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|
 |
Hospital Plan
|
|
|
Coverage Table |
Maximum Benefit Payable (HK$) |
|
|
Hospital Benefit
|
|
|
|
Daily Room & Board Charges
Maximum 60 days per disability |
|
|
|
Intensive Care Unit
Maximum 10 days per disability |
|
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|
Physician's Fee
Maximum 60 days per disability |
|
|
|
Hospital Expenses |
|
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|
Surgeon's Fee
| • |
Complex |
| • |
Major |
| • |
Intermediate |
| • |
Minor |
|
| 24,750 |
34,500 |
64,500 |
| 16,500 |
23,000 |
43,000 |
| 8,250 |
11,500 |
21,500 |
| 3,300 |
4,600 |
8,600 |
|
|
|
Anaesthetist's Fee
| • |
Complex |
| • |
Major |
| • |
Intermediate |
| • |
Minor |
|
| 7,425 |
10,350 |
19,350 |
| 4,950 |
6,900 |
12,900 |
| 2,475 |
3,450 |
6,450 |
| 990 |
1,380 |
2,580 |
|
|
|
Operating Theatre Fee
| • |
Complex |
| • |
Major |
| • |
Intermediate |
| • |
Minor |
|
| 7,425 |
10,350 |
19,350 |
| 4,950 |
6,900 |
12,900 |
| 2,475 |
3,450 |
6,450 |
| 990 |
1,380 |
2,580 |
|
|
|
Specialist's Fee |
|
|
|
Additional Benefit for Accident |
|
|
|
Worldwide Assistance Service* |
|
| • |
Overseas Emergency Medical Assistance Service including unlimited cover of evacuation and repatriation. |
| • |
Travel Information and Assistance Service. |
| • |
Medpass Service - Hospital deposit guarantee under Medpass hospital network in China. |
|
|
* Services are arranged and provided directly by Inter Partner Assistance Hong Kong Limited. |
|
Hospital and Outpatient Plan |
|
|
Coverage Table |
Maximum Benefit Payable (HK$) |
|
|
Hospital Benefit
|
|
|
|
Daily Room & Board Charges
Maximum 60 days per disability |
|
|
|
|
Intensive Care Unit
Maximum 10 days per disability |
|
|
|
|
Physician's Fee
Maximum 60 days per disability |
|
|
|
|
Hospital Expenses |
|
|
|
|
Surgeon's Fee
|
• |
Complex |
|
• |
Major |
|
• |
Intermediate |
|
• |
Minor |
|
|
24,750 |
34,500 |
64,500 |
|
16,500 |
23,000 |
43,000 |
|
8,250 |
11,500 |
21,500 |
|
3,300 |
4,600 |
8,600 |
|
|
|
|
Anesthetist's Fee
|
• |
Complex |
|
• |
Major |
|
• |
Intermediate |
|
• |
Minor |
|
|
7,425 |
10,350 |
19,350 |
|
4,950 |
6,900 |
12,900 |
|
2,475 |
3,450 |
6,450 |
|
990 |
1,380 |
2,580 |
|
|
|
|
Operating Theatre Fee
|
• |
Complex |
|
• |
Major |
|
• |
Intermediate |
|
• |
Minor |
|
|
7,425 |
10,350 |
19,350 |
|
4,950 |
6,900 |
12,900 |
|
2,475 |
3,450 |
6,450 |
|
990 |
1,380 |
2,580 |
|
|
|
|
Specialist's Fee |
|
|
|
|
Additional Benefit for Accident |
|
|
|
|
Worldwide Assistance Service* |
|
| • |
Overseas Emergency Medical Assistance Service including unlimited cover of evacuation and repatriation. |
| • |
Travel Information and Assistance Service. |
| • |
Medpass Service - Hospital deposit guarantee under Medpass hospital network in China. |
|
|
* Services are arranged and provided directly by Inter Partner Assistance Hong Kong Limited. |
|
|
Outpatient Benefit |
|
|
Doctor's Consultation# - designated panel
doctors only |
|
|
Maximum total no. visits per policy year |
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Specialist's Consultation# (subject to referral)
- designated panel doctors only |
HK$ 60 copayment/visit |
|
Maximum total no. visits per policy year |
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|
|
X-ray and Lab test per year (subject to
referral) |
|
#
|
3 days of medications and
injections prescribed in clinic |
|
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Dental Benefit
|
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|
Dental Service - Routine Oral Examination
(including scale & polish & prophylasis) |
|
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Maximum total no. visits per policy year |
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