Medical Insurance Comparison(Mass Market)

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Mass Market Medical Insurance Frequently Asked Questions

What is the difference between medical insurance and critical illness insurance?

While both is often categorised under “health insurance”, they are very different in nature.

Medical insurance is also known as hospitalisation insurance. The main purpose is to cover the medical expenses if the insured is hospitalised, with some products also covering specific outpatient treatments. Claims are on an expense reimbursement basis, on the condition that the expense is “Medical Necessary”.

Critical illness insurance covers the insured against specified diseases. A lump sum benefit is paid if the insured is diagnosed with a specified disease that matches the definition in the policy provisions. In general, insurance companies do not limit the usage of the benefit payment.

How dose traditional medical insurance work? What is a “Full Coverage” product?

Traditional medical insurance defines coverage limits item by item, e.g. room and board, surgeon fee, miscellaneous fee, etc… If the medical expense on particular item exceeds the limit, one may recover the excess from Supplementary Major Medical (if available, and after any co-payment), and any further excess needs to be paid out-of-pocket by the insured.

“Full Coverage” medical insurance generally does not limit the coverage amount in a single item. The medical expense can be covered as long as it does not exceed the per policy year, per disability or lifetime limit. However, the relevant medical expense needs to be “Medical Necessary” and “Reasonable and Customary”.

What is deductible?

The deductible is what the amount the insured needs to pay out-of-pocket first, while the insurance company covers the medical expense in excess of the deductible. For example, for a policy with a $10,000 deductible, if the eligible medical expense $50,000 the insurance company would only pay $40,000.

Remarks:

Any premium displayed excludes insurance levy collected by the Hong Kong Insurance Authority.
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10.0/10	100.0%		7	$15,419	$16,888
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$11,485	$12,922
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$11,783$10,605^#	$14,137
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$13,918	$15,010
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$13,244	$15,890
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

Disclaimer:

Choose the right insurance

Medical Insurance

Medical Insurance

Further Readings

Mass Market Medical Insurance Frequently Asked Questions

10.0/10	100.0%		6	$15,568	$17,972
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$18,624	$20,954
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$23,308	$26,906
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		6	$45,391	$52,395
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

10.0/10	100.0%		4	$15,448	$16,592
Medical Coverage Score Medical Coverage Score is the estimated average coverage ratio of selected hospitalisation cases with different severity levels and required medical services. Details	Average Coverage Based on the estimated coverage of 12 common cases, 10Life calculated the weighted average based on the estimated medical expense incurred in each case, which is the estimated average coverage of a medical insurance product. Details	Medical Inflation Protection Medical Inflation Protection means No itemised sublimit High annual limit No life time limit or guaranteed that benefits would not be reduced at renewal (i.e. all VHIS products) . Details	Number of Additional Features Based on the coverage of 8 selected additional features. Details	First Year Premium Age 35 male	Avg. Premium Average premium for male age 35 to 44

Disclaimer:

Choose the right insurance

Medical Insurance

Medical Insurance

Further Readings

Children Medical Insurance for Age 6 to 11

Children Medical Insurance for Age 3 to 5 (Chinese Article)

Low cost VHIS - medical coverage options at below HK$6000 a year (Updated Mar 2022) (Chinese Article)

Evaluating the Level of Insurance Literacy in Hong Kong

Children Medical Insurance for Age 6 to 11

Children Medical Insurance for Age 3 to 5 (Chinese Article)

Low cost VHIS - medical coverage options at below HK$6000 a year (Updated Mar 2022) (Chinese Article)

Evaluating the Level of Insurance Literacy in Hong Kong

Mass Market Medical Insurance Frequently Asked Questions