Certification Number |
F00024-01-000-01 |
F00030-01-000-01 |
F00030-01-001-01 |
F00030-02-000-01 |
F00030-02-001-01 |
Entitled ward class6 |
Ward |
Semi-private |
Semi-private |
Standard Private |
Standard Private |
(a)Room and board |
750 per day Maximum 180 days per Policy Year |
1800 per day Maximum 270 days per Policy Year |
1800 per day Maximum 270 days per Policy Year |
3800 per day Maximum 270 days per Policy Year |
3800 per day Maximum 270 days per Policy Year |
(b)Miscellaneous charges |
14,000 per Policy Year |
20,000 per Policy Year |
20,000 per Policy Year |
32,000 per Policy Year |
32,000 per Policy Year |
(c)Attending doctor’s visit fee |
750 per day Maximum 180 days per Policy Year |
2000 per day Maximum 270 days per Policy Year |
2000 per day Maximum 270 days per Policy Year |
4000 per day Maximum 270 days per Policy Year |
4000 per day Maximum 270 days per Policy Year |
(d)Specialist’s fee2 |
4,300 per Policy Year |
5,600 per Policy Year |
5,600 per Policy Year |
10,400 per Policy Year |
10,400 per Policy Year |
(e)Intensive care |
3,500 per day Maximum 25 days per Policy Year |
4,200 per day Maximum 40 days per Policy Year |
4,200 per day Maximum 40 days per Policy Year |
5,000 per day Maximum 40 days per Policy Year |
5,000 per day Maximum 40 days per Policy Year |
(f)Surgeon’s fee Per surgery, subject to surgical category for the surgery/procedure in the Schedule of Surgical Procedures: Complex Major Intermediate Minor |
50,000 25,000 12,500 5,000
|
65,000 32,500 16,250 6,500
|
65,000 32,500 16,250 6,500
|
90,000 45,000 22,500 9,000
|
90,000 45,000 22,500 9,000
|
(g)Anaesthetist's fee |
35% of Surgeon’s fee payable5 |
(h)Operating theatre charges |
35% of Surgeon’s fee payable5 |
(i)Prescribed Diagnostic Imaging Tests2,3 |
20,000 per Policy Year Subject to 30% Coinsurance |
(j)Prescribed Non-surgical Cancer Treatments4 |
80,000 per Policy Year |
100,000 per Policy Year |
100,000 per Policy Year |
200,000 per Policy Year |
200,000 per Policy Year |
(k)Pre- and post-Confinement/Day Case Procedure outpatient care 2 |
580 per visit, up to 3,000 per Policy Year One prior outpatient visit or Emergency consultation per Confinement/Day Case Procedure Three follow-up outpatient visits per Confinement/Day Case Procedure (within 90 days after discharge from Hospital or completion of Day Case Procedure) |
(l) Psychiatric treatments |
30,000 per Policy Year |
Other limits |
Annual Benefit Limit for benefit items (a) – (l) |
420,000 |
550,000 |
550,000 |
750,000 |
750,000 |
Lifetime Benefit Limit for benefit items (a) – (l) |
Nil |
Supplementary major medical benefit7 Eligible Expenses incurred in excess of the amounts payable under items (a) to (l) (including excess over per day limit, maximum number of days per Policy Year or per Policy Year limit) |
Maximum benefit per Policy Year (Attained age 0 – 79) |
80,000 |
Nil |
150,000 |
Nil |
300,000 |
Maximum benefit per Policy Year (Attained age 80 – 100) |
30,000 |
Nil |
50,000 |
Nil |
80,000 |
Coinsurance |
20% |
Nil |
20% |
Nil |
20% |
Enhanced benefits |
(a)Companion bed |
Nil |
450 per day Maximum 90 days per Policy Year |
450 per day Maximum 90 days per Policy Year |
650 per day Maximum 90 days per Policy Year |
650 per day Maximum 90 days per Policy Year |
(b)Emergency out-patient (accidental injury) |
Nil |
6,000 per Policy Year |
6,000 per Policy Year |
12,000 per Policy Year |
12,000 per Policy Year |
(c)Home nursing |
Nil |
800 per day Maximum 15 days per Policy Year Within 60 days after discharged from the Hospital maximum 1 time per day |
800 per day Maximum 15 days per Policy Year Within 60 days after discharged from the Hospital maximum 1 time per day |
1,600 per day Maximum 15 days per Policy Year Within 60 days after discharged from the Hospital maximum 1 time per day |
1,600 per day Maximum 15 days per Policy Year Within 60 days after discharged from the Hospital maximum 1 time per day |
(d)Organ donor benefit8 |
Nil |
800,000 per Policy Year |
800,000 per Policy Year |
900,000 per Policy Year |
900,000 per Policy Year |
(e)Outpatient kidney dialysis9 |
Nil |
50,000 per Policy Year Maximum 60 days per Policy Year |
50,000 per Policy Year Maximum 60 days per Policy Year |
75,000 per Policy Year Maximum 60 days per Policy Year |
75,000 per Policy Year Maximum 60 days per Policy Year |
(f)Rehabilitative care |
Nil |
30,000 per Policy Year |
30,000 per Policy Year |
50,000 per Policy Year |
50,000 per Policy Year |
Other benefit |
Compassionate death benefit |
10,000 |