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VHIS Flexi · F00022-02-000-03

AIA Voluntary Health Insurance Flexi Scheme - Semi-private (HKD)

AIA自願醫保靈活計劃 - 半私家房 (港元)

AIA International Limited

Your premium

HK$9,090 /yr

age
HK$

Ward class

Semi-Private Room

Coverage region

Worldwide

Deductible

Annual benefit limit

Per-illness annual limit

Lifetime benefit limit

SMM Supplemental Major Medical

  • NetworkHK$240,000/per policy year / per disability, 15% coinsurance
  • Non-networkHK$200,000/per policy year / per disability, 20% coinsurance

Coverage Tiers & Conditions

This plan applies tiered caps or conditional rules on selected benefits

SMM

  • Network:HK$240,000/per policy year / per disability, 15% coinsurance
  • Non-network:HK$200,000/per policy year / per disability, 20% coinsurance

Benefits

Full benefit schedule · grouped by basic / extra / cash / event

Basic Benefits
  • (a) Room and board
    (a) 病房及膳食
    $2,400 per day
    Non-network: 每日$2,200 每保單年度最多180日
  • (b) Miscellaneous charges
    (b) 雜項開支
    $22,500 per Policy Year
    Non-network: 每保單年度$21,000
  • (c) Attending doctor's visit fee
    (c) 主診醫生巡房費
    $2,400 per day
    Non-network: 每日$2,200 每保單年度最多180日
  • (d) Specialist's fee
    (d) 專科醫生費
    $5,400 per Policy Year
    Non-network: 每保單年度$5,000
  • (e) Intensive care
    (e) 深切治療
    $7,400 per day
    Non-network: 每日$6,160 每保單年度最多25日
  •     Surgeon's fee — Minor
    外科醫生費 — 小型
    $8,600
    Non-network: $7,500
  •     Surgeon's fee — Intermediate
    外科醫生費 — 中型
    $25,800
    Non-network: $22,500
  •     Surgeon's fee — Major
    外科醫生費 — 大型
    $43,000
    Non-network: $37,500
  •     Surgeon's fee — Complex
    外科醫生費 — 複雜
    $86,000
    Non-network: $75,000
  • (g) Anaesthetist's fee
    (g) 麻醉科醫生費
    35% of Surgeon's fee payable
    Non-network: 外科醫生費賠償額的35%
  • (h) Operating theatre charges
    (h) 手術室費
    35% of Surgeon's fee payable
    Non-network: 外科醫生費賠償額的35%
  • (i) Prescribed Diagnostic Imaging Tests
    (i) 訂明診斷成像檢測
    $33,000 per Policy Year
    Non-network: 每保單年度$30,000 設30%共同保險,於條款及保障中第六部分第5節列明的情況除外
  • (j) Prescribed Non-surgical Cancer Treatments
    (j) 訂明非手術癌症治療
    $120,000 per Policy Year
    Non-network: 每保單年度$100,000
  • (k) Pre- and post-Confinement / Day Case Procedure outpatient care
    (k) 入院前或出院後/日間手術前後的門診護理
    Up to $3,760 per Policy Year (network)• 1 prior outpatient visit or Emergency consultation per Confinement/Day Case Procedure: $936 per visit• Up to 3 follow-up outpatient visits per Confinement/Day Case Procedure within 90 days after discharge from Hospital or completion of Day Case Procedure:- consultation, western medication, dressings, diagnostic tests: $936 per visit- other follow-up outpatient visits (physiotherapy, occupational therapy, speech therapy, chiropractic treatment): $700 per visit
    Non-network: 每保單年度最多 $3,300• 入院前/日間手術前急症診症:每次 $640,最多 1 次• 出院後/日間手術後跟進門診:90 日內最多 3 次- 診症、處方西藥、敷藥、診斷檢測:每次 $640- 其他跟進門診(物理/職業/言語/脊椎):每次 $640
  • (l) Psychiatric treatments
    (l) 精神科治療
    $38,000 per Policy Year
    Non-network: 每保單年度$34,500
Extra Benefits
  • Outpatient kidney dialysis
    長期治療賠償 - 腎臟透析
    $120,000 per Policy Year
    Non-network: 每保單年度$100,000
  • Daily post-surgery home nursing benefit
    手術後家中每日看護費用賠償
    $848 per visit, $16,320 per Policy Year
    Non-network: 每次$704 每保單年度$13,600
  • Emergency outpatient treatment for Accident
    急症門診治療費用賠償(只限意外)
    $13,200 maximum per Injury within 24 hours of the Accident
    Non-network: $11,000 每次受傷之最高賠償額
  • Hospital companion bed fee reimbursement
    住院陪床惠益
    $640 per day, maximum 90 days per Policy Year
    Non-network: 每日$280 每保單年度最多90日
  • Daily post-surgery home nursing benefit
    手術後家中每日看護費用賠償
    $848 per visit. 1 visit per day from the 16th to the 31st visit within 31 days after discharge from Hospital
    Non-network: 每次$704 出院後31日內,第16次至第31次,限每日一次
  • Personal medical case management services
    個人療程管理服務
    Applicable
Cash Benefits
  • Second-claim cash allowanceAfter other pays
    優化賠償津貼惠益
    $600 per day, maximum 90 days per Policy Year
Event Benefits
  • Compassionate death benefit
    身故恩恤賠償
    $17,600
  • Accidental Death benefit
    意外死亡賠償
    $17,600
  • Compassionate death benefit (blood donor)
    捐血恩恤惠益(身故賠償)
    $8,800
  • Medical accident and incident extension benefit
    醫療意外事故惠益
    $176,000

No-Claim Bonus

Renewal premium discount earned by staying claim-free

Discount netted off renewal premium

Discount schedule

Consecutive claim-free yearsDiscount
3 yrs5%
4 yrs10%
5 yrs15%

Verbatim clause

無索償折扣批註 此批註附加於及構成 AIA 自願醫保靈活計劃的一部份。 本文的條款所列的保障被視為補充條款及保障,並受以下條款及細則約束。 無索償折扣 (a) 若保單及此批註一直生效並受保單的條款及細則約束,本公司於相關續保日前的無索償年度(如下定義)不曾就本條款 及保障對任何保障作出賠償,在保單第三(3)個及隨後的每個續保日,保單持有人將獲得及累積無索償折扣(「無索償折 扣」),用作扣除相關保單年度應付保費。就此文而言,本公司對任何保障作出的賠償將會撥入衍生相關費用的保單年 度。 就累積無索償折扣的目的而言,任何於其他保障批註丙部分第3(c)節已付的賠償(及有關於保單下已付的相關賠償)、其他 保障批註丙部分第3(h)節已提供的保障,及於其他保障批註丙部分第2節由網絡註冊醫生進行的任何日間手術,均不會影 響獲得及累積於下文第(b)節中定義的無索償折扣。 (b) 在符合上述第(a)節的情況下,下一個保單年度的應付保費,應按相關續保日前的一個保單年度就保單所繳交到期及應付 總保費的金額乘以一個根據保單持有人連續累積的無索償保單年度數目(「無索償年度」)得出的無索償折扣作出扣減。 (c) 無索償年度及適用之無索償折扣如下: 無索償年度 無索償折扣 三(3) 五(5)% 四(4) 十(10)% 五(5) 或以上 十五(15)% 為免生疑問,若保單持有人於相關續保日前已累積多於三(3)個無索償年度,仍只會以一(1)個(10%或15%,視乎情況而 定)無索償折扣用作計算適用保單年度的保費折扣,而不會合計無索償折扣。 (d) 在保單的第三十(30)個續保日及隨後的每個續保日,若受保人已年滿六十五(65)歲或以上,在第(c)節所指的五(5)個或以上 無索償年度適用之無索償折扣為25%。第(c)節所指的三(3)及四(4)個無索償年度的無索償折扣將會維持不變。 為免生疑問,(i) 若保單持有人 於此(d)節所指的相關續保日前已累積多於三(3)個無索償年度,仍只會以一(1)個(10%或 25%,視乎情況而定)無索償折扣用作計算適用保單年度的保費折扣,而不會合計無索償折扣; 及(ii) 除此(d)節所說明外, 第(a) 、(b) 及(c)節將會維持不變。

https://www.vhis.gov.hk/doc/certifiedplan/fp/F00022/F00022-01-000-03-PlanDoc-c.pdf

Premium Schedule

Annual premium · Premium varies by gender (smoking-agnostic) · HKD

AgeMaleFemale
0HK$10,952HK$8,475
1HK$10,952HK$8,475
2HK$10,952HK$8,475
3HK$10,952HK$8,475
4HK$10,952HK$8,475
5HK$6,292HK$5,801
6HK$6,292HK$5,801
7HK$6,292HK$5,801
8HK$6,292HK$5,801
9HK$6,292HK$5,801
10HK$5,964HK$5,550
11HK$5,964HK$5,550
12HK$5,964HK$5,550
13HK$5,964HK$5,550
14HK$5,964HK$5,550
15HK$5,964HK$5,552
16HK$6,457HK$5,952
17HK$6,691HK$6,328
18HK$6,992HK$6,653
19HK$7,372HK$6,744
20HK$7,372HK$6,744
21HK$7,500HK$7,317
22HK$7,514HK$7,650
23HK$7,527HK$8,056
24HK$7,759HK$8,392
25HK$7,990HK$8,810
26HK$8,167HK$8,991
27HK$8,509HK$9,186
28HK$8,682HK$9,484
29HK$8,926HK$9,725
30HK$9,090HK$10,070
31HK$9,261HK$10,285
32HK$9,403HK$10,638
33HK$9,626HK$11,039
34HK$9,834HK$11,640
35HK$10,183HK$12,244
36HK$10,391HK$12,798
37HK$10,772HK$13,208
38HK$11,090HK$13,589
39HK$11,568HK$14,106
40HK$12,254HK$14,782
41HK$12,825HK$15,614
42HK$13,397HK$16,250
43HK$14,193HK$16,901
44HK$14,925HK$17,742
45HK$15,721HK$18,310
46HK$16,389HK$19,006
47HK$16,993HK$19,218
48HK$17,630HK$19,696
49HK$18,298HK$19,788
50HK$19,834HK$20,802
51HK$20,828HK$21,262
52HK$21,729HK$21,438
53HK$22,399HK$21,478
54HK$23,404HK$21,777
55HK$24,319HK$21,902
56HK$25,782HK$22,942
57HK$27,431HK$23,965
58HK$29,066HK$25,034
59HK$30,810HK$26,352
60HK$32,654HK$28,028
61HK$34,598HK$29,982
62HK$36,750HK$31,854
63HK$39,255HK$34,124
64HK$41,177HK$35,752
65HK$44,377HK$38,292
66HK$46,446HK$40,198
67HK$48,727HK$42,681
68HK$51,227HK$44,885
69HK$54,258HK$47,446
70HK$57,526HK$50,313
71HK$61,803HK$53,969
72HK$65,806HK$57,469
73HK$70,142HK$61,268
74HK$74,665HK$65,144
75HK$80,439HK$69,393
76HK$83,725HK$72,266
77HK$86,189HK$74,492
78HK$89,684HK$77,552
79HK$93,384HK$80,756
80HK$97,410HK$83,890
81HK$100,630HK$86,554
82HK$104,334HK$89,164
83HK$109,322HK$92,816
84HK$113,321HK$95,574
85HK$120,225HK$101,479
86HK$123,193HK$105,034
87HK$126,179HK$107,572
88HK$129,166HK$110,248
89HK$132,290HK$112,768
90HK$136,643HK$116,626
91HK$138,508HK$118,091
92HK$140,462HK$119,887
93HK$142,362HK$121,457
94HK$144,384HK$123,113
95HK$146,337HK$124,839
96HK$148,254HK$126,443
97HK$150,260HK$128,204
98HK$152,230HK$129,947
99HK$154,322HK$131,621

Other deductible options in this series

6 deductibles — same benefit schedule, premium scales with deductible

Official benefit schedule
VHIS.gov.hk benefit schedule PDF
Official premium schedule
VHIS.gov.hk premium schedule PDF
Schedule effective date
Jul 15, 2025
Last verified
2026-04-25

Terms and premiums on this page reflect the latest documents published by each insurer and the Insurance Authority's VHIS platform. In case of any discrepancy, the official PDF prevails. VHISGuide makes no warranty as to accuracy and does not constitute a purchase recommendation.