 206,455 per Disability per Policy Year p.49
Kidney dialysisFully covered, subject to aggregate limit of USD 103,230 per Disability per Policy Year p.49
Day case proceduresCovered as inpatient, subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year p.19
Home nursingFully covered for maximum 30 days per Disability per Policy Year, within 30 days after discharge, subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year p.49
Hospice careUSD 6,455 per Policy Year p.52
Chinese medicineInpatient/Day Case: Fully covered. Post-Confinement/Day Case: 10 visits within 90 days, $170 cap per visit, shared with basic outpatient care. Subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year. p.49
PhysiotherapyDuring Confinement: Fully covered. Post-discharge: 10 visits within 90 days, $170 cap per visit. p.20
Congenital conditionsCovered from age 8, subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year p.26
Pregnancy complicationsCovered after 12 months from Policy Effective Date, subject to respective limits of basic and enhanced benefits p.44
Emergency dentalFully covered for Emergency Treatment due to Accident, subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year p.44
Hospital cashUSD 130 per day, for 15 days per Disability per Policy Year, for using a lower ward class in a private HK hospital p.52
Companion bedFully covered, subject to aggregate limit of USD 103,230 or USD 206,455 per Disability per Policy Year p.49
No-claim discountYes, 16% for first year, then 0-16% at renewal based on claims history, plus up to 4% extra discount for multiple policies. p.39
Exclusions beyond the VHIS standard listPurchase of durable medical equipment or appliances; Traditional Chinese medicine treatment and other alternative treatments p.25

Premium record since 2021

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$1,970 to HK$2,299.

YearChange
2023no change
2024+8.0%
2025+8.0%
2026no change

A record of what has been filed, not a forecast of what you will pay.

Options under this certification

OptionRoomDeductibleAnnual limit
Benefit Level 2 (USD)Semi-privateNoneNo annual limit
Benefit Level 2 (USD)Semi-privateNoneNo annual limit

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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