VHIS Flexi · F00024-01-000-03
Healthy Life Medical Insurance Plan
健康常伴醫療保險計劃
Your premium
HK$3,222 /yr
Ward class
Ward
Coverage region
Worldwide
Deductible
—
Annual benefit limit
HK$800,000
Per-illness annual limit
—
Lifetime benefit limit
—
SMM Supplemental Major Medical
HK$120,000/per policy year, 20% coinsurance
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 | $1,200 per day, maximum 180 days per Policy Year |
(b) Miscellaneous charges (b) 雜項開支 | $16,000 per Policy Year |
(c) Attending doctor's visit fee (c) 主診醫生巡房費 | $1,000 per day, maximum 180 days per Policy Year |
(d) Specialist's fee (d) 專科醫生費 | $4,600 per Policy Year |
(e) Intensive care (e) 深切治療 | $4,600 per day, maximum 25 days per Policy Year |
Surgeon's fee — Minor 外科醫生費 — 小型 | $ 5,500 |
Surgeon's fee — Intermediate 外科醫生費 — 中型 | $14,000 |
Surgeon's fee — Major 外科醫生費 — 大型 | $28,000 |
Surgeon's fee — Complex 外科醫生費 — 複雜 | $55,000 |
(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 | $25,000 per Policy Year. Subject to 30% Coinsurance. |
(j) Prescribed Non-surgical Cancer Treatments (j) 訂明非手術癌症治療 | $100,000 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 | $1,100, per visit, $5,000 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 | $30,000 per Policy Year |
| Extra Benefits | |
Hospital companion bed fee reimbursement 家屬陪床費 | Full reimbursement (no sub-limit). Maximum 180 days per Policy YearR&C |
Emergency outpatient treatment for Accident 急症門診治療費(意外受傷) | $10,000 per Policy Year within 24 hours of the Accident |
Daily post-surgery home nursing benefit 家中看護津貼 (手術後) | $500 per visit• Maximum 30 visits per Policy Year• Up to 1 per day• Within 90 days after discharge from Hospital |
Outpatient kidney dialysis 門診腎透析治療 | $50,000 per Policy Year, maximum 60 days per Policy Year |
Death benefit due to medical incident 醫療事故身故賠償 | $100,000 |
| Cash Benefits | |
Second claim cash benefit 第二次索償現金保障 | $300 per day• Maximum 10 days per Policy Year• $3,000 per Policy Year |
GBA Designated Hospital Designated Surgery Cash Benefit 大灣區內地城市的指定醫院之指定手術現金保障 | $500 per designated surgery• Maximum 2 times per Policy Year• Up to 1 per day |
| Event Benefits | |
Compassionate death benefit 恩恤身故賠償 | $10,000 |
- (a) Room and board(a) 病房及膳食$1,200 per day, maximum 180 days per Policy Year
- (b) Miscellaneous charges(b) 雜項開支$16,000 per Policy Year
- (c) Attending doctor's visit fee(c) 主診醫生巡房費$1,000 per day, maximum 180 days per Policy Year
- (d) Specialist's fee(d) 專科醫生費$4,600 per Policy Year
- (e) Intensive care(e) 深切治療$4,600 per day, maximum 25 days per Policy Year
- Surgeon's fee — Minor外科醫生費 — 小型$ 5,500
- Surgeon's fee — Intermediate外科醫生費 — 中型$14,000
- Surgeon's fee — Major外科醫生費 — 大型$28,000
- Surgeon's fee — Complex外科醫生費 — 複雜$55,000
- (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$25,000 per Policy Year. Subject to 30% Coinsurance.
- (j) Prescribed Non-surgical Cancer Treatments(j) 訂明非手術癌症治療$100,000 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$1,100, per visit, $5,000 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$30,000 per Policy Year
- Hospital companion bed fee reimbursement家屬陪床費Full reimbursement (no sub-limit). Maximum 180 days per Policy YearR&C
- Emergency outpatient treatment for Accident急症門診治療費(意外受傷)$10,000 per Policy Year within 24 hours of the Accident
- Daily post-surgery home nursing benefit家中看護津貼 (手術後)$500 per visit• Maximum 30 visits per Policy Year• Up to 1 per day• Within 90 days after discharge from Hospital
- Outpatient kidney dialysis門診腎透析治療$50,000 per Policy Year, maximum 60 days per Policy Year
- Death benefit due to medical incident醫療事故身故賠償$100,000
- Second claim cash benefit第二次索償現金保障$300 per day• Maximum 10 days per Policy Year• $3,000 per Policy Year
- GBA Designated Hospital Designated Surgery Cash Benefit大灣區內地城市的指定醫院之指定手術現金保障$500 per designated surgery• Maximum 2 times per Policy Year• Up to 1 per day
- Compassionate death benefit恩恤身故賠償$10,000
No-Claim Bonus
Renewal premium discount earned by staying claim-free
Single flat-rate discount
15% (consecutive 3 yrs)
Discount schedule
| Consecutive claim-free years | Discount |
|---|---|
| 3 yrs | 15% |
Verbatim clause
無索償折扣 1. 在本保單生效期間,本保單於相關保單年度的續保日之應繳保費將根據無索償折扣而被調低,惟必 須符合以下所有條件: 1.1 過去連續三(3)個保單年度或以上(「合資格的年數」)不曾就本保單內的任何保障作出賠償;及 1.2 本保單於合資格的年數內持續生效。 適用的無索償折扣根據下表計算: 合資格的年數 無索償折扣 緊隨合資格的年數後的保單年度之 連續三(3)個保單年度或以上 應繳保費的百分之十五(15%) 2. 就上述第 1 節而言: 2.1. 有關任何醫療服務,如該次醫療服務之開始日期及結束日期不在同一保單年度內,就計算無索 償折扣的金額而言,任何於本保單下有關該次醫療服務所支付的賠償將計入發生該次醫療服務 的開始日期之保單年度。 3. 在本保單生效期間及保費根據上表調低後,若本公司須根據本保單就過往三(3)個保單年度支付有關 醫療服務的賠償款項,則該無索償折扣的金額需按要求即時全數償還至本公司。
https://www.vhis.gov.hk/doc/certifiedplan/fp/F00024/F00024-01-000-03-PlanDoc-c.pdf
Premium Schedule
Annual premium · Premium varies by gender (smoking-agnostic) · HKD
- Official benefit schedule
- VHIS.gov.hk benefit schedule PDF
- Official premium schedule
- VHIS.gov.hk premium schedule PDF
- Schedule effective date
- Jun 1, 2026
- Last verified
- 2026-06-02
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.
