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  Home > Insurance & Retirement Benefits Services > Insurance Services > Insurance Products > Medical & Accident > Superior Medical Insurance
 
 
 

Superior Medical Insurance

Nothing is more precious than your health and that of your loved ones. However, given the rising costs of medical treatment, it's essential that your medical plan provides comprehensive coverage for any eventuality. Superior Medical Insurance can provide quality medical care you and your family need and deserve, 24 hours a day, anywhere in the world.

To give you greater peace of mind, we at BEA are pleased to offer "Individual Medical Insurance Plans 2012 Exclusive Privileges" and "No Hospital Bills To Pay" Service, please click here for details.


Benefits / Coverage   Premium   Major Exclusions   FAQ
Basic Hospital and Surgical Benefits
The plan covers 100% of reasonable and customary charges up to the following limits per disability:
  Maximum Limit Per Disability (HK$)
 Age1 of Insured 55 or below 56 or above
 Plan Level Plan 1 Plan 2 Plan 3 Plan 1 Plan 2 Plan 3
Entitled Level of Accommodation

Benefit Items
Private Semi-Private Ward Private Semi-Private Ward
  Room and Board
  Max 45 days, limit per day
2,900
1,700
830
2,030
1,190
580
  Miscellaneous Hospital Charges
  Such as the costs of X-rays, laboratory tests, surgical appliances, physiotherapy, medicine and drugs, and dressings
29,000
21,000
16,500
20,300
14,700
11,550
  Surgeon's Fees
  In accordance with the Surgical Schedule
  Including day case surgery2 in a hospital/clinical surgery at a doctor's clinic
  Includes Chinese medicine practitioner treatment follow up(Max 5 visits, 1 visit per day)
, limit per visit
160,000
 
 
 
180
125,000
 
 
 
150
100,000
 
 
 
120
112,000
 
 
 
130
87,500
 
 
 
110
70,000
 
 
 
90
 Anaesthetist's Fees
Up to 30% of the eligible Surgeon's Fees
 Operating Theatre Charges
Up to 30% of the eligible Surgeon's Fees
  Companion Bed for Insured Child
  Max. 45 days, limit per day
2,900
1,700
830
N/A
  Physician's Hospital Visits
  Max. 45 days, limit per day
2,900
1,700
830
2,030
1,190
580
  Specialist's Fees
  Upon written referral from a doctor
10,000
7,500
6,000
7,000
5,250
4,200
  Charges for Intensive Care
  Max. 15 days, limit per day
10,000
7,500
6,000
7,000
5,250
4,200
  Private Duty Registered Nurse
  Upon written referral from a doctor
  Max. 30 days, limit per day
750
500
300
530
350
210
  Emergency Outpatient Treatment
  For treatment provided by the outpatient department of a hospital or in a doctor's clinic within 24 hours after the occurrence of a covered accident/injury
4,000
3,500
3,000
2,800
2,500
2,100
 
Free Coverage for Newborn Children
If both parents are covered under a Superior Medical Insurance plan, newborn children will be covered under the Basic Hospital and Surgical Benefits from the age of 15 days until the next policy renewal date.
 
24-Hour Worldwide Protection and Emergency Aid
No matter where you are in the world, you can count on Superior Medical Insurance to provide 24-Hour worldwide protection. What's more, in the event of emergency, Worldwide Emergency Aid offers you a wide range of emergency services including:
 Services Maximum Limit (HK$)
 Medical Evacuation
Unlimited
 Repatriation after Treatment
Unlimited
 Hospital Deposit Guarantee
40,000
 Repatriation of Mortal Remains/Ashes
Unlimited
 Compassionate Visit
40,000
 Return of Unattended Dependent Children
40,000
 Referral Services
 
Healthcare Check-up Programme
Regular medical check-ups are the best way to ensure good health and to avoid the need for future medical treatment. You are entitled to the following free healthcare services each year, which will help you monitor the condition of your health:
 
Health Check-up Profile B13
Anaemia/bleeding tendency/diabetes/lipids pattern screening
 
Optional Benefits
Superior Medical Insurance offers you a series of optional benefits including:
 
Major Medical Benefits
For added protection, you may choose to increase your insurance coverage by selecting the optional Major Medical Benefits4. The benefits cover 100% (for the insured aged 56 or below) or 80% (for the insured aged 56 or above) of the reasonable and customary charges in excess of Basic Hospital and Surgical Benefits up to the maximum limits per disability, and further subject to the following limits:
 
  Maximum Limit Per Disability (HK$)
 Age1 of Insured 55 or below 56 or above
 Plan Level Plan 1 Plan 2 Plan 3 Plan 1 Plan 2 Plan 3
Entitled Level of Accommodation

Benefit Items
Private Semi-Private Ward Private Semi-Private Ward
  Room and Board
  In excess of 45 days, limit per day
2,900
1,700
830
2,030
1,190
580
  Miscellaneous Hospital Charges
Reasonable and customary charges
  Surgeon's Fees
  Includes Chinese medicine practitioner treatment follow up
Up to 50% of the eligible Surgeon's Fees payable under the Basic Hospital & Surgical Benefits
 Anaesthetist's Fees
Up to 30% of the eligible Surgeon's Fees
 Operating Theatre Charges
Up to 30% of the eligible Surgeon's Fees
  Companion Bed for Insured Child
  In excess of 45 days, limit per day
2,900
1,700
830
N/A
  Physician's Hospital Visits
  In excess of 45 days, limit per day
2,900
1,700
830
2,030
1,190
580
  Specialist's Fees
Reasonable and customary charges
  Charges for Intensive Care
Reasonable and customary charges
  Overall Maximum Limit
600,000
450,000
250,000
420,000
315,000
175,000
 
If you have used a level of hospital facilities and services higher than your entitled level, the following scale of reimbursement will apply:
 
Entitled Level of Accommodation Actual Level of Accommodation Reimbursement of All Eligible Claims (Claimable Percentage from Optional Major Medical Benefits)
Ward
Semi-Private
50%
Ward
Private
25%
Ward
Deluxe
12.5%
Semi-Private
Private
50%
Semi-Private
Deluxe
25%
Private
Deluxe
50%
 
 
Outpatient Benefits
The benefits cover 80% or 100% of the eligible outpatient medical expenses for disabilities of the insured up to the following limits:
 
 Benefit Items Maximum Limit (HK$)
Plan 1
OP340
Plan 2
OP250
Plan 3
OP190
General Practitioner's Consultation
25 visits per year, 1 visit per day
  Limit per visit:
 
Chinese Medicine Practitioner Treatment
(including bonesetting and acupuncture)
10 visits per year, 1 visit per day
  Limit per visit:
 
Max. 25 visits per year for the above treatments
 
340
 
180
 
250
 
150
 
190
 
120
Specialist's Consultation
Upon written referral from a doctor
10 visits per year, 1 visit per day
  Limit per visit:
 
510
 
380
 
290
Prescribed Medicine and Drugs
Procured from a registered pharmacy outside hospitals or clinics, prescription is required
  Limit per year:
 
7,800
 
5,800
 
4,300
Diagnostic X-rays and Laboratory Tests
Upon written referral from a doctor
  Limit per year:
 
2,500
 
1,900
 
1,500
Physiotherapy and Chiropractor Services
Upon written referral from a doctor
10 visits per year, 1 visit per day
  Limit per visit:
 
340
 
250
 
190
 
Personal Accident Benefits
In the event of accidental death or disablement, you are covered up to the specified percentage of the sum insured according to the following schedule of benefits5:
 
 Benefit Items Percentage of Sum Insured
1. Accidental death
100%
2. Permanent total disablement
100%
3. Loss of one or more limbs
100%
4. Permanent and total loss of use of one or more limbs
100%
5. Permanent and total loss of sight of one or both eyes
100%
6. Permanent and total loss of speech and hearing
100%
7. Permanent and total loss of hearing in both ears
75%
8. Permanent and total loss of hearing in one ear
15%
9. Permanent and total loss of speech
50%
10. Permanent loss of the lens of one eye
50%
11. Loss of thumb and four fingers of one hand
50%
12. Loss of four fingers of one hand
40%
13. Loss of one whole thumb
25%
14. Loss of whole index finger
10%
15. Loss of whole middle finger
6%
16. Loss of whole fourth finger
5%
17. Loss of whole little finger
4%
18. Loss of all toes on one foot
15%
"No Hospital Bills to Pay" Service6
No pre-payment for admission, no claims upon discharge.
 
Notes:
1 "Age" refers to the nearest birthday. If your next birthday falls within the coming 6 months from the application date, the premium rate will be based on your next age attained. Otherwise, it will be based on your current age. The policy effective date will be used to determine the age attained if it is different from the application date.
2 "Day Case Surgery" means any surgery performed in a hospital setting that does not require in-patient admission, for example endoscopic procedures, extracorporeal shock wave lithotripsy, excisional biopsies, cataract operations, and laser operations. "Clinical Surgery" refers to surgical procedures that can be done at the attending doctor's clinic.
3 These benefit can only be redeemed at Blue Cross-designated clinics or centres upon the commencement of a new policy or the renewal of an existing policy.
4 Optional Major Medical Benefits Plans 1, 2, and 3 can only be linked to the respective plan levels of the Basic Hospital and Surgical Benefits.
5 The total amount payable with in respect of any one accident or injury or during any one period of insurance shall not exceed the sum insured.
6 Only applicable to admission to private hospitals in Hong Kong. Upon the return of a completed Hospitalisation Pre-registration Form, 4 working days are required for registration and authorisation process prior to admission. The liability of Blue Cross (Asia-Pacific) Insurance Limited under the policy is limited to indemnify the customers for the eligible medical expenses payable in accordance with the Superior Medical Insurance. Blue Cross (Asia-Pacific) Insurance Limited shall recover from the customers the medical expenses settled by them on the insured person’s behalf which fall outside coverage of the policy (if any).
7 Monthly premium rates are rounded up for illustration purposes. The above figures may be slightly different from that of the policy documents. Blue Cross (Asia-Pacific) Insurance Limited reserves the right to adjust the premium rate and the subsequent renewal premium.
8 For renewal only.
9 Free Personal Accident coverage is available to insured children aged 6 or below provided that at least one parent has opted for Optional Personal Accident Benefits insurance coverage.
10 Pregnant women are advised to consult their medical doctors prior to receiving check-ups.



The above information is for reference only. Please refer to the policy for the exact terms and conditions and the full list of policy exclusions. For more information or a copy of the policy terms and conditions, please contact our Marketing Officer.

Should there be any discrepancy between the English and the Chinese versions of above information, the English version shall apply and prevail.


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The Bank of East Asia, Limited is an insurance agent authorised by BEA Life Limited ("BEA Life") and Blue Cross (Asia-Pacific) Insurance Limited ("Blue Cross"), members of the BEA Group. BEA Life Insurance Series and General Insurance Series are underwritten by BEA Life and Blue Cross respectively.
 
This is a redirect webpage hosted by Blue Cross (Asia-Pacific) Insurance Limited.