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vCare Medical Plan
vCare Medical Plan

Take a Big Step towards Better Health

Unexpected financial burdens created by healthcare spending can interfere with your life plans. Medical costs are ever on the rise and will increase with age. Our Government-Certified vCare Medical Plan (“vCare” / “this Plan”) offers exclusive features and comprehensive protection against a wide range of hospitalisation and surgical expenses, providing you with higher-quality medical services to meet your needs.

3 Reasons To Buy

vCare reimburses a wide range of hospitalisation and surgical expenses up to an annual limit of HK$520,000

Covers Unknown Pre-existing Conditions

vCare meets Government

Guaranteed Renewable Core Protection

Without any lifetime limit, vCare reimburses a wide range of hospitalisation and surgical expenses up to an annual limit of HK$520,000 and is guaranteed renewable until you reach age 100 (attained age).

Covers Unknown Pre-existing Conditions

Even if an Illness, Disease or Congenital Condition1 is a Pre-existing Condition that was unknown at the time of Application, it will still be covered by vCare according to the reimbursement schedule below:

1st Policy Year

2nd Policy Year

3rd Policy Year

4th Policy Year and thereafter

No Coverage

25%

50%

100%


Tax Savings2

vCare meets Government's regulatory standards and if you are a Hong Kong taxpayer, you can claim tax deductions up to HK$8,000 per Insured Person from the premium paid for yourself and your specified relatives annually!

Easy and Simplified Application

It is easy to apply by simply answering a few questions, and you can be on your way to be free from worries about unplanned healthcare expenses. No medical examination or any proof of health is required3. It’s that simple!

Emergency Outpatient Dental Treatment4

vCare’s comprehensive protection includes emergency outpatient dental treatment. If your teeth suffer an injury caused by an Accident, vCare will reimburse your Emergency Dental Treatment up to HKD20,000 per Policy Year.

Extra Cash Benefits for Day Case Procedure and Top-up Subsidy5

vCare will reimburse you with HKD500 for any Day Case Procedure, and subsidise an extra HKD500 per day for Hospital Confinements if you have already claimed from another licensed insurance company.

Wellness Incentives for Staying in Shape

Regardless of your age, if you haven’t made any claim for 2 or more consecutive Policy Years, vCare will offer you a discount of up to 15% on your next Renewal premium.

[Add-On Feature] Professional Medical Assistance Services6,7

Whenever you need information or assistance, the professional medical assistance services including CANcierge, Second Medical Opinion Services and International SOS 24-hour Worldwide Assistance Services are always here to help.

[Add-On Feature] One-off Option to Upgrade as your Needs Mature6,8

You can upgrade your vCare Policy to a designated plan with higher medical coverage once, when you turn 50, 55, 60 or 65 (attained age), without re-underwriting or having to provide proof of insurability.

[Add-On Feature] Precious Protection for Newborns6,9

With this coverage option, designated medical plan coverage will be granted to your newborn baby for one year without additional charge after the end of the 2nd Policy Year.

Remarks
x

  1. Congenital Condition is only covered for conditions which have manifested or been diagnosed after the age of 8 (attained age) of the Insured Person.
  2. If you are a Hong Kong taxpayer, you may be eligible for tax deduction of up to HKD8,000 per Insured Person per year of assessment for premium you paid for yourself and your specified relatives. Tax deduction is subject to the latest rules and regulation of Inland Revenue Department of Hong Kong Special Administrative Region. Please refer to the website of the Inland Revenue Department (“IRD”) of Hong Kong Special Administrative Region (www.ird.gov.hk/eng/) and VHIS (www.vhis.gov.hk/en/) or to contact the IRD directly for any tax related enquiries. FWD and the intermediaries do not provide tax advice. You should always consult with a professional tax advisor if you have any doubts.

    Specified Relative

    Conditions

    Parent or grandparent

    (Including parent and grandparent of the spouse)

    1. aged 55 (attained age) or more; or
    2. under the age of 55 (attained age) but eligible to claim an allowance under the Government’s Disability Allowance Scheme

    Child or sibling

    (Including sibling of spouse)

    1. under the age of 18 (attained age); or
    2. aged 18 (attained age) or more but under the age of 25 (attained age) and receiving full time education at a university, college, school or other similar educational establishment; or
    3. aged 18 (attained age) or more but incapacitated for work by reason of physical or mental disability
  3. It is subject to relevant underwriting requirements, otherwise, normal underwriting applies.
  4. This benefit is payable for the reasonable and customary charges of emergency treatment of the Insured Person’s sound natural teeth solely as a direct result of an Injury, if such treatment is provided within 2 weeks of the Accident causing such Injury by a registered dentist in a legally registered dental clinic. For more details of this benefit, please refer to the Policy provisions.
  5. For the Insured Person covered by any other hospital reimbursement plans offered by other licensed insurance companies, other than the individual medical policies provided by FWD, if FWD reimburses after any reimbursement has been paid from other licensed insurance companies, this benefit shall be payable as extra cash for each day of Confined period in Hospital as specified in the Benefit Schedule.
  6. It is not part of the Terms and Benefits of the Certified Plan – vCare Medical Plan (Certification Number: F00015-01-000-02).
  7. CANcierge, Second Medical Opinion Services & International SOS 24-hour Worldwide Assistance Services are provided by third party service provider(s) which are not guaranteed renewable. FWD reserves the right to terminate the services without further notice. For details of the services, please refer to the leaflet of FWD Professional Medical Assistance Services and the Information Sheet.
  8. This option is only applicable if vCare has been in force for 2 Policy Years or above and the application shall be subject to the designated medical insurance plan with higher protection coverage available at that time and such terms and conditions as determined by FWD from time to time.
  9. This additional benefit is available if the Insured Person or Insured Person’s spouse gives birth to a child after the Policy has been in force for 2 consecutive Policy Years from the Policy Effective Date (“Covered Child”). A one year coverage by a designated medical insurance plan for the Covered Child shall be offered without further evidence of insurability and at no additional charge.
    Once the coverage for the Covered Child is in effect and if the Covered Child suffers from Disability during the coverage period, FWD shall pay the Policy Holder the benefits based on the terms and benefits of the designated medical insurance plan. The benefit amount shall not be deducted from this Policy and shall not affect the coverage available to the Insured Person under this Policy. For more details, please refer to the Policy provisions.

Disclaimer: The product information in this website does not contain the full terms of the Policy and full terms can be found in the Policy document. For details of the terms and conditions, please call HKT Care Customer Service Hotline 8209 0098

  
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You will be diverted to an external website or application which contains goods and services provided by third parties and not HKT Care (“HKT Care”). HKT Care has no control over and makes no representations or warranties regarding the accuracy, content, completeness, legality, reliability, operability or availability of information or materials displayed on such website or application. All materials, information, products and services included therein are provided “as is”, “with all faults”, “as is and when available”, with no warranties whatsoever. HKT Care disclaims to the fullest extent permitted by law all express, implied and statutory warranties, including without limitation, the warranties of merchantability, fitness for a particular purpose, freedom from computer virus, title, and non-infringement of proprietary rights. You agree that the use of such website or application is entirely at your own risk. HKT Care has no control over the quality, accuracy, completeness or legality of the content, goods and services and disclaims and accepts no liability in relation to the same whatsoever and fully disclaims any and all liability for the same and excludes all liability and warranties for the same.


You agree to hold harmless and indemnify, and upon request of HKT Financial Services (IA) Limited, its parents, subsidiaries, and affiliates, and their respective owners, officers, managers, members, agents, and employees, from and against any third party claim arising from or in any way related to your use of or conduct on such website or application, including any liability or expense arising from all claims, liabilities, losses, damages (actual and consequential), suits, judgments, litigation costs, expenses, and legal fees, of every kind and nature.

Benefit Schedule6,7,8

Area cover

Ward class

Worldwide11

No restrictions

Benefit items 6,7

Benefit limit (in HKD)

(a) Room and board

$850 per day

Maximum 180 days per Policy Year

(b) Miscellaneous charges

$14,500 per Policy Year

(c) Attending doctor's visit fee

$850 per day

Maximum 180 days per Policy Year

(d) Specialist's fee 1

$6,000 per Policy Year

(e) Intensive care

$4,500 per day

Maximum 25 days per Policy Year

(f) Surgeon's fee

Per surgery, subject to surgical category for the surgery/procedure in the Schedule of Surgical Procedures :

• Complex $70,000

• Major $30,000

• Intermediate $15,000

• Minor $6,500

(g) Anaesthetist's fee

35% of Surgeon's fee payable12

(h) Operating theatre charges

35% of Surgeon's fee payable12

(i) Prescribed Diagnostic Imaging Tests1,2

$20,000 per Policy Year

Subject to 30% Coinsurance

(j) Prescribed Non-surgical Cancer Treatments3

$120,000 per Policy Year

(k) Pre- and post-Confinement/Day Case Procedure outpatient care 1

$580 per visit, up to $6,000 per Policy Year

• 1 prior outpatient visit or Emergency consultation per Confinement/Day Case Procedure

• 6 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 9

$30,000 per Policy Year

Other limits

Annual Benefit Limit for benefit items (a) – (l)

$520,000 per Policy Year

Lifetime Benefit Limit for benefit items (a) – (l)

Nil

Other benefits

(I) Death Benefit 10

$15,000

(II) Accidental Death Benefit 10

$15,000

(III) Emergency outpatient dental treatment 4

$20,000 per Policy Year

(IV) Cash benefit for Day Case Procedure

$500 per procedure

(V) Cash benefit for top-up subsidy 5

$500 per day

Maximum 60 days per Policy Year

  1. FWD shall have the right to ask for proof of recommendation e.g. written referral or testifying statement on the claim form by the attending doctor or Registered Medical Practitioner.
  2. Tests covered here only include computed tomography (“CT” scan), magnetic resonance imaging (“MRI” scan), positron emission tomography (“PET” scan), PET-CT combined and PET-MRI combined. You have to pay 30% of Prescribed Diagnostic Imaging Tests fee.
  3. Treatments covered here only include radiotherapy, chemotherapy, targeted therapy, immunotherapy and hormonal therapy.
  4. This benefit is payable for the reasonable and customary charges of emergency treatment of the Insured Person’s sound natural teeth solely as a direct result of an Injury, if such treatment is provided within 2 weeks of the Accident causing such Injury by a registered dentist in a legally registered dental clinic. For more details of this benefit, please refer to the Policy provisions.
  5. For the Insured Person covered by any other hospital reimbursement plans offered by other licensed insurance companies, other than the individual medical policies provided by FWD, if FWD reimburses after any reimbursement has been paid from other licensed insurance companies, this benefit shall be payable as extra cash for each day of Confined period in Hospital as specified in the Benefit Schedule.
  6. The benefit coverage, benefit amount and benefit limits, territorial scope of cover, choice of healthcare services provider, choice of ward class, Deductible and Coinsurance of vCare will remain unchanged even if the Policy Year lasts for less than 12 months.
  7. Eligible Expenses incurred in respect of the same item shall not be recoverable under more than one benefit item in the table above.
  8. All benefits described in these Terms and Benefits are not subject to any restriction in the choice of healthcare services providers, including but not limited to Registered Medical Practitioner and Hospital.
  9. This benefit shall be payable for the Eligible Expenses charged on the psychiatric treatments during Confinement in Hong Kong as recommended by a Specialist. The benefit shall be payable in lieu of other benefit items under (a) to (k) of the Benefit Schedule.
  10. The Policy Holder may change the beneficiary of this Policy or the Policy Holder while it is in force by submitting a written request to FWD. FWD shall register the change in its records when FWD determines that all relevant information has been received, from which time the change shall be effective (irrespective of whether the Insured Person is alive on that date).
  11. Except for the psychiatric treatments as stated in benefit item (l) of the Benefit Schedule, all benefits described in the benefit items shall be applicable worldwide.
  12. The percentage here applies to the Surgeon's fee actually payable or the benefit limit for the Surgeon's fee according to the surgical categorisation, whichever is the lower.
vCare Medical Plan (Standalone Plan)
(Effective from 1 April, 2019)

Attained Age

Age at next birthday

Male (HKD)

Female (HKD)

0

1

375.84

288.81

1

2

375.84

288.81

2

3

375.84

288.81

3

4

375.84

288.81

4

5

170.37

199.26

5

6

170.37

199.26

6

7

170.37

199.26

7

8

170.37

199.26

8

9

170.37

199.26

9

10

170.37

199.26

10

11

170.37

199.26

11

12

170.37

199.26

12

13

170.37

199.26

13

14

170.37

199.26

14

15

170.37

199.26

15

16

173.34

207.00

16

17

176.58

214.56

17

18

178.74

222.39

18

19

180.09

229.05

19

20

179.91

233.91

20

21

182.25

239.22

21

22

185.31

244.26

22

23

189.72

249.75

23

24

194.04

256.95

24

25

197.37

264.42

25

26

201.69

271.44

26

27

206.73

279.09

27

28

211.59

286.74

28

29

216.18

294.39

29

30

221.31

302.22

30

31

226.98

310.41

31

32

232.65

318.51

32

33

238.32

326.70

33

34

244.08

335.34

34

35

251.55

344.52

35

36

257.85

355.86

36

37

264.33

364.59

37

38

271.08

373.77

38

39

279.45

383.58

39

40

290.07

393.39

40

41

304.92

408.87

41

42

317.52

424.44

42

43

329.85

440.37

43

44

342.81

457.47

44

45

356.49

475.02

45

46

373.86

492.84

46

47

390.96

510.66

47

48

410.04

528.48

48

49

429.84

546.48

49

50

450.45

564.75

50

51

471.51

583.29

Attained Age

Age at next birthday

Male (HKD)

Female (HKD)

51

52

495.45

602.19

52

53

522.54

621.90

53

54

552.60

641.97

54

55

585.00

663.30

55

56

617.31

684.99

56

57

648.90

708.30

57

58

681.12

732.33

58

59

713.43

757.17

59

60

744.75

788.04

60

61

787.41

815.49

61

62

832.59

849.51

62

63

877.50

890.37

63

64

925.02

933.30

64

65

975.06

977.22

65

66

1,039.41

1,021.95

66

67

1,103.49

1,075.41

67

68

1,167.39

1,120.23

68

69

1,231.65

1,164.78

69

70

1,296.27

1,220.22

70

71

1,358.37

1,275.66

71

72

1,456.29

1,322.82

72

73

1,519.83

1,404.81

73

74

1,583.28

1,453.59

74

75

1,646.91

1,515.06

75

76

1,710.81

1,577.25

76

77

1,774.71

1,640.34

77

78

1,838.52

1,704.42

78

79

1,891.44

1,768.77

79

80

1,959.93

1,850.94

80

81

2,053.26

1,919.43

81^

82^

2,148.30

1,982.25

82^

83^

2,242.44

2,041.38

83^

84^

2,338.74

2,099.25

84^

85^

2,391.48

2,152.98

85^

86^

2,444.85

2,202.84

86^

87^

2,487.51

2,231.28

87^

88^

2,529.90

2,259.72

88^

89^

2,573.46

2,287.71

89^

90^

2,613.87

2,313.00

90^

91^

2,653.65

2,337.75

91^

92^

2,692.89

2,362.14

92^

93^

2,729.52

2,381.13

93^

94^

2,765.97

2,400.12

94^

95^

2,803.05

2,418.66

95^

96^

2,839.95

2,432.07

96^

97^

2,877.03

2,444.31

97^

98^

2,913.03

2,456.73

98^

99^

2,948.04

2,465.28

99^

100^

2,983.05

2,473.74

^ For renewal only.

This Standard Premium Schedule does not include levy which is collected by the Insurance Authority.

  1. The age for Premium calculation is the age of the Insured Person on his or her next birthday while the age on the Terms and Benefits under the Policy provisions of this Plan is defined as the attained age of the Insured Person.
  2. The costs of insurance and the related costs of the Policy are included in the premium paid under this Plan despite the product brochure/ leaflet and/or the information sheet of this Plan having no schedule/section of fees and charges or no additional charge noted other than the premium.
  3. Insurance levy collected by the Insurance Authority will be imposed at the applicable rate. For further information, please contact HKT Care 24-hour Customer Service Hotline at 8209 0098 or visit www.fwd.com.hk/en/insurance-levy.
  4. The insurance levy is compulsory and applies to all insurance policies where the Policy Effective Date is on or after 1 January 2018. The insurance levy is required to be paid by the Policy Holder at the same time as the premium is paid, however it does not form part of the premium and is not included in the calculations shown in the Standard Premium Schedule.
  5. The Insurance levy is calculated based on the total initial premium. If premium is adjusted due to campaign, promotion and / or Premium Loading (if any), the insurance levy might be slightly different from the actual insurance levy payable. If FWD receives any excess amount, it will be used to settle the next premium due or be refunded to the Policy Holder upon request without any interest.

Comparison between the benefit items of vCore Medical Plan and vCare Medical Plan

Detail

Preparation for health care needs

This Plan is an individual indemnity hospital insurance plan without any savings element. The period of cover of the Plan is 1 year and this plan is guaranteed renewable up to the Age of 100 (attained age) of Insured Person. The costs of insurance and the related costs of the Policy are included in the premium paid under this Plan despite the product brochure/leaflet and/or the illustration documents of this product having no schedule/section of fees and charges or no additional charge noted other than the premium.

The Standard Premium is non-guaranteed and will be determined annually based on the attained age of the Insured Person at the time of Renewal. The Standard Premium may increase significantly due to factors including but not limited to age, and claims experience and policy persistency in the same portfolio.


Credit risk

vCare is an insurance policy issued by FWD. The application of this insurance product and all benefits payable under your policy are subject to the credit risk of FWD. You will bear the default risk in the event that FWD is unable to satisfy its financial obligations under the insurance contract.


Exchange rate and currency risk

The application of this insurance product with the policy currency denominated in a foreign currency is subject to that foreign currency’s exchange rate and currency risk. The foreign currency may be subject to the relevant regulatory bodies’ control (for example, exchange restrictions). If your home currency is different from the policy currency, please note that any exchange rate fluctuation between your home currency and the policy currency of this insurance product will have a direct impact on the amount of premium required and the value of benefit(s) to be received. For instance, if the policy currency of the insurance product depreciates substantially against your home currency, the potential loss arising from such exchange rate movement may have a negative impact on the benefits you receive from vCare and your burden of the premium payment.


Inflation risk

The cost of living in the future may be higher than now due to the effects of inflation. Therefore, the benefits under vCare may not be sufficient for the increasing protection needs in the future even if FWD fulfils all of its contractual obligations.

Under these Terms and Benefits of the Policy provisions, FWD shall not pay any benefits in relation to or arising from the following expenses:

  1. Expenses incurred for treatments, procedures, medications, tests or services which are not Medically Necessary.
  2. Expenses incurred 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, unless such procedure or service is recommended by a Registered Medical Practitioner for Medically Necessary investigation or treatment of a Disability which cannot be effectively performed in a setting for providing Medical Services to a Day Patient.
  3. Expenses arising from Human Immunodeficiency Virus (“HIV”) and its related Disability, which is contracted or occurs before the Policy Effective Date. Irrespective of whether it is known or unknown to the Policy Holder or the Insured Person at the time of submission of Application, including any updates of and changes to such requisite information (if so requested by FWD under Section 8 of Part 1 of the Terms and Benefits of the Policy provisions) such Disability shall be generally excluded from any coverage of these Terms and Benefits of the Policy provisions if it exists before the Policy Effective Date. If evidence of proof as to the time at which such Disability is first contracted or occurs is not available, manifestation of such Disability within the first 5 years after the Policy Effective Date shall be presumed to be contracted or occur before the Policy Effective Date, while manifestation after such 5 years shall be presumed to be contracted or occur after the Policy Effective Date.

    However, the exclusion under this entire Section 3 shall not apply where HIV and its related Disability is caused by sexual assault, medical assistance, organ transplant, blood transfusions or blood donation, or infection at birth, and in such cases the other terms of these Terms and Benefits shall apply.
  4. Expenses incurred for Medical Services as a result of Disability arising from or consequential upon 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 (except for HIV and its related Disability, where Section 3 applies).
  5. Any charges in respect of services for –
    1. beautification or cosmetic purposes, unless necessitated by Injury caused by an Accident and the Insured Person receives the Medical Services within 90 days of the Accident; or
    2. correcting visual acuity or refractive errors that can be corrected by fitting of spectacles or contact lens, including but not limited to eye refractive therapy, LASIK and any related tests, procedures and services.
  6. Expenses incurred for prophylactic treatment or preventive care, including but not limited to general check-ups, routine tests, screening procedures for asymptomatic conditions, screening or surveillance procedures based on the health history of the Insured Person and/or his family members, Hair Mineral Analysis (HMA), immunisation or health supplements. For the avoidance of doubt, this Section 6 does not apply to –
    1. treatments, monitoring, investigation or procedures with the purpose of avoiding complications arising from any other Medical Services provided;
    2. removal of pre-malignant conditions; and
    3. treatment for prevention of recurrence or complication of a previous Disability.
  7. Expenses incurred for dental treatment and oral and maxillofacial procedures performed by a dentist except for Emergency Treatment and surgery during Confinement arising from an Accident. Follow-up dental treatment or oral surgery after discharge from Hospital shall not be covered.
  8. Expenses incurred for 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; sterilisation or sex reassignment of either sex; infertility including in-vitro fertilisation or any other artificial method of inducing pregnancy; or sexual dysfunction including but not limited to impotence, erectile dysfunction or pre-mature ejaculation, regardless of cause.
  9. Expenses incurred for the purchase of durable medical equipment or appliances including but not limited to wheelchairs, beds and furniture, airway pressure machines and masks, portable oxygen and oxygen therapy devices, dialysis machines, exercise equipment, spectacles, hearing aids, special braces, walking aids, over-the-counter drugs, air purifiers or conditioners and heat appliances for home use. For the avoidance of doubt, this exclusion shall not apply to rental of medical equipment or appliances during Confinement or on the day of the Day Case Procedure.
  10. Expenses incurred for traditional Chinese medicine treatment, including but not limited to herbal treatment, bone-setting, acupuncture, acupressure and tui na, and other forms of alternative treatment including but not limited to hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy and other similar treatments.
  11. Expenses incurred for experimental or unproven medical technology or procedure in accordance with the common standard, or not approved by the recognised authority, in the locality where the treatment, procedure, test or service is received.
  12. Expenses incurred for Medical Services provided as a result of Congenital Condition(s) which have manifested or been diagnosed before the Insured Person attained the Age of 8 years (attained age).
  13. Eligible Expenses which have been reimbursed under any law, or medical program or insurance policy provided by any government, company or other third party.
  14. Expenses incurred for treatment for Disability arising from war (declared or undeclared), civil war, invasion, acts of foreign enemies, hostilities, rebellion, revolution, insurrection, or military or usurped power.
  15. The above list is not exhaustive and for reference only. Please refer to the policy provision for the complete exclusions including but not limited to exclusions for Emergency Outpatient Dental Treatment and Accidental Death Benefit.

FWD reserves the right to revise, modify or adjust the Terms and Benefits under the Policy subject to the prior approval and re-certification by the Hong Kong Special Administrative Region Government (the “Government”). FWD also reserves the right to adjust the Standard Premium at each Policy Renewal on an overall portfolio basis. In addition, FWD can revise, modify or adjust the terms and conditions for the add-on services subject to its prevailing rules and regulations from time to time at its sole discretion.

FWD shall guarantee the Renewal at each policy anniversary up to the Age of 100 (attained age) of the Insured Person. As long as FWD maintains the registration as a VHIS provider, FWD guarantee that the Terms and Benefits will not be less favourable than the latest version of the Standard Plan Terms and Benefits published by the Government at the time of renewal. FWD reserves the right to revise the terms and benefits, subject to the prior approval and re-certification by the Government, upon renewal by giving a 30 days advance notice.

The premium payment term of the Policy of vCare is up to the age of 100 years (attained age) of the Insured Person.

FWD allows a grace period of 30 days after the premium due date for payment of each premium. The Policy shall continue to be in effect during the grace period but no benefits shall be payable unless the premium is paid. If the premium is still unpaid in full at the expiration of the grace period, the Policy shall be terminated immediately on the date on which the premium is first due.

The Policy shall be automatically terminated on the earliest of the followings:

  1. where the Policy is terminated due to non-payment of premiums after the grace period as specified in Section 13 of Part 2 or Section 3 of Part 3 of the Terms and Benefits of the Policy provisions; or
  2. the day immediately following the death of the Insured Person; or
  3. FWD has ceased to have the requisite authorisation under the Insurance Ordinance to write or continue to write the Policy;
Immediately following the termination of this Policy, insurance coverage under the Policy shall cease to be in force. No premium paid for the current Policy Year and previous Policy Years shall be refunded, unless specified otherwise.

Where the Policy is terminated pursuant to (a), the effective date of termination shall be the date that the unpaid premium is first due. 

Where the Policy is terminated pursuant to (b) or (c), FWD shall refund the relevant premium paid for the current Policy Year on a pro rata basis. 

Moreover, the policy shall also be terminated if you decide to cancel the Policy or not to renew the Policy in accordance with Section 3 of Part 2 or Section 1 of Part 4 of the Terms and Benefits of the Policy provisions, as the case may be, by giving the requisite written notice to FWD. If the Policy is terminated for cancellation after cooling-off period, the effective date of termination shall be the date as stated in the cancellation notice given by you. However, such date shall not be within or earlier than the 30-day notice period. If the Policy is not renewed, the effective date of termination shall be the renewal date immediately following the expiry of the Policy Year during which the Policy remains valid. 

For more details, please refer to Section 15 of Part 2 of the Terms and Benefits of the Policy provisions.

FWD should not refuse any application by the Policy Holders for the transfer of ownership to –

  1. the Insured Person if he has reached the age of 18 years;
  2. the parent or guardian of the Insured Person if he is under the age of 18 years; or
  3. any person whose familial relationship with the Insured Person is accepted by FWD according to its prevailing Underwriting practices.

FWD has developed a simple and quick process to make it easier to make a claim.

FWD Claims Ambassadors will also provide a swift and comprehensive end-to-end claim processing service.

  • claims application assessments
  • filling in relevant documents
  • explanation of the claims procedures
  • pay-outs and detailed claims settlements

1. What is the Voluntary Health Insurance Scheme (VHIS)?

VHIS is a government policy to regulate individual indemnity hospital insurance products, so as to encourage citizens to use private healthcare services. With voluntary participation by consumers, relevant premiums paid for individual indemnity hospital insurance plans that are certified by the Government (“Certified Plans”) will be allowed for tax deduction.

2. Will I be eligible for tax deduction if I purchase the vCare Medical Plan?

Yes. vCare Medical Plan is an individual indemnity hospital insurance plan certified by the Government. Taxpayers, as the policy holders of vCare, will be eligible for tax deduction under the Inland Revenue Ordinance (Cap.112).

3. In addition to tax deduction, what are the other features of VHIS products?

VHIS products must be certified by the Government and meet the following minimum requirements:

  • Standard policy terms and conditions, benefit coverage and benefit amount
  • Guaranteed renewal up to the age of 100
  • No “lifetime benefit limit”
  • Cooling-off period of 21 Days – Policy holders can cancel the policies with full refund of premium during the period
  • Premium transparency
  • Coverage extended to include:
    1. Unknown pre-existing conditions – 0% of claim amount in the 1st Policy Year, 25% in the 2nd Policy Year, 50% in the 3rd Policy Year and full coverage (i.e. 100%) from the 4th Policy Year onwards
    2. Congenital conditions which have manifested or been diagnosed after the age of 8 (attained age), subject to the same reimbursement arrangement that applies to unknown pre-existing conditions
    3. Day case procedures (including endoscopy)
    4. Prescribed diagnostic imaging tests (including Computed Tomography (CT scan), Magnetic Resonance Imaging (MRI scan), Positron Emission Tomography (PET scan), PET-CT combined and PET-MRI combined) subject to 30% coinsurance
    5. Prescribed non-surgical cancer treatments, including radiotherapy, chemotherapy, targeted therapy, immunotherapy and hormonal therapy
    6. Psychiatric treatments during confinement in a Hong Kong hospital

4. How is the No Claims Premium Discount calculated?

If the policy has been in force for 2 or more consecutive years and no claims have been incurred during 2 or more consecutive Policy Years immediately prior to the policy’s renewal, you will be eligible for a no claims premium discount on the renewal premium:

No claims period immediately

prior to the policy’s renewal

No claims premium discount

(Discount on the renewal premium)

2 consecutive Policy Years

10%

3 consecutive Policy Years

10%

4 consecutive Policy Years

10%

5 or more consecutive Policy Years

15%

5. Is the premium of Certified Plans fixed?

The premium is not fixed. Insurance companies have the freedom to set premium levels. The standard premium of Certified Plans can differ by a number of factors such as age and gender.

6. Must all applications be accepted by Certified Plans?

No, Certified Plans may not accept all applications. Insurance companies can underwrite the insured persons to assess their risk and decide whether to:

  1. accept the application unconditionally; or
  2. accept the application with premium loading and/or case-based exclusions; or
  3. reject the application; or
  4. suspend the application due to insufficient information

7. Will applications of high-risk individuals be accepted by Certified Plans?

The VHIS implemented by the Government in 2019 does not include the establishment of High Risk Pool. Therefore, applications of high-risk individuals may not be accepted by insurance companies.

  1. VHIS Office of the Government (www.vhis.gov.hk) – for issues specific to the VHIS including product availability, features of Certified Plans and compliance with Code of Practice for Insurance Companies under Ambit of the Voluntary Health Insurance Scheme;
  2. Insurance Authority (www.ia.org.hk) – for issues concerning the general conduct of insurance companies and intermediaries; and
  3. Inland Revenue Department (www.ird.gov.hk) – for issues concerning claims for tax deduction.
  4. HKT Care – Customers can make enquiries and lodge complaints to HKT Care via email or HKT Care Customer Service Hotline 8209 0098.

Note: The above information is for reference only and shall be subject to the Government policy as applicable from time to time. Please refer to the Policy provisions for details.

  • Please note that the VHIS status of the Plan does not necessarily mean you are eligible for tax deduction available for VHIS premiums paid. The Plan’s VHIS status is based on the features of the product as well as certification by the Government and not the facts of your own situation. You must also meet all the eligibility requirements set out under the Inland Revenue Ordinance and any guidance issued by the Inland Revenue Department (“IRD”) of Hong Kong Special Administrative Region before you can claim these tax deductions. Please refer to the website of the IRD (www.ird.gov.hk/eng/) or to contact the IRD directly for any tax related enquiries.
    Any general tax information provided is for your reference only, and you should not make any tax-related decisions based on such information alone. You should always consult with a professional tax advisor if you have any doubts. Please note that the tax law, regulations or interpretations are subject to change and may affect related tax benefits including the eligibility criteria for tax deduction. FWD does not take any responsibility to inform you about any changes in the laws and regulations or interpretations, and how they may affect you. Further information on tax concessions applicable to VHIS may be found in VHIS’s website at www.vhis.gov.hk/en/.
    Please note that these tax deduction benefits may not be applicable to you if you are a retiree who is not subject to salaries tax or tax under personal assessment.
  • Online application of this product is available to Hong Kong permanent residents with a permanent address in Hong Kong only.
  • vCare Medical Plan is a Flexi Plan certified by the Government under the Voluntary Health Insurance Scheme (Certification No.: F00015-01-000-02) and underwritten by FWD Life Insurance Company (Bermuda) Limited (incorporated in Bermuda with limited liability) (“FWD Life / FWD”) .
    FWD Life has registered as a Voluntary Health Insurance Scheme Provider, and is authorized to carry out insurance business in or from Hong Kong and regulated by the Insurance Authority of the Hong Kong SAR.
    HKT Financial Services (IA) Limited (“HKTIA”) is a licensed insurance agency in Hong Kong and regulated by the Insurance Authority of Hong Kong (Licensed insurance Agency License No. FA2474). HKTIA is an authorized insurance distributor of FWD Life.
  • Inclusion of value-added taxes and goods and services taxes as Eligible Expenses under VHIS Certified Plans. 
  • With respect of any Eligible Expenses under the VHIS Certified Plans incurred on or after 1 January 2022, Eligible Expenses shall include value-added taxes and goods and services taxes (“VAT and GST”) (if any) charged or imposed on the relevant medical expenses incurred, subject to the Terms and Benefits applicable in the relevant Certified Plans. The relevant Supplement will be sent to all policy holders concerned upon policy renewal.
  • For any queries, please contact us at our Customer Service Hotline 8209 0098.

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