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 Real claim examples, comprehensive coverage of illnesses

Below are 10 common claim examples, covering illnesses and medical expenses of varying severity.You can use them to compare the reimbursement rates of different plansand choose the Bowtie Voluntary Health Insurance Scheme (VHIS) plan that best fits your needs and budget.

Limited-time Top up at only HK$150/month
Enjoy Annual Health Check-up Package and Optional Items

(Valued up to HK$4,220)
Hong Kong Island
A. Core Health Check-up (Valued up to HK$2,720)
#Items only applicable to persons aged 18 or above
Items
Detailed Medical History
(Includes lifestyle factors & family medical history)
General Health Assessment
  • Blood Pressure, Height, Weight
  • BMI and Waist Circumference
Eye Examinations
  • Visual Acuity
  • Color Vision
Cardiac Examinations#
  • Electrocardiogram (ECG)
Blood Analysis#
  • Complete Blood Count
Renal Function#
  • Urea
  • Creatinine
Liver Function#
  • S.G.O.T. (AST)
  • S.G.P.T. (ALT)
  • Alkaline Phosphatase
Diabetes Screening#
  • Glucose (Fasting)
Lipid Profile#
  • Total Cholesterol
  • HDL Cholesterol
  • LDL Cholesterol
  • Triglycerides
Urine Routine Examination
  • Urine Routine
Stool Test
  • Occult Blood (Aged 18 or above)
  • Stool Routine (Ova and Cysts) (Aged under 18)
Tumour Markers#
  • PSA (Male)
  • CA15.3 (Female)
Medical Consultation and Report Analysis
B. Optional Healthcare / Medical Services (Valued at HK$1,500)
Entitled to 1,500 BowtiePoint (valued at HK$1,500) each year for redeeming designated optional health check items based on doctor's recommendations on top of the core health check-up.
Items
=BowtiePoint required
The following Optional Health Check Items must be used with the 18+ Health Screening Package.
Liver Function (Extended Profile)
1,500
HAVAb
HBsAg
HBsAb
Total Protein
Globulin
Albumin
Total Bilirubin
Direct Bilirubin
Gamma GT
Thyroid Function
500
TSH
Free T4
Electrolytes 1
300
Sodium
Potassium
Chloride
Electrolytes 2
500
Total Calcium
Corrected Calcium
Phosphorus
Tumour Markers Panel
1,500
Alpha Fetoprotein (AFP)
Carcinoembryonic Antigen (CEA)
Epstein-Barr Virus
Other Tumour Markers
600
CA125 (Female)
Liquid Based Pap Test (Female) (Doctor fee included)
500
Diabetes Screening
300
HbA1c
The following Optional Health Check Items can be used separately from a Health Screening Package.
GP Consultation — no age limitation
500
GP consultation in Gleneagles Medical Clinic Central, Hong Kong (including 3-day basic medication)
Professional Nutrition Consultation (2 sessions) — aged 12 or above
900
Registered dietitian review of past medical history, eating habits & nutritional needs
~45-min 1-on-1 professional nutrition consultation
Bioelectrical Impedance Analysis (BIA) body composition (body fat %, visceral fat, muscle mass, basal metabolic rate)
Individualised diet advice
Vision Care — aged 4 or above
300
Case history
Visual acuity
Refraction
Binocular vision
Color vision
Intra-ocular pressure
Fundus photo taking OR cycloplegic refraction (either one, depending on individual case)
Eye-care information
Follow-up plan suggestion
Get 1) an HK$500 Cash Benefit1 and 2) Full Cover2 (applicable to Flexi Plan customers only) for the [249] designated “All-inclusive Fixed Price Medical Packages”^ and “Histotripsy treatment - Liver cancer treatment package” of GHK.

The designated “All-inclusive Fixed Price Medical Packages” cover [11] specialties including General Surgery, Cardiology / Cardiothoracic Procedures, Gynecology, Ophthalmology, Orthopedics, Ear, Nose & Throat (ENT), etc., as well as Endoscopy. Each package includes the doctors’ fees, room charges and all other procedure-related standard items and drugs. The costs related to complications are also covered (including intensive care and re-operation charges).

💡 Bowtie Pink already fully covers the costs of designated medical packages without utilizing the Wellness Package's benefits.
Remark

^ The Insured Person must agree to, and be bound by, the terms and conditions set by GHK for the relevant services and packages, as well as GHK's other applicable service terms and conditions, when redeeming Optional Health Check Items at GHK, or when using health check-related services or Designated Medical Packages.

1 Cash Benefit applies to the use of Designated Medical Packages and is not subject to the annual or lifetime benefit limit (if applicable) of the Bowtie VHIS Flexi or Bowtie Pink VHIS.
2 Full reimbursement only applies to the fees of Designated Medical Packages and is subject to the annual and lifetime benefit limit of the Insured Person’s VHIS Flexi Plan or Bowtie Pink VHIS Plan. The deductible of Bowtie Pink is not covered. The Insured Person has to pay out of pocket to GHK directly for all the fees that have not been pre-approved by Bowtie before discharge.
Cashless settlement for all designated medical packages can be processed without needing you to submit any pre-approval application3.

By presenting the page after logging into the Bowtie online platform that indicates your rider during a pre-surgery medical consultation, the hospital will directly submit a pre-approval application in respect of the designated medical package(s) to Bowtie on your behalf. You do not need to handle any application paperwork yourself. Upon approval of the application, you can enjoy the convenience of being discharged without having to settle the bill.
Remark
3 GHK will submit to Bowtie on your behalf the pre-approval application in respect of the Designated Medical Packages(s) for the intended surgery(ies)/ procedure(s) for the cashless settlement service, which the cashless settlement service is subject to Bowtie's approval. For the service terms and conditions, please refer to the relevant application form.
New Territories
A. Core Health Check-up (Valued up to HK$1,910)
Items only applicable to persons aged 18 or above
Items
Physical Examination
  • Blood Pressure, Height, Body Weight, Body Mass Index (BMI), Waistline
Medical Consultation and Examination by a Family Physician
Urinalysis
  • Urine Routine
Coronary Artery Disease Risk Assessment
  • Lipid Profile
  • Total Cholesterol
  • High-density Lipoprotein & Low-density Lipoprotein Cholesterol
  • Non-high-density Lipoprotein Cholesterol
  • Triglycerides
  • Total Cholesterol / HDL ratio
Diabetes Assessment
  • Fasting Blood Sugar
Liver Function Test
  • Aspartate Aminotransferase (AST/SGOT)
  • Gamma-glutamyl Transferase (GGT)
Renal Function Test
  • Creatinine
Gout Screening
  • Uric Acid
Report Explanation by Family Physician
B. Optional Healthcare / Medical Services (Valued at HK$1,500)
Entitled to 1,500 BowtiePoint (valued at HK$1,500) each year for redeeming designated optional health check items based on doctor's recommendations on top of the core health check-up. Optional Health Check Items must be used in conjunction with the Core Health Check-up.
Items only applicable to persons aged 18 or above
Items
=BowtiePoint required
C-Urea Breath Test
800
Hep A Antibody (IGG)
+ HBsAg
+ HBsAb
700
Rest ECG
600
Cancer Antigen-125 (For Ovarian Cancer)
700
Prostate Specific Antigen, PSA (For Prostate Cancer)
600
Pap Smear
600
Carcinoembryonic Antigen, CEA
(For Lung Cancer, Gastric Cancer, Colorectal Cancer, Ovarian Cancer, Breast Cancer, etc)
700
Vitamin D (Bone Function Test)
700
Thyroid-stimulating Hormone, TSH
(For Thyroid Function)
500
Glycated Hemoglobin, HbA1C
(For Diabetes)
400
AFP - alpha fetoprotein
(Liver cancer)
500
Chest X Ray
300
Chlorides
(Renal Function Test)
200
Sodium
(Renal Function Test)
200
Potassium
(Renal Function Test)
200
Fecal Occult Blood Test, FOBT
(For Colorectal Cancer)
200
Bone Density Test (DEXA)
- Spine & Hips
(Bone Function Test)
1,000
EBV DNA
(For Nasopharyngeal Carcinoma)
800
Pap Smear
+ HR-HPV DNA
1,300
Stool
(Routine Test)
200
Breast Ultrasound
1,500
2D Mammogram
1,500
Get 1) an additional HK$500 Cash Benefit¹ and 2) Full Cover² (applicable to Flexi Plan customers only) for the designated [139] day procedure and [228] inpatient operation/procedure packages named “CUHKMC Medical Packages” (CMP).

‍The designated “CUHKMC Medical Packages”^ cover [7] specialties, including General Surgery, Gynecology, Ophthalmology, Orthopedics, and endoscopy procedures. Each package includes all doctors’ fees and all hospital charges for procedure-related standard items and drugs, which also cover expenses over complications and intensive care arising from the operation/procedure.

💡Bowtie Pink already fully covers the costs of designated medical packages without utilizing the Wellness Package's benefits.
Remark
^The Insured Person must agree to, and be bound by, the terms and conditions set by CUHK Medical Centre for the relevant services and packages, as well as CUHK Medical Centre's other applicable service terms and conditions, when redeeming Optional Health Check Items at CUHK Medical Centre, or when using health check-related services or Designated Medical Packages.
1 Cash Benefit applies to the use of Designated Medical Packages and is not subject to the annual or lifetime benefit limit (if applicable) of the Bowtie VHIS Flexi or Bowtie Pink VHIS.
2 Full reimbursement only applies to the fees of Designated Medical Packages and is subject to the annual and lifetime benefit limit of the Insured Person's VHIS Flexi Plan or Bowtie Pink VHIS Plan. The deductible of Bowtie Pink is not covered. The Insured Person has to pay out of pocket to CUHK Medical Centre directly for all the fees that have not been pre-approved by Bowtie before discharge.
Cashless settlement for all designated surgery/procedure packages can be processed without needing you to submit any pre-approval application3.

By presenting the post-login page of the Bowtie online platform to show that you hold this Wellness Package during a pre-surgery medical consultation at CUHK Medical Centre, the hospital will directly submit a pre-approval application to Bowtie on your behalf for the Designated Medical Package(s) you have selected. You do not need to handle any application paperwork yourself. Upon approval of the application, you can enjoy the convenience of being discharged without having to settle the bill.
Remark
3 CUHK Medical Centre will submit to Bowtie on your behalf the pre-approval application in respect of the Designated Medical Packages(s) for the intended surgery(ies)/ procedure(s) for the cashless settlement service, which the cashless settlement service is subject to Bowtie's approval. For the service terms and conditions, please refer to the relevant application form.

Case studies

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Freelancers are different from full-time workers. I have no company welfare and group health insurance. My income is unstable so I have to take care of myself. I bought medical insurance after graduation, but the protection is minimal. As the Bowtie Pink’s premium is reasonable, I buy it for more coverage
About Bernice
Age 26/female/non-smoker
Freelancer
Monthly salary from HK$18,000 to HK$25,000 
Group health insurance
Personal health insurance
Final decision
Bowtie Pink VHIS Plan (Semi-Private Room)
Deductible: HK$50,000
Why choose this?
  • When filing a claim, personal health insurance can cover the deductible without overlap protection6
  • Hope to increase the coverage for critical illness expenses
Claims made easy!
Case 1
Illness
Colorectal tumors
Surgery
Open or laparoscopic anterior rectal resection (complex surgery)
Ward level
Semi-private
Total medical expenses7
HK$206,211
Claim amount from personal health insurance
HK$50,000
Claim amount from
Bowtie Pink
HK$156,211  (deducted HK$50,000) 
Bernice paid
HK$0 (Full coverage)
Case 2
Illness
Left ankle bone fracture
Surgery
Open reduction of femur/calcaneus/ankle fractures with or without internal fixation (major surgery)
Ward level
Semi-private
Total medical expenses7
HK$106,268
Claim amount from personal health insurance
HK$50,000
Claim amount from personal health insurance
HK$56,268 (deducted HK$50,000)
Bernice paid
HK$0 (Full coverage)
Save more with a right deductible option!
If Bernice picks
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible: HK$50,000
(current choice)
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible: HK$0
Monthly premium
HK$335 (save 59%)
HK$822
Final payment
HK$0 (same protection)
HK$0
The above claim cases are purely for illustrative purposes and reference only. Any person who applies for insurance products, should, before doing so,  consider their own needs, financial capabilities, and if there are overlaps of coverage in insurance policies.
6. Before applying for additional insurance products, please take personal needs and affordability into account, and also consider whether there are overlaps of coverage. The purchase of multiple medical insurance policies by the same insured does not mean that the insured can file multiple claims for the same medical treatment, or the insured can receive a claim amount more than the medical expenses. For the criteria and limits for claims, please refer to the terms and conditions of your insurance policy.
7. The medical expense figures in the case are the real claims data of Bowtie customers.
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My group health plan only provides basic protection. Having Bowtie Pink, I hope to pay nothing if anything bad happens. My group health plan can cover the deductible of Bowtie Pink and Bowtie Pink can cover fully so I have no worries.
About Alfred
Age 33/male/non-smoker
Senior accountant
Monthly salary HK$20,000
Group health insurance
Personal health insurance
Final decision
Bowtie Pink VHIS Plan (Semi-Private Room)
Deductible: HK$20,000
Why choose this?
  • His group health plan6 provides basic protection
  • His group health plan can cover the deductible of HK$20,000 
  • The monthly premium is affordable to him
Claims made easy!
Case 1
Illness
Colorectal tumors
Surgery
Open or laparoscopic anterior rectal resection (complex surgery)
Ward level
Semi-private
Total medical expenses7
HK$206,211
Claim amount from group health insurance
HK$20,000
Claim amount from
Bowtie Pink
HK$186,211 (deducted HK$20,000)
Alfred paid
HK$0 (Full coverage)
Case 2
Illness
Left ankle bone fracture
Surgery
Open reduction of femur/calcaneus/ankle fractures with or without internal fixation (major surgery)
Ward level
Semi-private
Total medical expenses7
HK$106,268
Claim amount from group health insurance
HK$20,000
Claim amount from
Bowtie Pink
HK$86,268 (Deducted HK$20,000)
Alfred paid
HK$0 (Full coverage)
Save more with a right deductible option !
If Alfred picks
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible: HK$20,000
(current choice)
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible: HK$0
Monthly premium
HK$509 (save 48%)
HK$982
Final payment
HK$0 (same protection)
HK$0
The above claim cases are purely for illustrative purposes and reference only. Any person who applies for insurance products, should, before doing so,  consider their own needs, financial capabilities, and if there are overlaps of coverage in insurance policies.
6. Before applying for additional insurance products, please take personal needs and affordability into account, and also consider whether there are overlaps of coverage. The purchase of multiple medical insurance policies by the same insured does not mean that the insured can file multiple claims for the same medical treatment, or the insured can receive a claim amount more than the medical expenses. For the criteria and limits for claims, please refer to the terms and conditions of your insurance policy.
7. The medical expense figures in the case are the real claims data of Bowtie customers.
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My group health plan is good for basic protection but not enough for covering cancer and other critical illnesses. Also, I prefer a semi-private room with quietness and privacy. Bowtie Pink fits my needs and its premium is reasonable.
About Catherine
Age 42/female/non-smoker
SME CEO
Monthly salary HK$100,000
Group health insurance
Personal health insurance
Final decision
Bowtie Pink VHIS Plan (Semi-Private Room)
Deductible HK$80,000
Why choose this?
  • Her group medical insurance6can cover the standard-ward-level medical expenses
  • She prefers to have semi-private room service
  • She needs a high-end medical insurance that can cover cancer treatment expenses
  • Affordable monthly premium
Claims made easy!
Case 1
Illness
Colorectal tumors
Surgery
Open or laparoscopic anterior rectal resection (complex surgery)
Ward level
Semi-private
Total medical expenses7
HK$206,211
Claim amount from group health insurance
HK$80,000
Claim amount from
Bowtie Pink
HK$126,211 (Deducted HK$80,000 )
Catherine paid
HK$0 (Full coverage)
Case 2
Illness
Left ankle bone fracture
Surgery
Open reduction of femur/calcaneus/ankle fractures with or without internal fixation (major surgery)
Ward level
Semi-private
Total medical expenses7
HK$106,268
Claim amount from group health insurance
HK$80,000
Claim amount from
Bowtie Pink
HK$26,268 (deducted HK$80,000)
Catherine paid
HK$0 (Full coverage)
Save more with a right deductible option!
If Catherine picks
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible HK$80,000
(current choice)
Bowtie Pink VHIS Plan
(Semi-Private Room)
Deductible HK$0
Monthly premium
HK$611 (save 52%)
HK$1,277
Final payment
HK$0 (same protection)
HK$0
The above claim cases are purely for illustrative purposes and reference only. Any person who applies for insurance products, should, before doing so, consider their own needs, financial capabilities, and if there are overlaps of coverage in insurance policies.
6. Before applying for additional insurance products, please take personal needs and affordability into account, and also consider whether there are overlaps of coverage. The purchase of multiple medical insurance policies by the same insured does not mean that the insured can file multiple claims for the same medical treatment, or the insured can receive a claim amount more than the medical expenses. For the criteria and limits for claims, please refer to the terms and conditions of your insurance policy.
7. The medical expense figures in the case are the real claims data of Bowtie customers.
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Our claims specialist will follow up on the claim application and progress. We will also provide compensation estimates and arrange cashless settlement services. A hotline for the claim department is set up for your enquiries!
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Insurance and claim application progress will be updated via email and online platform. You may view and download all policy documents, benefit balance, claim records and other information at any time on the online platform!

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20,000+
Bowtie VHIS customers
98.9%
Ratio of approved VHIS claims 8
93%
Customer service satisfaction rating
2021-2022
90%
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The above information is for reference only. For detailed terms and conditions of the product, key risks, and exclusions, please refer to the policy.
Bowtie Life Insurance Company Limited (Bowtie) is a limited liability company incorporated in Hong Kong. Bowtie Pink VHIS Plan is underwritten by Bowtie and intended for sale in Hong Kong only.
If you see a "+" symbol, you can click on it to view more information.
Remarks
1Full coverage shall mean no itemized benefit sub-limits, and applies to designated benefit items only. The benefit payable shall be subject to the remaining deductible (if applicable), annual benefit limit, lifetime benefit limit and other limitations such as reasonable and customary charges, “List of Designated Hospitals in Mainland China” and receiving medical treatment in the United States. For detailed terms and conditions, product risks, and exclusions, please refer to the relevant product website and policy.
2 BowtieCash Program applies to Bowtie VHIS plans only. BowtieCash can only be used to pay for eligible medical costs that exceed the VHIS plan coverage and health services redemption. It is not a cash reward program and does not form a part of the Bowtie VHIS plan.
3 Cashless Settlement Service is only available for inpatient treatment. It must be pre-approved by Bowtie. For details of the terms and conditions, please refer to the relevant application form.
4 Worldwide Emergency Assistance Service” does not form part of the Bowtie VHIS Plans and is provided by third party service provider. We reserve the right to change the content of “Worldwide Emergency Assistance Service” and will not be liable for any services provided by third party service provider. No additional premiums are charged for this service.
5 The actual amount payable for member exclusive price depends on the doctor and the actual medical needs.

^BowtieCash Program applies to Bowtie VHIS plans only. BowtieCash can only be used to pay for eligible medical costs that exceed the VHIS plan coverage and health services redemption. It is not a cash reward program and does not form a part of the Bowtie VHIS plan.
# Psychiatric treatments under the Bowtie Pink VHIS Plan is only available in Hong Kong. Bowtie Pink full reimbursement is not applicable in United States and the non designated hospitals in Mainland China. If the Insured Persons plan need to immigrate in future, the premium may be adjusted based on the potential risks of the relocated countries.  For details, please contact Bowtie Customer Service on 3008 8123.
*Terms and Conditions apply