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This plan is designed based on actual medical charges and common medical conditions. Bowtie Flexi Plan ranks 3rd in the market for the largest number of additional benefits2, and the highest benefit limit for “Prescribed Diagnostic Imaging Test” 2.
We aim to provide you with sufficient financial support for medical expenses even with one medical insurance plan.
Basic Benefit Limit
No lifetime limit
PremiumTake a 30-year-old non-smoking male as an example
Want to explore other coverage levels of Bowtie's VHIS plans?
Extra Health and Medical Coverage
Extra cancer coverage
It depends on your needs. All Bowtie VHIS can cover eligible medical expenses for hospitalization or surgery due to accidental injuries. The Flexi Plan and Bowtie Pink even have Accident emergency outpatient treatments that cover treatment costs at hospital outpatient departments or emergency rooms within 24 hours of the relevant accident. While Bowtie's medical insurance plan covers hospitalization and surgery costs from accidents, it also provides coverage for outpatient treatments, physiotherapy, chiropractic, and tui na massage treatments arising from accidental injuries.
Plan Comparison
VHIS - Standard | VHIS - Flexi | Bowtie Pink | Touch Wood Protector | |
Coverage status / Illness | Any accident or illness* | Any accident or illness* | Any accident or illness* | Any accident* |
Basic Coverage Limit | HK$420,000/ /year, with no lifetime limit. | Regular Plan: $600,000 /year, with no lifetime limit. Plus Plan: $1,000,000 /year, with no lifetime limit. |
Ward Plan: $8 million per year; $40 million per lifetime Semi-private Plan: $10 million per year; $50 million per lifetime Private Plan: $20 million per year; $80 million per lifetime |
HK$420,000/ /year, with no lifetime limit. |
Accident Outpatient | ✅ Treatment at hospital outpatient departments or emergency rooms within 24 hours of the relevant accident | ✅ Treatment at hospital outpatient departments or emergency rooms within 24 hours of the relevant accident | ✅ | |
Physiotherapy, Chiropractic, and Tui Na Massage Treatments | ✅ | |||
Hospitalization / Surgery Treatments | ✅ | ✅ | ✅ | ✅ |
Territorial Scope of Cover | Worldwide except Psychiatric Treatment |
Worldwide except Psychiatric Treatment, Rehabilitation Therapy, and Medical Negligence Coverage |
Worldwide except the US, hospitals that are out of the List of Designated Hospitals in Mainland China and Psychiatric Treatment |
Worldwide except Psychiatric Treatment |
For benefit details, please refer to the product website and policy Terms and Conditions.
*Except General Exclusion
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.
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
The Bowtie VHIS Flexi Plan's Supplementary Major Medical (SMM) provides an additional 80% compensation for eligible medical expenses that exceed the specified coverage limits of certain items, effectively serving as a safety net.
Calculation Method
Eligible expenses that exceed the coverage limits of the relevant items x room level adjustment factor (if applicable) x (100% - 20% co-insurance, i.e., 80%). Here's an example for reference:
Bowtie VHIS Flexi SMM Coverage Amounts
|
Flexi (Regular) | Flexi (Plus) |
SMM Coverage |
HK$120,000 / year No lifetime limit |
HK$220,000 / year |
Room Level Restrictions |
Ward Room |
Semi-private Room |
Specified Coverage Items
- Miscellaneous expenses
- Specialist fees
- Intensive care
- Surgical fees
- Anesthesiologist fees
- Operating room charges
- Emergency outpatient treatment for accidents
- Outpatient kidney dialysis
Learn more about compensation examples here.
*Subject to the maximum coverage limit of Bowtie VHIS Flexi Plan's "Supplementary Major Medical" coverage.
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. |