Vital Care Voluntary Health Insurance Flexi Plan

A VHIS flexi plan certified by the Health Bureau. Underwritten by HSBC Life (International) Limited ("HSBC Life")

What's Vital Care Voluntary Health Insurance Flexi Plan?

This VHIS certified flexi plan (No. F00076)  is designed to give you all-round and quality medical coverage, offering extra peace of mind to you with annual benefits up to HKD40M. Compared with the HSBC Voluntary Health Insurance Standard Plan, it offers extra flexible options and additional protections. You can explore the differences through our detailed comparison table.

If you'd like to learn more details or apply for this plan, please visit any of our branches and meet with our insurance specialists.

Key features

You can enjoy full medical coverage with these benefits:

  • no sub-limits on hospitalisation and surgical fees
  • annual benefits will be recalculated every year
  • fully covers your unknown pre-existing conditions[6] from the policy's start date, with no waiting period

You can choose your annual deductibles based on your personal needs and budget. The plan offers:

  • 4 annual deductible levels: HKD0, HKD16,000, HKD50,000 and HKD100,000
  • a one-time choice to remove or decrease your deductible at age 55 or every 5 years after, lowering your out-of-pocket medical expenses when making a claim after retirement, no underwriting required

If you need medical treatments in Hong Kong, you can get peace of mind with our cashless arrangement service

For the premium paid for yourself and your family members, you can claim a tax deduction for eligible VHIS premium of up to HKD8,000 per insured person each tax assessment year[7]

Enjoy 10% off your premium when you apply as a family, including immediate and extended members, or if they're already insured persons under the policy

  • If you need medical treatment, this service can help with medical appointments and related insurance documents
  • Diamond level customers can enjoy free limousine service

Compare plan levels

Bronze level
Silver level
Gold level
Diamond level
Annual benefit limit

HKD5,000,000

HKD25,000,000

HKD30,000,000

HKD40,000,000

Lifetime benefit limit

HKD25,000,000

No limit

No limit

No limit

Geographic limitation [9]

Greater China (mainland China, Hong Kong, Macau and Taiwan)

Asia, Australia and New Zealand [3]

Asia, Australia and New Zealand [3]

Worldwide[2]

Restricted ward class

General ward

Semi-private room

Standard private room

Standard private room

Guaranteed renewal

Up to age 100

Up to age 100

Up to age 100

Up to age 100

Room and board

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Miscellaneous charges

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Attending doctor's visit fee

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Specialist's fee

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Intensive care
  • Full cover[4]
  • Maximum 30 days/policy year
  • Full cover[4]
  • Maximum 30 days/policy year
  • Full cover[4]
  • Maximum 30 days/policy year
  • Full cover[4]
  • Maximum 30 days/policy year
Surgeon's fee
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
Anaesthetist's fee
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
Operating theatre charges
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
  • Full cover[4]
  • Regardless of the surgical category
Prescribed diagnostic imaging tests

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Prescribed non-surgical cancer treatments

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Pre- and post-Confinement / Day Case Procedure outpatient care

Full cover[4] for the following specified visits:

  • 1 prior outpatient visit or emergency consultation per confinement / day case procedure
  • 3 follow-up outpatient visits per confinement / day case procedure (within 90 days after discharge from hospital or completion of day case procedure)

Full cover[4] for the following specified visits:

  • 1 prior outpatient visit or emergency consultation per confinement / day case procedure
  • 3 follow-up outpatient visits per confinement / day case procedure (within 90 days after discharge from hospital or completion of day case procedure)

Full cover[4] for the following specified visits:

  • 1 prior outpatient visit or emergency consultation per confinement / day case procedure
  • 3 follow-up outpatient visits per confinement / day case procedure (within 90 days after discharge from hospital or completion of day case procedure)

Full cover[4] for the following specified visits:

  • 1 prior outpatient visit or emergency consultation per confinement / day case procedure
  • 3 follow-up outpatient visits per confinement / day case procedure (within 90 days after discharge from hospital or completion of day case procedure)
Post-confinement / Day case procedure outpatient physiotherapy

HKD3,000/policy year

HKD6,000/policy year

HKD10,000/policy year

HKD30,000/policy year

Psychiatric treatments

HKD30,000/policy year

HKD30,000/policy year

HKD30,000/policy year

HKD50,000/policy year

Medical implants
  • Specific items: Full cover[4]
  • Other items: HKD150,000/policy year
  • Specific items: Full cover[4]
  • Other items: HKD150,000/policy year
  • Specific items: Full cover[4]
  • Other items: HKD150,000/policy year
  • Specific items: Full cover[4]
  • Other items: HKD300,000/policy year
Companion bed

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Day Patient kidney dialysis

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Home nursing
  • Full cover[4]
  • Within 90 days after discharge from hospital or completion of day case procedure; home nursing services provided by 1 qualified nurse/day for a maximum of 90 days/policy year
  • Full cover[4]
  • Within 90 days after discharge from hospital or completion of day case procedure; home nursing services provided by 1 qualified nurse/day for a maximum of 90 days/policy year
  • Full cover[4]
  • Within 90 days after discharge from hospital or completion of day case procedure; home nursing services provided by 1 qualified nurse/day for a maximum of 90 days/policy year
  • Full cover[4]
  • Within 90 days after discharge from hospital or completion of day case procedure; home nursing services provided by 1 qualified nurse/day for a maximum of 90 days/policy year
Donor’s benefit for organ transplantation

30% of total transplantation cost

30% of total transplantation cost

30% of total transplantation cost

30% of total transplantation cost

Private nursing
  • Full cover[4]
  • Private nursing services provided by 1 qualified nurse/day for a maximum of 30 days/policy year
  • Full cover[4]
  • Private nursing services provided by 1 qualified nurse/day for a maximum of 30 days/policy year
  • Full cover[4]
  • Private nursing services provided by 1 qualified nurse/day for a maximum of 30 days/policy year
  • Full cover[4]
  • Private nursing services provided by 1 qualified nurse/day for a maximum of 30 days/policy year
Rehabilitation

HKD80,000/policy year, up to 90 days/policy year

HKD80,000/policy year, up to 90 days/policy year

HKD80,000/policy year, up to 90 days/policy year

HKD80,000/policy year, up to 90 days/policy year

Hospice and palliative

HKD80,000/policy year, up to 30 days/policy year

Chinese medicine practitioner outpatient care
  • HKD600/visit
  • Maximum 1 follow-up outpatient visit per day, maximum 10 follow-up outpatient visits per confinement / day case procedure
  • Within 90 days after discharge from hospital or completion of day case procedure
Emergency outpatient treatment for Accidents

Full cover[4]

Full cover[4]

Full cover[4]

Full cover[4]

Compassionate death benefit

HKD10,000

HKD10,000

HKD10,000

HKD10,000

Cash benefit for lower ward class

HKD2,000/day (Maximum 10 days/confinement)

HKD2,000/day (Maximum 10 days/confinement)

Medical check-up benefit

From the 2nd policy year, up to HKD1,000/year

From the 2nd policy year, up to HKD2,000/year

Application channel

Visit our branch

Visit our branch

Visit our branch

Visit our branch

Remark

Only covers psychiatric treatments in Hong Kong

Only covers psychiatric treatments in Hong Kong

Only covers psychiatric treatments in Hong Kong

Only covers psychiatric treatments in Hong Kong

Product Information

Eligibility

  • Policyholders must be aged 18 or above and Hang Seng customers
  • The insured person could be yourself or your family members, and must be aged 15 days to 80 years[8] (inclusive) when the policy starts

What're the general exclusions?

Under these terms and benefits, HSBC Life  won't pay any benefits in relation to or arising from the following expenses:

  • Treatments, procedures, medications, tests or services which aren't medically necessary.
  • For the whole or part of the confinement solely for the purpose of diagnostic procedures or allied health services, including but not limited to physiotherapy, occupational therapy and speech therapy.
  • HIV and its related disability, which is contracted or occurs before the policy effective date, except for sexual assault, medical assistance, organ transplant, blood transfusions or blood donation, or infection at birth.
  • The dependence, overdose or influence of drugs, alcohol, narcotics or similar drugs or agents, self-inflicted injuries or attempted suicide, illegal activity, or venereal and sexually transmitted disease or its sequelae.
  • Services for beautification or cosmetic purposes, unless necessitated by injury caused by an accident, or correcting visual acuity or refractive errors that can be corrected by fitting of spectacles or contact lens, including but not limited to LASIK.
  • Prophylactic treatment or preventive care, including but not limited to general check-ups, routine tests, screening procedures for asymptomatic conditions.
  • Dental treatment and oral and maxillofacial procedures performed by a dentist except for emergency treatment and surgery during confinement arising from an accident.
  • Medical services and counselling services relating to maternity conditions and its complications, including but not limited to diagnostic tests for pregnancy or resulting childbirth, abortion or miscarriage; birth control or reversal of birth control.
  • Purchase of durable medical equipment or appliances including but not limited to wheelchairs, hearing aids and over-the-counter drugs.
  • Traditional Chinese medicine treatment, except for the Chinese Medicine Practitioner outpatient care benefit payable under Diamond plan, including but not limited to herbal treatment, bone-setting, acupuncture, and other forms of alternative treatment including but not limited to qigong, massage therapy and aromatherapy.
  • Experimental or unproven medical technology or procedure.
  • Congenital condition(s) which have manifested or been diagnosed before the insured person attained the age of 8 years.
  • Eligible expenses which have been reimbursed under any law, or medical programme or insurance policy provided by any government, company or other third party.
  • War (declared or undeclared), civil war, invasion, acts of foreign enemies, hostilities, rebellion, revolution, insurrection, or military or usurped power.

The list is for reference only. Please refer to your Policy Provisions for the full list of exclusions.

Vital Care Voluntary Health Insurance Flexi Plan - Bronze level

Plan ahead and prepare for the unexpected with medical insurance. Mr Chan was recently diagnosed with colon cancer, see how the Vital Care Voluntary Health Insurance Flexi Plan helped him focus on recovery without worrying about medical expenses.

  1. Got insured

    • Mr Chan has successfully applied for Vital Care Voluntary Health Insurance Flexi Plan - Bronze level with a deductible of HKD16,000 
  2. Diagnosed with colon cancer

    • Upon discovering blood in his stool, Mr Chan went through a series of tests and was diagnosed with stage II colon cancer
    • His doctor recommended him to undergo chemotherapy and a colon removal surgery, which cost nearly HKD500,000
    • He contacted HSBC Life, where a customer care advisor offered him advice on his coverage and the claim procedures, and helped him get pre-authorisation before he was hospitalised
  3. Admitted to the hospital for treatment with the support of this plan

    • At hospital admission, Mr Chan presented his medical card and pre-authorisation letter, so he didn't need to pay hospital deposits
    • Upon discharge, HSBC Life settled his eligible medical expenses of HKD500,000 directly with the hospital.
    • He offset the HKD16,000 deductible with his company’s group medical plan
  4. Cancer recurred

    A few months after surgery, Mr Chan's cancer unfortunately recurred, which required him to receive another round of chemotherapy and surgery
  5. Received another round of treatment with the support of this plan

    • Mr Chan underwent another round of chemotherapy and surgery, costing around HKD500,000
    • As his condition didn't improve, his doctor recommended targeted therapy. After 3 courses, his condition was finally under control, with treatment costs exceeding HKD750,000
    • This plan fully covered all eligible surgical and non-surgical cancer treatment costs

On the road to recovery

The total treatment cost was around HKD1.75M, and all eligible medical expenses were fully covered by this plan. Mr Chan is now gradually recovering from cancer. HSBC Life will protect him for whatever lies ahead.

(This example is hypothetical and for reference and illustrative purposes only. It doesn't represent the customer's actual life insurance needs or constitute any professional advice, offer, solicitation or suggestion. Customers should choose relevant insurance product based on their own or actual needs and financial affordability. Please seek independent professional advice before making an application.)

FAQs

Popular questions

Yes, you can do it by submitting a written request before the renewal date on your renewal notice.

Underwriting isn't needed during policy renewal if you want to:

  • change from a Flexi Plan to a Standard Plan
  • increase your deductible amount
  • downgrade your plan level (e.g. from Diamond to Gold)

However, underwriting is required and we may ask you a few questions before approving a change if you want to:

  • decrease your deductible amount (e.g. from HKD50,000 to HKD16,000)
  • upgrade your plan level (e.g. from Silver to Gold)

You can enjoy full benefit coverage for hospitalisation at the restricted ward class or lower as stated in the Summary of Benefits. If you’re voluntarily hospitalised at a higher ward class, HSBC Life will adjust your reimbursement based on the terms of your policy.

On the other hand, if you receive treatment outside your chosen coverage area, your eligible expenses will be paid according to the VHIS Standard Plan Terms and Benefits only regardless of ward class. Please refer to the policy for details.

Any Hong Kong taxpayer who has purchased an eligible health insurance plan (certified by the Health Bureau as VHIS) can claim a tax deduction on qualifying VHIS premiums up to HKD8,000 per insured person each year. The relationship between the taxpayer and the insured person must be included in the list of "specified relatives" in the Inland Revenue Ordinance (Cap. 112 of the Laws of Hong Kong SAR).

You can claim the tax deduction in the same tax year when the VHIS premium was paid. The deduction is available for certified plans, but not any other optional benefits, with a policy effective date of 1 April 2019 or later.

There's no limit on the number of insured persons and/or policies each taxpayer claims. Policies purchased for a domestic partner, grandchild(ren) or domestic partner’s parents/children aren't eligible for tax deduction.

To help with the tax deduction process, you’ll receive a VHIS Premium payment record from HSBC Life by the end of April each year. If you have any questions, please contact the Inland Revenue Department.

All the information relating to VHIS tax incentive included in this webpage isn't intended to provide any form of tax advice. We don't provide tax advice. If you are in doubt about your tax status, you should obtain independent professional advice.

A deductible is the amount you’ll pay towards eligible expenses under the certified plan (except for the Medical Check-up Benefit) before HSBC Life starts paying your medical expenses. You can offset the chosen deductible with reimbursement from your group medical plan or existing health insurance, if any, or simply pay the expenses yourself. This VHIS Flexi Plan offers 4 deductible options to lower your premium with more affordable healthcare.

You can choose to lower or remove your deductible within 30 days before the renewal date without re-underwriting once only at any one of the following ages: 50, 55, 60, 65, 70, 75, 80 or 85. This provides more flexibility for budget planning after retirement.

No, there’s no minimum number of hours that you must stay in the hospital while receiving treatment. Day case surgeries and clinical procedures are covered as well. These include treatments such as plaster casts, wound sutures, radiotherapy and chemotherapy.

Other questions

You won’t need to worry about any upfront out-of-pocket expenses in a medical situation in Hong Kong as long as you have obtained pre-authorisation from HSBC Life. The final decision of the pre-authorisation application or direct billing approval is subject to the discretion of HSBC Life.

If you'd like to apply for pre-authorisation to enjoy the Cashless Arrangement service before the hospital admission, here're the process:

  1. Call the medical claims service hotline to ask about the coverage, and make your appointment with your preferred network doctor directly
  2. Present your personal identification document and medical card during registration at the hospital. Once your doctor confirms your medical needs, you can sign the pre-authorisation request form and your doctor will handle the submission for you. Your doctor will then provide HSBC Life with your medical and treatment information as well as the treatment expense quotation
  3. Within 5 working days, HSBC Life will inform you of the result of your pre-authorisation request via telephone, you'll then receive a confirmation letter about the guaranteed cashless pre-approval limit in HKD for the planned admission and treatment
  4. HSBC Life will notify the network doctor of the pre-authorisation assessment result and approved credit limit
  5. Present your personal identification document and medical card at the hospital for admission and treatment.

During the hospital confinement period, you can enjoy the Cashless Arrangement service, subject to the approval and confirmation of the pre-authorisation. If you’re unable to get pre-authorisation due to an emergency, please arrange it on the next working day.

This VHIS Flexi Plan offers HKD0, HKD16,000, HKD50,000 and HKD100,000 deductible options. If you choose a deductible option, HSBC Life will cover the remaining amount up to the benefit limit. Here're some examples:

Example 1 (Mr Chan)

Chosen plan: Bronze level with HKD16,000 deductible

What happened:

  • Received a minor operation in hospital with HKD50,000 expenses that are eligible for 100% reimbursement

The amount HSBC Life will pay:

  • HKD50,000 – HKD16,000 (deductible) = HKD34,000

After offsetting the HKD16,000 deductible with his company’s group medical plan, Mr Chan doesn’t need to pay any expenses himself.

Example 2 (Ms Wong)

Chosen plan: Bronze level with HKD100,000 deductible

What happened:

  • Received a minor operation in hospital with HKD60,000 in expenses that are eligible for 100% reimbursement

The amount HSBC Life will pay:

  • As her expenses are less than her deductible (HKD100,000), HSBC Life won’t pay any benefit

Ms Wong needs to pay HKD60,000 herself.

Yes, this plan covers VAT and GST charged on medical fees and expenses according to the policy terms and benefits. Please note that VAT and GST aren't levied on medical expenses in Hong Kong. However, they may be applicable if you seek treatment in other regions.

VHIS enquiries

You can contact the VHIS Office of the Health Bureau at vhis_enquiry@fhb.gov.hk about:

  • Choice of insurance companies and insurance plans
  • Features of VHIS Certified Plans
  • Compliance with the Code of Practice

You can contact the Insurance Authority (https://www.ia.org.hk/) about:

  • The conduct of insurance companies and intermediaries

You can consult your tax and accounting advisors or the Inland Revenue Department (https://www.ird.gov.hk/) about:

  • Tax reduction

Make a claim

Claims procedures

Check out the procedures, required documents and FAQs.

Claim form

Find all the forms and documents.

Need help?

Footnote

Other point(s) to note

  1. Disclosure of information: The above plan is certified by the Health Bureau and is underwritten by HSBC Life (International) Limited ("HSBC Life") which is authorised and regulated by the Insurance Authority in Hong Kong. Hang Seng Bank Limited ("Hang Seng Bank") is an insurance agency authorised by HSBC Life for the distribution of the above plans. The above plan is product of HSBC Life but not Hang Seng Bank. Subscriptions will be payable to HSBC Life upon enrolment in the above plans. HSBC Life will provide us with the relevant commission and performance bonus in accordance with the selling of the above plan. Our existing sales staff remuneration policy will take into account various aspects of the staff performance but not solely the sales amount. In respect of an eligible dispute (as defined in the Terms of Reference for the Financial Dispute Resolution Centre in relation to the Financial Dispute Resolution Scheme) arising between us and the customer out of the selling process or processing of the related transaction, we're required to enter into a Financial Dispute Resolution Scheme process with the customer; however, any dispute over the policy terms or performance (claims and service) of the product should be resolved directly between HSBC Life and the customer.
  2. The above information is a product summary for reference only. Please refer to the policy for the detailed coverage, general exclusions, terms and conditions. For related product risks, please refer to the product brochure. In the event of any discrepancy in respect of the meaning between the Chinese version and the English version, the English version shall prevail.
  3. This plan is intended only for sale in the Hong Kong SAR. It shall not be construed as an offer, to sell or a solicitation of an offer or recommendation to purchase or sell or provision of any product of HSBC Life outside Hong Kong.
  4. The tax incentives mentioned in this webpage are only available to Hong Kong taxpayers. Whether tax deduction is allowable for all or any part of the qualifying premiums paid under your VHIS Plan and the actual tax deductible and/or saving amount shall be subject to your personal circumstances, the provisions of the Inland Revenue Ordinance (Cap. 112 of the Laws of Hong Kong SAR) and the Inland Revenue Department's discretion. All the information relating to VHIS tax incentive included in this webpage is not intended to provide any form of tax advice. We don’t provide tax advice. If you are in doubt with your tax status or any information relating to tax incentives, you should obtain independent professional advice or visit the Inland Revenue Department’s website. Please note that the tax law, regulations and/or interpretations are subject to change and may affect any related tax incentive including the eligibility criteria for a tax deduction. We aren't responsible for informing you about any changes in laws, regulations or interpretations, and how they may affect you

Remark(s)

  1. Vital Care Voluntary Health Insurance Flexi Plan (No. F00076) is a life insurance plan and is not a bank deposit. This product is underwritten by HSBC Life (International) Limited ("HSBC Life") and distributed by Hang Seng Bank Limited ("Hang Seng Bank"). Policyholders are subject to the credit risk of HSBC Life. The below information is only a brief description of the insurance product and does not contain the full terms of the policy, which can be found in the relevant policy contract.
  2. Worldwide means no geographical limitation. Please refer to the Summary of Benefits for the items eligible for full cover. Full cover is only applicable to covered expenses and subject to the annual benefit limit, deductible and restricted ward class set out in the Summary of Benefits. Please refer to the Policy for details.
  3. Asia means Afghanistan, Bangladesh, Bhutan, Brunei, Greater China, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Philippines, Singapore, South Korea, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan and Vietnam. For eligible expenses covered under the certified plan but incurred outside Asia, Australia and New Zealand, benefits shall only be payable according to the VHIS Standard Plan Terms and Benefits. Please refer to the Policy for details.
  4. Please refer to the Summary of Benefits for the items eligible for full cover. Full cover is only applicable to covered expenses and subject to the annual benefit limit, deductible and restricted ward class set out in the Summary of Benefits. Please refer to the Policy for details.
  5. The cash-free service requires pre-authorisation from HSBC Life. The final decision of the pre-authorisation application or direct billing approval is subject to the discretion of HSBC Life.
  6. Pre-existing condition(s) shall mean, in respect of the insured person, any sickness, disease, injury, physical, mental or medical condition or physiological degradation, including congenital condition, that has existed before the policy issuance date or the policy effective date, whichever is the earlier. An ordinary prudent person shall be reasonably aware of a pre-existing condition, where - (a) it has been diagnosed; (b) it has manifested clear and distinct signs or symptoms; or (c) medical advice or treatment has been sought, recommended or received. HSBC Life may impose case-based exclusion(s) to the pre-existing condition(s) notified in the application for the plan and any subsequent information or document submitted to HSBC Life for the purpose of the application. Unknown pre-existing condition(s) refers to any pre-existing condition(s) that the policyholder and/or insured person wasn't aware and wouldn't reasonably have been aware of at the time of application. Please refer to the Policy Provisions for the full terms and conditions.
  7. Any Hong Kong taxpayer who has purchased an eligible health insurance plan (certified by the Health Bureau as VHIS) can claim a tax deduction on qualifying premiums up to HKD8,000 per insured person each year. The relationship between the taxpayer and the insured person must be included in the definition of "specified relative" as set out in the Inland Revenue Ordinance (Cap. 112 of the Laws of Hong Kong SAR). You can claim the deduction in the same tax year when the premium was paid. The deduction is available for certified plans, but not any other optional benefits, with a policy effective date of 1 April 2019 or later. There is no limit on the number of insured persons and/or policies claimed by each taxpayer. Policies purchased for a domestic partner, grandchild(ren) or domestic partner’s parents/children are not eligible for tax deduction.
    All the information relating to VHIS tax incentive included in this webpage isn't intended to provide any form of tax advice. We don’t provide tax advice. If you are in doubt about your tax status, you should obtain independent professional advice.
  8. The age refers to the age of the insured person on their last birthday.
  9. Eligible expenses incurred in other areas worldwide shall be covered according to the VHIS Standard Plan terms and benefits