VHIS Flexi · F00078-03-000-01
VFlexi Voluntary Health Insurance Plan - Plan 5
智適選自願醫療保險計劃 - 計劃五
Your premium
HK$7,377 /yr
Ward class
Semi-Private Room
Coverage region
Worldwide
Deductible
—
Annual benefit limit
HK$670,000
Per-illness annual limit
—
Lifetime benefit limit
No cap
SMM Supplemental Major Medical
—
Coverage Tiers & Conditions
This plan applies tiered caps or conditional rules on selected benefits
Age-tiered cap
Annual benefit limit
- Under age 75: No cap
- Age 75 or above: HK$670,000
Benefits
Full benefit schedule · grouped by basic / extra / cash / event
| Benefit Item | Limit |
|---|---|
| Basic Benefits | |
(a) Room and board (a) 病房及膳食 | $2,880 per day, maximum 180 days per Policy Year |
(b) Miscellaneous charges (b) 雜項開支 | $25,750 per Policy Year |
(c) Attending doctor's visit fee (c) 主診醫生巡房費 | $2,880 per day, maximum 180 days per Policy Year |
(d) Specialist's fee (d) 專科醫生費 | $11,300 per Policy Year |
(e) Intensive care (e) 深切治療 | $8,240 per day, maximum 25 days per Policy Year |
Surgeon's fee — Minor 外科醫生費 — 小型 | $8,700 |
Surgeon's fee — Intermediate 外科醫生費 — 中型 | $21,750 |
Surgeon's fee — Major 外科醫生費 — 大型 | $43,500 |
Surgeon's fee — Complex 外科醫生費 — 複雜 | $130,500 |
(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 | $20,000 per Policy Year. Subject to 30% Coinsurance. |
(j) Prescribed Non-surgical Cancer Treatments (j) 訂明非手術癌症治療 | $150,000 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 | $6,000 per Confinement / Day Case Procedure• Up to 2 prior outpatient visit(s) or Emergency consultation(s) per Confinement/Day Case Procedure• Follow-up outpatient visits within 90 days after discharge from Hospital or completion of Day Case Procedure |
(l) Psychiatric treatments (l) 精神科治療 | $30,000 per Policy Year |
| Extra Benefits | |
Emergency outpatient treatment for Accident 緊急門診治療 | $3,000 per Policy Year within 72 hours of the Accident |
Outpatient kidney dialysis 門診洗腎 | $150,000 per Policy Year |
Daily post-surgery home nursing benefit 家居看護 | $700 per day, maximum 30 days per Policy Year |
Hospital companion bed fee reimbursement 陪床費 | $700 per day, maximum 30 days per Policy Year |
Emergency dental benefit (Accident only) 意外牙科門診治療 | $20,000 per Policy Year, within 2 weeks of the Accident |
| Cash Benefits | |
Day surgery cash benefit 日間手術現金保障 | $1,000 per Day Case Procedure, maximum 20 times per Policy Year |
Second-claim cash allowanceAfter other pays 第二索償現金補貼保障 | $500 per day of Confinement, maximum 60 days per Policy Year |
| Event Benefits | |
Accidental Death benefit 意外身故保障 | $50,000 |
- (a) Room and board(a) 病房及膳食$2,880 per day, maximum 180 days per Policy Year
- (b) Miscellaneous charges(b) 雜項開支$25,750 per Policy Year
- (c) Attending doctor's visit fee(c) 主診醫生巡房費$2,880 per day, maximum 180 days per Policy Year
- (d) Specialist's fee(d) 專科醫生費$11,300 per Policy Year
- (e) Intensive care(e) 深切治療$8,240 per day, maximum 25 days per Policy Year
- Surgeon's fee — Minor外科醫生費 — 小型$8,700
- Surgeon's fee — Intermediate外科醫生費 — 中型$21,750
- Surgeon's fee — Major外科醫生費 — 大型$43,500
- Surgeon's fee — Complex外科醫生費 — 複雜$130,500
- (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$20,000 per Policy Year. Subject to 30% Coinsurance.
- (j) Prescribed Non-surgical Cancer Treatments(j) 訂明非手術癌症治療$150,000 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$6,000 per Confinement / Day Case Procedure• Up to 2 prior outpatient visit(s) or Emergency consultation(s) per Confinement/Day Case Procedure• Follow-up outpatient visits within 90 days after discharge from Hospital or completion of Day Case Procedure
- (l) Psychiatric treatments(l) 精神科治療$30,000 per Policy Year
- Emergency outpatient treatment for Accident緊急門診治療$3,000 per Policy Year within 72 hours of the Accident
- Outpatient kidney dialysis門診洗腎$150,000 per Policy Year
- Daily post-surgery home nursing benefit家居看護$700 per day, maximum 30 days per Policy Year
- Hospital companion bed fee reimbursement陪床費$700 per day, maximum 30 days per Policy Year
- Emergency dental benefit (Accident only)意外牙科門診治療$20,000 per Policy Year, within 2 weeks of the Accident
- Day surgery cash benefit日間手術現金保障$1,000 per Day Case Procedure, maximum 20 times per Policy Year
- Second-claim cash allowanceAfter other pays第二索償現金補貼保障$500 per day of Confinement, maximum 60 days per Policy Year
- Accidental Death benefit意外身故保障$50,000
No-Claim Bonus
Renewal premium discount earned by staying claim-free
Discount netted off renewal premium
Discount schedule
| Consecutive claim-free years | Discount |
|---|---|
| 2 yrs | 10% |
| 3 yrs | 15% |
Verbatim clause
補充文件 – 無索償保費折扣 (本文件旨在補充條款及保障第三部分的保費條文。) 無索償保費折扣 1. 若: (a) 本保單已生效一(1)個或以上且連續的保單年度;及 (b) 在本條款及保障下,於下一次保單續保前緊接的一(1)個或以上且連續的保單年度內,本公司沒有 就已招致的索償及/或現金保障作出結算及賠償保障(“無索償期“)。就本條文而言, 索償應被視 為於以下日期招致- (i) 受保人入住醫院的首日;或 (ii) 受保人以日症病人的身份接受醫療服務的當日; 則 保單持有人 將合資格在下一個 保單年度 的 續保 保費上,根據本 條款及保障 享有以下比率的保費折扣 (“無索償保費折扣“): • 若維持一(1)年的無索償期,下一年度續保保費可享百分之五的折扣 • 若維持連續兩(2)年的無索償期,下一年度續保保費可享百分之十的折扣 • 若維持連續三(3)年或以上的無索償期,下一年度續保保費可享百分之十五的折扣 2. 為免存疑,在本條款及保障下,若索償在續保日前招致,但在續保日之後作出結算並賠償任何保障, 而保 單持有人已繳交下一保單年度續保保費並獲得無索償保費折扣,本公司將決定該保單持有人是否仍有資格 享有無索償保費折扣。若本公司認定保單持有人不再有資格享有無索償保費折扣,保單持有人在本公司要 求下,需在三十(30)天內向本公司支付餘下到期的續保保費以免保單失效。
https://www.vhis.gov.hk/doc/certifiedplan/fp/F00078/F00078-01-000-01-PlanDoc-c.pdf
Premium Schedule
Annual premium · Premium varies by gender (smoking-agnostic) · HKD
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
- May 1, 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.
