Comparison of VHIS Flexi Plans

Share
VHIS-EN

Comparison of VHIS Flexi Plans

As of August 2022, there are 54 approved VHIS Flexi plans on the market. However, the policy terms are not easy for newbies, so how can you compare them to find the right "flexi plan" for yourself? Bowtie is here to help!

Most insurance companies use the “standard plan” as the base, then upgrade the coverage and benefit limits to provide more coverage, creating “flexi plan.”

At the end of the article, Bowtie will compare the basic coverage of 3 VHIS flexi plans provided by 3 insurance companies.

Bowtie VHIS Flexi vs. Government-designed Standard Plan - Coverage

Premiums

Basic Benefit Items Government-designed Standard Plan Bowtie VHIS Flexi Regular
30-year-old non-smoking male HK$180/month (industry average)HK$218/month

Benefit Limit (*per policy year)

Prescribed Diagnostic Imaging Tests*HK$20,000 HK$26,000 (⬆️30%)
Prescribed non-surgical cancer treatment*HK$80,000HK$80,000
Miscellaneous expenses*HK$14,000 HK$18,000 (⬆️28.5%)
Pre- and post-Confinement/Day Case Procedure outpatient careHK$580/time (up to HK$3,000*) HK$900/time (⬆️55%) (up to HK$3,000*)
Surgeon’s feeHK$5,000 – HK$50,000/ sessionHK$6,000 – HK$60,000/ session (⬆️20%)
Intensive careHK$3,500/day (up to 25 days*) HK$3,500/day (up to 60 days*)
Room and board HK$750/day (up to 180 days*) HK$1,200/day (⬆️60%) (unlimited days)
Attending doctor’s visit feeHK$750/day (up to 180 days*) HK$960/day (⬆️28%) (unlimited days)

As seen in the table above, Bowtie VHIS Flexi Regular provides a lot more coverage in “Prescribed Diagnostic Imaging Tests” and “Room & Board” than the Standard Plan.

1. Benefit Limit for "Prescribed Diagnostic Imaging Tests"

Bowtie’s medical team believes that under normal circumstances, policyholders will only undergo two tests per year at most, the benefit limit provided by Bowtie VHIS Flexi Regular is sufficient to cover 2 tests, such as 1 PET Scan, and 1 CT Scan.

As VHIS also provides coverage for tests that are done on an outpatient basis, Bowtie worries the utilization rate would be relatively high. Increasing the coverage limit would only create a greater impact on premiums inflation. Therefore, Bowtie chooses to keep the benefit limit “just fit” for 2 tests a year, in order to keep the premiums reasonable.

2. Benefit Limit for "Room and Board"

Continuing with Bowtie VHIS Flexi as an example, the product team also made reference to the charges for “standard rooms” at 11 private hospitals and found that HK$1,200 would cover all the cheapest rooms at 10 of these private hospitals. 

Even if medical insurance does not fully cover the cost of room and board in rare cases, the out-of-pocket amount will not be too high.

For the one hospital where the benefit limit may be insufficient, assuming the policyholder is hospitalized for three days, they would only need to pay HK$240 out-of-pocket, which is definitely affordable.

  • ^The 11 private hospitals include Hong Kong Sanatorium & Hospital, St. Paul's Hospital, Gleneagles Hospital, Hong Kong Adventist Hospital - Stubbs Road, Baptist Hospital, St. Teresa's Hospital, Precious Blood Hospital, Evangel Hospital, Union Hospital, Hong Kong Adventist Hospital – Tsuen Wan, and CUHK Medical Centre.

Additional Coverage from Bowtie VHIS Flexi VS Other Plans on Market

In addition to the basic coverage required by the Health Bureau, insurance companies can also add “additional coverage,” with popular options including Accident and Emergency Outpatient Treatments, Post-Confinement Daily Home Nursing, Rehabilitative care, Outpatient kidney dialysis, Hospital Companion Bed and SMM.

Bowtie takes reference to other market products and includes coverage that would help the Insured Person in better recovery.

Benefit Limit (*Annually)

Additional CoverageFlexi Plans

(Market Median)

Bowtie VHIS Flexi Regular
SMM*HK$120kHK$120k
Accident and Emergency Outpatient Treatments*HK$5,000HK$8,000(⬆️60%)
Post-Confinement Daily Home NursingHK$500/Day
  • HK$500/Day
  • within 180 days after discharge from confinement
Rehabilitative careHK$490/次
  • HK$750/Day (⬆️53%)
  • HK$10k */Year👍
Outpatient kidney dialysis*HK$50k HK$50k
Hospital Companion Bed
  • HK$400/ Day
  • 90 Days per year
  • HK$350/Day
  • Unlimited days

What is the use of HK$120,000 of SMM?

When facing more serious illnesses, the benefit limits of the main coverage items may not be sufficient, and the remaining balance will be compensated by the “SMM”. If the remaining balance after deducting the “coinsurance” is HK$150,000, the Insured Person of Bowtie VHIS Flexi only needs to pay HK$30,000 out-of-pocket.

Comparisons of 3 "Flexi Plans" Premiums

Majority of Flexi plans with SMM have monthly premiums over HK$200. Taking a non-smoking male aged 20-30 as an example, only Bowtie VHIS Flexi Regular has premiums ranging from HK$160 to HK$200.

Age (non-smokers)Bowtie VHIS Flexi Regular

(Male/Female) 

Insurance Company B VHIS Flexi Plan Basic

(Unisex)1

Insurance Company C VHIS Flexi Plan (Additional Coverage)

(Unisex)2

20$175 / 200👍$240$314
30$218 / 319👍$304$391
40$307 / 407👍$483$483
50$470 / 585👍$721$692
60$837 / 789👍$1,079$1,074
  • 1Annual/monthly payment options available. The above premiums are based on the annual premium divided by 12 months for reference.
  • 2 Annual/monthly payment options available. The above premiums are based on the annual premium divided by 12 months for reference.

Bowtie is the first online insurance company providing pure protection products, which greatly reduces operation and administrative costs with the help of technology. Customers do not need to pay commissions to agents/ companies during the application process, resulting in lower premiums compared to the market.

Get a Personalized Quote

By clicking “Apply Now,” you can try Bowtie’s underwriting process without leaving any personal contact information:

Find out if you or your family members are eligible for insurance

  • Discover how much you have to pay for premium
  • Learn about the premium for the next 5 years as a reference

Don’t worry, even if you complete the entire underwriting process, we will not charge you until you confirm your application! Applying for insurance as a family can save you more and earn you more!

 

Get insured together with your whole family, save more!

這篇文章有用嗎?
0
0
Next article - Comparison of High-end VHIS Plans
High-end medical insurances usually provide full-coverage, and are able to support semi-private or above wards. Learn how to compare all the plans on the market fairly.
Learn more

Email

General Enquiry
hello@bowtie.com.hk
Media Enquiry
media@bowtie.com.hk
Partnership
partner@bowtie.com.hk

© 2024 Bowtie Life Insurance Company Limited. All rights reserved.

Your Browser is outdated. To have a better user experience, please upgrade or change another browsers. OK
Pick a plan for you →