VHIS FlexiF00013-01-002-06
PRUHealth FlexiChoice Medical Plan - Ward with SMM 2 (HKD)
保誠靈活自主醫保計劃 - 普通病房+額外醫療計劃二 (港元)
PRUHealth FlexiChoice Medical Plan - Ward with SMM 2 (HKD) is a VHIS Flexi plan offered by Prudential Hong Kong Limited, with basic and extra: No ward-class restriction; SMM: Ward, Worldwide (including United States) coverage and no overall annual benefit limit. Latest plan-document version: Oct 1, 2026.
01 · Plan at a glance
Quote a premium by age, gender and smoking statusYour premium
HK$6,786 /yr
Ward class
Basic and extra: No ward-class restriction; SMM: Ward
Coverage region
Worldwide (including United States)
Deductible
—
Annual benefit limit
No cap
Per-illness annual limit
—
Lifetime benefit limit
No cap
SMM Supplemental Major Medical
HK$276,000/per policy year / per disability
Coverage Tiers & Conditions
This plan applies tiered caps or conditional rules on selected benefits
Delayed onset
額外醫療計劃 (網絡 / 非網絡共享,每傷病每保單年度)
- Network hospital: effective immediately
- Non-network hospital: from day 181 of confinement
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 | 每日$1,200 每保單年度最多180日 |
(b) Miscellaneous charges (b) 雜項開支 | 每保單年度 $18,000 |
(c) Attending doctor's visit fee (c) 主診醫生巡房費 | 每日$1,000 每保單年度最多180日 |
(d) Specialist's fee (d) 專科醫生費 | 每保單年度 $4,300 |
(e) Intensive care (e) 深切治療 | 每日$3,500 每保單年度最多90日 |
Surgeon's fee — Minor 外科醫生費 — 小型 | $5,000 |
Surgeon's fee — Intermediate 外科醫生費 — 中型 | $12,500 |
Surgeon's fee — Major 外科醫生費 — 大型 | $25,000 |
Surgeon's fee — Complex 外科醫生費 — 複雜 | $50,000 |
(g) Anaesthetist's fee (g) 麻醉科醫生費 | 外科醫生費的35% |
(h) Operating theatre charges (h) 手術室費 | 外科醫生費的35% |
(i) Prescribed Diagnostic Imaging Tests (i) 訂明診斷成像檢測 | 每保單年度 $20,000 設30% 共同保險(如補充文件 — 保障第3節所述之條件已 完全符合,共同保險則為0%) |
(j) Prescribed Non-surgical Cancer Treatments (j) 訂明非手術癌症治療 | 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 | 每次$1,100,每保單年度 $4,400住院 / 日間手術前最多1次門診或急症診症出院 / 日間手術後90日內最多3次跟進門診 |
(l) Psychiatric treatments (l) 精神科治療 | 每保單年度 $30,000 |
| Extra Benefits | |
Hospital companion bed fee reimbursement 住院陪床 | 每日$600 每保單年度最多180日 |
Home nursing 手術後家中護理 | 每次$600 每保單年度最多15次(每日1次) • 出院 / 日間手術後31日內 |
Outpatient kidney dialysis 透析治療 | 每保單年度 $90,000 |
Emergency outpatient treatment for Accident 意外門診治療 | 每次受傷 $5,600 |
Post-Confinement / Day Case Procedure auxiliary therapy 輔助服務 (物理治療 / 職業治療 / 言語治療 / 脊椎治療) | 每次$750 每保單年度最多10次住院 / 日間手術前最多1次診治出院 / 日間手術後90日內的診治 |
Chinese Medicine Practitioner outpatient care 中醫指定癌症治療 | 每次$400 每保單年度最多15次(每日1次) • 出院 / 訂明非手術癌症治療後90日內 |
Complications of pregnancy 妊娠期併發症 | 根據保障項目I (a)–I (i) 、I (k) 、II (a) 及II (b) 的相關賠償 限額支付 |
| Event Benefits | |
Compassionate death benefit 恩恤身故保障 | 每保單 $8,000 |
Accidental Death benefit 意外身故保障 | 每保單 $8,000 |
Medical accident and incident extension benefit 醫療意外及事故保障 | 每保單 $88,000 |
- (a) Room and board(a) 病房及膳食每日$1,200 每保單年度最多180日
- (b) Miscellaneous charges(b) 雜項開支每保單年度 $18,000
- (c) Attending doctor's visit fee(c) 主診醫生巡房費每日$1,000 每保單年度最多180日
- (d) Specialist's fee(d) 專科醫生費每保單年度 $4,300
- (e) Intensive care(e) 深切治療每日$3,500 每保單年度最多90日
- Surgeon's fee — Minor外科醫生費 — 小型$5,000
- Surgeon's fee — Intermediate外科醫生費 — 中型$12,500
- Surgeon's fee — Major外科醫生費 — 大型$25,000
- Surgeon's fee — Complex外科醫生費 — 複雜$50,000
- (g) Anaesthetist's fee(g) 麻醉科醫生費外科醫生費的35%
- (h) Operating theatre charges(h) 手術室費外科醫生費的35%
- (i) Prescribed Diagnostic Imaging Tests(i) 訂明診斷成像檢測每保單年度 $20,000 設30% 共同保險(如補充文件 — 保障第3節所述之條件已 完全符合,共同保險則為0%)
- (j) Prescribed Non-surgical Cancer Treatments(j) 訂明非手術癌症治療每保單年度 $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每次$1,100,每保單年度 $4,400住院 / 日間手術前最多1次門診或急症診症出院 / 日間手術後90日內最多3次跟進門診
- (l) Psychiatric treatments(l) 精神科治療每保單年度 $30,000
- Hospital companion bed fee reimbursement住院陪床每日$600 每保單年度最多180日
- Home nursing手術後家中護理每次$600 每保單年度最多15次(每日1次) • 出院 / 日間手術後31日內
- Outpatient kidney dialysis透析治療每保單年度 $90,000
- Emergency outpatient treatment for Accident意外門診治療每次受傷 $5,600
- Post-Confinement / Day Case Procedure auxiliary therapy輔助服務 (物理治療 / 職業治療 / 言語治療 / 脊椎治療)每次$750 每保單年度最多10次住院 / 日間手術前最多1次診治出院 / 日間手術後90日內的診治
- Chinese Medicine Practitioner outpatient care中醫指定癌症治療每次$400 每保單年度最多15次(每日1次) • 出院 / 訂明非手術癌症治療後90日內
- Complications of pregnancy妊娠期併發症根據保障項目I (a)–I (i) 、I (k) 、II (a) 及II (b) 的相關賠償 限額支付
- Compassionate death benefit恩恤身故保障每保單 $8,000
- Accidental Death benefit意外身故保障每保單 $8,000
- Medical accident and incident extension benefit醫療意外及事故保障每保單 $88,000
No-Claim Bonus
Renewal premium discount earned by staying claim-free
Deposited to premium savings account
15% (savings account)
Claims that do NOT break the streak
- 指定日間手術的指定保障賠償
- 網絡日間手術的指定保障賠償
Verbatim clause
無索償折扣 (以下第 1 節旨在補充條款及保障第三部分的保費條文。) 無索償折扣 1. 在符合以下條件後的每個續保日,本公司將把無索償折扣存放於保單下的保費 儲蓄戶口中,自動並僅作為支付本保誠靈活自主醫保計劃日後保費(為免存疑, 此包括於該續保日到期之保費)之用,並且不能從戶口中提取: (i) 當本條款及保障 在相關續保日 之過去連續三十六 (36) 個月內(「有關期 間」)一直有效及生效;及 (ii) 當於該相同的有關期間內,本條款及保障並未有任何已付的賠償。 儘管以上(ii)所述,受保人於有關期間接受(1)任何指定日間手術或(2)由網絡醫 療服務提供者提供的任何日間手術,因而產生有任何按本條款及保障第六部分 第3(a)、3(b)、3(f)、3(g)、3(h)或3(k)節及與其於本補充文件第11節(如適用) 相應之保障項目已付的賠償,均不會影響無索償折扣的資格。 指定日間手術已列明於「保誠靈活自主醫保計劃 – 指定日間手術表」內。 無索償折扣是相等於在緊接相關續保日 前一年在本保誠靈活自主醫保計劃及 額外醫療計劃(如適用)下所支付的總保費(包括標準保費及附加保費(如適 用) )之15%。 就釐定無索償折扣而言,任何按本條款及保障已付的賠償會按以下計算所屬的 保單年度: (i) 如受保人住院,以該次住院的入院日期計算;或 (ii) 如受保人 以日症病人 身份接受醫療服務 ,以該次接受醫療服務 的日期計 算。 假如在支付無索償折扣後,本公司在其後就任何於有關期間內的保障根據本條 款及保障作出應付賠償,無索償折扣將因應相關應付賠償重新計算,及保單持 有人 須向本公司 歸還重新計算的金額及實際已支付予保單持有人 的無索償折 扣之差額。如未歸還,本公司將以債項形式向保單持有人全數追討有關之款項。
https://www.vhis.gov.hk/doc/certifiedplan/fp/F00013/F00013-01-002-06-PlanDoc-c.pdf · p.25
Premium Schedule
Annual premium · Premium varies by gender (smoking-agnostic) · HKD
How to apply for this plan
This plan is offered by Prudential Hong Kong Limited. To apply, contact Prudential Hong Kong Limited or one of its licensed insurance intermediaries (agents or brokers).
Official plan documents (VHIS website)
This site's licensed insurance agent can only arrange FWD plans.
Other deductible options in this series
16 deductibles — same benefit schedule, premium scales with deductible
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Terms and premiums on this page reflect the latest documents published by each insurer and the official VHIS website (vhis.gov.hk). In case of any discrepancy, the official PDF prevails. VHISGuide makes no warranty as to accuracy and does not constitute a purchase recommendation.
Notes & sources
- Official benefit schedule
- VHIS.gov.hk benefit schedule PDF
- Official premium schedule
- VHIS.gov.hk premium schedule PDF
- Schedule effective date
- Oct 1, 2026
- Plan data updated
- 2026-10-05