Covers unknown pre-existing conditions.
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”) 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.
vCare Medical Plan is a Flexi Plan certified by the Hong Kong Special Administrative Region Government under Voluntary Health Insurance Scheme and is underwritten by FWD Life Insurance Company (Bermuda) Limited (incorporated in Bermuda with limited liability).
(VHIS Plan Certification Number: F00015-01-000-02).
VHIS provider registration number is 00036
Registration effective on 28 February 2019
Without any Lifetime Benefit Limit, vCare reimburses a wide range of hospitalisation and surgical expenses up to an Annual Benefit Limit of HKD520,000 and is guaranteed Renewable¹ until you reach Age 100 (attained age).
vCore meets Government's regulatory standards to protect your benefits. If you are a Hong Kong taxpayer, you can claim tax deductions of up to HKD8,000² per Insured Person for the premium(s) paid for yourself and/or your specified relatives per assessment year.
Whenever you need information or assistance, the professional health assistance services⁵˒⁶ including CANcierge, second medical opinion services and international SOS 24-hour worldwide assistance services are always here to help.
With this coverage option, a designated medical plan coverage will be granted to your newborn baby⁵˒⁸ for one year without additional charge after the end of 2nd Policy Year.
vCare Medical Plan is underwritten by FWD Life Insurance Company (Bermuda) Limited (incorporated in Bermuda with limited liability) ("FWD Life/ FWD"). This eCommerce Platform is operated by FWD Financial Limited ("FWD Financial"). FWD Financial is an appointed and licensed insurance agency of FWD Life.
Age 0 (from 15 days) – 80 (attained age)
(Age of the Insured Person for online application must be 18 or above (attained age))
HKD850 per day
Maximum 180 days per Policy Year
HKD14,500 per Policy Year
HKD850 per day
Maximum 180 days per Policy Year
HKD4,500 per day Maximum 25 days per Policy Year
Per surgery, subject to surgical category for the surgery/procedure in the Schedule of Surgical Procedures:
HKD20,000 per Policy Year
Subject to 30% Coinsurance
HKD580 per visit, up to HKD6,000 per Policy Year
HKD520,000 per Policy Year
Nil
HKD15,000
HKD15,000
HKD20,000 per Policy Year
HKD500 per procedure
HKD500 per procedure
Maximum 60 days per Policy Year
If you do not make any claims in 2 or more consecutive Policy Years immediately before Renewal¹, you will be eligible for the no claims premium discount. Please refer to the following table for discount on the Renewal¹ premium.
No claims period immediately prior to the Policy’s Renewal¹ | No claims premium discount (Discount rate on Renewal¹ premium) |
---|---|
2 consecutive Policy Years | 10% |
3 consecutive Policy Years | 10% |
4 consecutive Policy Years | 10% |
5 or more consecutive Policy Years | 15% |
Applicable
While this Policy is in force, if the Insured Person or the Insured Person’s spouse gives birth to a child after the Policy has been in force for 2 or more consecutive Policy Years from the Policy Effective Date, the newborn baby can enjoy a designated medical plan’s coverage for 1 year without additional charges and providing proof of insurability. Each child is eligible for this benefit once only but there is no restriction on the number of newborns who can enjoy the benefit.
With respect of any Eligible Expenses under the VHIS Certified Plans incurred on or after 1 Jan 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 more details, please feel free to contact your adviser or our Customer Service Hotline at 3123 3123.
Credit Risk
This Plan is an insurance Policy issued by FWD. The Application of this insurance product and all bene¬fits 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 fi¬nancial 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 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.
Premium Term and Non-Payment of Premium
The premium payment term of the Plan 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. 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 Plan is terminated on this basis, you will lose all of your benefits.
Termination Conditions
The Policy 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 of the Policy provisions; 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.
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.
Under the Terms and Benefits of the Policy provisions, FWD shall not pay any benefits in relation to or arising from the following expenses.
Any charges in respect of services for:
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:
The above list is not exhaustive and is 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.
Eligible customers can migrate their existing designated FWD individual indemnity hospital insurance plan to designated FWD certified plans under Voluntary Health Insurance Scheme, with offers upon successful migration. Click here to find out more.
Comparison between the benefit items of our VHIS plans
Comparison between the benefit items of our VHIS plans and other FWD medical products
Tax deduction
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 Health Bureau 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 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.
Your Right under Cooling off Period
If you are not fully satisfied with this Policy, you have the right to change your mind. FWD trusts that this Policy will satisfy your needs. However, if you are not completely satisfied then you should (a) return the Policy, and (b) provide us with written notice signed by you, requesting cancellation. The Policy will then be cancelled and the premium paid and levy will be refunded.
Your request to cancel the Policy must be signed by you and received directly by our office at 7/F., FWD Financial Centre, 308 Des Voeux Road Central, Hong Kong within 21 days immediately following the day of Delivery of the Policy or the cooling-off notice to you or your nominated representative (whichever is the earlier). The cooling-off notice is the notice sent to you or your nominated representative (separate from the Policy) notifying you of your right to cancel within the stated 21-day period.
No refund can be made if a benefit payment has been made, is to be made or impending. 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
After the cooling-off period, you can request cancellation of these Terms and Benefits by giving 30 days prior written notice to FWD, provided that there has been no benefit payment under these Terms and Benefits 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
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,
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.
Automatic Exchange of Financial Account Information
FWD must comply with the following requirements of the Inland Revenue Ordinance to facilitate the Inland Revenue Department automatically exchanging certain financial account information:
You must comply with requests made by FWD to comply with the above listed 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.
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. Confinement 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 Confinement.
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 –
For the purpose of these Terms and Benefits, without prejudice to the generality of the foregoing, circumstances where a Confinement is considered Medically Necessary include, but not limited to –
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 –
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 Issuance Date or the Policy Effective Date, whichever is the earlier. An ordinary prudent person shall be reasonably aware of a Pre-existing Condition, where –
Reasonable and Customary
FWD shall only cover charges or expenses which FWD believes are Reasonable and Customary. 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 for people with similar conditions, e.g. of the same sex and similar Age, for a similar Disability, as FWD reasonably determine in utmost good faith.
The Reasonable and Customary charges will never in any circumstance exceed the actual charges incurred. FWD may exercise the right to determine whether the charges for treatment, medical services and supplies are regarded as Reasonable and Customary with reference to treatment or service fee statistics and surveys in the insurance or medical industry; internal or industry claim statistics; gazette published by the Government; and/or other pertinent source of reference in the locality where the treatments, services or supplies are provided.
FWD may exercise the right to adjust any benefit payable in relation to any charges which are not Reasonable and Customary.
The Company shall not reject any application by the Policy Holder for the transfer of ownership to –
Please make sure you are eligible for this product before applying:
Note: Online applicants will be requested to visit FWD Insurance Solutions Centres under the following circumstances: 1) Collection of policy documents upon issuance of policy; 2) Cancellation of policy during the cooling-off period; 3) Change of beneficiary; or 4) Full surrender. Under specific circumstances, we may request online applicants to visit FWD Insurance Solutions Centres for identity verification.
vCore medical plan is a Standard Plan certified by the Health Bureau under VHIS, while vCare medical plan is a Flexi Plan. vCare medical 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. Comparing with vCore medical plan, vCare medical plan covers emergency outpatient dental treatment (within 2 weeks of the Accident), cash benefits for Day Case Procedure and top-up subsidy. The annual benefit limit of hospitalisation and surgical expenses has also been increased from HKD420,000 to HKD520,000.