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BENEFITS
|
MAXIMUM BENEFIT PAYABLE (HK$)
|
||
---|---|---|---|
Gold Plan | Diamond Plan | Medical Top Up Plan1 | |
Overall Maximum Limit per disability | 250,000 | 500,000 | N/A |
Core Benefits | |||
(A) Hospital & Related Services Benefit | |||
Maximum Limit
– per year |
250,000 | 500,000 | 250,000 |
Room & Board
– per day |
1,150 | 1,950 | 50%
reimbursement for each eligible claim up to Maximum Limit per year |
Accompany Bed
– an extra charge for one adult family member to accompany a children aged 17 or below during hospitalisation |
Full Cover | Full Cover | |
Intensive Care
– supplement to Room & Board |
Full Cover | Full Cover | |
Miscellaneous Hospital Charges (Covers prescribed diagnostic imaging tests)*
– per disability |
Full Cover | Full Cover | |
Physician Fees
– per day |
1,150 | 1,950 | |
In-patient Specialists Fees
– per disability |
Full Cover | Full Cover | |
Surgeon Fee
– per operation |
|||
• Complex | 165,000 | 320,000 | |
• Major | 82,500 | 160,000 | |
• Intermediate | 41,250 | 80,000 | |
• Minor | 16,500 | 32,000 | |
Anaesthetist Fee
– per operation |
35% of Surgeon Fee | 35% of Surgeon Fee | |
Operation Theatre
– per operation |
35% of Surgeon Fee | 35% of Surgeon Fee | |
Pre-admission Outpatient Visits and Post-Hospital Follow-up Treatments
– 1 visit within 30 days before admission – 3 follow-up treatments 90 days after discharge |
Full Cover | Full Cover | |
Private Nursing
– up to 26 weeks per year |
Full Cover | Full Cover | |
Outpatient Chemotherapy / Radiotherapy / Targeted Therapy / Immunotherapy / Hormonal Therapy / Kidney Dialysis Treatment
– per disability |
Full Cover | Full Cover | |
Organ Transplantation Benefit
– per year and per disability |
250,000 | 500,000 | |
Day Surgery Allowance
– per operation |
1,000 | 1,000 | 1,000 |
Public Hospital Cash Benefit
– per day |
1,000 | 1,500 | 1,000 |
Second Claim Benefit
– per claim |
1,000 | 1,000 | 1,000 |
Post Operation and Cancer Treatment Recovery Benefit
– Per Day |
420 | 630 | 420 |
– Up to 5 visits per year for each of following treatments
1. Psychological Counselling (Consultation fee only) – Reimbursement percentage |
80% | 80% | 50% |
Lifetime Limit
– per person, applied at or above age 70 |
1,000,000 | 2,000,000 | N/A |
(B) Additional Benefits | |||
Free Medical Service at Appointed Centre | Once per Year | Once per Year | Once per Year |
International Payment Guarantee4 | Available | Available | N/A |
24-hour International Emergency Assistance | Available | Available | Available |
Job Changer Hospital Benefit2
– per year |
N/A | N/A | 26,000 |
OPTIONAL BENEFITS
|
||||
---|---|---|---|---|
(C) Supplementary Major Medical Benefit
(applicable after Core Cover (A) Hospital & Related Services Benefit is exhausted) |
||||
Maximum Limit per disability | 105,000 | 210,000 | N/A | |
Deductible per claim | 1,000 | 1,000 | ||
Reimbursement percentage | 80% | 80% | ||
(D) Dental Benefit | ||||
Maximum Limit per year
– Scaling and polishing (Maximum 2 visits per Contract Year): 500 each visit – Routine oral examination – Intraoral X-ray and medications – Fillings and extractions – Drainage of dental abscesses – Pins for cusp restoration – Dentures, crowns and bridges (Only if necessitated by an Accident) |
2,600 | 2,600 | 2,600 | |
(E) Maternity Benefit (12-month waiting period) | ||||
Normal Delivery
– per pregnancy |
32,000 | 32,000 | 32,000 | |
Complicated Delivery (including miscarriage)
– per pregnancy |
32,000 | 32,000 | 32,000 | |
(F) Serious Illness Benefit | ||||
Standard Plan: covers Critical Illnesses item (1) – (12)
Comprehensive Plan: covers Critical Illnesses item (1) – (28) |
||||
Overall Maximum Limit for Serious Illness Benefit | 250,000 | 500,000 | 250,000 | |
Maximum Limit for Optional Lady Care Benefit3 | 50,000 | 100,000 | 50,000 |
1.The insured person should be covered by a valid hospital & surgical insurance policy at the time of hospital confinement or treatment; otherwise the benefit of Top Up Plan will become invalid.
2.Waiting period: 90 days from the effective date of Medical Top Up Plan. Maximum period of coverage: within the first 120 days from the date of termination of employment. The Insured Person has to provide proof of termination of employment upon submission of claim.
3.Lady Care Benefit is a rider benefit of Serious Illness Benefit and cannot be insured separately. Benefit paid for Lady Care Benefit will reduce the Overall Maximum Limit for Serious Illness Benefit.
4.Upon receipt of adequate prior notification of claim for Hospital in-patient treatment, MSIG Insurance (Hong Kong) Limited (“MSIG”) will confirm the extent of insurance benefits, monitor claims procedures, issue (wherever possible) appropriate payment guarantees and/or arrange direct settlement to the Hospitals, Physicians or other service providers subject always to policy terms and conditions. No such payment guarantees or direct settlements can be made if MSIG is not contacted in advance with all relevant details as stated above. Covered outpatient services are not subject to payment guarantees or direct settlement and must be paid by the Insured Person and reimbursement claimed under the policy.
* Prescribed diagnostic imaging tests : computer tomography (“CT” scan), magnetic resonance imaging (“MRI” scan), positron emission tomography (“PET” scan), PET-CT combined and PET-MRI combined
Core Cover Premium Table (HK$)
Age Group#
|
Gold Plan
|
Diamond Plan
|
Medical Top Up Plan
|
|||
---|---|---|---|---|---|---|
Monthly | Annual^ | Monthly | Annual^ | Monthly | Annual^ | |
15 days – 6 years | 390 | 4,212 | 505 | 5,454 | 155 | 1,674 |
7-17 years | 345 | 3,726 | 445 | 4,806 | 130 | 1,404 |
18-30 years | 500 | 5,400 | 640 | 6,912 | 185 | 1,998 |
31- 40 years | 600 | 6,480 | 770 | 8,316 | 225 | 2,430 |
41-50 years | 800 | 8,640 | 1,025 | 11,070 | 280 | 3,024 |
51-60 years | 1,155 | 12,474 | 1,485 | 16,038 | 395 | 4,266 |
61-70 years | 1,845 | 19,926 | 2,355 | 25,434 | 650 | 7,020 |
71-80 years | 2,265 | 24,462 | 2,920 | 31,536 | N/A | N/A |
81-100 years | 2,355 | 25,434 | 3,035 | 32,778 | N/A | N/A |
You may wish to select a fixed Annual Aggregate Deductible†. If your medical expenses exceed your selected Annual Aggregate Deductible, and are not covered by your existing medical insurance, MediSure Pro will cover the outstanding amount beyond the selected Annual Aggregate Deductible. You can enjoy a premium discount of up to 65% when covering yourself with MediSure Pro’s Annual Aggregate Deductible Discount. In doing so, your coverage will be much higher due to being under two medical plans while paying far less.
Annual Aggregate Deductible per person† (HK$)
|
Core Cover Premium Discount
|
|
---|---|---|
Gold Plan | Diamond Plan | |
10,000 | 25% | |
20,000 | 35% | |
40,000 | 45% | |
80,000 | 55% | |
120,000 | 65% |
† “Deductible” is “excess” that policyholders must bear before their insurance cover is payable.
You may change the annual deductible amount within 30 days before the policy anniversary, no underwriting is required if you request to increase the annual deductible amount. However, any request to decrease the annual deductible amount will be subject to underwriting review and you are required to provide us with the current details of your health condition.
Age Group#
|
Gold Plan
|
Diamond Plan
|
||
---|---|---|---|---|
Monthly | Annual^ | Monthly | Annual^ | |
15 days – 6 years | 120 | 1,296 | 155 | 1,674 |
7-17 years | 100 | 1,080 | 135 | 1,458 |
18-30 years | 155 | 1,674 | 195 | 2,106 |
31- 40 years | 180 | 1,944 | 235 | 2,538 |
41-50 years | 235 | 2,538 | 300 | 3,240 |
51-60 years | 345 | 3,726 | 440 | 4,752 |
61-70 years | 530 | 5,724 | 680 | 7,344 |
71-80 years | 655 | 7,074 | 845 | 9,126 |
81-100 years | 680 | 7,344 | 880 | 9,504 |
Standard Plan: covers Critical Illnesses item (1) – (12)
Age Group#
|
Gold Plan
|
Diamond Plan
|
Medical Top Up Plan
|
|||
---|---|---|---|---|---|---|
Monthly | Annual^ | Monthly | Annual^ | Monthly | Annual^ | |
15 days – 17 years | 55 | 594 | 110 | 1,188 | 55 | 594 |
18-30 years | 50 | 540 | 100 | 1,080 | 50 | 540 |
31- 40 years | 115 | 1,242 | 220 | 2,376 | 115 | 1,242 |
41-50 years | 195 | 2,106 | 390 | 4,212 | 195 | 2,106 |
51-60 years | 560 | 6,048 | 1,110 | 11,988 | 560 | 6,048 |
61-70 years | 1,030 | 11,124 | 2,060 | 22,248 | 1,030 | 11,124 |
71-80 years | 2,035 | 21,978 | 4,060 | 43,848 | 2,035 | 21,978 |
Comprehensive Plan: covers Critical Illnesses item (1) – (28)
Age Group#
|
Gold Plan
|
Diamond Plan
|
Medical Top Up Plan
|
|||
---|---|---|---|---|---|---|
Monthly | Annual^ | Monthly | Annual^ | Monthly | Annual^ | |
15 days – 17 years | 75 | 810 | 155 | 1,674 | 75 | 810 |
18 – 30 years | 70 | 756 | 135 | 1,458 | 70 | 756 |
31- 40 years | 160 | 1,728 | 310 | 3,348 | 160 | 1,728 |
41-50 years | 275 | 2,970 | 550 | 5,940 | 275 | 2,970 |
51-60 years | 785 | 8,478 | 1,555 | 16,794 | 785 | 8,478 |
61-70 years | 1,445 | 15,606 | 2,880 | 31,104 | 1,445 | 15,606 |
71-80 years | 2,845 | 30,726 | 5,685 | 61,398 | 2,845 | 30,726 |
Age Group #
|
Gold Plan
|
Diamond Plan
|
Medical Top Up Plan
|
|||
---|---|---|---|---|---|---|
Monthly | Annual^ | Monthly | Annual^ | Monthly | Annual^ | |
18-30 years | 45 | 486 | 95 | 1,026 | 45 | 486 |
31- 40 years | 40 | 432 | 80 | 864 | 40 | 432 |
41-50 years | 35 | 378 | 70 | 756 | 35 | 378 |
51-60 years | 40 | 432 | 80 | 864 | 40 | 432 |
61-70 years | 80 | 864 | 160 | 1,728 | 80 | 864 |
71-80 years | 160 | 1,728 | 320 | 3,456 | 160 | 1,728 |
Age Group
|
Monthly
|
Annual^
|
---|---|---|
18-49 years | 825 | 8,910 |
Age Group
|
Monthly
|
Annual^
|
---|---|---|
15 days or above | 165 | 1,782 |
^ 10% discount has been applied to annual premium payment mode
# Core Cover and Supplementary Major Medical Benefit: only renewal will be accepted at aged 76 or above
Serious Illness Benefits and Lady Care Benefit: only renewal will be accepted at aged 60 or above
Important notes:
The Insurance Authority (“IA”) has announced the collection of levy on insurance premium under the ‘Insurance Ordinance’ with effect from 1 January 2018. As a result, all premium amounts shown in this webpage are subject to levy.All matters or disputes in relation to this insurance product and the interpretation of the terms and conditions shall be subject to the decision of the MSIG, which shall be final and binding. For further information, please visit www.ia.org.hk/en/levy.
The above information is intended as a general summary. It is for reference only and is not an offer for subscription of any insurance product. The policy may contain terms and conditions which are not detailed in the above. Should there be any discrepancy between the information contained in the above and the terms of the policy, the terms of the policy shall prevail. For exact terms and conditions and details of the exclusions, please refer to the relevant policy or contact MSIG at (852) 3122 6722 (Service Hours: Mon – Fri 9:00am – 5:30pm, except public holidays).
All matters or disputes in relation to this insurance product and the interpretation of the terms and conditions shall be subject to the decision of the MSIG, which shall be final and binding.
The above is a summary of the Major Exclusions only. For details please refer to policy provisions.
Please contact MSIG at (852) 3122 6722.
Hotline service hours:
Monday to Friday 9:00 am to 5:30 pm (Except Public Holidays)
The above plan is underwritten by MSIG Insurance (Hong Kong) Limited (“MSIG”) which is a general insurer authorized and regulated by the Insurance Authority of the HKSAR. Standard Chartered Bank (Hong Kong) Limited (“SCBHK”) is an insurance agent appointed by MSIG (Licensed Insurance Agency FA1239). To the extent permissible by law, SCBHK shall not be liable to any person for the use of any of the above information.
The above plan, offered by MSIG, is only available for subscription by residents of the HKSAR, subject to the relevant Terms and Conditions.
The above information is intended as a general summary. It is for reference only and is not an offer for subscription of any insurance product. The policy may contain Terms and Conditions which are not detailed in the above. If there is any discrepancy between the information contained in the above and the Terms of the policy, the Terms of the policy shall prevail. For exact Terms and Conditions and details of the exclusions, please refer to the relevant policy or contact MSIG.
The material and information contained on this Web Site is provided for general information only and should not be used as a basis for making business decisions. Any advice or information received via this Web Site should not be relied upon without consulting primary or more accurate or more up-to-date sources of information or specific professional advice. You are recommended to obtain such professional advice where appropriate.
In respect of an eligible dispute (as defined in the Terms of Reference for the Financial Dispute Resolution Centre in relation to the Financial Dispute Resolution Scheme) arising between Standard Chartered Bank (Hong Kong) Limited and the customer out of the selling process or processing of the related transaction, Standard Chartered Bank (Hong Kong) Limited will enter into a Financial Dispute Resolution Scheme process with the customer; however, any dispute over the contractual terms of the product should be resolved directly between MSIG and the customer.