Caring Family Medical


Product Highlights
Benefits
Premium Table (HK$)
Health Check-up Profiles
Major Exclusions
  

Product Highlights
24-hour comprehensive worldwide coverage
Free Annual Health Check-up profile
Free 24-hour Worldwide Emergency Assistance Benefits
A choice of 4 benefit levels to suit your needs
Free choice of physicians and hospitals
Option for Supplementary Major Medical Benefits
Option for Supplementary Outpatient Benefits

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Benefits
Basic Hospitalisation Benefits (click here for details)
The Basic Hospitalisation Benefits are compulsory benefits which give protection for actual medical expenses incurred during hospitalization due to illness and injury to age 100.

Worldwide Emergency Assistance Benefits (click here for details)
The Emergency Assistance Benefits are provided free of charge in association with the Basic Hospitalisation Benefits.

Supplementary Major Medical Benefits (click here for details)
Option for the Supplementary Major Medical Benefits which gives an extra protection for major illness and serious injury and covers 80% of eligible expenses in excess of the basic hospital cover.

Supplementary Outpatient Benefits (click here for details)
Option for the Supplementary Outpatient Benefits which gives protection for outpatient expenses and charges such as a consultation fee and cost of medicine, X-Ray and laboratory tests, prescribed medicines and drugs.

Basic Hospitalisation Benefits

 
Cover Limit per Disability (HK$)
 
HS600B
HS1200B
HS1700B
HS2600B
Benefit Level
Ward
Semi-Private
Private
Private
1.
Hospital Room and Board per day
(up to 180 days)
600 1,200 1,700 2,600
2.
Physician's Visit per day
(up to 180 days)
600 1,200 1,700 2,600
3.
Miscellaneous Hospital Services
15,000 17,000 20,000 25,000
4.
Surgeon's Fee (Subject to Surgical Schedule)
       
 
Complex Operation
72,000 87,000 102,000 126,000
 
Major Operation
24,000 29,000 34,000 42,000
 
Intermediate Operation
12,000 14,500 17,000 21,000
 
Minor Operation
4,800 5,800 6,800 8,400
5.
Anaesthetist's Fee
       
 
Complex Operation
21,600 26,100 30,600 37,800
 
Major Operation
7,200 8,700 10,200 12,600
 
Intermediate Operation
3,600 4,350 5,100 6,300
 
Minor Operation
1,440 1,740 2,040 2,520
6.
Operating Theatre Fee
       
 
Complex Operation
21,600 26,100 30,600 37,800
 
Major Operation
7,200 8,700 10,200 12,600
 
Intermediate Operation
3,600 4,350 5,100 6,300
 
Minor Operation
1,440 1,740 2,040 2,520
7.
Specialist's Fee
5,000 7,000 9,000 11,000
8.
Intensive Care Unit per day
(up to 15 days)
5,000 6,000 7,000 8,000
9.
Post Hospitalisation Treatment
(within 31 days after discharge from hospital)
1,000 1,500 2,000 3,000
10.
Accidental Dental Treatment
(within 31 days after the accident)
2,000 3,000 4,000 5,000
11.
Emergency Outpatient Treatment (Accident)
(outpatient treatment in hospital)
1,000 1,500 2,000 3,000
12.
Home Nursing per day
(up to 60 days)
200 300 400 500
13.
Companion's Bed for Child per day
(up to 60 days)
200 300 400 500
 
Overall Limit Per Disability
454,200 727,200 965,200 1,364,600
14.
Daily Cash Benefit (for confinement in general ward of Hospital Authority's hospital in Hong Kong) (up to 60 days)
200 300 400 500
15.
Accidental Death Benefit
20,000 30,000 40,000 50,000
Emergency Assistance Benefits
- Evacuation / Repatriation

US$1,000,000

24-hour Worldwide Emergency Assistance Services
In case emergency assistance is needed while travelling abroad for a period not exceeding 90 days, the Worldwide Emergency Assistance Services provide the following services:
24-hour telephone hotline service
Emergency medical evacuation and repatriation (up to US$1,000,000)
Guarantee of any required hospital admission deposit up to US$5,000
Compassionate visit for more than 7 days of overseas hospitalisation (includes the cost of a returned economy class airfare and hotel accommodation up to US$250 per day at a maximum of US$1,000)
Return of minor children to home country or usual country of residence
Hotel accommodation for convalescence (up to US$250 per day at a maximum of US$1,000)
Unexpected return in the event of the death of a close relative
Transportation of mortal remains (up to US$1,000,000)
Medical and legal referrals
Lost luggage assistance
Emergency travel service assistance
China Medical Assistance Services
In case of emergency requiring hospitalisation in Mainland China, by presenting the "China Medical Assistance Card", the insured member can be admitted to any one of the network hospitals without paying any admission deposit.
Supplementary Major Medical Benefits (Optional)
Supplementary Major Medical Benefits (SMM) provide additional benefits for items 1 to 8 under the Basic Hospitalisation Benefits (BHB). 80% of the excess amount of actual charges incurred over the amount of benefits payable under benefit items 1 to 8 of the BHB will be reimbursed.
Cover Limit per Disability (HK$)
MC1B MC2B MC3B MC4B
60,000 120,000 180,000 240,000
Benefit Level
Ward Semi-private Private Private
Note:
If the hospital confinement is at a higher accommodation level than the insured benefit level, the Reimbursement % shall be reduced as follow:

Ward to Semi-Private : 50%
Ward to Private : 25%
Semi-Private to Private : 50%
Supplementary Outpatient Benefits (Optional)
(100% Reimbursement)
 
COVER LIMIT (HK$)
 
OP190B
OP220B
OP270B
OP340B
Consultation and Medicine per visit per day
(Maximum 25 visits per year)
190 220 270 340
Physiotherapist's & Chiropractor's Treatment
per visit per day (Maximum 10 visits per year)
190 220 270 340
Specialist's Consultation per visit per day
(Maximum 10 visits per year)
290 330 410 510
Diagnostic X-Ray and Laboratory Tests per year
1,600 2,000 2,400 2,800
Prescribed Medicines and Drugs per year
(From any legitimate source outside clinic)
2,400 3,000 3,600 4,200


Note: Written referral by the attending physician is required for Physiotherapist's & Chiropractor's Treatment, Specialist's Consultation, Diagnostic X-Ray & Laboratory Tests, Prescribed Medicines & Drugs.

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Annual Premium Table (HK$)
Basic Hospitalisation Benefits
  HS600B HS1200B HS1700B HS2600B
Age Last Birthday
M F M F M F M F
0 - 4 1,715 1,715 2,564 2,564 3,389 3,389 4,609 4,609
5 - 17 1,372 1,372 2,051 2,051 2,711 2,711 3,687 3,687
18 - 24 1,425 1,490 2,130 2,240 2,814 2,967 3,835 4,168
25 - 34 1,501 1,709 2,251 2,583 2,978 3,431 4,062 4,831
35 - 44 1,886 2,289 2,856 3,497 3,797 4,669 5,201 6,601
45 - 54 3,010 3,376 4,602 5,189 6,146 6,948 8,696 9,850
55 - 59 4,541 4,736 6,990 7,308 9,368 9,804 13,289 13,922
60 - 64 5,607 5,607 8,670 8,670 11,642 11,642 16,544 16,544
*65-69 7,289 7,289 11,271 11,271 15,135 15,135 21,507 21,507
*70-74 9,532 9,532 14,739 14,739 19,791 19,791 28,125 28,125
*75-79 11,610 11,610 17,694 17,694 24,083 24,083 34,220 34,220
*80-84 13,578 13,578 20,515 20,515 29,021 29,021 41,236 41,236
*85-89 14,414 14,414 21,778 21,778 30,805 30,805 43,771 43,771
*90-94 15,153 15,153 22,891 22,891 32,380 32,380 46,006 46,006
*95-99 15,771 15,771 23,822 23,822 33,697 33,697 47,877 47,877


Supplementary Major Medical Benefits (Optional)
Renewal up to Age 75 only.
  MC1B MC2B MC3B MC4B
Age M F M F M F M F
0 - 4 515 515 769 769 1,017 1,017 1,383 1,383
5 - 17 412 412 615 615 813 813 1,106 1,106
18 - 24 428 447 639 672 844 890 1,151 1,250
25 - 34 450 513 675 775 893 1,029 1,219 1,449
35 - 44 566 687 857 1,049 1,139 1,401 1,560 1,980
45 - 54 903 1,013 1,381 1,557 1,844 2,084 2,609 2,955
55 - 59 1,362 1,421 2,097 2,192 2,810 2,941 3,987 4,177
60 - 64 1,682 1,682 2,601 2,601 3,493 3,493 4,963 4,963
*65-69 2,187 2,187 3,381 3,381 4,541 4,541 6,452 6,452
*70-74 2,860 2,860 4,422 4,422 5,937 5,937 8,438 8,438


Supplementary Outpatient Benefits (Optional)
Renewal up to Age 75 only
  OP190B OP220B OP270B OP340B
Age M F M F M F M F
0 - 4 5,525 5,525 6,433 6,433 7,835 7,835 9,728 9,728
5 - 17 3,376 3,376 3,930 3,930 4,788 4,788 5,945 5,945
18 - 24 2,652 3,094 3,088 3,603 3,761 4,388 4,670 5,448
25 - 34 2,707 3,177 3,152 3,698 3,839 4,506 4,766 5,594
35 - 44 2,763 3,315 3,216 3,860 3,917 4,701 4,864 5,837
45 - 54 3,315 3,979 3,860 4,631 4,701 5,641 5,837 7,005
55 - 59 3,755 4,310 4,371 5,017 5,325 6,112 6,610 7,588
60 - 64 4,219 4,641 4,912 5,403 5,983 6,581 7,429 8,172
*65 - 69 5,485 6,033 6,386 7,024 7,778 8,555 9,658 10,624
*70 - 74 7,172 7,890 8,350 9,185 10,171 11,188 12,629 13,892
* For renewal only

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Health Check-up Profile
Basic Check-up Profile
FREE Basic Check-up Profile
Profile Code Check-up Items
BP Anaemia & Blood Disease Screening
- Complete Blood Count (CBC)
- Platelet
Diabetic Screening
- Glucose
Lipids Pattern Screening
- Total Cholesterol
- Triglyceride
Medical Evaluation on Laboratory Reports

Optional Comprehensive Check-up Profile (HK$550)
Profile Code Check-up Items
CP Anaemia & Blood Disease Screening
- ESR
Blood Group and Rh Factor
- ABO group & Rh-D
Gout Screening
- Uric acid
Heart & Lung Disease Screening
- Chest X-Ray
- Electrocardiogram (ECG)
Cardiac & Stroke Risk Evaluation
- HDL cholesterol
- LDL cholesterol
Intestinal Disease Screening
- Stool, Routine Examination
Liver Function Tests
- SGOT
- SGPT
Renal Function Tests
- Urea
- Creatinine
- Urine, Routine Examination
Thyroid Function Test
- Thyroxine (T4)


Optional Gentleman Check-up Profile (HK$600)
Profile Code Check-up Items
GP Tumor Marker Tests
- EBV Antibodies
- Alpha Fetoprotein (Liver)
- Prostate Specific Antigen (PSA)


Optional Lady Check-up Profile (HK$600)
Profile Code Check-up Items
LP - Breast Examination
- Trichomonas and Monilia Culture
- Pelvis Examination
- Pap Smear


Optional Cancer Markers (HK$880)
Profile Code The level of individual cancer markers (Cancer antigens) in the blood may reflect the related cancer cells in the body. The blood test is to assist to detect the cancers in an early stage.
CM CEA (Colon/Rectum Cancer) SCC (Respiratory, lung and digestive tracts)
AFP (Liver Cancer) BetaHCG (Trophoblast)
CA125 (Ovary/Cervix Cancer) EBV (Naso-Pharyngeal Carcinoma)
CA19.9 (Pancreatic Cancer)  


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Major Exclusions
  • Pre-existing / Congenital Conditions, sexually transmitted diseases, AIDS, pregnancy / abortion, cosmetic treatments, dental treatments (except for arising from accident), routine physical examinations, mental disorders, alcoholism / drug abuse, professional / hazardous sports, self-inflicted injury, illegal activities, war, nuclear fallout.
  • All illnesses occurring in the first 30 days of cover.
  • The following illnesses occurring in the first 180 days of cover: Stones in the urinary or biliary systems, Hypertension or Cardio-Vascular Diseases, Cataracts, Nasal condition requiring surgery, Haemorrhoids, Gastric and Duodenal Ulcers, Endometriosis, Tonsils requiring surgery, Diabetes Mellitus, Hyperthyroidism, Tuberculosis, Tumor of skin or muscular tissue, bone tumors or malignancies of blood or bone marrow.
  • The following illnesses occurring in the first 12 months of cover: Circumcision, Hallux Valgus, Tumor of internal organs.
For enquiries, please call our medical insurance hotline at 2851 5533 or fax to 2850 3003.

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This summary gives only an outline of the terms and conditions of the insurance cover and any information given herein is subject to the precise terms and conditions in our Policy, a specimen copy of which will be furnished to you on request.