Tooltips are given by actuaries, doctors, and claims specialists
Yes. BowtiePink customers will still need to pay the relevant deductible even after purchasing the Wellness Package. Please note that since BowtiePink is already designed to fully reimburse the costs of Designated Medical Packages, customers who add the wellness package will receive an additional HK$500 cash benefit when using a Designated Medical Package.
The cash benefit under the wellness package is calculated based on the number of Designated Medical Packages used, with no limit on the number of claims. You will receive HK$500 cash benefit for each use of a Designated Medical Package. This benefit is not constrained by the annual or lifetime benefit limits of your BowtiePink policy.
For product terms and conditions, please refer to the relevant product page.
No. However, the full reimbursement coverage of the Bowtie Pink does not apply to hospitals in the USA and those not under the list of designated hospitals in Mainland China¹ , except for eligible medical expenses compensated at the level of the Bowtie VHIS Standard Plan.
Additionally, Bowtie VHIS's cashless settlement service is also applicable at all private hospitals in Hong Kong. You can always log into the Bowtie online platform to apply for the "Pre-approval Service". Please note that the "Pre-Authorization Service" is only applicable to non-emergency medical procedures, and the claims department will take approximately 4-6 working days to process your application.
¹ Bowtie Pink VHIS series covers full reimbursement for eligible medical expenses including diagnostics, hospitalization, surgery, and specified non-surgical cancer treatments (excluding the USA), subject to annual and lifetime coverage limits. Compensation amounts may be adjusted for claims involving hospitals in Mainland China outside the designated list, high-end hospitals within the designated list, claims exceeding the specified ward class, or pre-existing conditions. For details, please refer to sections 1(b), 1(c) of the first supplement document and section 4 of the terms and conditions of the BowtiePink.
Individual Bowtie VHIS plans adjust coverage based on the ward class, so we recommend you choose a plan that best suits your hospitalization needs.
If the insured person is assigned to a higher room type due to reasons beyond their or the policyholder's control, such as limited room availability or the need for isolation, and can provide written proof from the hospital, their claim will not be affected.
The Basic benefits of Bowtie VHIS Standard and Bowtie VHIS Flexi both offer the coverage without ward class restrictions, but the Supplementary Major Medical (SMM) under Bowtie VHIS Flexi has an adjustment factor on the rate of compensation according to the ward class that the insured admitted to during hospitalization. Details are as follows:
| SMM Adjustment Factors / Compensation Ratio | ||
| Ward Class Occupied by the Insured | Bowtie VHIS Flexi Regular Plan | Bowtie VHIS Flexi Plus Plan |
| Ward |
100% |
100% |
| Semi Private |
50% |
100% |
| Private |
25% |
50% |
| Above Standard Private |
25% |
25% |
While BowtiePink VHIS has various adjustment factors/compensation ratios depending on the ward class section:
| SMM Adjustment Factors / Compensation Ratio | |||
| Ward Class Occupied by the Insured | Bowtie Pink VHIS (Ward) | Bowtie Pink VHIS (Semi Private) | Bowtie Pink VHIS (Private) |
| Ward | 100% | 100% | 100% |
| Semi Private | 50% | 100% | 100% |
| Private | 25% | 50% | 100% |
| Above Standard Private | 25% | 25% |
50% |
Example: If you have the Bowtie Pink VHIS (Ward Room - Deductible HK$80,000) but are admitted to a semi-private room during treatment, and your eligible medical expenses total HK$100,000, you will only be reimbursed HK$50,000.
Both are medical costs that the insured must pay when filing claims from the insurance company. Their main difference lies in the calculation methods:
"Co-insurance" - Calculated based on individual protection items and percentages, shared between the insured and the insurance company.
Assume the insured must bear 20% co-insurance for a claim item, with medical costs of HK$120,000:
Compensation provided by the insurance company = HK$120,000 X 80% = HK$96,000
Costs paid by the insured = HK$120,000 X 20% = HK$24,000
"Deductible" - Calculated per policy year, the insured must bear a certain amount before the insurance company compensates the remaining medical expenses according to the plan’s coverage limit.
Assuming the insured has opt for BowtiePink with a HK$20,000 deductible, while the total hospital medical expenses are HK$70,000, Bowtie will compensate would be [Total Medical Expenses – Deductible], which is HK$70,000 – HK$20,000 = HK$50,000.
Bowtie Pink only offers deductible options (choices of HK$80,000, HK$50,000, HK$20,000, or HK$0) with no co-insurance. Whereas Bowtie VHIS Standard and Flexi have co-insurance but no deductible:
Bowtie VHIS Standard
Bowtie VHIS Flexi
^The reimbursement is subject to the "Benefit Limit" of the Bowtie VHIS Standard Plan or Flexi Plan.
*The reimbursement is Subject to the maximum coverage limit of Bowtie VHIS Flexi Plan's "Supplementary Major Medical" coverage.
Comparison of Insurance Plans:
| VHIS | Cancer Fighter | Touchwood Protector | Critical Illness | Term Life | |
|---|---|---|---|---|---|
| Product Nature | Not limited to any accident or disease, cover the eligible medical expenses required for hospitalization or surgery due to medical needs. | Cover the eligible medical expenses for all levels of malignant cancer and carcinoma in situ¹ |
Cover the actual expenses for medically necessary treatments due to accidental injuries within 12 months after the accident. | Receive compensation to help cover living expenses or medical costs once you are diagnosed with a specified critical illness (including cancer, stroke, and heart disease) | Death Benefit |
| Modes of Settlement | Reimbursement | Reimbursement | Reimbursement | One lump sum payment | One lump sum payment |
| Maximum Benefit Limits / Sum insured | - Standard Plan : HK$420K / Year；No lifetime limits - Flexi Plan: Up to HK$1M / Year； No lifetime limits - Bowtie Pink: Up to $20M / Year; $80M /Lifetime |
- Cancer Fighter 100: HK$1M /Lifetime - Cancer Fighter 200: HK$2M /Lifetime - Cancer Fighter 300: HK$3M /Lifetime |
HK$420K / year | HK$4M (15 days - 45 year old) HK$2M (46 - 60 year old) HK$1M (61 - 65 year old) |
HK$20M (Existing customer²） HK$8M (18 - 45 year old) HK$4M (46 - 55 year old) HK$3.5M(56 - 60 year old) HK$1M (61 - 65 year old) |
| Maximum Renewable Age | Guaranteed renewal to age 100 or for life* | Guaranteed lifetime renewal | Renewal to age 60 | Guaranteed renewal to age 85 | Guaranteed renewal to age 100 |
| Plan Option | - Standard Plan - Flexi Plan - Bowtie Pink |
- Cancer Fighter 100 - Cancer Fighter 200 - Cancer Fighter 300 |
- Touchwood Protector | - Term CI - Term CI Multiple Cover - Term CI Early Stage and Multiple Cover |
- Term Life |
¹ Bowtie Cancer Fighter covers all grades of malignant cancer and carcinoma in situ, excluding precancerous lesions, CIN I or CIN II cervical anomalies, or all cancers coexisting with HIV infection.cinoma in situ, excluding precancerous lesions, CIN I or CIN II cervical anomalies, or all cancers coexisting with HIV infection.
² Existing customers can increase their coverage limit up to a maximum of HK$20,000,000 after undergoing underwriting and a medical examination. Click here to learn more.
*This Applies only to the Flexible Plan and Bowtie Pink.
The above information is for reference only. For detailed terms and conditions above is for reference only. For detailed terms and conditions, key risks and policy exclusions of the product, please refer to the policy.
Voluntary Health Insurance Scheme (VHIS), regulated by the Health Bureau, is a personal medical insurance that reimburses eligible medical expenses related to hospitalization and day surgeries. All VHIS must meet several standardized product features including policy terms, minimum coverage, and premium transparency. Although insurers can have different coverages and designs for their Flexi Plans, all terms and coverages cannot be set below the standards of the VHIS Standard.
Comparison of VHIS and General Medical Insurance:
| VHIS | General Medical Insurance | |
| Lifetime Coverage Limit | ❌¹ | ✔ |
| Tax Benefits | ✔ | ❌ |
| Age of Insurability | 15 days - 80 years | 15 days - 70 years |
| Guaranteed Renewal Age | Guaranteed lifetime renewal, VHIS Standard guaranteed renewal until age 100 | Determined by the insurer |
| Waiting Period | ❌² | ✔ |
| Coverage for Pre-existing Conditions Unknown at the time of insuring | ✔³ | ❌ |
| Hospital and Surgical Coverage | ✔ | Covers treatments during hospital stays, may not cover non-hospital treatments |
| Psychiatric Inpatient Treatment | ✔ | |
| Day Surgery Coverage | ✔ | ❌ |
| Coverage for Congenital Diseases | ✔ (Coverage starts from age 8 for diagnosed congenital conditions) | |
| Outpatient Diagnostic Procedures like CT, MRI, PET | ✔ | ❌ |
Bowtie currently offers three VHIS plans: Standard, Flexi, and BowtiePink, each with varying coverage amounts, ward classes, and deductibles. You can view detailed plan comparisons here.
¹ VHIS Standard Plan does not have a lifetime coverage limit; individual Flexi Plans may have a lifetime coverage limit.
² VHIS Standard Plan has an exclusion period for "Unknown Pre-existing Conditions."
³ VHIS Standard Plan has a waiting period for "Unknown Pre-existing Conditions." The first policy year is a waiting period, partial coverage starts in the second year (25% in the second year, 50% in the third year), and full reimbursement (100%) begins in the fourth policy year.
You can choose the most appropriate deductible level for the BowtiePink VHIS based on your affordability for both the deductible and premium.
Bowtie Pink offers four deductible options: HK$80,000, HK$50,000, HK$20,000, and HK$0. Higher deductible plans have lower premiums, and vice versa.
For instance, choosing the Bowtie Pink with a $20,000 deductible, of which the deductible is calculated per policy year, you bear the first HK$20,000 of eligible medical expenses each policy year, after which Bowtie compensates for the remaining eligible medical expenses.
If you have a limited budget, you might also consider a plan without a deductible, such as the Bowtie VHIS Flexi Plan or Standard Plan.
You can also use Bowtie’s personalized recommendation tool or contact us via WhatsApp at 6016 5980 for more specific product advice!
Bowtie currently offers 3 VHIS Plans, including Standard Plan, Flexi Plan, and BowtiePink, each with different coverage limits, room grades, and deductible options.
You can choose primarily based on whether you already have health insurance:
| VHIS Standard | VHIS Flexi | Bowtie Pink | |
|---|---|---|---|
| Features |
Suitable for those with a limited premium budget
|
Suitable for long-term primary medical coverage
|
Suitable for those looking to enhance existing health insurance coverage
|
| Basic coverage limit | HK$420,000/ /year, with no lifetime limit. |
|
|
Click here to view a detailed comparison of the plans. If needed, you can also seek for product advice via WhatsApp at 6016 5980!
Co-insurance means that the insured person shares a portion of the costs for certain covered services on a percentage basis.
"Co-insurance" - Calculated based on individual protection items and percentages, shared between the insured and the insurance company.
Assume the insured must bear 20% co-insurance for a claim item, with medical costs of $120,000:
Compensation provided by the insurance company = $120,000 X 80% = $96,000
Costs paid by the insured = $120,000 X 20% = $24,000
Bowtie VHIS includes co-insurance for the following plans:
Bowtie VHIS Standard
Bowtie VHIS Flexi
Bowtie Pink
Generally, there is no waiting period for illnesses that arise after you enroll in Bowtie VHIS Plan.
Bowtie VHIS only has a waiting period for "pre-existing conditions unknown to you at the time of enrolment." These are conditions that you already had before enrolling, but were unaware of because there were no obvious symptoms, and you did not seek medical advice or treatment.
In simple terms, if you were unaware that you had a certain condition when you enrolled, but are later diagnosed and need treatment for it after enrolling, the eligible expenses will be subject to the following waiting periods and reimbursement ratios.
Flexi Plan and Bowtie Pink
| Waiting Period (from the effective date of the policy) | Reimbursement ratio |
| The first 90 days | 0% |
| On and after the 91st day | 100% of the eligible medical expenses within the benefit limit |
Standard Plan
| Waiting Period (by Policy Year) | Reimbursement ratio |
| 1st policy year | 0% |
| 2nd policy year | 25% of the eligible medical expenses within benefit limit |
| 3rd policy year | 50% of the eligible medical expenses within benefit limit |
| 4th policy year onwards | 100% of the eligible medical expenses within benefit limit. |
"Deductible" is the amount the policyholder must pay out of pocket within the policy year when making a claim with Bowtie. The remaining medical expenses are then compensated by Bowtie up to the coverage limit of the plan.
If the insured person has a Bowtie Pink plan with a $20,000 deductible and the total medical expenses are $70,000, we will cover $50,000
Total medical expenses – Deductible = Coverage
$70,000 – $20,000 = $50,000
The Bowtie VHIS Standard and Flexible plans do not come with a deductible, whereas Bowtie Pink’s deductible is calculated annually. For instance, if the policy starts on December 1, 2021, from December 1, 2021, to November 30, 2022 (the first policy year), you must first bear HK$20,000 of medical expenses (including amounts claimed from your company’s group medical insurance), and after which Bowtie compensates for the remaining eligible medical expenses.
Additionally, we recommend that even if your medical expenses are lower than the deductible for your Bowtie Pink plan, you should still submit all hospitalization/surgery-related medical receipts and proof of reimbursement from other insurance companies (if applicable) to Bowtie. If the expenses are eligible medical expenses, they will be counted towards the deductible you have paid for that policy year with Bowtie, reducing the remaining deductible you need to pay for the same year.
Finally decide on the best deductible option for you?
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