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VHIS Flexi · F00017-06-001-04

Smart Medicare - Premier with SMM (USD)

真智安心醫療保障 - 至尊+額外醫療附加保障 (美元)

AXA China Region Insurance Company (Hong Kong) Limited

Your premium

US$2,088 /yr

age
US$

Ward class

Standard Private Room

Coverage region

Worldwide

Deductible

Annual benefit limit

Per-illness annual limit

Lifetime benefit limit

SMM Supplemental Major Medical

US$412,125/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
    $570 per day, maximum 180 days per Policy Year
    Effective from day 181 of confinement
  • (b) Miscellaneous charges
    (b) 雜項開支
    $4,380 per Policy Year
  • (c) Attending doctor's visit fee
    (c) 主診醫生巡房費
    $570 per day, maximum 180 days per Policy Year
    Effective from day 181 of confinement
  • (d) Specialist's fee
    (d) 專科醫生費
    $1,250 per Policy Year
  • (e) Intensive care
    (e) 深切治療
    $1,000 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
    $2,000
  •     Surgeon's fee — Intermediate
    外科醫生費 — 中型
    $5,000
  •     Surgeon's fee — Major
    外科醫生費 — 大型
    $10,390
  •     Surgeon's fee — Complex
    外科醫生費 — 複雜
    $20,000
  • (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
    $3,750 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
    $123, per visit, $875 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
    $25,000 per Policy Year
  • Emergency outpatient treatment for Accident
    意外受傷急症門診治療
    $2,750 per Policy Year within 24 hours of the Accident
  • Supplementary Major Medical Benefit
    額外醫療附加保障
    $52,500 per Policy Year, subject to 20% Coinsurance
Event Benefits
  • Medical accident and incident extension benefit
    醫療疏忽事故保障
    $68,750 per policy
  • Compassionate death benefit
    恩恤身故賠償
    $3,750 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/F00017/F00017-01-000-04-PlanDoc-c.pdf

Premium Schedule

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

AgeMaleFemale
0US$2,336US$2,044
1US$2,336US$2,044
2US$2,336US$2,044
3US$2,336US$2,044
4US$2,336US$2,044
5US$1,381US$1,711
6US$1,381US$1,711
7US$1,392US$1,711
8US$1,404US$1,578
9US$1,424US$1,579
10US$1,444US$1,579
11US$1,463US$1,579
12US$1,482US$1,579
13US$1,502US$1,579
14US$1,521US$1,579
15US$1,541US$1,579
16US$1,560US$1,606
17US$1,579US$1,640
18US$1,599US$1,680
19US$1,621US$1,722
20US$1,662US$1,793
21US$1,689US$1,851
22US$1,719US$1,912
23US$1,750US$1,975
24US$1,782US$2,040
25US$1,816US$2,106
26US$1,850US$2,176
27US$1,886US$2,247
28US$1,922US$2,321
29US$1,961US$2,395
30US$2,088US$2,551
31US$2,133US$2,629
32US$2,178US$2,708
33US$2,224US$2,787
34US$2,271US$2,868
35US$2,325US$2,949
36US$2,380US$3,032
37US$2,449US$3,116
38US$2,523US$3,200
39US$2,598US$3,286
40US$2,760US$3,484
41US$2,852US$3,595
42US$2,940US$3,693
43US$3,058US$3,794
44US$3,181US$3,898
45US$3,308US$4,007
46US$3,439US$4,126
47US$3,575US$4,256
48US$3,710US$4,390
49US$3,859US$4,526
50US$4,064US$4,731
51US$4,214US$4,873
52US$4,364US$5,017
53US$4,522US$5,175
54US$4,773US$5,345
55US$5,047US$5,590
56US$5,324US$5,835
57US$5,603US$6,082
58US$5,883US$6,328
59US$6,164US$6,597
60US$6,447US$6,914
61US$6,735US$7,231
62US$7,026US$7,547
63US$7,321US$7,863
64US$7,697US$8,214
65US$8,125US$8,594
66US$8,542US$9,009
67US$8,884US$9,425
68US$9,228US$9,842
69US$9,618US$10,460
70US$9,870US$10,924
71US$10,258US$11,536
72US$10,648US$12,149
73US$11,084US$12,800
74US$11,507US$13,434
75US$11,530US$13,460
76US$11,553US$13,487
77US$11,576US$13,514
78US$11,599US$13,541
79US$11,622US$13,568
80US$11,668US$13,622
81US$11,715US$13,677
82US$11,762US$13,732
83US$11,809US$13,787
84US$11,856US$13,842
85US$11,904US$13,897
86US$11,951US$13,953
87US$11,999US$14,008
88US$12,047US$14,064
89US$12,095US$14,120
90US$12,156US$14,191
91US$12,216US$14,262
92US$12,278US$14,333
93US$12,339US$14,405
94US$12,400US$14,477
95US$12,463US$14,549
96US$12,525US$14,622
97US$12,588US$14,696
98US$12,650US$14,769
99US$12,713US$14,843

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
Jan 26, 2026
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.