← Back to Smart Medicare series

VHIS Flexi · F00018-04-001-03

Smart Medicare - Regular with SMM (USD)

真智安心醫療保障 - 標準+額外醫療附加保障 (美元)

AXA China Region Insurance Company Limited

Your premium

US$495 /yr

age
US$

Ward class

Ward

Coverage region

Worldwide

Deductible

Annual benefit limit

Per-illness annual limit

Lifetime benefit limit

SMM Supplemental Major Medical

US$113,825/per policy year, 20% coinsurance

Coverage Tiers & Conditions

This plan applies tiered caps or conditional rules on selected benefits

Delayed onset

  • (a) 病房及膳食

    Effective from day 181 of confinement

  • (c) 主診醫生巡房費

    Effective from day 181 of confinement

  • (e) 深切治療

    Effective from day 91 of confinement

Benefits

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

Basic Benefits
  • (a) Room and board
    (a) 病房及膳食
    $100 per day, maximum 180 days per Policy Year
    Effective from day 181 of confinement
  • (b) Miscellaneous charges
    (b) 雜項開支
    $1,820 per Policy Year
  • (c) Attending doctor's visit fee
    (c) 主診醫生巡房費
    $98 per day, maximum 180 days per Policy Year
    Effective from day 181 of confinement
  • (d) Specialist's fee
    (d) 專科醫生費
    $560 per Policy Year
  • (e) Intensive care
    (e) 深切治療
    $455 per day, maximum 90 days per Policy Year
    Effective from day 91 of confinement
  •     Surgeon's fee — Minor
    外科醫生費 — 小型
    $650
  •     Surgeon's fee — Intermediate
    外科醫生費 — 中型
    $1,625
  •     Surgeon's fee — Major
    外科醫生費 — 大型
    $3,250
  •     Surgeon's fee — Complex
    外科醫生費 — 複雜
    $6,495
  • (g) Anaesthetist's fee
    (g) 麻醉科醫生費
    35% of Surgeon's fee payable
  • (h) Operating theatre charges
    (h) 手術室費
    35% of Surgeon's fee payable
  • (i) Prescribed Diagnostic Imaging Tests
    (i) 訂明診斷成像檢測
    $2,598 per Policy Year. Subject to 30% Coinsurance.
  • (j) Prescribed Non-surgical Cancer Treatments
    (j) 訂明非手術癌症治療
    $10,390 per Policy Year
  • (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
    $76, per visit, $390 per Policy Year• Up to 1 prior outpatient visit(s) or Emergency consultation(s) per Confinement/Day Case Procedure• 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
  • (l) Psychiatric treatments
    (l) 精神科治療
    $3,898 per Policy Year
Extra Benefits
  • Outpatient kidney dialysis
    門診洗腎
    $6,495 per Policy Year
  • Emergency outpatient treatment for Accident
    意外受傷急症門診治療
    $650 per Policy Year within 24 hours of the Accident
  • Supplementary Major Medical Benefit
    額外醫療附加保障
    $14,500 per Policy Year, subject to 20% Coinsurance
Event Benefits
  • Medical accident and incident extension benefit
    醫療疏忽事故保障
    $7,500 per policy
  • Compassionate death benefit
    恩恤身故賠償
    $1,875 per policy

No-Claim Bonus

Renewal premium discount earned by staying claim-free

Single flat-rate discount

15% (consecutive 3 yrs)

Claims that do NOT break the streak

  • 真智住院現金保障(非認可產品部分)

Verbatim clause

無索償折扣附加條款 (1) 在續保日,無索償折扣將會從真智安心醫療保障由續保日起的保單年度的每年保費中扣除,惟前提是:(a)真智安心醫療保障在緊接著該續保日的前三(3)個保單年度持續生效;及 (b)在緊接著該續保日的前三(3)個保單年度期間,本公司從沒有按真智安心醫療保障及真智住院現金保障(並非認可產品的一部分,如適用)支付賠償。(2) 無索償折扣相等於真智安心醫療保障在緊接著該續保日前的保單年度的每年保費(該每年保費為扣除無索償折扣前及包括附加保費(如有)後的保費)的百分之十五。

https://www.vhis.gov.hk/doc/certifiedplan/fp/F00018/F00018-01-000-03-PlanDoc-c.pdf

Premium Schedule

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

AgeMaleFemale
0US$553US$482
1US$553US$482
2US$553US$482
3US$553US$482
4US$553US$482
5US$376US$401
6US$376US$401
7US$376US$401
8US$376US$388
9US$376US$372
10US$368US$369
11US$369US$366
12US$369US$363
13US$369US$362
14US$369US$365
15US$369US$369
16US$368US$375
17US$368US$384
18US$368US$393
19US$381US$404
20US$392US$421
21US$400US$438
22US$408US$452
23US$415US$469
24US$423US$484
25US$432US$498
26US$440US$514
27US$448US$532
28US$457US$550
29US$466US$568
30US$495US$605
31US$505US$624
32US$514US$644
33US$524US$663
34US$537US$682
35US$550US$703
36US$563US$723
37US$580US$744
38US$598US$764
39US$616US$785
40US$652US$833
41US$676US$860
42US$699US$884
43US$728US$908
44US$759US$933
45US$792US$961
46US$825US$990
47US$860US$1,021
48US$898US$1,054
49US$939US$1,087
50US$999US$1,137
51US$1,044US$1,172
52US$1,093US$1,207
53US$1,148US$1,245
54US$1,208US$1,286
55US$1,270US$1,344
56US$1,333US$1,407
57US$1,399US$1,467
58US$1,481US$1,527
59US$1,548US$1,604
60US$1,624US$1,690
61US$1,641US$1,777
62US$1,762US$1,877
63US$1,855US$1,954
64US$1,964US$2,051
65US$2,124US$2,158
66US$2,314US$2,266
67US$2,414US$2,374
68US$2,493US$2,506
69US$2,605US$2,642
70US$2,681US$2,763
71US$2,795US$2,921
72US$2,909US$3,080
73US$3,052US$3,264
74US$3,187US$3,435
75US$3,194US$3,442
76US$3,200US$3,449
77US$3,206US$3,456
78US$3,212US$3,463
79US$3,219US$3,470
80US$3,232US$3,484
81US$3,245US$3,498
82US$3,258US$3,511
83US$3,271US$3,526
84US$3,284US$3,540
85US$3,297US$3,554
86US$3,310US$3,568
87US$3,323US$3,582
88US$3,337US$3,596
89US$3,350US$3,611
90US$3,367US$3,629
91US$3,383US$3,647
92US$3,400US$3,665
93US$3,417US$3,684
94US$3,435US$3,702
95US$3,452US$3,721
96US$3,469US$3,739
97US$3,486US$3,757
98US$3,504US$3,776
99US$3,521US$3,795

Other deductible options in this series

12 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 2, 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.