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All premiums are calculated on standard rates and this quote is for reference only. The premium levy, which we’re obliged to collect for the Insurance Authority, is payable in addition to the actual premium to be paid.
Before proceeding, please confirm you understand this product’s features and that it fits your need(s) and affordability.












1
Self-financed items are too costly, even using public hospital services still raise concerns about out-of-pocket spending


A cardiac stent for angioplasty (“Balloon Angioplasty”) costs3


Self‑financing cancer medications can cost up to HK$400,000 per year4
Many people worry they may not have enough savings to pay for these high self‑financing medical expenses…
One&All offers affordable protection for self-financing drugs and medical items required in public hospitals, which helps reduce your medical expenses.
2
Getting CT/MRI scan at public hospital may require waiting up to 4 years
When health issues arise, doctors may recommend a CT scan or MRI for more detailed diagnosis.


Worried about missing the golden treatment window…
One&All provides coverage for designated imaging tests conducted at private medical institutions when there is written recommendation and referral from a Hong Kong public hospital. This helps shorten waiting time and ensures you can access treatment at the optimal time.
3
Medical insurance premiums increase every year, making it difficult to afford after retirement


Worried that your passive income after retirement may not be enough to cover premiums…
One&All provides affordable and sustainable medical protection, giving you greater peace of mind and freedom in retirement.
Why can it be so affordable?
Some benefit items under One&All are subject to coinsurance8. Coinsurance means the Insured Person pays a certain percentage of the medical expenses. This helps share overall medical costs, allowing premiums to remain lower and the protection to stay long-term and sustainable.
If the Insured Person is unfortunately diagnosed with a designated crisis18, the coinsurance8 normally be payable will be waived17,18, and One&All will provide full coverage40. This further relieves financial pressure during treatment, allowing you to focus on recovery.
(applicable to the benefit level of “Beyond” and “Connect” only)
4
Seeking medical treatment in Mainland China is becoming a trend, but it’s hard to know where to start…
Driven by the rise of the “Northbound travel” trend, more Hong Kong people are considering seeking treatment in Mainland China as a more affordable alternative to local medical services, which are often costly and have long waiting times.




Seeking medical care in Mainland China is becoming a new trend, but many people are unsure where to begin…
One&All offers one‑stop support at designated network hospitals in the GBA, including appointment booking, admission arrangements, medical accompaniment services, and cashless discharge, making your Mainland medical journey simple and worry‑free.
5
Many caring children who hope to get coverage for their parents often face obstacles due to their parents’ health conditions
The older generation in Hong Kong may not have medical insurance, and some of their children are concerned about future medical expenses, prompting them to consider purchasing insurance for their parents.
Around 6 in every 10 people have high blood pressure11
Around 2 in every 10 people have diabetes12
These common elderly illnesses often lead to extra premiums (loadings) or even declined applications when applying for medical insurance…
When you apply for the “Connect” level of One&All, you can add the Family Booster for Parent Option13, which offers coverage similar to the “Access” level for your parent(s), without requiring any health underwriting or signing in person for them.
6
Concerned that “no work means no income” could leave you struggling to manage expensive hospital expenses…


Concerned that “no work means no income” could leave you struggling to manage expensive hospital expenses…
One&All provides additional cash benefits, offering financial support for hospitalization or day-case surgery anywhere in the world.
Simplified underwriting15 answering 3 simple questions
Coverage limit per disability2 per policy year
HK$500,000
Treatment expenses at Hong Kong public hospitals and treatments referred by them
Includes all benefits under Level
Access
Coverage limit per disability2 per policy year
HK$850,000
Treatment expenses at
public/private hospitals in Mainland China and Macau
Includes all benefits under Level
AccessBeyond
Coverage limit per disability2 per policy year
HK$1,000,000
Treatment expenses at
Hong Kong private hospitals and public/private hospitals in other Asian regions
This simplified diagram is for explanation purpose only. For the full terms, conditions, benefits and exclusions, please refer to the terms and benefits of the Plan.
How to choose?
| Benefit Level | You are… |
|---|---|
Access |
|
Beyond |
|
Connect |
|
No health underwriting required for parents
No in‑person signature required from parents
Coverage of up to HK$500,000 per disability² per policy year
Treatment expenses at public hospitals and their referrals
Self‑financed drugs and medical items
Specified Diagnostic Imaging Tests16,17
Cash benefit for Confinement or Day Case Procedure
Issue age for parents: 18-75 (attained age)
Coverage until age 80 (attained age) or the termination of Basic Policy (whichever is earlier)
If a parent has the First Confirmed Diagnosis of a Severe Cancer, up to 5 years of payable premiums for that Covered Parent will be waived
Standalone plan (Online application currently supports applications for standalone plans only. If you wish to apply for One&All as a rider, please leave your contact details and we will assist you as soon as possible)
Age 0 (from 15 days) – 80 (attained age)
Guaranteed yearly Renewable32 to age 100 (attained age)
To Age 100 (attained age)
Monthly / Annually
HK$/US$
Access:
Except for Specified Diagnostic Imaging Tests16 with written recommendation from Hong Kong Public Hospital and cash benefit for Confinement or Day Case Procedure, Hong Kong Public Hospital
Beyond:
Except for Self-financed Medicine and Drug and Privately Purchased Medical Item in Hong Kong Public Hospital, psychiatric treatments34, Specified Diagnostic Imaging Tests16 with written recommendation from Hong Kong Public Hospital and cash benefit for Confinement or Day Case Procedure, Hong Kong Public Hospital, medical clinic, day case procedure centre and Hospital in Macau and designated Hospital in mainland China
Connect:
Except for Self-financed Medicine and Drug and Privately Purchased Medical Item in Hong Kong Public Hospital, Specified Diagnostic Imaging Tests16 with written recommendation from Hong Kong Public Hospital, cash benefit for Confinement or Day Case Procedure, psychiatric treatments34, cash benefit for Confinement in Intensive Care Unit in Hong Kong35 and cash benefit for Confinement in Intensive Care Unit in Hong Kong due to pregnancy complications36,
For non-Emergency Treatment: medical clinic, day case procedure centre and Hospital in Asia37
For Emergency Treatment: Worldwide (subject to designated Hospital in mainland China)
Access: HK$500,000 / US$62,500
Beyond: HK$850,000 / US$106,250
Connect: HK$1,000,000 / US$125,000
Nil
Beyond and Connect:
The Coinsurance8 (if applicable) shall be reduced to 0 for the Medical Services if the Insured Person -
• suffers any of the designated crises17,18; and
• upon the recommendation of the attending Registered Medical Practitioner in writing, receives any Medical Services as a result of the designated crises17,18 for which benefits are payable under benefit items (a) to (n) of I. Basic benefits, 1 to 8 (if applicable) under II. Enhanced benefits and 3 of III. Other benefits
Standard Ward Room38
Benefit limit
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
20% Coinsurance8
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access, Beyond and Connect:
Designated Healthcare Services Provider43: 20% Coinsurance8,45,46
Non-Designated Healthcare Services Provider: 30% Coinsurance8
If it is Medically Necessary for the Insured Person to be Confined or to undergo a Day Case Procedure solely due to the diagnosis of that Specified Diagnostic Imaging Test within 6 months from the date of that Specified Diagnostic Imaging Test, Coinsurance shall not apply.
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 for Hong Kong Public Hospital
Connect: Full cover40 for Hong Kong Public Hospital or 30% Coinsurance8 for other Hospital in Hong Kong
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access: Not applicable
Beyond and Connect: HK$10,000/ US$1,250 per Disability2 per Policy Year
Access: Not applicable
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Maximum 30 days per Disability2 per Policy Year, subject to services provided by 1 Registered Nurse per day
Access: Not applicable
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Maximum 30 days per Disability2 per Policy Year, subject to services provided by 1 Registered Nurse per day
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Access:
Beyond:
Connect:
Maximum 10 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge from Hospital or completion of Day Case Procedure), but is subject to 1 follow-up outpatient visit per day
Access and Beyond: Not applicable
Connect: Full cover40 or 30% Coinsurance8,42
Access, Beyond and Connect: HK$20,000 / US$2,500
Access, Beyond and Connect: HK$20,000 / US$2,500
Access: Full cover40
Beyond: Full cover40 or 30% Coinsurance8,41
Connect: Full cover40 or 30% Coinsurance8,42
Within 3 months of the Accident
Access:
(i) HK$500 / US$62.5 per day for Confinement
(ii) HK$250 / US$31.25 per Day Case Procedure
Beyond:
(i) HK$500 / US$62.5 per day for Confinement
(ii) HK$500 / US$62.5 per procedure for any Day Case Procedure performed in a Hospital as stated in the designated Hospital list in mainland China
(iii) HK$250 / US$31.25 per procedure for any Day Case Procedure(s) performed outside of mainland China
Connect:
(i) HK$500 / US$62.5 per day for Confinement
(ii) HK$500 / US$62.5 per procedure for Designated Day Case Procedure45 performed at a Designated Healthcare Services Provider43; or any Day Case Procedure(s) performed in a Hospital as stated in the designated Hospital list in mainland China
(iii) HK$250 / US$31.25 per procedure for any Day Case Procedure(s) other than designated Day Case Procedure(s)45 performed at a Designated Healthcare Services Provider43; or any Day Case Procedure(s) performed at a non-Designated Healthcare Services Provider and outside of mainland China
• If the Insured Person is Confined or undergoes a Day Case Procedure in a Hospital in mainland China, this benefit shall be payable for Confinement or Day Case Procedures performed at Hospitals stated in the designated Hospital list in mainland China. For Confinement, the benefit payout will be limited to 50% starting from the 11th consecutive day of the Confinement
• Maximum 1 Day Case Procedure per day
• Maximum 180 days per Disability2 per Policy Year
• If the Insured Person undergoes more than 1 Day Case Procedures on the same day or the Insured Person is Confined and undergoes at least 1 Day Case Procedures on the same day, this benefit shall only be payable once on each day in respect of the Day Case Procedure or Confinement with the highest benefit limit as specified in the Benefit Schedule
Access: Not applicable
Beyond and Connect: HK$500 / US$62.5 per day of Confinement Maximum 60 days per Disability2 per Policy Year
Access: Not applicable
Beyond and Connect:
Per surgery, subject to the categorisation of such surgery under the Schedule of Surgical Procedures –
HK$3,000 / US$375 per major surgery
HK$6,000 / US$750 per complex surgery
Maximum 1 major or complex surgery per day and the Eligible Expenses incurred during such Confinement period are payable in accordance with the Terms and Benefits
Access and Beyond: Not applicable
Connect: HK$6,000 / US$750 per Confinement
This benefit is payable once only during the whole Confinement period
Access and Beyond: Not applicable
Connect: HK$6,000 / US$750 per Confinement
This benefit is payable once only during the whole Confinement period and in addition to benefit item 7 of III. Other benefits.
If you haven’t made any claim for the Plan for 2 or more consecutive Policy Years immediately prior to Renewal32, the Plan will offer you a discount of up to 15% on your next Renewal32 premium regardless of your Age to encourage you to stay healthy.
No claims premium discounts apply as follows:
| No claims period immediately prior to the Policy’s Renewal32 | No claims premium discount (Discount rate on Renewal32 premium) |
|---|---|
| 2 consecutive Policy Years | 10% |
| 3 consecutive Policy Years | 10% |
| 4 consecutive Policy Years | 10% |
| 5 or more consecutive Policy Years | 15% |
Applicable to the benefit level of Connect only: Despite the aforementioned conditions, you can claim for any designated Day Case Procedure(s) performed at any Designated Healthcare Services Providers43 without affecting the eligibility for no claims premium discount during the no claims period.
Credit Risk
This product 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 this 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, there is a negative impact on the benefits you receive from this Plan. If the Policy currency of the insurance product appreciates substantially against your home currency, your burden of the premium payment is increased.
Inflation Risk
The cost of living in the future may be higher than now due to the effects of inflation. Therefore, the benefits under this Plan may not be sufficient for the increasing protection needs in the future even if FWD fulfills all of its contractual obligations.
Premium Adjustment
The Standard Premium is non-guaranteed and will be determined annually based on the 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, medical inflation, and claims experience and policy persistency on an overall basis.
Premium Term and Non-Payment of Premium
The premium payment term of the One&All Medical Insurance Plan is up to the Policy Anniversary immediately preceding the 101st birthday of the Insured Person. For One&All Medical Insurance Rider, its premium payment term ends on the termination of the Basic Policy, or the Policy Anniversary immediately preceding the 101st birthday of the Insured Person, whichever is earlier. FWD allows a grace period of 30 days after the premium due date for payment of each premium. This Policy shall continue to be in effect during the grace period but no benefits shall be payable unless the premium is paid. If a premium is still unpaid at the expiration of the grace period, the Policy will be terminated from the date the first unpaid premium was due. Please note that once the policy is terminated on this basis, you will lose all of your benefits.
Termination Conditions
The Plan shall be automatically terminated on the earliest of the followings:
(a) 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; or
(b) the day immediately following the death of the Insured Person; or
(c) FWD has ceased to have the requisite authorisation under the Insurance Ordinance to write or continue to write the Policy.
If this Policy is terminated pursuant to this Section 15 of the Terms and Benefits, the termination shall be effective at 00:00 hours of the effective date of termination.
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.
This Policy shall also be terminated if the Policy Owner decides to cancel this Policy or not to renew this Policy in accordance with Section 3 of this Part 2 of the Terms and Benefits or Section 1 of Part 4 of the Terms and Benefits, as the case may be, by giving the requisite written notice to FWD. If this Policy is terminated under Section 3 of this Part 2 of the Terms and Benefits, the effective date of termination shall be the date as stated in the cancellation notice given by the Policy Owner. However, such date shall not be within or earlier than the notice period as required by Section 3 of this Part 2 of the Terms and Benefits for the cancellation. If this Policy is not renewed under Section 1 of Part 4 of the Terms and Benefits, the effective date of termination shall be the Policy Anniversary immediately following the expiry of the Policy Year during which this Policy remains valid.
If this Policy is terminated under (a) or (c) of this Section 15 of the Terms and Benefits, in the case where the Insured Person is being Confined or is undergoing Prescribed Non-surgical Cancer Treatment for a Disability suffered before such termination, then, with respect to the Confinement or treatment in relation to the same Disability, Eligible Expenses incurred shall continue to be covered under this Policy until (i) the Insured Person is discharged or the treatment is completed or (ii) 30 days after the termination of this Policy, whichever is the earlier. The Terms and Benefits applicable shall be those prevailing as at the day immediately preceding the date of termination of this Policy. FWD shall have the right to deduct any outstanding premium under Section 13 of this Part 2 of the Terms and Benefits from any benefit payment.
For the avoidance of doubt, where this Policy includes other additional benefits beyond those under the Terms and Benefits of this Plan, removal or downgrading of any such other additional benefits by FWD shall not adversely affect
(a) the Terms and Benefits of this Plan which shall continue to be in full force and effect; and
(b) the continuity of these Terms and Benefits, and shall not adversely affect FWD's compliance with the licensing requirement in order to continue to write these Terms and Benefits.
For more details, please refer to Section 15 of Part 2 of the Terms and Benefits of the Plan.
The Rider shall be automatically terminated on the earliest of the followings –
(a) where the Rider is terminated due to the failure to pay premiums of the Basic Policy, the Rider and other rider(s) that is(are) attached to the Basic Policy (if any) in full after the grace period;
(b) the termination of the Basic Policy;
(c) the day immediately following the death of the Insured Person;
(d) FWD has ceased to have the requisite authorisation under the Insurance Ordinance to write or continue to write the Basic Policy and/or the Rider; or
(e) when the Rider is converted to a new designated medical insurance plan in accordance with Part 6(B) of the Terms and Benefits of the Rider.
If the Rider is terminated pursuant to this Section 15 of the Terms and Benefits of the Rider, the termination shall be effective at 00:00 hours of the effective date of termination.
Immediately following the termination of the Rider, insurance coverage under the Rider 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 Rider is terminated pursuant to (a), the effective date of termination shall be the date that the unpaid premium is first due.
Where the Rider is terminated pursuant to (c) to (d), FWD shall refund the relevant premium paid for the current Policy Year on a pro rata basis.
This Rider shall also be terminated if the Policy Owner decides to cancel this Rider or not to renew this Rider in accordance with Section 3 of this Part 2 or Section 1 of Part 4, as the case may be, or cancel the Basic Policy, by giving the requisite written notice to the Company. If this Rider is terminated under Section 3 of this Part 2 or due to cancellation of Basic Policy, the effective date of termination shall be the date as stated in the cancellation notice given by the Policy Owner. However, such date shall not be within or earlier than the notice period as required by Section 3 of this Part 2 for the cancellation. If this Rider is not renewed under Section 1 of Part 4, the effective date of termination shall be the renewal date immediately following the expiry of the Policy Year during which this Rider remains valid.
If this Rider is terminated under (a) or (d) of this Section 15, in the case where the Insured Person is being Confined for a Disability suffered before such termination, then, with respect to the Confinement in relation to the same Disability, benefits shall continue to be covered under this Rider until (i) the Insured Person is discharged or (ii) thirty (30) days after the termination of this Rider, whichever is the earlier. The Terms and Benefits of One&All Medical Insurance Rider applicable shall be those prevailing as at the day immediately preceding the date of termination of this Rider. The Company shall have the right to deduct any outstanding premium under Section 13 of this Part 2 from any benefit payment.
For more details, please refer to Section 15 of Part 2 of the Terms and Benefits of the Rider.
Under the Terms and Benefits of the Plan, FWD shall not pay any benefits in relation to or arising from the following expenses.
Suicide
If the Insured Person commits suicide (whether sane or insane at that time) within 13 calendar months from the Policy Date, FWD’s liability under the Plan will be limited to the refund of premiums paid (without interest) less any outstanding insurance levy and any benefit which has been paid under the Plan.
The above list is not exhaustive and is for reference only. Please refer to the policy provision of the Plan for the complete exclusions including but not limited to exclusions for accidental death benefit and Emergency outpatient dental treatment.
Your Right under Cooling off Period
If you are not fully satisfied with this policy, you have the right to change your mind. FWD trust that this Policy will satisfy your needs. However, if you are not completely satisfied, you have the right to cancel and obtain a full refund of the insurance premium paid by you and levy paid by you without interest by giving us written notice. Such notice must be signed by you and received directly by the office of FWD within 21 calendar days immediately following either the day of delivery of the policy or a Cooling-off Notice to you or your nominated representative, whichever is the earlier. The notice is the one sent to you or your nominated representative (separate from the policy) notifying you of your right to cancel within the stated 21 calendar day period. No refund can be made if a claim payment under the policy has been made prior to your request for cancellation. Should you have any further queries, you may (1) call our Service Hotline on 3123 3123; (2) visit our FWD Insurance Solutions Centres; (3) email to cs.hk@fwd.com and We will be happy to explain your cancellation rights further.
Cancellation Right
After the cooling-off period, you can request cancellation of this policy by giving 30 days prior written notice to FWD, provided that there has been no benefit payment under this policy during the relevant Policy Year.
Other insurance coverage
If you have taken out other insurance coverage besides the Plan, you shall have the right to claim under any such other insurance coverage or the Plan. However, if you or the Insured Person has already recovered all or part of the expenses from any such other insurance coverage, FWD shall only be liable for such amount of Eligible Expense, if any, which is not compensated by any such other insurance coverage.
Limitation on non-Hong Kong identity card holders and “Non-eligible Persons” as defined by the Hospital Authority
If the benefit level is Access and Beyond, if the Insured Person is not a Hong Kong identity card holder and/or is not classified as an “Eligible Person” under the Hospital Authority’s definition of “Public Charges”, as published on the Hospital Authority’s official website, and receives a Medical Service and Eligible Expenses and/or other expenses are charged by a Hong Kong Public Hospital, no benefit shall be payable under Sections 3(a) to 3(j), 3(l) to 3(n) of Part 6 of the Terms and Benefits, under Sections 1 to 7 (if applicable) of Part 1 of the Supplement – Enhanced benefits and Sections 3, 5 to 6 (if applicable) of Part 1 of the Supplement – Other benefits. If the benefit level is Connect, if the Insured Person is not a Hong Kong identity card holder and/or is not classified as an “Eligible Person” under the Hospital Authority’s definition of “Public Charges”, as published on the Hospital Authority’s official website and receives a Medical Service and Eligible Expenses and/or other expenses are charged by a Hong Kong Public Hospital, 30% Coinsurance will be applied to the benefits payable under Sections 3(a), 3(b), 3(d) to 3(j), 3(l) to 3(n) of Part 6 of the Terms and Benefits, Sections 1 to 2, 4 to 8 of Part 1 of the Supplement – Enhanced benefits and Section 3 of Part 1 of the Supplement – Other benefits.
Notice to Claim
Medical claims
All claims incurred shall be submitted to FWD within 90 days after the date on which the Insured Person is discharged from the Hospital, or the date on which the relevant Medical Service is performed and completed. For this purpose,
(a) all original receipts and/or original itemised bills together with the diagnosis, type of treatment, procedure, test or service provided shall have been submitted to FWD; and
(b) all relevant information, certificates, reports, evidence, referral letter and other data or materials as reasonably required by FWD shall have been furnished to FWD for processing of such claim.
You shall notify FWD if claims cannot be submitted within the above timeframe, otherwise FWD shall have the right to reject claims submitted after the above timeframe. All certificates, information and evidence that are reasonably required by FWD and which can be reasonably provided by you shall be furnished at the expenses of you.
Death / accidental death claims
Death/accidental death benefit is payable to beneficiary upon Insured Person’s death if the claimant submits the completed Death Claim Form, the Death Claim - Attending Physician's Report completed by the last attending doctor (only applicable for death occurred within the first 3 Policy Years), due proof of the death and any other documents as reasonably required by FWD (including all relevant certificates, reports, evidence and other data or materials). All such documents which can be reasonably provided by you shall be furnished at the expenses of you.
Declaration relating to the Foreign Account Tax Compliance Act and Automatic Exchange of Financial Account Information
FWD is obliged to comply with the following legal and/or regulatory requirements in various jurisdictions as promulgated and amended from time to time, such as the United States Foreign Account Tax Compliance Act, and the automatic exchange of financial account information regime (“AEOI”) followed by the Inland Revenue Department (the “Applicable Requirements”). These obligations include providing information of clients and related parties (including personal information) to relevant local and international authorities and/or to verify the identity of the clients and related parties. In addition, our obligations under the AEOI are to:
i. identify accounts as non-excluded “financial accounts” (“NEFAs”);
ii. identify the jurisdiction(s) in which NEFA-holding individuals and NEFA-holding entities reside for tax purposes;
iii. determine the status of NEFA-holding entities as “passive non- financial entities (NFEs)” and identify the jurisdiction(s) in which their controlling persons reside for tax purposes;
iv. collect information on NEFAs (“Required Information”) which is required by various authorities; and
v. furnish Required Information to the Inland Revenue Department.
The Policy Owner must comply with requests made by FWD to comply with the above Applicable Requirements.
Accident
shall mean a sudden and unforeseen event occurring entirely beyond the control of the Insured Person and caused by violent, external and visible means.
Age
shall mean the age next birthday of the Insured Person of this Policy, unless otherwise specifi¬ed.
Confinement or Confined
shall mean an admission of the Insured Person to a Hospital that is recommended by a Registered Medical Practitioner for Medical Service and as an Inpatient as a result of a Medically Necessary condition.
Con¬finement shall be evidenced by a daily room charge invoiced by the Hospital and the Insured Person must stay in the Hospital continuously for the entire period of Confi¬nement.
Congenital Condition(s)
shall mean (a) any medical, physical or mental abnormalities existed at the time of or before birth, whether or not being manifested, diagnosed or known at birth; or (b) any neo-natal abnormalities developed within 6 months of birth.
Day Case Procedure
shall mean a Medically Necessary surgical procedure for investigation or treatment to the Insured Person performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery as a Day Patient.
Disability
shall mean a Sickness or Disease or Injury, including any and all complications arising therefrom.
Eligible Expenses
shall mean expenses incurred for Medical Services rendered with respect to a Disability.
Medically Necessary
Medically Necessary shall mean the need to have medical service for the purpose of investigating or treating the relevant Disability in accordance with the generally accepted standards of medical practice and such medical service must –
(a) require the expertise of, or be referred by, a Registered Medical Practitioner;
(b) be consistent with the diagnosis and necessary for the investigation and treatment of the Disability;
(c) be rendered in accordance with standards of good and prudent medical practice, and not be rendered primarily for the convenience or the comfort of the Insured Person, his family, caretaker or the attending Registered Medical Practitioner;
(d) be rendered in the setting that is most appropriate in the circumstances and in accordance with the generally accepted standards of medical practice for the medical services; and
(e) be furnished at the most appropriate level which, in the prudent professional judgment of the attending Registered Medical Practitioner, can be safely and effectively provided to the Insured Person.
For the purpose of these Terms and Benefi¬ts, without prejudice to the generality of the foregoing, circumstances where a Con¬finement is considered Medically Necessary include, but not limited to –
(i) the Insured Person is having an Emergency that requires urgent treatment in Hospital;
(ii) surgical procedures are performed under general anaesthesia;
(iii) equipment for surgical procedure is available in Hospital and procedure cannot be done on a Day Patient basis;
(iv) there is significantly severe co-morbidity of the Insured Person;
(v) taking into account the individual circumstances of the Insured Person, the attending Registered Medical Practitioner has exercised his prudent professional judgment and is of the view that for the safety of the Insured Person, the medical service should be conducted in Hospital;
(vi) in the prudent professional judgment of the attending Registered Medical Practitioner, the length of Confinement of the Insured Person is appropriate for the medical service concerned; and/or
(vii) in the case of diagnostic procedures or allied health services prescribed by a Registered Medical Practitioner, such Registered Medical Practitioner has exercised his prudent professional judgment and is of the view that for the safety of the Insured Person, such procedures or services should be conducted in Hospital.
For the purpose of exercising his prudent professional judgment in (v) to (vii) above, the attending Registered Medical Practitioner shall have regard to whether the Confinement –
(aa) is in accordance with standards of good and prudent medical practice in the locality for the medical service rendered, and, in the prudent professional judgment of the attending Registered Medical Practitioner, not rendered primarily for the convenience or the comfort of the Insured Person, his family, caretaker or the attending Registered Medical Practitioner; and
(bb) is in the setting that is most appropriate in the circumstances and in accordance with the generally accepted standards of medical practice in the locality for the medical service rendered.
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 prior to the Policy Date. 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.
Reasonable and Customary
shall mean, in relation to a charge for Medical Service, such level which does not exceed the general range of charges being charged by the relevant service providers in the locality where the charge is incurred for similar treatment, services or supplies to individuals with similar conditions, e.g. of the same sex and similar Age, for a similar Disability, as reasonably determined by the Company in utmost good faith. The Reasonable and Customary charges shall not in any event exceed the actual charges incurred. In determining whether a charge is Reasonable and Customary, the Company shall make reference to the followings (if applicable) –
(a) treatment or service fee statistics and surveys in the insurance or medical industry;
(b) internal or industry claim statistics;
(c) gazette published by the Government; and/or
(d) other pertinent source of reference in the locality where the treatments, services or supplies are provided.
Standard Semi-private Room
shall mean a room categorised as a semi-private room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorisation or any Hospitals outside Hong Kong, a Standard Semi-private Room shall mean (i) a single or two-bedded room; or (ii) a room with maximum double occupancy, and with a shared bath / shower room in a Hospital. In any case mentioned above, a Standard Semi-private Room shall exclude any room of upper class with its own kitchen, dining or sitting room(s).
Standard Private Room
shall mean a room categorised as a private room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorisation or any Hospitals outside Hong Kong, a Standard Private Room shall mean a room for Insured Person’s private use during the Confi¬nement with its own private facilities including a bedroom and bath/shower room(s) only. In any case mentioned above, a Standard Private Room shall exclude any room of upper class with its own kitchen, dining or sitting room(s).
Standard Ward Room
shall mean a room categorised as a ward class lower than a Standard Semi-private Room including the room categorised as a general ward or standard room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorisation or any Hospitals outside Hong Kong, a Standard Ward Room shall mean a room in a Hospital with more than two (2) patient beds (not including companion bed).
For the purpose of this de¬finition, a standard ward room in a Hong Kong Public Hospital shall mean general ward of a Hong Kong Public Hospital, which is officially classifi¬ed by the Hong Kong Hospital Authority, with bed inpatient rooms typically accommodating 3 to 8 patients, and shared facilities such as toilets and showers. Patients admitted to general ward do not have the option to select their attending Registered Medical Practitioners. It shall exclude any form of private ward accommodation, including but not limited to Standard Private Rooms, Above Standard Private Rooms, special accommodation ward and any private medical services within Hong Kong Hospital Authority institutions (including but not limited to services rendered under any special arrangements that allow for patient choice of Registered Medical Practitioners or enhanced amenities not available in standard general ward settings). For the avoidance of doubt, general ward in Hong Kong Public Hospital excludes any outpatient services provided under private arrangements within Hong Kong Hospital Authority institutions (including but not limited to private consultations, diagnostic procedures, or treatments where the patient selects the attending Registered Medical Practitioners or receives Medical Services outside the standard general outpatient framework). General ward may be subject to coverage under the Hong Kong Comprehensive Social Security Assistance (CSSA) scheme.
Optional Benefit
Age 18 – 75 (attained age) of the Covered Parent
Yearly Renewable to Age 80(attained age) of the Covered Parent or the termination of Basic Policy (whichever is earlier)
To Age 80(attained age) of the Covered Parent or the termination of Basic Policy (whichever is earlier)
Follow Basic Policy
Follow Basic Policy
Except for Specified Diagnostic Imaging Tests16 with written recommendation from Hong Kong Public Hospital and cash benefit for Confinement or Day Case Procedure, Hong Kong Public Hospital
HK$500,000 / US$62,500
Nil
Standard Ward Room55
Benefit limit
Full cover40
Full cover40
20% Coinsurance56
Full cover40
Full cover40
Full cover40
Full cover40
Full cover40
Full cover40
Full cover40
Designated Healthcare Services Provider43:
20% Coinsurance46,56
Non-Designated Healthcare Services Provider:
30% Coinsurance56
If it is Medically Necessary for the Covered Parent to be Confined or to undergo a Day Case Procedure solely due to the diagnosis of that Specified Diagnostic Imaging Test within 6 months from the date of that Specified Diagnostic Imaging Test, Coinsurance shall not apply.
Full cover40
Full cover40
Maximum 3 prior outpatient visits or Emergency consultations per Confinement/ Day Case Procedure (subject to 1 visit per day) Maximum 3 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge from Hospital or completion of Day Case Procedure, subject to 1 visit per day and maximum HK$600 / US$75 per visit for physiotherapy or chiropractic treatment
Full cover40
Full cover40
Full cover40
Full cover40
Maximum HK$600 / US$75 per visit
Maximum 10 follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge from Hospital or completion of Day Case Procedure), but is subject to 1 follow-up outpatient visit per day
Full cover40
Within 3 months of the Accident
HK$500 / US$62.5 per day for Confinement
HK$250 / US$31.25 per Day Case Procedure If the Covered Parent is Confined or undergoes a Day Case Procedure in a Hospital in mainland China, this benefit shall be payable for Confinement or Day Case Procedures performed at Hospitals stated in the designated Hospital list in mainland China. For Confinement, the benefit payout will be limited to 50% starting from the 11th consecutive day of the Confinement.
Maximum 1 Day Case Procedure per day
Maximum 180 days per Disability3 per Policy Year
If the Covered Parent undergoes more than 1 Day Case Procedures on the same day or the Covered Parent is Confined and undergoes at least 1 Day Case Procedures on the same day, this benefit shall only be payable once on each day in respect of the Day Case Procedure or Confinement with the highest benefit limit as specified in the Benefit Schedule
Credit Risk
This Option attached to the Basic Policy is issued by FWD. The application of this Option and all benefits payable under this Option 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 this insurance contract.
Exchange Rate and Currency Risk
The application of this Option with the 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 currency of the Option, please note that any exchange rate fluctuation between your home currency and the currency of the Option will have a direct impact on the amount of premium required and the value of benefit(s) to be received. For instance, if the currency of the Option depreciates substantially against your home currency, there is a negative impact on the benefits you receive from this Option. If the currency of the Option appreciates substantially against your home currency, your burden of the premium payment is increased.
Inflation Risk
The cost of living in the future may be higher than now due to the effects of inflation. Therefore, the benefits under this Option may not be sufficient for the increasing protection needs in the future even if FWD fulfills all of its contractual obligations.
Premium Adjustment
The premium of this Option is non-guaranteed and will be determined annually based on the Age of the Covered Parent at the time of Renewal. The premium of this Option may increase significantly due to factors including but not limited to Age of the Covered Parent, medical inflation, and claims experience and policy persistency in the same portfolio.
Premium Term and Non-Payment of Premium
The premium payment term of this Option is up to the Age of 81 years of the Covered Parent or the termination of Basic Policy (whichever is earlier). FWD allows a grace period of 30 days after the premium due date for payment of each premium. This Option shall continue to be in effect during the grace period but no benefits shall be payable unless the premium of the Basic Policy, this Option and other rider(s) that is(are) attached to the Basic Policy (if any) are paid in full. If the premiums are still unpaid at the expiration of the grace period, the Basic Policy, this Option and other rider(s) that is(are) attached to the Basic Policy (if any) shall be terminated from the date the first unpaid premium was due. Please note that once the Basic Policy, this Option and other rider(s) that is(are) attached to the Basic Policy (if any) are terminated on this basis, you will lose all of your benefits.
Termination Conditions
This Option shall be automatically terminated in its entirety on the earliest of the followings:
(a) Where the Family Booster for Parent Option is terminated due to the failure to pay premiums of the Basic Policy, this Family Booster for Parent Option and other rider(s) that is(are) attached to the Basic Policy (if any) in full after the grace period;
(b) the termination of the Basic Policy;
(c) the day on which the Covered Parent has reached the Age of eighty-one (81) years;
(d) the day immediately following the death of the Covered Parent; or
(e) the Company has ceased to have the requisite authorisation under the Insurance Ordinance to write or continue to write the Basic Policy and/or this Family Booster for Parent Option.
If this Family Booster for Parent Option is terminated pursuant to this Section 15, the termination shall be effective at 00:00 hours of the effective date of termination.
Immediately following the termination of this Family Booster for Parent Option, insurance coverage under this Family Booster for Parent Option 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 this Family Booster for Parent Option is terminated pursuant to (a), the effective date of termination shall be the date that the unpaid premium is first due.
Where this Family Booster for Parent Option is terminated pursuant to (e), the Company shall refund the relevant premium paid for the current Policy Year on a pro rata basis.
This Family Booster for Parent Option shall also be terminated if the Policy Owner decides to cancel this Family Booster for Parent Option or not to renew this Family Booster for Parent Option in accordance with Section 3 of this Part 2 or Section 1 of Part 4, as the case may be, or cancel the Basic Policy, by giving the requisite written notice to the Company. If this Family Booster for Parent Option is terminated under Section 3 of this Part 2 or due to cancellation of Basic Policy, the effective date of termination shall be the date as stated in the cancellation notice given by the Policy Owner. However, such date shall not be within or earlier than the notice period as required by Section 3 of this Part 2 for the cancellation. If this Family Booster for Parent Option is not renewed under Section 1 of Part 4, the effective date of termination shall be the Renewal Date immediately following the expiry of the Policy Year during which this Family Booster for Parent Option remains valid.
If this Family Booster for Parent Option is terminated under (a) or (e) of this Section 15, in the case where the Covered Parent is being Confined or is undergoing Prescribed Non-surgical Cancer Treatment for a Disability suffered before such termination, then, with respect to the Confinement or treatment in relation to the same Disability, Eligible Expenses incurred shall continue to be covered under this Family Booster for Parent Option until (i) the Covered Parent is discharged or the treatment is completed or (ii) thirty (30) days after the termination of this Family Booster for Parent Option, whichever is the earlier. The Terms and Benefits of Family Booster for Parent Option applicable shall be those prevailing as at the day immediately preceding the date of termination of this Family Booster for Parent Option. The Company shall have the right to deduct any outstanding premium under Section 13 of this Part 2 from any benefit payment.
For more details, please refer to Section 15 of Part 2 of the Terms and Conditions of Family Booster for Parent Option attached to the policy provisions of the Basic Policy.
FWD shall not pay any benefits under Section 3 of Part 6(A) of the Terms and Conditions of Family Booster for Parent Option attached to the policy provisions of the Basic Policy in relation to or arising from the following expenses.
The above list is not exhaustive and is for reference only. Please refer to the Terms and Conditions of Family Booster for Parent Option attached to the policy provisions of the Basic Policy for the complete exclusions.
Cancellation within cooling-off period of Basic Policy
Cancellation with refund of solely the premium paid for the Option is not allowed even within the cooling-off period of Basic Policy. You may exercise the right of cancellation of the Basic Policy, where the Option attached is cancelled at the same time, with full refund of paid premium and insurance levy without interest (including the premium and insurance levy paid for the Option) during the cooling-off period of Basic Policy, subject to the terms and conditions as set out in section 2 of part 2 of the terms and benefits of the policy provisions of the Basic Policy. Should you have any further queries, you may (1) call FWD Service Hotline on 3123 3123; (2) visit FWD Insurance Solutions Centres; or (3) email to cs.hk@fwd.com and FWD will be happy to explain your cancellation rights further.
Cancellation Right
You can request cancellation of this Option by giving thirty (30) days prior written notice to FWD and the cancellation right under this section shall apply while this Option is in effect, provided that there has been no benefit payment under this Option during the relevant Policy Year.
Other insurance coverage
If you have taken out other insurance coverage besides this Option for the Covered Parent, you shall have the right to claim under any such other insurance coverage or this Option. However, if you or your Covered Parent has/have already recovered all or part of the expenses from any such other insurance coverage, FWD shall only be liable for such amount of Eligible Expense, if any, which is not compensated by any such other insurance coverage.
Notice to Claim
Medical claims
All claims incurred shall be submitted to FWD within ninety (90) days after the date on which the Covered Parent is discharged from the Hospital, or the date on which the relevant Medical Service is performed and completed. For this purpose,
(a) all original receipts and/or original itemised bills together with the diagnosis, type of treatment, procedure, test or service provided shall have been submitted to FWD; and
(b) all relevant information, certificates, reports, evidence, referral letter and other data or materials as reasonably required by FWD shall have been furnished to FWD for processing of such claim.
You shall notify FWD if claims cannot be submitted within the above timeframe, otherwise FWD shall have the right to reject claims submitted after the above timeframe. All certificates, information and evidence that are reasonably required by FWD and which can be reasonably provided by you shall be furnished at the expenses of you.
Declaration relating to the Foreign Account Tax Compliance Act and Automatic Exchange of Financial Account Information
FWD is obliged to comply with the following legal and/or regulatory requirements in various jurisdictions as promulgated and amended from time to time, such as the United States Foreign Account Tax Compliance Act, and the automatic exchange of financial account information regime (“AEOI”) followed by the Inland Revenue Department (the “Applicable Requirements”). These obligations include providing information of clients and related parties (including personal information) to relevant local
and international authorities and/or to verify the identity of the clients and related parties. In addition, our obligations under the AEOI are to:
i. identify accounts as non-excluded “financial accounts” (“NEFAs”);
ii. identify the jurisdiction(s) in which NEFA-holding individuals and NEFA-holding entities reside for tax purposes;
iii. determine the status of NEFA-holding entities as “passive non- financial entities (NFEs)” and identify the jurisdiction(s) in which their controlling persons reside for tax purposes;
iv. collect information on NEFAs (“Required Information”) which is required by various authorities; and
v. furnish Required Information to the Inland Revenue Department.
The Policy Owner must comply with requests made by FWD to comply with the above Applicable Requirements.
Accident
shall mean a sudden and unforeseen event occurring entirely beyond the control of the Policy Owner and/or Covered Parent and caused by violent, external and visible means.
Age
shall mean the age next birthday of the Covered Parent, unless otherwise specified.
Confinement or Confined
shall mean an admission of the Covered Parent to a Hospital that is recommended by a Registered Medical Practitioner for Medical Service and as an Inpatient as a result of a Medically Necessary condition. Confi-nement shall be evidenced by a daily room charge invoiced by the Hospital and the Covered Parent must stay in the Hospital continuously for the entire period of Confinement.
Day Case Procedure
shall mean a Medically Necessary surgical procedure for investigation or treatment to the Covered Parent performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery as a Day Patient.
Eligible Expenses
shall mean expenses incurred for Medical Services rendered with respect to a Disability.
Medically Necessary
shall mean the need to have medical service for the purpose of investigating or treating the relevant Disability in accordance with the generally accepted standards of medical practice and such medical service must –
(a) require the expertise of, or be referred by, a Registered Medical Practitioner;
(b) be consistent with the diagnosis and necessary for the investigation and treatment of the Disability;
(c) be rendered in accordance with standards of good and prudent medical practice, and not be rendered primarily for the convenience or the comfort of the Covered Parent, his family, caretaker or the attending Registered Medical Practitioner;
(d) be rendered in the setting that is most appropriate in the circumstances and in accordance with the generally accepted standards of medical practice for the medical services; and
(e) be furnished at the most appropriate level which, in the prudent professional judgment of the attending Registered Medical Practitioner, can be safely and effectively provided to the Covered Parent.
For the purpose of these Terms and Benefits of Family Booster for Parent Option, without prejudice to the generality of the foregoing, circumstances where a Confinement is considered Medically Necessary include, but not limited to –
(i) the Covered Parent is having an Emergency that requires urgent treatment in Hospital;
(ii) surgical procedures are performed under general anaesthesia;
(iii) equipment for surgical procedure is available in Hospital and procedure cannot be done on a Day Patient basis;
(iv) there is significantly severe co-morbidity of the Covered Parent;
(v) taking into account the individual circumstances of the Covered Parent, the attending Registered Medical Practitioner has exercised his prudent professional judgment and is of the view that for the safety of the Covered Parent, the medical service should be conducted in Hospital;
(vi) in the prudent professional judgment of the attending Registered Medical Practitioner, the length of Confinement of the Covered Parent is appropriate for the medical service concerned; and/or
(vii) in the case of diagnostic procedures or allied health services prescribed by a Registered Medical Practitioner, such Registered Medical Practitioner has exercised his prudent professional judgment and is of the view that for the safety of the Covered Parent, such procedures or services should be conducted in Hospital.
For the purpose of exercising his prudent professional judgment in (v) to (vii) above, the attending Registered Medical Practitioner shall have regard to whether the Confinement –
(aa) is in accordance with standards of good and prudent medical practice in the locality for the medical service rendered, and, in the prudent professional judgment of the attending Registered Medical Practitioner, not rendered primarily for the convenience or the comfort of the Covered Parent, his family, caretaker or the attending Registered Medical Practitioner; and
(bb) is in the setting that is most appropriate in the circumstances and in accordance with the generally accepted standards of medical practice in the locality for the medical service rendered.
Reasonable and Customary
shall mean, in relation to a charge for Medical Service, such level which does not exceed the general range of charges being charged by the relevant service providers in the locality where the charge is incurred for similar treatment, services or supplies to individuals with similar conditions, e.g. of the same sex and similar age, for a similar Disability, as reasonably determined by FWD in utmost good faith. The Reasonable and Customary charges shall not in any event exceed the actual charges incurred.
In determining whether a charge is Reasonable and Customary, FWD shall make reference to the followings (if applicable) –
(a) treatment or service fee statistics and surveys in the insurance or medical industry;
(b) internal or industry claim statistics;
(c) gazette published by the Government; and/or
(d) other pertinent source of reference in the locality where the treatments, services or supplies are provided.
Standard Semi-private Room
shall mean a room categorised as a semi-private room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorisation or any Hospitals outside Hong Kong, a Standard Semi-private Room shall mean (i) a single or two-bedded room; or (ii) a room with maximum double occupancy, and with a shared bath / shower room in a Hospital. In any case mentioned above, a Standard Semi-private Room shall exclude any room of upper class with its own kitchen, dining or sitting room(s).
Standard Private Room
shall mean a room categorised as a private room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorisation or any Hospitals outside Hong Kong, a Standard Private Room shall mean a room for Covered Parent’s private use during the Confinement with its own private facilities including a bedroom and bath/shower room(s) only. In any case mentioned above, a Standard Private Room shall exclude any room of upper class with its own kitchen, dining or sitting room(s).
Standard Ward Room
shall mean a room categorised as a ward class lower than a Standard Semi-private Room including the room categorised as a general ward or standard room by a Hospital in Hong Kong. For Hospitals without the corresponding ward class categorization or any Hospitals outside Hong Kong, a Standard Ward Room shall mean a room in a Hospital with more than two (2) patient beds (not including companion bed).
For the purpose of this definition, a standard ward room in a Hong Kong Public Hospital shall mean general ward of a Hong Kong Public Hospital, which is officially classified by the Hong Kong Hospital Authority, with bed inpatient rooms typically accommodating 3 to 8 patients, and shared facilities such as toilets and showers. Patients admitted to general ward do not have the option to select their attending Registered Medical Practitioners. It shall exclude any form of private ward accommodation, including but not limited to Standard Private Rooms, Above Standard Private Rooms, special accommodation ward and any private medical services within Hong Kong Hospital Authority institutions (including but not limited to services rendered under any special arrangements that allow for patient choice of Registered Medical Practitioners or enhanced amenities not available in standard general ward settings).
For the avoidance of doubt, general ward in Hong Kong Public Hospital excludes any outpatient services provided under private arrangements within Hong Kong Hospital Authority institutions (including but not limited to private consultations, diagnostic procedures, or treatments where the patient selects the attending Registered Medical Practitioners or receives Medical Services outside the standard general outpatient framework). General ward may be subject to coverage under the Hong Kong Comprehensive Social Security Assistance (CSSA) scheme.
One&All Medical Insurance Plan is underwritten by FWD Life Insurance Company (Bermuda) Limited (incorporated in Bermuda with limited liability) ("FWD Life/ FWD/We"). This eCommerce Platform is operated by FWD Financial Limited ("FWD Financial"). FWD Financial is an appointed and licensed insurance agency of FWD Life.
The product information in this website is for reference only and does not contain the full terms and conditions, key product risks and full list of exclusions of the policy. For the details of benefits and key product risks, please refer to the product brochure; and for exact terms and conditions and the full list of exclusions, please refer to the policy provisions of One&All.
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For the Benefit Level “Connect” of One&All Medical Insurance Plan, the Cash Benefit for Day Case Procedures is applicable to Designated Day Case Procedures45 performed by a Designated Healthcare Services Provider43. The Insured Person will receive double cash benefits if the Designated Day Case Procedure45 is performed by a Designated Healthcare Services Provider43 or at a hospital listed in the designated hospital list in Mainland China.
Yes. Proton therapy is a type of radiation therapy and is covered under the Basic Benefits as a Prescribed Non-surgical Cancer Treatments47.