PMH055BE TheOne Medical Eng (201404) · 2014. 7. 10. · comprehensive medical coverage that gives...

Underwritten by

TheOne

Appointed Insurance Agency

(PMH055BE1407)

TheOne Medical Solution

Health is the most precious treasure in life which deserves the greatest

defence. Your current peaceful, enjoyable life can be disturbed by unexpected

illnesses. Despite the ever-increasing medical costs, we all want to ensure we can

enjoy high quality medical services at different life stages without impact to

our quality of life. TheOne Medical Solution (the "Plan") offers you

comprehensive medical coverage that gives you a peace of mind.

Comprehensive protection throughout lifeTo ensure you have an all-round protection during your life’s journey, the Plan provides a Lifetime Limit of up to HK$100 million1, including a range of hospitalization and surgical benefits, as well as providing First-dollar Coverage – Deductible Waived for Designated Critical Illness2. What’s more, it provides reimbursement for your regular health screen3. Hospitalization and surgical benefits include daily hospital accommodation in a Standard Private Room4, surgery fees, physician’s visit and specialist’s fees, etc.

9 different plan options to fit your specific needsThe Plan provides 3 different types of plans that cover 3 different geographic areas. Furthermore, 3 Annual Deductible5 options (HK$0, HK$40,000 and HK$80,000) could be chosen to tailor your most ideal life protection.

For example, Premier Plan with HK$0 deductible could provide a worldwide full medical coverage to you. If you have employer-sponsored medical coverage and are looking for additional medical coverage in Asia, our Standard Plan with Annual Deductible5 of HK$40,000 or HK$80,000 may satisfy your needs.

First-dollar Coverage – Deductible Waived for Designated Critical Illness Benefit2

Heavy stress and unhealthy habits raise the risk of suffering from critical illnesses. In Hong Kong, 1 out of every 4 men or 5 women is diagnosed with cancer before the age of 756. Critical illnesses may cause an unexpected financial burden on you and your family. The Plan is focused around your concerns and needs, offering First-dollar Coverage – Deductible Waived for Designated Critical Illness2 to ease your and your family’s financial stress due to related medical expenses (The amount of benefit is subject to applicable Annual Limit, Lifetime Limit and limits for specific benefit items). The Plan provides protection for your family as well as your health.

Tailored extra benefitsIn the event that the insured needs specific treatments and organ transplantation to receive better medical services, on top of its original Annual Limit, the Plan provides additional Annual Limit of up to HK$2 million to cover medical expenses of organ and bone marrow transplantation, chemotherapy and radiotherapy, and kidney dialysis7.

Guaranteed lifetime renewal privilege for peace of mind8

The guaranteed lifetime renewal privilege of the Plan takes away your concern over policy discontinuity due to old age and changes in health conditions. Regardless of any significant changes in your health, financial condition or claim history, FWD guarantees that your policy will be renewable until the age of 100 (Age Next Birthday)8, subject to the continual availability of the Plan, terms and conditions applicable, the benefits and the prevailing premium rates of the Plan at the time of renewal. Benefits and premium are not guaranteed and subject to change by FWD.

Flexible protection aligned to your future needsYour needs vary as you go through different life stages. The Plan enables you to switch to a lower Annual Deductible5 option once (per lifetime) when you turn 50, 55, 60 or 65 (Age Next Birthday) without the need to provide proof of insurability9, meeting any changing needs in the future for protection.

Worldwide support serviceIf you meet an accident or suffer an illness whilst abroad, your needs will be well taken care of with our Worldwide Emergency Assistance. All you need to do is call our 24-hour emergency assistance hotline to enjoy round-the-clock worldwide support and assistance provided by International SOS10 24-hour Worldwide Assistance Services that includes phone medical advice, emergency medical evacuation and repatriation of mortal remains, etc.

Major Exclusions

Despite anything stated in this Policy and/or supplementary benefits (if any), FWD shall not be liable to pay any benefits under this Policy if:

1. the Insured’s illness or injury is a Pre-existing Condition or results from the complications of a Pre-existing Condition; 2. in case of medical treatment in Mainland China, the subject Hospital is not a designated Hospital approved by FWD;3. the Insured’s sickness, disease or illness occurs during the first 30 days from the Policy Date or the date of reinstatement of the Policy;4. the Confinement, treatment or charges incurred relate to or arise as a direct or indirect result of: (1) the Insured’s pregnancy, surrogacy, childbirth or termination of pregnancy (except for the Pregnancy Complications Treatment), birth control, infertility or human

assisted reproduction, or sterilisation of either sexes; (2) war, hostilities (whether war is declared or not), rebellion, insurrection, riot, strike, civil commotion, terrorist act, nuclear contamination, biological

contamination or chemical contamination; (3) naval, military or air-force services, or any operation or combat duty with any armed force of any country, territory, or organization; (4) the Insured’s participation in any criminal offence or illegal acts; (5) attempted suicide or self-inflicted injuries while sane or insane, or any condition caused by chronic alcoholism or drug addiction; (6) cosmetic or plastic surgery, dental treatment or surgery of any kind, oral or oro-surgical care, eye refraction, eye tests or fitting of glasses, or surgical

correction of nearsightedness (such as but not limited to radial keratomoty and keratectomy), unless such a treatment is explicitly covered by this Policy; (7) procurement or use of medical appliances and medical devices for the benefit of the Insured including but not limited to spectacles, contact lenses, hearing

aids or wheelchairs (unless such medical appliances and medical devices are explicitly covered by this Policy); (8) preventive treatments, preventive medicines, convalescence, physical examinations, or health checks (with or without any positive finding) on the Insured;

vaccination and immunisation received by the Insured; genetic testing or counselling on the Insured; or any treatment which is not deemed Medically Necessary by FWD;

(9) treatment or tests carried out in relation to the Insured’s illness or injury are not consistent with customary medical treatment or diagnosis in Hong Kong; (10) narcotics used by the Insured unless taken as prescribed by a Physician, or the Insured’s abuse of drugs or alcohol; (11) health supplements and all specialized Chinese herbs and / or tonic medicine including bird’s nest, lingzhi, gingseng, agaricus blazei murill, antelope horn

powder, antler, cordyceps sinensis, donkey-hide gelatin, hippocampus, moschus, pearl powder, placenta hominis and any other Chinese herbs and / or tonic medicine determined by FWD in its absolute discretion from time to time;

(12) scuba diving or engaging in or taking part in any kind of race other than on foot, mountaineering involving the use of ropes or guides by the Insured or other professional or hazardous sports or pastimes including but not limited to skydiving, parachuting, hang-gliding, parasailing, hunting, aviation or aeronautics (other than as fare paying passenger on a duly licensed commercial aircraft), ice or water ski-jumping, show jumping;

(13) AIDS or any complications associated with HIV Infection except for the HIV / AIDS Treatment Benefit; (14) transplant service for which the cost incurred in connection with identifying service and procuring a replacement organ or any costs incurred for removal

of the organ from the donor, all associated transportation costs and administrative costs; (15) donation of organ; (16) mental disorder, psychological or psychiatric conditions, behavioural problems or personality disorder of the Insured unless such occurrence is covered by

the Psychiatric Treatment Benefit; (17) birth defects, genetic disorders, Congenital Conditions, or inherited disorders or developmental conditions (only applicable if the disorder gives rise to signs

or symptoms or was diagnosed before the Insured attains 16th years of age ) of the Insured; (18) any Confinement primarily for physiotherapy or for the investigation of signs and / or symptoms with diagnostic imaging, laboratory investigation or other

diagnostic procedures as determined by FWD; (19) rest cures and services or treatment received in any home, spa, health hydro, nature cure clinic, sanatorium or long term care facility that is not a registered

acute treatment hospital; (20) any treatment, investigation, services or supplies which are not Medically Necessary; any charges which exceed the Reasonable and Customary Charges as

determined by FWD; (21) non-medical services, including but not limited to guest meals, radio, telephone, television, photocopy, telex, personal items, and medical report charges; (22) experimental and / or unconventional medical technology / procedure / therapy performed on the Insured; novel drugs / medicines / stem cell therapy not

yet approved by the government, relevant authorities and recognised medical association in the locality, or treatment and procedures carried out by a facility not recognized as an acute treatment hospital, or services performed by a relative of the insured or a person who ordinarily resides in the insured’s home;

(23) sleep disorders (except for the treatment of sleep apnoea which is life-threatening as confirmed by a Specialist and approved by FWD in advance), treatment for learning difficulties in children, such as dyslexia or behavioural problems, attention deficit hyperactivity disorder, or development problems such as shortness of stature;

(24) treatment of obesity (including morbid obesity), weight control programmes or bariatric surgery (except when bariatric surgery is necessary as confirmed by a Specialist after failure of conventional treatments and approved by FWD in advance);

(25) treatment of sexually transmitted diseases; venereal diseases, sexual problems, such as impotence, whatever the cause, gender issues or gender re-assignment except for the HIV/AIDS Treatment Benefit;

(26) treatment whilst staying in Hospital for more than 90 consecutive days if the Insured is in a persistent vegetative state characterized by wakefulness without awareness for more than 4 weeks;

(27) expenses that are recoverable from any other source; (28) any activity or disease which falls under the exclusion(s) as shown on the endorsement(s) (if any) of this Policy.

Please refer to the Policy Provision for the exclusions of Accidental Death Benefit and services provided by International SOS.

Schedule of Benefit

Plan Level

Area of Cover

Annual Limit

Lifetime Limit1

Annual Deductible5 options (Only available for item 1 – 5 of this Schedule of Benefit)

Standard Plan

Asia11

HK$8,000,000 /US$1,000,000

HK$40,000,000 /US$5,000,000

Premier Plan

Worldwide13

HK$16,000,000 /US$2,000,000

HK$100,000,000 /US$12,500,000

HK$0 / 40,000 / 80,000US$0 / 5,000 / 10,000

Surgery Fee (including Surgeon Fee, Operation Theatre Fee, Anaesthetist’s Fee and Outpatient Surgery Fee)

Organ and Bone Marrow Transplantation

Medical Appliances

Full Cover (up to a max. of 60 days per policy year)



(maximum 180 days per lifetime)

Full Cover (up to 30 days per policy year and 180 days per lifetime)

Room and Board (Standard Private Room4)

Companion Bed

Full Cover

Full Cover

Not Applicable

Private Nursing Care’s Fee14

Maximum Benefit LimitBenefit Schedule

1. Hospitalization Benefits

2. Surgical Benefits

Psychiatric Treatment

HK$1,500 /US$187.5 (up to a max. of 30 days per policy year)

HK$1,500 /US$187.5 (up to a max. of 30 days per policy year)

Full Cover

Full Cover

Specified Items17 : Full Cover

Other Items: HK$96,000 / US$12,000 per item per life

Specialist’s Fee

Physician’s Hospital Visit

Charges for Intensive Care

Miscellaneous Hospital Charges15

Daily Hospital Cash16 (for Confinement in general ward of public hospital in Hong Kong)

Daily Hospital Cash for Voluntary Room and Board Stay Below Private Room16 (Stay in private hospital in Hong Kong)

Full Cover

Full Cover

Full Cover

Full Cover

TheOne Medical SolutionIssue Age (Age Next Birthday) 1 (15 days) – 70

Policy Term Guaranteed yearly renewable8 to age 100

Premium Payment Period To age 100

Premium Payment Mode Annually / Semi-annually / Monthly

Currency USD / HKD

3. Pre- and Post-Hospitalization Benefits

Superior Plan

Worldwide ex USA12

HK$12,000,000 /US$1,500,000

HK$60,000,000 /US$7,500,000

Pre-Hospitalization Outpatient18

Post-Hospitalization Outpatient

Post-Hospitalization Home Nursing14

Full Cover (within 31 days before hospitalization and maximum 1 visit per day)

Full Cover (within 60 days immediately after discharge from hospitalization and maximum 1 visit per day)

Full Cover (up to a maximum of 31 days per policy year within 31 days after discharge from hospitalization)

First-dollar Coverage – Deductible waived for Designated Critical Illness2 (Only applicable to Annual Deductible policies)

Death Benefit

Accidental Death Benefit

24-Hour Worldwide Assistance Services10

Second Medical Opinion10

Service Program

Service Program

Emergency Dental Treatment15

Guaranteed Convertibility to Reduce Annual Deductibles5 at Specified Ages

Full Cover

Full Cover

HK$1,000,000 /US$125,000

HK$1,500,000 /US$187,500

HK$2,000,000 /US$250,000

HIV / AIDS Treatment19

Pregnancy Complications20

HK$800,000 / US$100,000 (per lifetime)

HK$80,000 /US$10,000

HK$80,000 /US$10,000

HK$350 / US$43.75 per visit (within 60 days after discharge from hospitalization. Maximum 1 visit per day and up to 10 visits per policy year)

Full Cover

Full Cover (Due to Accident)

Not ApplicableTraditional Chinese Medicine

Once and up to HK$4,000 /US$500 for every 2 policy years(For policies with Annual Deductible5, once and up to HK$2,000 / US$250 per 2 policy years)

Privilege to reduce Annual Deductible5 within 31 days before or after the Policy Anniversary at age 50 / 55 / 60 / 65 (Age Next Birthday) without providing proof of insurability. The premium would be based on factors, including but not limited to new Annual Deductible5, Plan Level and age of the Insured and the premium table applicable at that time. This right can only be exercised once by lifetime.

Not ApplicableHealth Screen21

Once and up to HK$6,000 /US$750 for every 2 policy years(For policies with Annual Deductible5, once and up to HK$3,000 / US$375 per 2 policy years)

Chemotherapy and Radiotherapy

Kidney Dialysis

Additional Annual Limit for Organ and Bone Marrow Transplantation, Chemotherapy and Radiotherapy and Kidney Dialysis7

Reasonable and Customary charges for the above benefits will be paid by FWD. Reasonable and Customary shall mean: (i) in relation to a fee, a charge or an expense, shall mean any fee or expense which (a) is actually charged for treatment, supplies or medical services that are Medically Necessary and in

accordance with standards of good medical practice for the care of an ill or injured person under the care, supervision or order of a Physician; (b) does not exceed the usual or reasonable average level of charges for similar treatment, supplies or medical services in the location where the expense is incurred; (c) does not include charges that would not have been made if no insurance existed; and (d) does not exceed the actual fee, charge or expense incurred. FWD reserves the right to determine whether any particular charge is Reasonable and Customary with reference but not limited to, any relevant publication or information made available, such as schedule of fees, by the government, relevant authorities and recognized medical association at the location where the Eligible Expense is incurred. FWD reserves the right to adjust any and all benefits payable under this Policy which in our opinion is not Reasonable and Customary;

(ii) in relation to a Confinement shall mean the admission and length of a Confinement, and medical services and treatment received during which, are in accordance with generally accepted professional standards of medical practice, and do not exceed the usual standard for the treatment of similar illness or injury at the location where such Confinement is made.

FWD reserves the right to revise the benefits payable, terms and conditions and the premium at any time.

A 30-day waiting period is applicable for the above benefits, except the specific waiting periods stated above, Life Protection and the treatment due to accident.

The above information is for reference only and is indicative of the key features of the basic plan and the riders. For a complete explanation of the terms and conditions, please refer to the relevant Policy Provisions. In the event of any ambiguity or inconsistency between the terms of this leaflet and the Policy Provisions, the Policy Provisions in English shall prevail. In the event of any discrepancy between the English and Chinese version of this leaflet, the English version shall prevail.

4. Extended Benefits

5. Emergency Dental Treatment Benefit

6. Health Screening Benefit

7. Life Protection

8. Other

First-dollar coverage - Waive Annual Deductible2, 5

Chronic Liver Disease

Heart Valve Surgery

Stroke

Major Organ Transplantation

Parkinson’s Disease

Fulminant Hepatitis

Cardiomyopathy

Coronary Artery Disease Surgery

Surgery to Aorta

Heart Attack

Designated Critical Illnesses

Remarks

1. Lifetime Limit refers to the maximum aggregate amount of benefits payable under all insurance policies and supplemental benefits (if any) issued by FWD Life Insurance Company (Bermuda) Limited (“FWD”) covering the insured during his/her lifetime, regardless whether the insurance policies are still in force.

2. Only applicable to policies with Annual Deductible and subject to the Annual Limit and Lifetime Limit. FWD shall not waive the payment of any balance of Annual Deductible if the confinement is related to a designated crises whose symptoms appear or relevant diagnosis or surgery occurs within the first 90 days from the policy date or the last policy reinstatement date. Please refer to the Schedule of Benefit of this brochure, Policy Provisions, and Policy Schedule for the details and definition of Designated Critical Illness.

3. Only applicable to designated Plan Level and up to the relevant limit. Please refer to Schedule of Benefit of this brochure and Policy Provisions for details.4. Standard Private Room means a single occupancy room with adjoining bathroom for the insured’s use during his/her confinement, but excluding any room of upper

class with its own kitchen, dining or sitting room(s) in a hospital. If the Insured is confined in a hospital which offers multiple classes of private rooms, the Standard Private Room shall refer to the lowest priced private room offered by the hospital.

5. Annual Deductible shall means the part of eligible expenses which shall be borne by the policy owner or the insured and which has to be deducted from the reimbursable sum.

6. Source: Information from Hong Kong Cancer Registry, Hospital Authority as of November 2012.7. When the benefit is payable under Organ and Bone Marrow Transplantation, Chemotherapy and Radiotherapy and Kidney Dialysis, FWD shall increase the Annual

Limit for that policy year. This benefit is only available once per policy year. The amount of Lifetime Limit shall remain unchanged. Please refer to Policy Provisions for details.

8. Lifetime guaranteed renewal is subject to the continual availability of the Plan offered by FWD, terms and conditions applicable, benefits, and premium rates at the time of renewal. Renewal premiums are not guaranteed and the premiums for each renewal are determined based on the age (at next birthday) and the premium table applicable at that time when the policy is renewed. Premium table is subject to change based on factors including but not limited to the inflation of related medical expense, FWD’s medical claim experience and persistency of policies from time to time. FWD reserves the right to revise the benefit payable, terms and conditions and premiums at any time.

9. The application should be made within 31 days immediately before or after the relevant policy anniversary. This right can only be exercised once per lifetime of the insured and is irrevocable.

10. The service is provided by International SOS. FWD shall not be responsible for any act or failure to act on the part of International SOS. FWD may revise the details of the services from time to time without prior notice. International SOS benefits are available to FWD’s insureds when travelling outside the home country or country of residence for periods not exceeding 90 consecutive days per trip.

11. Asia includes Afghanistan, Bangladesh, Bhutan, Brunei, Cambodia, Hong Kong, India, Indonesia, Japan, Kazakhstan, Kyrgyzstan, Laos, Macau, Mainland China, Malaysia, Maldives, Mongolia, Myanmar, Nepal, North Korea, Pakistan, Philippines, Singapore, South Korea, Sri Lanka, Taiwan, Tajikistan, Thailand, Timor-Leste, Turkmenistan, Uzbekistan and Vietnam.

12. Worldwide exclude USA includes worldwide exclude the USA.13. FWD shall reduce the amount of benefit payable (except Life Protection) under this Plan to 50% of the relevant benefit payable if: (a) the Insured has taken up

residence in the USA for at least 183 days in the past 12 months (including the days of arrival and departure) at the time of confinement, medical treatment and/or service in the USA; and/or (b) the Insured is under confinement or undergoes clinical surgeries in the USA without obtaining FWD’s pre-authorisation unless it is directly due to an accident or emergency. FWD reserves the right to change the Plan from Premier Plan to Standard Plan at any time if the Insured has taken up residence in the USA for at least 183 days in the past 12 months (including the days of arrival and departure).

14. Only applicable after the insured’s surgery or discharged from Intensive Care Unit.15. Please refer to the Policy Provisions for the details of the items which the benefits are payable.16. “Daily Hospital Cash” will not be paid in conjunction with “Daily Hospital Cash for Voluntary Room and Board Stay below Private Room”.17. Specified Items include(i) Pace maker；(ii) Stents for Percutaneous Transluminal Coronary Angioplasty；(iii) Intraocular lens；(iv) Artificial cardiac valve；(v) Metallic

or artificial joints for joint replacement；(vi) Prosthetic ligaments for replacement or implantation between bones；and (vii) Prosthetic intervertebral disc.18. Only applicable to the outpatient consultations result in hospitalization of the insured.19. The waiting period of this benefit is 5 years.20. The waiting period of this benefit is 1 year.21. Only applicable to the insured who is aged 18 (Age Next Birthday) or above and the waiting period of this benefit item is 2 years.

Important Notes and Declarations:

Plan, and all benefits payable under the Plan are subject to the credit risk of FWD.

Brochure. FWD recommends you to carefully consider whether the Plan is suitable for you in view of your financial needs and fully understand the risk involved in the Plan before application. You should not apply or purchase the Plan unless you fully understand it and you agree it is suitable for you. Application of the Plan is your independent and final decision and you need to bear the responsibility of your decision.

In case you want to read the terms and conditions of the policy provisions, you can obtain a copy from FWD through Bank of Communications.

deposit or time deposit. The Plan is not protected under the Deposit Protection Scheme in the Hong Kong Special Administrative Region.

issue of a Notice informing you or your representative that the policy is available for collection and expiry date of the Cooling-off Period, whichever is earlier) by giving a written notice and obtain a refund of any premium paid, provided that you have not made any claims under the policy.

notice must be received by FWD on or before the expiry date of the Cooling-off Period. The office address of FWD is 1/F., FWD Financial Centre, 308 Des Voeux Road Central, Hong Kong.

buy or provision of any insurance products of FWD outside the Hong Kong Special Administrative Region. All selling and application procedures of the Plan must be conducted and completed in the Hong Kong Special Administrative Region.

to accept or decline any application.

FWD Life Insurance Company (Bermuda) LimitedAddress: 28/F., FWD Financial Centre, 308 Des Voeux Road Central, Hong KongPhone: 2850 2333 Email: [email protected]: 2850 3999 Website: www.fwd.com.hk

For enquiries, please contact Bank of Communications Co., Ltd. Hong Kong Branch and their sub-branches.

基本計劃 Basic Plan衛一醫療總匯 ( 港元 ) 年供保費表 ( 中國內地人士除外 )

TheOne Medical Solution (HKD) Annual Premium Table (excluding Mainland Chinese)

每年自付費Annual Deductible

0 40,000 80,000

年齡 (下次生日)Age (Next Birthday)

標準計劃Standard Plan

特等計劃Superior Plan

優等計劃Premier Plan







1 8,508 10,403 18,293 3,955 4,750 9,147 3,195 3,890 7,317

2 8,508 10,403 18,293 3,955 4,750 9,147 3,195 3,890 7,317

3 8,508 10,403 18,293 3,955 4,750 9,147 3,195 3,890 7,317

4 8,508 10,403 18,293 3,955 4,750 9,147 3,195 3,890 7,317

5 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

6 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

7 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

8 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

9 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

10 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

11 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

12 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

13 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

14 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

15 8,103 9,908 17,422 3,767 4,524 8,711 3,043 3,704 6,969

16 8,122 10,030 17,606 3,776 4,585 8,803 3,050 3,771 7,042

17 8,141 10,152 17,789 3,785 4,646 8,895 3,057 3,837 7,116

18 8,160 10,274 17,973 3,794 4,707 8,987 3,064 3,903 7,189

19 8,161 10,632 18,524 3,795 4,890 9,262 3,064 4,052 7,410

20 8,162 10,988 19,074 3,805 5,082 9,569 3,074 4,205 7,666

21 8,163 11,088 19,426 3,815 5,158 9,778 3,083 4,262 7,845

22 8,164 11,185 19,469 3,825 5,233 9,832 3,093 4,319 7,900

23 8,165 11,487 19,512 3,834 5,405 9,886 3,102 4,455 7,954

24 8,166 11,780 19,555 3,844 5,574 9,940 3,112 4,572 8,009

25 8,167 11,894 19,599 3,854 5,652 9,995 3,121 4,616 8,065

26 8,613 12,288 19,819 4,075 5,850 10,089 3,301 4,776 8,142

27 9,060 12,682 20,040 4,297 6,048 10,182 3,483 4,937 8,218

28 9,500 13,075 20,260 4,516 6,247 10,275 3,663 5,097 8,294

29 9,940 13,469 20,728 4,737 6,447 10,493 3,843 5,259 8,472

30 10,202 13,862 21,337 4,873 6,647 10,781 3,956 5,421 8,705

31 10,506 14,154 21,642 5,031 6,799 10,914 4,086 5,543 8,815

32 10,655 14,446 21,947 5,114 6,952 11,047 4,155 5,666 8,924

33 10,886 14,738 22,557 5,238 7,105 11,333 4,258 5,790 9,156

34 11,172 15,030 23,166 5,388 7,259 11,617 4,382 5,913 9,387

35 11,343 15,322 23,776 5,484 7,413 11,900 4,462 6,037 9,617

36 11,755 15,851 24,386 5,697 7,683 12,206 4,637 6,255 9,865

37 11,969 16,049 24,690 5,814 7,793 12,360 4,735 6,343 9,989

38 12,111 16,247 24,837 5,897 7,903 12,434 4,804 6,431 10,049

39 12,293 16,445 25,119 6,000 8,014 12,577 4,890 6,519 10,164

40 12,377 16,499 25,606 6,055 8,054 12,822 4,937 6,550 10,361

41 12,766 16,553 26,804 6,260 8,095 13,423 5,107 6,582 10,847

42 13,044 16,943 28,002 6,412 8,300 14,024 5,233 6,747 11,333

43 13,322 17,560 29,200 6,564 8,618 14,625 5,359 7,003 11,818

44 13,872 18,237 30,397 6,851 8,966 15,226 5,596 7,284 12,304

45 14,713 19,085 31,595 7,283 9,399 15,955 5,951 7,634 12,875

46 15,633 20,254 33,006 7,734 9,958 16,668 6,320 8,089 13,440

47 16,563 21,227 34,413 8,190 10,419 17,379 6,693 8,464 14,003

48 17,219 22,006 35,812 8,510 10,783 18,085 6,955 8,761 14,561

49 17,882 22,785 37,207 8,834 11,146 18,790 7,219 9,057 15,117

50 18,694 23,564 38,593 9,230 11,508 19,489 7,543 9,352 15,669

51 19,370 24,343 40,527 9,559 11,868 20,466 7,812 9,646 16,442

52 20,053 25,348 42,452 9,891 12,338 21,438 8,083 10,028 17,210

53 21,031 26,919 44,370 10,368 13,080 22,407 8,473 10,633 17,974

54 21,874 28,588 46,278 10,778 13,867 23,370 8,809 11,274 18,733

55 23,017 30,359 48,178 11,336 14,701 24,330 9,264 11,954 19,488

56 24,314 32,242 51,461 11,944 15,599 25,962 9,756 12,683 20,793

57 25,933 34,239 54,756 12,707 16,551 27,597 10,373 13,456 22,100

58 27,582 36,362 58,064 13,481 17,562 29,235 10,998 14,277 23,409

59 29,081 38,616 61,386 14,177 18,634 30,877 11,560 15,147 24,720

60 30,803 41,751 65,044 14,978 20,129 32,685 12,206 16,361 26,164

基本計劃 Basic Plan衛一醫療總匯 ( 港元 ) 年供保費表 ( 中國內地人士除外 )

TheOne Medical Solution (HKD) Annual Premium Table (excluding Mainland Chinese)


0 40,000 80,000











61 32,731 44,593 69,735 15,875 21,480 35,007 12,929 17,458 28,020

62 35,009 47,872 74,434 16,936 23,040 37,329 13,785 18,724 29,874

63 37,646 52,243 79,142 18,164 25,121 39,650 14,776 20,414 31,728

64 40,705 57,927 83,863 19,589 27,830 41,973 15,926 22,613 33,583

65 44,058 64,485 89,813 21,148 30,953 44,907 17,183 25,149 35,925

66 46,826 69,139 97,099 22,476 33,187 48,550 18,262 26,964 38,840

67 50,586 74,872 102,677 24,281 35,939 51,339 19,729 29,200 41,071

68 52,815 77,800 108,193 25,351 37,344 54,097 20,598 30,342 43,277

69 55,304 80,442 114,295 26,546 38,612 57,148 21,569 31,372 45,718

70 57,881 83,065 119,909 27,783 39,871 59,955 22,574 32,395 47,964

71* 60,948 85,469 121,810 29,255 41,025 60,905 23,770 33,333 48,724

72* 64,104 92,464 126,878 30,770 44,383 63,439 25,001 36,061 50,751

73* 67,155 95,743 131,630 32,234 45,957 65,815 26,190 37,340 52,652

74* 70,260 99,022 137,080 33,725 47,531 68,540 27,401 38,619 54,832

75* 73,394 100,771 143,213 35,229 48,370 71,607 28,624 39,301 57,285

76* 76,976 102,738 147,099 36,948 49,314 73,550 30,021 40,068 58,840

77* 80,665 109,296 154,365 38,719 52,462 77,183 31,459 42,625 61,746

78* 84,248 116,728 162,484 40,439 56,029 81,242 32,857 45,524 64,994

79* 87,916 120,226 171,786 42,200 57,708 85,893 34,287 46,888 68,714

80* 91,517 123,942 177,922 43,928 59,492 88,961 35,692 48,337 71,169

81* 95,483 125,909 184,380 45,832 60,436 92,190 37,238 49,105 73,752

82* 99,692 132,030 193,052 47,852 63,374 96,526 38,880 51,492 77,221

83* 103,442 134,434 200,844 49,652 64,528 100,422 40,342 52,429 80,338

84* 107,470 136,839 205,066 51,586 65,683 102,533 41,913 53,367 82,026

85* 110,791 141,648 209,328 53,180 67,991 104,664 43,208 55,243 83,731

86* 114,610 141,648 214,205 55,013 67,991 107,103 44,698 55,243 85,682

87* 117,452 142,634 217,938 56,377 68,464 108,969 45,806 55,627 87,175

88* 120,322 146,052 221,875 57,755 70,105 110,938 46,926 56,960 88,750

89* 123,051 147,819 225,848 59,064 70,953 112,924 47,990 57,649 90,339

90* 125,496 151,233 229,856 60,238 72,592 114,928 48,943 58,981 91,942

91* 127,512 153,773 233,899 61,206 73,811 116,950 49,730 59,971 93,560

92* 129,528 156,396 237,798 62,173 75,070 118,899 50,516 60,994 95,119

93* 131,544 159,314 241,910 63,141 76,471 120,955 51,302 62,132 96,764

94* 133,560 162,370 246,058 64,109 77,938 123,029 52,088 63,324 98,423

95* 135,576 165,754 250,240 65,076 79,562 125,120 52,875 64,644 100,096

96* 137,592 169,444 254,458 66,044 81,333 127,229 53,661 66,083 101,783

97* 139,608 173,190 258,523 67,012 83,131 129,262 54,447 67,544 103,409

98* 141,456 178,042 262,810 67,899 85,460 131,405 55,168 69,436 105,124

99* 143,472 180,483 267,131 68,867 86,632 133,566 55,954 70,388 106,852

* 續保保費以供參考 Renewal premium for your reference

重要事項 Important Notes：

1. 本保費表的上次更新日期為2014年02月28日。

2. 保證終身續保受限於富衛人壽保險(百慕達)有限公司(「富衛」)是否持續提供衛一醫療總匯(「本計劃」)、每年續保時將根據當時的條款及細則、保單利益和保費率。

3. 以上保費並非保證及每次續保之保費將根據續保時的年齡( 下次生日) 及保費表釐定。保費表根據各因素，包括但不受限於相關的醫療費用的通脹及富衛不時的索賠數據及保單續保情況釐定。富衛保留隨時作出修改保單利益、條款及細則及保費的權利。

4. 本保費表只供參考，並不能作為富衛與任何人士或團體所訂立之任何合約或該合約的任何部分。有關本計劃之詳情，請參閱產品冊子及保單條款。

5. 實際年繳保費或會因核保結果，包括但不限於國藉及職業核保，而與本保費表所列的年繳保費有所不同。

1. The last update date of this premium table is 28-02-2014.2. Guaranteed renewal is subject to the continual availability of TheOne Medical Solution (the "Plan") offered by FWD Life Insurance Company (Bermuda) Limited ("FWD"), terms and

conditions applicable, benefits, and premium rates at the time of renewal.3. The above premiums are not guaranteed and the premiums for each renewal are determined based on the age (at next birthday) and the premium table applicable at that time when

the policy is renewed. Premium table is subject to change based on factors including but not limited to the inflation of related medical expense, FWD’s medical claim experience and persistency of policies from time to time. FWD reserves the right to revise the benefit payable, terms and conditions and premiums at any time.

4. This premium table is for reference only and not regarded as a contract or any part thereof between FWD and any other parties. Please refer to the product brochure and policy provisions for the details of the Plan.

5. The actual annual premium may be varied from the annual premium stated in this premium table according to the result of underwriting, including but not limited to nationality and occupational underwriting.

PMH

055B

C14

02

基本計劃 Basic Plan衛一醫療總匯 ( 美元 ) 年供保費表 ( 中國內地人士除外 )

TheOne Medical Solution (USD) Annual Premium Table (excluding Mainland Chinese)


0 5,000 10,000











1 1,091 1,334 2,346 508 609 1,173 410 499 939

2 1,091 1,334 2,346 508 609 1,173 410 499 939

3 1,091 1,334 2,346 508 609 1,173 410 499 939

4 1,091 1,334 2,346 508 609 1,173 410 499 939

5 1,039 1,271 2,234 483 580 1,117 391 475 894

6 1,039 1,271 2,234 483 580 1,117 391 475 894

7 1,039 1,271 2,234 483 580 1,117 391 475 894

8 1,039 1,271 2,234 483 580 1,117 391 475 894

9 1,039 1,271 2,234 483 580 1,117 391 475 894

10 1,039 1,271 2,234 483 580 1,117 391 475 894

11 1,039 1,271 2,234 483 580 1,117 391 475 894

12 1,039 1,271 2,234 483 580 1,117 391 475 894

13 1,039 1,271 2,234 483 580 1,117 391 475 894

14 1,039 1,271 2,234 483 580 1,117 391 475 894

15 1,039 1,271 2,234 483 580 1,117 391 475 894

16 1,042 1,286 2,258 485 588 1,129 392 484 903

17 1,044 1,302 2,281 486 596 1,141 392 492 913

18 1,047 1,318 2,305 487 604 1,153 393 501 922

19 1,047 1,364 2,375 487 627 1,188 393 520 950

20 1,047 1,409 2,446 488 652 1,227 395 540 983

21 1,047 1,422 2,491 490 662 1,254 396 547 1,006

22 1,047 1,434 2,497 491 671 1,261 397 554 1,013

23 1,047 1,473 2,502 492 693 1,268 398 572 1,020

24 1,047 1,511 2,508 493 715 1,275 399 587 1,027

25 1,048 1,525 2,513 495 725 1,282 401 592 1,034

26 1,105 1,576 2,541 523 750 1,294 424 613 1,044

27 1,162 1,626 2,570 551 776 1,306 447 633 1,054

28 1,218 1,677 2,598 579 801 1,318 470 654 1,064

29 1,275 1,727 2,658 608 827 1,346 493 675 1,087

30 1,308 1,778 2,736 625 853 1,383 508 695 1,117

31 1,347 1,815 2,775 645 872 1,400 524 711 1,131

32 1,367 1,853 2,814 656 892 1,417 533 727 1,145

33 1,396 1,890 2,892 672 911 1,453 546 743 1,174

34 1,433 1,927 2,970 691 931 1,490 562 759 1,204

35 1,455 1,965 3,049 704 951 1,526 573 774 1,233

36 1,508 2,033 3,127 731 985 1,565 595 802 1,265

37 1,535 2,058 3,166 746 1,000 1,585 608 814 1,281

38 1,553 2,083 3,185 757 1,014 1,595 616 825 1,289

39 1,577 2,109 3,221 770 1,028 1,613 627 836 1,304

40 1,587 2,116 3,283 777 1,033 1,644 633 840 1,329

41 1,637 2,123 3,437 803 1,038 1,721 655 844 1,391

42 1,673 2,173 3,590 823 1,065 1,798 671 865 1,453

43 1,708 2,252 3,744 842 1,105 1,875 688 898 1,516

44 1,779 2,339 3,898 879 1,150 1,953 718 934 1,578

45 1,887 2,447 4,051 934 1,205 2,046 763 979 1,651

46 2,005 2,597 4,232 992 1,277 2,137 811 1,038 1,724

47 2,124 2,722 4,412 1,050 1,336 2,229 859 1,086 1,796

48 2,208 2,822 4,592 1,092 1,383 2,319 892 1,124 1,867

49 2,293 2,922 4,771 1,133 1,429 2,409 926 1,162 1,939

50 2,397 3,022 4,948 1,184 1,476 2,499 968 1,199 2,009

51 2,484 3,121 5,196 1,226 1,522 2,624 1,002 1,237 2,108

52 2,571 3,250 5,443 1,269 1,582 2,749 1,037 1,286 2,207

53 2,697 3,452 5,689 1,330 1,677 2,873 1,087 1,364 2,305

54 2,805 3,666 5,934 1,382 1,778 2,997 1,130 1,446 2,402

55 2,951 3,893 6,177 1,454 1,885 3,120 1,188 1,533 2,499

56 3,118 4,134 6,598 1,532 2,000 3,329 1,251 1,627 2,666

57 3,325 4,390 7,020 1,630 2,122 3,539 1,330 1,726 2,834

58 3,537 4,662 7,445 1,729 2,252 3,749 1,410 1,831 3,002

59 3,729 4,951 7,870 1,818 2,389 3,959 1,483 1,942 3,170

60 3,950 5,353 8,339 1,921 2,581 4,191 1,565 2,098 3,355

基本計劃 Basic Plan衛一醫療總匯 ( 美元 ) 年供保費表 ( 中國內地人士除外 )

TheOne Medical Solution (USD) Annual Premium Table (excluding Mainland Chinese)


0 5,000 10,000











61 4,197 5,718 8,941 2,036 2,754 4,489 1,658 2,239 3,593

62 4,489 6,138 9,543 2,172 2,954 4,786 1,768 2,401 3,830

63 4,827 6,698 10,147 2,329 3,221 5,084 1,895 2,618 4,068

64 5,219 7,427 10,752 2,512 3,568 5,382 2,042 2,900 4,306

65 5,649 8,268 11,515 2,712 3,969 5,758 2,203 3,225 4,606

66 6,004 8,864 12,449 2,882 4,255 6,225 2,342 3,457 4,980

67 6,486 9,599 13,164 3,113 4,608 6,582 2,530 3,744 5,266

68 6,772 9,975 13,871 3,251 4,788 6,936 2,641 3,890 5,549

69 7,091 10,314 14,654 3,404 4,951 7,327 2,766 4,023 5,862

70 7,421 10,650 15,373 3,562 5,112 7,687 2,895 4,154 6,150

71* 7,814 10,958 15,617 3,751 5,260 7,809 3,048 4,274 6,247

72* 8,219 11,855 16,267 3,945 5,691 8,134 3,206 4,624 6,507

73* 8,610 12,275 16,876 4,133 5,892 8,438 3,358 4,788 6,751

74* 9,008 12,696 17,575 4,324 6,094 8,788 3,513 4,952 7,030

75* 9,410 12,920 18,361 4,517 6,202 9,181 3,670 5,039 7,345

76* 9,869 13,172 18,859 4,737 6,323 9,430 3,849 5,137 7,544

77* 10,342 14,013 19,791 4,964 6,726 9,896 4,034 5,465 7,917

78* 10,802 14,966 20,832 5,185 7,184 10,416 4,213 5,837 8,333

79* 11,272 15,414 22,024 5,411 7,399 11,012 4,396 6,012 8,810

80* 11,733 15,890 22,811 5,632 7,628 11,406 4,576 6,198 9,125

81* 12,242 16,143 23,639 5,876 7,749 11,820 4,775 6,296 9,456

82* 12,782 16,927 24,751 6,135 8,125 12,376 4,985 6,602 9,901

83* 13,262 17,236 25,750 6,366 8,273 12,875 5,173 6,722 10,300

84* 13,779 17,544 26,291 6,614 8,421 13,146 5,374 6,842 10,517

85* 14,204 18,160 26,837 6,818 8,717 13,419 5,540 7,083 10,735

86* 14,694 18,160 27,463 7,053 8,717 13,732 5,731 7,083 10,985

87* 15,058 18,287 27,941 7,228 8,778 13,971 5,873 7,132 11,177

88* 15,426 18,725 28,446 7,405 8,988 14,223 6,017 7,303 11,379

89* 15,776 18,952 28,955 7,573 9,097 14,478 6,153 7,391 11,582

90* 16,090 19,389 29,469 7,723 9,307 14,735 6,275 7,562 11,788

91* 16,348 19,715 29,988 7,847 9,463 14,994 6,376 7,689 11,995

92* 16,607 20,051 30,487 7,971 9,625 15,244 6,477 7,820 12,195

93* 16,865 20,425 31,015 8,095 9,804 15,508 6,578 7,966 12,406

94* 17,124 20,817 31,546 8,220 9,993 15,773 6,678 8,119 12,619

95* 17,382 21,251 32,083 8,344 10,201 16,042 6,779 8,288 12,833

96* 17,640 21,724 32,623 8,468 10,428 16,312 6,880 8,473 13,050

97* 17,899 22,204 33,144 8,592 10,658 16,573 6,981 8,660 13,258

98* 18,136 22,826 33,694 8,705 10,957 16,847 7,073 8,903 13,478

99* 18,394 23,139 34,248 8,830 11,107 17,124 7,174 9,025 13,699













PMH

055B

C14

02

基本計劃 Basic Plan衛一醫療總匯 ( 港元 ) 年供保費表 ( 適用於中國內地人士 )

TheOne Medical Solution (HKD) Annual Premium Table (Applicable to Mainland Chinese)


0 40,000 80,000











1 9,359 11,444 20,123 4,351 5,225 10,062 3,515 4,279 8,049

2 9,359 11,444 20,123 4,351 5,225 10,062 3,515 4,279 8,049

3 9,359 11,444 20,123 4,351 5,225 10,062 3,515 4,279 8,049

4 9,359 11,444 20,123 4,351 5,225 10,062 3,515 4,279 8,049

5 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

6 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

7 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

8 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

9 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

10 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

11 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

12 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

13 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

14 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

15 8,914 10,899 19,165 4,144 4,977 9,583 3,348 4,075 7,666

16 8,935 11,033 19,367 4,154 5,044 9,684 3,355 4,149 7,747

17 8,956 11,168 19,568 4,164 5,111 9,785 3,363 4,221 7,828

18 8,976 11,302 19,771 4,174 5,178 9,886 3,371 4,294 7,908

19 8,978 11,696 20,377 4,175 5,379 10,189 3,371 4,458 8,151

20 8,979 12,087 20,982 4,186 5,591 10,526 3,382 4,626 8,433

21 8,980 12,197 21,369 4,197 5,674 10,756 3,392 4,689 8,630

22 8,981 12,304 21,416 4,208 5,757 10,816 3,403 4,751 8,690

23 8,982 12,636 21,464 4,218 5,946 10,875 3,413 4,901 8,750

24 8,983 12,958 21,511 4,229 6,132 10,934 3,424 5,030 8,810

25 8,984 13,084 21,559 4,240 6,218 10,995 3,434 5,078 8,872

26 9,475 13,517 21,801 4,483 6,435 11,098 3,632 5,254 8,957

27 9,966 13,951 22,044 4,727 6,653 11,201 3,832 5,431 9,040

28 10,450 14,383 22,286 4,968 6,872 11,303 4,030 5,607 9,124

29 10,934 14,816 22,801 5,211 7,092 11,543 4,228 5,785 9,320

30 11,223 15,249 23,471 5,361 7,312 11,860 4,352 5,964 9,576

31 11,557 15,570 23,807 5,535 7,479 12,006 4,495 6,098 9,697

32 11,721 15,891 24,142 5,626 7,648 12,152 4,571 6,233 9,817

33 11,975 16,212 24,813 5,762 7,816 12,467 4,684 6,369 10,072

34 12,290 16,533 25,483 5,927 7,985 12,779 4,821 6,505 10,326

35 12,478 16,855 26,154 6,033 8,155 13,090 4,909 6,641 10,579

36 12,931 17,437 26,825 6,267 8,452 13,427 5,101 6,881 10,852

37 13,166 17,654 27,159 6,396 8,573 13,596 5,209 6,978 10,988

38 13,323 17,872 27,321 6,487 8,694 13,678 5,285 7,075 11,054

39 13,523 18,090 27,631 6,600 8,816 13,835 5,379 7,171 11,181

40 13,615 18,149 28,167 6,661 8,860 14,105 5,431 7,205 11,398

41 14,043 18,209 29,485 6,886 8,905 14,766 5,618 7,241 11,932

42 14,349 18,638 30,803 7,054 9,130 15,427 5,757 7,422 12,467

43 14,655 19,316 32,120 7,221 9,480 16,088 5,895 7,704 13,000

44 15,260 20,061 33,437 7,537 9,863 16,749 6,156 8,013 13,535

45 16,185 20,994 34,755 8,012 10,339 17,551 6,547 8,398 14,163

46 17,197 22,280 36,307 8,508 10,954 18,335 6,952 8,898 14,784

47 18,220 23,350 37,855 9,009 11,461 19,117 7,363 9,311 15,404

48 18,941 24,207 39,394 9,361 11,862 19,894 7,651 9,638 16,018

49 19,671 25,064 40,928 9,718 12,261 20,669 7,941 9,963 16,629

50 20,564 25,921 42,453 10,153 12,659 21,438 8,298 10,288 17,236

51 21,307 26,778 44,580 10,515 13,055 22,513 8,594 10,611 18,087

52 22,059 27,883 46,698 10,881 13,572 23,582 8,892 11,031 18,931

53 23,135 29,611 48,807 11,405 14,388 24,648 9,321 11,697 19,772

54 24,062 31,447 50,906 11,856 15,254 25,707 9,690 12,402 20,607

55 25,319 33,395 52,996 12,470 16,172 26,763 10,191 13,150 21,437

56 26,746 35,467 56,608 13,139 17,159 28,559 10,732 13,952 22,873

57 28,527 37,663 60,232 13,978 18,207 30,357 11,411 14,802 24,310

58 30,341 39,999 63,871 14,830 19,319 32,159 12,098 15,705 25,750

59 31,990 42,478 67,525 15,595 20,498 33,965 12,716 16,662 27,192

60 33,884 45,927 71,549 16,476 22,142 35,954 13,427 17,998 28,781

基本計劃 Basic Plan衛一醫療總匯 ( 港元 ) 年供保費表 ( 適用於中國內地人士 )

TheOne Medical Solution (HKD) Annual Premium Table (Applicable to Mainland Chinese)


0 40,000 80,000











61 36,005 49,053 76,709 17,463 23,628 38,508 14,222 19,204 30,822

62 38,510 52,660 81,878 18,630 25,344 41,062 15,164 20,597 32,862

63 41,411 57,468 87,057 19,981 27,634 43,615 16,254 22,456 34,901

64 44,776 63,720 92,250 21,548 30,613 46,171 17,519 24,875 36,942

65 48,464 70,934 98,795 23,263 34,049 49,398 18,902 27,664 39,518

66 51,509 76,053 106,809 24,724 36,506 53,405 20,089 29,661 42,724

67 55,645 82,360 112,945 26,710 39,533 56,473 21,702 32,120 45,179

68 58,097 85,580 119,013 27,887 41,079 59,507 22,658 33,377 47,605

69 60,835 88,487 125,725 29,201 42,474 62,863 23,726 34,510 50,290

70 63,670 91,372 131,900 30,562 43,859 65,951 24,832 35,635 52,761

71* 67,043 94,016 133,991 32,181 45,128 66,996 26,147 36,667 53,597

72* 70,515 101,711 139,566 33,847 48,822 69,783 27,502 39,668 55,827

73* 73,871 105,318 144,793 35,458 50,553 72,397 28,809 41,074 57,918

74* 77,286 108,925 150,788 37,098 52,285 75,394 30,142 42,481 60,316

75* 80,734 110,849 157,535 38,752 53,207 78,768 31,487 43,232 63,014

76* 84,674 113,012 161,809 40,643 54,246 80,905 33,024 44,075 64,724

77* 88,732 120,226 169,802 42,591 57,709 84,902 34,605 46,888 67,921

78* 92,673 128,401 178,733 44,483 61,632 89,367 36,143 50,077 71,494

79* 96,708 132,249 188,965 46,420 63,479 94,483 37,716 51,577 75,586

80* 100,669 136,337 195,715 48,321 65,442 97,858 39,262 53,171 78,286

81* 105,032 138,500 202,818 50,416 66,480 101,409 40,962 54,016 81,128

82* 109,662 145,233 212,358 52,638 69,712 106,179 42,768 56,642 84,944

83* 113,787 147,878 220,929 54,618 70,981 110,465 44,377 57,672 88,372

84* 118,217 150,523 225,573 56,745 72,252 112,787 46,105 58,704 90,229

85* 121,871 155,813 230,261 58,498 74,791 115,131 47,529 60,768 92,105

86* 126,071 155,813 235,626 60,515 74,791 117,814 49,168 60,768 94,251

87* 129,198 156,898 239,732 62,015 75,311 119,866 50,387 61,190 95,893

88* 132,355 160,658 244,063 63,531 77,116 122,032 51,619 62,656 97,625

89* 135,357 162,601 248,433 64,971 78,049 124,217 52,789 63,414 99,373

90* 138,046 166,357 252,842 66,262 79,852 126,421 53,838 64,880 101,137

91* 140,264 169,151 257,289 67,327 81,193 128,645 54,703 65,969 102,916

92* 142,481 172,036 261,578 68,391 82,577 130,789 55,568 67,094 104,631

93* 144,699 175,246 266,101 69,456 84,119 133,051 56,433 68,346 106,441

94* 146,916 178,607 270,664 70,520 85,732 135,332 57,297 69,657 108,266

95* 149,134 182,330 275,264 71,584 87,519 137,632 58,163 71,109 110,106

96* 151,352 186,389 279,904 72,649 89,467 139,952 59,028 72,692 111,962

97* 153,569 190,509 284,376 73,714 91,445 142,189 59,892 74,299 113,750

98* 155,602 195,847 289,091 74,689 94,006 144,546 60,685 76,380 115,637

99* 157,820 198,532 293,845 75,754 95,296 146,923 61,550 77,427 117,538













PMH

055C

C14

02

基本計劃 Basic Plan衛一醫療總匯 ( 美元 ) 年供保費表 ( 適用於中國內地人士 )

TheOne Medical Solution (USD) Annual Premium Table (Applicable to Mainland Chinese)


0 5,000 10,000











1 1,201 1,468 2,581 559 670 1,291 451 549 1,033

2 1,201 1,468 2,581 559 670 1,291 451 549 1,033

3 1,201 1,468 2,581 559 670 1,291 451 549 1,033

4 1,201 1,468 2,581 559 670 1,291 451 549 1,033

5 1,143 1,399 2,458 532 638 1,229 431 523 984

6 1,143 1,399 2,458 532 638 1,229 431 523 984

7 1,143 1,399 2,458 532 638 1,229 431 523 984

8 1,143 1,399 2,458 532 638 1,229 431 523 984

9 1,143 1,399 2,458 532 638 1,229 431 523 984

10 1,143 1,399 2,458 532 638 1,229 431 523 984

11 1,143 1,399 2,458 532 638 1,229 431 523 984

12 1,143 1,399 2,458 532 638 1,229 431 523 984

13 1,143 1,399 2,458 532 638 1,229 431 523 984

14 1,143 1,399 2,458 532 638 1,229 431 523 984

15 1,143 1,399 2,458 532 638 1,229 431 523 984

16 1,147 1,415 2,484 534 647 1,242 432 533 994

17 1,149 1,433 2,510 535 656 1,256 432 542 1,005

18 1,152 1,450 2,536 536 665 1,269 433 552 1,015

19 1,152 1,501 2,613 536 690 1,307 433 572 1,045

20 1,152 1,550 2,691 537 718 1,350 435 594 1,082

21 1,152 1,565 2,741 539 729 1,380 436 602 1,107

22 1,152 1,578 2,747 541 739 1,388 437 610 1,115

23 1,152 1,621 2,753 542 763 1,395 438 630 1,122

24 1,152 1,663 2,759 543 787 1,403 439 646 1,130

25 1,153 1,678 2,765 545 798 1,411 442 652 1,138

26 1,216 1,734 2,796 576 825 1,424 467 675 1,149

27 1,279 1,789 2,827 607 854 1,437 492 697 1,160

28 1,340 1,845 2,858 637 882 1,450 517 720 1,171

29 1,403 1,900 2,924 669 910 1,481 543 743 1,196

30 1,439 1,956 3,010 688 939 1,522 559 765 1,229

31 1,482 1,997 3,053 710 960 1,540 577 783 1,245

32 1,504 2,039 3,096 722 982 1,559 587 800 1,260

33 1,536 2,079 3,182 740 1,003 1,599 601 818 1,292

34 1,577 2,120 3,267 761 1,025 1,639 619 835 1,325

35 1,601 2,162 3,354 775 1,047 1,679 631 852 1,357

36 1,659 2,237 3,440 805 1,084 1,722 655 883 1,392

37 1,689 2,264 3,483 821 1,100 1,744 669 896 1,410

38 1,709 2,292 3,504 833 1,116 1,755 678 908 1,418

39 1,735 2,320 3,544 847 1,131 1,775 690 920 1,435

40 1,746 2,328 3,612 855 1,137 1,809 697 924 1,462

41 1,801 2,336 3,781 884 1,142 1,894 721 929 1,531

42 1,841 2,391 3,949 906 1,172 1,978 739 952 1,599

43 1,879 2,478 4,119 927 1,216 2,063 757 988 1,668

44 1,957 2,573 4,288 967 1,265 2,149 790 1,028 1,736

45 2,076 2,692 4,457 1,028 1,326 2,251 840 1,077 1,817

46 2,206 2,857 4,656 1,092 1,405 2,351 893 1,142 1,897

47 2,337 2,995 4,854 1,155 1,470 2,452 945 1,195 1,976

48 2,429 3,105 5,052 1,202 1,522 2,551 982 1,237 2,054

49 2,523 3,215 5,249 1,247 1,572 2,650 1,019 1,279 2,133

50 2,637 3,325 5,443 1,303 1,624 2,749 1,065 1,319 2,210

51 2,733 3,434 5,716 1,349 1,675 2,887 1,103 1,361 2,319

52 2,829 3,575 5,988 1,396 1,741 3,024 1,141 1,415 2,428

53 2,967 3,798 6,258 1,463 1,845 3,161 1,196 1,501 2,536

54 3,086 4,033 6,528 1,521 1,956 3,297 1,243 1,591 2,643

55 3,247 4,283 6,795 1,600 2,074 3,432 1,307 1,687 2,749

56 3,430 4,548 7,258 1,686 2,200 3,662 1,377 1,790 2,933

57 3,658 4,829 7,722 1,793 2,335 3,893 1,463 1,899 3,118

58 3,891 5,129 8,190 1,902 2,478 4,124 1,551 2,015 3,303

59 4,102 5,447 8,657 2,000 2,628 4,355 1,632 2,137 3,487

60 4,345 5,889 9,173 2,114 2,840 4,611 1,722 2,308 3,691

基本計劃 Basic Plan衛一醫療總匯 ( 美元 ) 年供保費表 ( 適用於中國內地人士 )

TheOne Medical Solution (USD) Annual Premium Table (Applicable to Mainland Chinese)


0 5,000 10,000











61 4,617 6,290 9,836 2,240 3,030 4,938 1,824 2,463 3,953

62 4,938 6,752 10,498 2,390 3,250 5,265 1,945 2,642 4,213

63 5,310 7,368 11,162 2,562 3,544 5,593 2,085 2,880 4,475

64 5,741 8,170 11,828 2,764 3,925 5,921 2,247 3,190 4,737

65 6,214 9,095 12,667 2,984 4,366 6,334 2,424 3,548 5,067

66 6,605 9,751 13,694 3,171 4,681 6,848 2,577 3,803 5,478

67 7,135 10,559 14,481 3,425 5,069 7,241 2,783 4,119 5,793

68 7,450 10,973 15,259 3,577 5,267 7,630 2,906 4,279 6,104

69 7,801 11,346 16,120 3,745 5,447 8,060 3,043 4,426 6,449

70 8,164 11,715 16,911 3,919 5,624 8,456 3,185 4,570 6,765

71* 8,596 12,054 17,179 4,127 5,786 8,590 3,353 4,702 6,872

72* 9,041 13,041 17,894 4,340 6,261 8,948 3,527 5,087 7,158

73* 9,471 13,503 18,564 4,547 6,482 9,282 3,694 5,267 7,427

74* 9,909 13,966 19,333 4,757 6,704 9,667 3,865 5,448 7,733

75* 10,351 14,212 20,198 4,969 6,823 10,100 4,037 5,543 8,080

76* 10,856 14,490 20,745 5,211 6,956 10,373 4,234 5,651 8,299

77* 11,377 15,415 21,771 5,461 7,399 10,886 4,438 6,012 8,709

78* 11,883 16,463 22,916 5,704 7,903 11,458 4,635 6,421 9,167

79* 12,400 16,956 24,227 5,953 8,139 12,114 4,836 6,614 9,691

80* 12,907 17,479 25,093 6,196 8,391 12,547 5,034 6,818 10,038

81* 13,467 17,758 26,003 6,464 8,524 13,002 5,253 6,926 10,402

82* 14,061 18,620 27,227 6,749 8,938 13,614 5,484 7,263 10,892

83* 14,589 18,960 28,325 7,003 9,101 14,163 5,691 7,395 11,330

84* 15,157 19,299 28,921 7,276 9,264 14,461 5,912 7,527 11,569

85* 15,625 19,976 29,521 7,500 9,589 14,761 6,094 7,792 11,809

86* 16,164 19,976 30,210 7,759 9,589 15,106 6,305 7,792 12,084

87* 16,564 20,116 30,736 7,951 9,656 15,369 6,461 7,846 12,295

88* 16,969 20,598 31,291 8,146 9,887 15,646 6,619 8,034 12,517

89* 17,354 20,848 31,851 8,331 10,007 15,926 6,769 8,131 12,741

90* 17,699 21,328 32,416 8,496 10,238 16,209 6,903 8,319 12,967

91* 17,983 21,687 32,987 8,632 10,410 16,494 7,014 8,458 13,195

92* 18,268 22,057 33,536 8,769 10,588 16,769 7,125 8,602 13,415

93* 18,552 22,468 34,117 8,905 10,785 17,059 7,236 8,763 13,647

94* 18,837 22,899 34,701 9,042 10,993 17,351 7,346 8,931 13,881

95* 19,121 23,377 35,292 9,179 11,222 17,647 7,457 9,117 14,117

96* 19,404 23,897 35,886 9,315 11,471 17,944 7,568 9,321 14,355

97* 19,689 24,425 36,459 9,452 11,724 18,231 7,680 9,526 14,584

98* 19,950 25,109 37,064 9,576 12,053 18,532 7,781 9,794 14,826

99* 20,234 25,453 37,673 9,713 12,218 18,837 7,892 9,928 15,069













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