 |
Maximum Limit
(Per Insured Person in HK$) |
| Private Room |
Semi-
Private Room |
Ward Bed |
| I. Basic Hospital & Surgical Plan (See Note a) |
| 1. Room and Board (maximum of 182 days each year, each day up to) |
2,700 |
1,200 |
580 |
| 2. Miscellaneous Hospital Services (each year up to) |
31,000 |
18,900 |
12,250 |
3. Intensive Care* (each year up to)
*See Note a |
23,500 |
20,000 |
18,500 |
| 4. Special Nursing Services |
Both at home and in hospital by a Qualified Nurse and recommended by the attending Physician (maximum of 91 days each year, each day up to) |
700 |
400 |
230 |
| 5. Surgeon's fee (including in-patient surgeon visits for surgical cases) (For each operation up to) |
| |
Complex Major Operation |
61,000 |
38,500 |
28,000 |
| Major Operation |
44,000 |
30,000 |
23,000 |
| Intermediate Operation |
19,000 |
12,600 |
9,300 |
| Minor Operation |
6,500 |
5,300 |
4,400 |
| 6. Anaesthetist's Fee (For each operation up to) |
| |
Complex Major Operation |
19,000 |
11,000 |
8,500 |
| Major Operation |
11,800 |
8,000 |
6,300 |
| Intermediate Operation |
5,500 |
3,600 |
2,700 |
| Minor Operation |
2,850 |
1,850 |
1,650 |
| 7. Operating Theatre Fee (For each operation up to) |
| |
Complex Major Operation |
20,500 |
11,850 |
9,180 |
| Major Operation |
12,750 |
8,160 |
6,800 |
| Intermediate Operation |
5,950 |
3,880 |
2,950 |
| Minor Operation |
3,050 |
1,960 |
1,750 |
| 8. In-Patient Physician's Fee (for non-surgical cases only) (maximum of 182 days each year, each day up to) |
2,000 |
870 |
500 |
| 9. In-Patient Specialist's Fee for treatment including consultation, pathology, radiology, physiotherapy and chiropractic (each year up to) |
8,800 |
3,000 |
1,800 |
| 10. Pre-admission and Follow-up Out-patient Care (each year up to) |
Include two related pre-admission outpatient consultation and all related follow-up outpatient consultation including that of physiotherapy and chiropractic referred by attending Physicians within 6 weeks after discharge from hospital |
4,000 |
2,250 |
1,500 |
| 11. Post Hospitalization Chinese Medication Care (For hospitalization arising out of Cancer only) |
Cover the related consultation and medication fee of Chinese Medicine Practitioner within 6 weeks immediately after discharge from hospital
(maximum of 15 consultations each year, each consultation up to) |
200 |
12. Parent Accommodation
(stay with the Insured Person aged 17 and below)
(maximum of 50 days each year, each day up to) |
300 |
200 |
100 |
13. Emergency Transportation Subsidy
(each hospital confinement up to)
Cover the taxi fare for immediate hospitalization arising out of accident |
400 |
300 |
200 |
Annual Overall Limit:
Applicable to Insured person(s) aged 65 or over at commencement of Period of Insurance subject to annual hospital benefits per year up to: |
630,000 |
283,000 |
136,000 |
| II. Optional Medical Plus Plan (See Note b) |
| 80% of the eligible expenses in excess of the maximum benefits payable under Section I, (1-3, 5-9) of the Basic Hospital and Surgical Plan (each year up to) |
550,000 |
280,000 |
110,000 |
| III. Optional Hospital Cash Plan (See Note c) |
| Payable from the 3rd day of the hospital confinement (maximum of 182 days each year, each day eligible for) |
500 |
400 |
300 |
| IV. Free Worldwide Emergency Assistance Services Benefits include: |
- Access to 24-hour emergency telephone service
- Medical evacuation (Unlimited Cover)
- Repatriation to Hong Kong (Unlimited Cover)
- Repatriation of mortal remains/ashes (Unlimited Cover)
- Travel information, medical information, legal referral, interpreter referral, etc.
- Hospital deposit guarantee up to HK$39,000
- A free extra benefit of HK$120,000 in addition to the Basic Hospital & Surgical Plan in case of immediate hospitalization right after emergency evacuation
|
Note a : Basic Hospital and Surgical Plan
1. As a Supplement to the normal benefit under Section I (1), Prudential will pay an additional benefit to the amount shown for hospital charges necessitated by an intensive care phase of critical illness.
2. Under the benefit of Section I (10), the pre-admission outpatient consultations cover visit to the attending doctor or the family doctor as stated in the application form by the applicant.
Note b : Optional Medical Plus Plan
1. The benefits of this Section will be pro-rated if the room & board is upgraded.
2. Except for overseas emergency treatment certified by a Physician, Optional Medical Plus Plan is applicable to in-patient hospitalization in Hong Kong only.
Note c : Optional Hospital Cash Plan
1. The Optional Hospital Cash Plan should be at the same level of cover as that of the Basic Hospital and Surgical Plan.
2. Days of hospital confinement are calculated based on the number of days room & board charge is incurred.
3. Except for overseas emergency treatment certified by a Physician, Optional Hospital Cash Plan is applicable to in-patient hospitalization in Hong Kong only.
|
|