How can Bowtie Group Insurance help protect a small to medium-sized (SME) enterprise?

Mr. C is a company owner and his company is covered by the Pro Silver plan. Last year, he unfortunately developed rectal bleeding and was diagnosed with hemorrhoids, which required surgical removal. Classified as an intermediate surgery, the cost of a hemorrhoid removal surgery  ranges from HK$26,428 to HK$50,375 in private hospitals and from HK$19,350 to HK$30,450 in public hospitals. Mr. C finally chose to go to a private hospital for treatment and was hospitalised for 1 day after the surgery. He was charged a total of HK$50,4461, including miscellaneous expenses on the day he was discharged.

Under the terms of the Pro Silver plan, Bowtie can pay up to 80% of eligible medical expenses, which means that the resulting deductible for this case was only about HK$10,000.

After being discharged from the hospital, Mr. C submitted a claim by uploading the documents to Bowtie’s online platform on his mobile phone. With all the necessary info provided on time, his claim was approved on the same day. The payment was processed within 2 working days.

Mr. M is a sales manager of a company using the Pro Silver plan. He is a hiking enthusiast and was on one of his hiking excursions on a Sunday. He’s developed knee pain after his hike. His first thought it was only just a sprain and tried to treat himself with a pain-relieving rub. The next day, however, the pain grew stronger and he decided to seek medical advice. The doctor confirmed after an MRI scan that the meniscus was torn and a surgery was necessary. Mr. M was hospitalised for 2 days and the total cost of the surgery and hospitalisation amounted to HK$61,1472.

Under the terms of the Pro Silver plan, Bowtie can pay up to 80% of eligible medical expenses with a limit of HK$50,000 per year. As a result, the deductible for the total surgical and hospitalization expenses of approximately HK$60,000 turned out to be only HK$12,230.

The attending doctor advised that he receive physiotherapy after discharging from the hospital. The physiotherapist concluded that it would take at least two months or more for him to fully recover and thus recommended the patient to receive regular physiotherapy and rehabilitation training.

Since physiotherapy is also covered under the Pro Silver plan, this manager is free to choose the physiotherapist of his choice for treatment up to HK$600 per visit (HK$30 deductible). In the end, he chose a physiotherapist recommended by a friend and eventually paid only HK$30 deductible for each treatment session of HK$460, which means a savings of over 90%.

As a project specialist, Ms. W has had a busy life style and had suffered from persistent stomach aches for 6 months. After visiting a general practitioner, he was referred to a specialist for gastroscopy. Upper abdominal pain is one of the common symptoms of stomach cancer. The doctors usually suggest patients undergo a gastroscopy for further examination if such symptoms occur. For minor surgeries like gastroscopy, private hospitals in Hong Kong charge from HK$4,300 to HK$8,300 and the patient opted for the HK$8,300 package in the end. Covered by Bowtie’s Pro Silver plan, 80% of the cost was covered, paying over HK$6,600 for him. 

Moreover, under the Basic Silver plan, the insured can use the member-exclusive price of BowtieGo medical network to pay for consultation. The patient can get access to the consultations of family doctors and specialists at up to half the cost. From the first consultation to the gastroscopy, Bowtie provides excellent coverage at every step of the journey.

The marketing specialist of a company protected by the Pro Bronze plan went to a dental clinic for scaling. Since most company health insurance policies do not cover dental care expenses, one usually needs to purchase additional coverage if one wants to have a dental checkup or cleaning. In this regard, the coverage of Bowtie is way more comprehensive. Under all Pro plans, all dental checkups, cleanings, and other dental treatments are also covered, with only a deductible of HK$30 for a visit up to HK$500.

The cost of a dental scaling in the market ranges from HK$400 to HK$1,000, but this marketing specialist ended up paying a HK$30 deductible, which is a savings of over 90% compared to the HK$400 commonly paid in the market.

This marketing specialist is also very dedicated to his health and regularly consults a Chinese medicine practitioner for health care. Under Pro Bronze, the benefit amount for each Chinese medicine visit is HK$270 (HK$30 deductible). The consultation fee of the Chinese medicine practitioner whom he knows well, together with costs for prescribed Chinese medicines for two days, is exactly HK$270. So he has to only pay HK$30 deductible for each visit. With a limit of 30 visits for clinic consultation and dental treatment per year, the 2 visits to the Chinese medicine practitioner per month are well covered.