VHIS Hong Kong
AIA · F00074-02-000-01

AIA Voluntary Health Insurance Privilege Ultra Scheme

AIA Voluntary Health Insurance Privilege Ultra Scheme is a Flexi Plan certified under the Voluntary Health Insurance Scheme, certification number F00074-02-000-01. It entitles the insured to a semi-private room and covers treatment worldwide.

Premium by age, current schedule

AgeAnnual premium
30HK$7,976
45HK$12,232
60HK$26,056
75HK$66,152

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 limitHK$12,000,000
Lifetime limitHK$60,000,000
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, health check, home nursing, a companion bed, 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.11
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.20
Waiting periodnone p.20
Cancellation and refundFull refund during 21-day cooling-off period; no refund after cooling-off period if benefits paid p.4
Switching from another planAllowed to switch to plans with upgraded/added benefits (re-underwriting limited to new benefits) or downgraded/reduced benefits (discretionary acceptance by company) p.12
Room classSemi-Private Room for Hong Kong, Macau and mainland China; Standard Private Room for anywhere else p.45
If a higher room is usedBenefits reduced by an Adjustment Factor, calculated by dividing the highest daily room charge of a Covered Room by the actual daily room charge of the higher class room p.42
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.45
Psychiatric treatment areaHong Kong and Macau only p.42
Emergency treatment abroadWorldwide, with 50% reduction for US citizens staying 182 days or more in the US p.45
Full cover on core benefitsyes p.46
Annual limit12000000 p.45
Lifetime limit60000000 p.45
Deductible options0, 16000 p.45
How the deductible appliesPer Policy Year, with option to reduce at ages 50, 55, 60, 65, 70, 75, 81 p.45
Coinsurancenone p.46
Pre-admission outpatientAll prior outpatient visits or emergency consultations within 30 days before confinement/day case procedure; 1 prior outpatient visit or emergency consultation more than 30 days before confinement/day case procedure p.46
Post-discharge outpatientAll follow-up outpatient visits (non-dietitian) within 90 days after discharge/day case procedure; All follow-up outpatient visits (non-dietitian) within 365 days after discharge/day case procedure for complex/major surgery; 4 dietitian consultation follow-up outpatient visits within 90 days after discharge/day case procedure, $680 per visit p.46
General outpatientnone
Psychiatric treatment40000 p.46
Diagnostic imaging coinsurancenone p.46
Non-surgical cancer treatmentfull cover p.46
Kidney dialysisfull cover p.46
Day case proceduresCovered as in-patient for various benefits p.15
Home nursingFully covered, maximum 196 days per Policy Year (within 196 days after discharge from hospital following surgery or ICU admission) p.46
Hospice care80000 per Policy Year p.46
Chinese medicineHKD600 per visit, maximum 15 follow-up outpatient visits per confinement/day case procedure (within 90 days after discharge/completion) p.46
PhysiotherapyCovered during confinement under miscellaneous charges; covered as follow-up outpatient care under pre/post confinement benefit; covered under Stroke ancillary benefit at HKD1,000 per visit, maximum 30 visits per Policy Year and HKD100,000 per incident p.15
Congenital conditionsCovered from age 8 p.23
Pregnancy complicationsPayable according to respective benefit limits, if diagnosed at least 300 days after Policy Effective Date p.47
Emergency dentalFully covered within 3 months of the Accident p.47
Hospital cashHKD1,200 per day, maximum 60 days per Policy Year, for using a lower ward class in a private hospital in Hong Kong and Macau p.47
Companion bedFully covered p.46
Second medical opinionAvailable through personal medical case management services p.47
Direct billing and pre-authorisationPre-authorisation for claimable amount estimate available p.13
No-claim discountnone
Exclusions beyond the VHIS standard listVenereal and sexually transmitted disease; dependence, overdose or influence of drugs, alcohol, narcotics; Hair Mineral Analysis (HMA); birth control, sterilisation, sex reassignment, sexual dysfunction; purchase of durable medical equipment or appliances p.22

Premium record since 2021

At a constant age of 45, AIA has filed 2 schedule changes on this plan since 2021, an average of +10.4% a year, taking the premium from HK$9,592 to HK$12,232.

YearChange
2025+17.0%
2026+9.0%

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

Options under this certification

OptionRoomDeductibleAnnual limit
HKD16,000 Deductible (Asia)Semi-privateHK$16,000HKD12,000,000 per Policy Year
HKD16,000 Deductible (Asia)Semi-privateHK$16,000HKD12,000,000 per Policy Year

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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