VHIS Hong Kong
SUN LIFE · F00066-01-000-01

Sun Life WeHealth Preferred

Sun Life WeHealth Preferred is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00066-01-000-01. It entitles the insured to a ward room and covers treatment greater_china.

Premium by age, current schedule

AgeAnnual premium
30HK$8,958
45HK$14,110
60HK$29,799
75HK$66,020

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

RoomWard
Geographical covergreater_china
Annual limitHK$5,000,000
Lifetime limitHK$20,000,000
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 home nursing, rehabilitation, 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 agelifetime p.17
Pre-existing conditions unknown at applicationNo coverage for the first 30 days of the first Policy Year; full coverage from 31st day of the first Policy Year onwards p.29
Waiting periodnone
Cancellation and refundFull refund within 21-day cooling-off period if no benefit payment. After cooling-off, cancellation requires 30 days notice, no refund if benefits paid in policy year. p.4
Switching from another planSwitching to a plan with upgraded/additional benefits may involve re-underwriting for those benefits. Switching to a plan with downgraded/reduced benefits does not involve re-underwriting, but is at company's discretion. p.19
Room classGeneral Ward p.59
If a higher room is usedIf General Ward is entitled: Semi-private Room 50% adjustment; Standard Private Room 25% adjustment; Any ward class above Standard Private Room 0% adjustment. If higher than Standard Private Room, benefits payable according to Standard Plan Terms and Benefits. p.53
Geographical coverGreater China (Hong Kong, Macau, mainland China and Taiwan) for non-emergency treatment; outside Greater China, benefits are limited to Standard Plan Terms and Benefits. p.59
Psychiatric treatment areaHong Kong only p.52
Emergency treatment abroadCovered in accordance with these Terms and Benefits p.52
Full cover on core benefitsyes p.60
Annual limit5,000,000 HKD p.59
Lifetime limit20,000,000 HKD p.59
Deductible options0, 20000, 50000, 80000 p.63
How the deductible appliesPer Policy Year. Policy Holder can reduce deductible once at ages 50, 55, 60, 65, 70, 75, 80, 85, including to a zero option. p.35
Coinsurancenone
Pre-admission outpatient1 visit more than 30 days before confinement/day case, or maximum 1 visit per day within 30 days before confinement/day case. Full cover per visit. p.59
Post-discharge outpatientMaximum 1 visit per day within 90 days after discharge or completion of day case procedure. Full cover per visit. p.60
General outpatientnone
Psychiatric treatment40,000 HKD per Policy Year p.60
Diagnostic imaging coinsurancenone p.59
Non-surgical cancer treatmentfull cover p.59
Kidney dialysisFull cover p.60
Day case proceduresCovered as in-patient for various benefits, full cover for most items. p.35
Home nursingFull cover, maximum 30 days per Policy Year, maximum 1 Qualified Nurse per time slot per day (within 90 days after discharge from Hospital following surgery or ICU admission). p.60
Hospice carenone p.36
Chinese medicinenone p.32
PhysiotherapyCovered during confinement and as follow-up outpatient care post-discharge/day case. Chest physiotherapy covered up to 10,000 HKD per Policy Year under cardiac rehabilitation. p.60
Congenital conditionsCovered if manifested or diagnosed after age 8. p.33
Pregnancy complicationsnone p.32
Emergency dentalCovered for Emergency Treatment and surgery during Confinement arising from an Accident. Follow-up dental treatment after discharge is not covered. p.32
Hospital cashnone
Companion bedFull cover for an extra bed for Immediate Family Members during Insured Person’s Confinement. p.45
Second medical opinionnot stated
Direct billing and pre-authorisationnot stated
No-claim discountnone
Exclusions beyond the VHIS standard listTraditional Chinese medicine treatment and other alternative treatments (hypnotism, qigong, massage therapy, aromatherapy, naturopathy, 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 +2.5% a year, taking the premium from HK$12,598 to HK$14,110.

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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