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vCore Medical Plan

Begin to Shape your Healthy Future

Name: vCore Medical Plan
Brand: FWD

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FWD Life Insurance Company (Bermuda) Limited ("FWD Life" or "FWD" ) has registered as a Voluntary Health Insurance Scheme Provider. vCore Medical Plan (“This Plan”) is a Standard Plan certified by the Government under the Voluntary Health Insurance Scheme (Certification No.: S00036-01-000-01). This Plan is underwritten by FWD Life.
i.FWD.com.hk ("iFWD Platform") is operated by FWD Financial Limited ("FWD Financial"). FWD Financial is an appointed insurance agency of FWD Life.

Good health is a key element of success in life. The Government-certified vCore Medical Plan (“vCore”) provides you with core reimbursement coverage on hospitalisation and surgical care. Pursue your life goals, now and in the future, without having to be burdened with unexpected health expenses.

Product Brochure

Policy Provisions

Product Features

Annual Limit Up to HK$420,000
Without any lifetime limit, vCore reimburses a wide range of hospitalisation and surgical expenses up to an annual limit of HK$420,000 with benefit limits reset annually. Your benefit coverage begins on the date of your approved application and is guaranteed Renewable until you reach age 100 (attained age).

Cover Unknown Pre-Existing Conditions
Even if an illness, Disease or Congenital Condition⁴ is a Pre-existing Condition, yet unknown at the time of Application, it is still covered, following the below reimbursement schedule:
1^st Policy Year No coverage
2^nd Policy Year 25%
3^rd Policy Year 50%
4^th Policy Year and thereafter 100%

There’s no need for you to worry about having claims rejected due to unknown pre-existing conditions.

Enjoy Tax Savings⁵
vCore meets the Government's regulatory standards and if you are a Hong Kong taxpayer, you can claim annual deductions up to HK$8,000 per Insured Person from the premium paid for yourself and your specified relatives.

Specified relatives include: the spouse and children of the taxpayer/ Grandparents of the taxpayer or the spouse/ Parents of the taxpayer or the spouse/ Siblings of the taxpayer or the spouse

World-class Assistance^7,8
With vCore, you’re always in great hands! Whenever you need information or assistance, professional teams commissioned by FWD are always ready. They include a top-notch CANcierge team that provides end-to-end health coaching service, Second Medical Opinion Services from some of the highest ranked US medical institutions and 24-hour Worldwide Assistance Services brought to you by International SOS.

Easy Application
It is easy to apply by simply answering a few questions, and be on your way to a life free from unplanned healthcare worries. No medical examination and any proof of health are required⁶.

One-off Option to Upgrade as your Needs Mature^7,9
FWD understands that your medical needs can change over time. To ensure your future needs are well catered for, you can upgrade your vCore Policy once to a designated plan with higher medical coverage, when you turn 50, 55, 60 or 65 (attained age), without re-underwriting or having to provide proof of insurability. With this convertibility option, you can flexibly increase your medical coverage when you need to!

Online Application of this product is available to permanent Hong Kong residents with a permanent address in Hong Kong only.

This product is only available to permanent Hong Kong residents with a Hong Kong residential address only.

Benefit Schedule^10,11,12

Provider Registration No.: 00036

Certification No.: S00036-01-000-01

Registration Effective Date: 28 February 2019

vCore Medical Plan

Benefit limit (in HKD)

Area cover
Worldwide¹⁵
Ward class
No restrictions
Benefit items ^10,11
(a) Room and board
$750 per day
Maximum 180 days per Policy Year
(b) Miscellaneous charges
$14,000 per Policy Year
(c) Attending doctor's visit fee
$750 per day
Maximum 180 days per Policy Year
(d) Specialist's fee¹
$4,300 per Policy Year
(e) Intensive care
$3,500 per day
Maximum 25 days per Policy Year
(f) Surgeon's fee
Per surgery, subject to surgical category for the surgery/procedure in the Schedule of Surgical Procedures –
- Complex $50,000
- Major $25,000
- Intermediate $12,500
- Minor $5,000
(g) Anaesthetist's fee
35% of Surgeon's fee payable ¹⁶
(h) Operating theatre charges
35% of Surgeon's fee payable ¹⁶
(i) Prescribed Diagnostic Imaging Tests^1,2
$20,000 per Policy Year
Subject to 30% Coinsurance
(j) Prescribed Non-surgical Cancer Treatments³
$80,000 per Policy Year
(k) Pre- and post-Confinement/Day Case Procedure outpatient care¹
$580 per visit, up to $3,000 per Policy Year
- 1 prior outpatient visit or Emergency consultation per-Confinement/Day Case Procedure
- 3 follow-up outpatient visits per post-Confinement/Day Case Procedure (within 90 days after discharge from Hospital or completion of Day Case Procedure)
(l) Psychiatric treatments¹³
$30,000 per Policy Year
Other limits
Annual Benefit Limit for benefit items (a) – (l)
$420,000 per Policy Year
Lifetime Benefit Limit for benefit items (a) – (l)
Nil
Other benefits
(I) Death benefit¹⁴
$10,000
(II) Accidental death benefit¹⁴
$10,000

The above product information does not contain the full terms of the policy. Please refer to the policy provisions for full terms of the policy.

Note:

FWD shall have the right to ask for proof of recommendation e.g. written referral or testifying statement on the claim form by the attending doctor or Registered Medical Practitioner.
Tests covered here only include computed tomography (“CT” scan), magnetic resonance imaging (“MRI” scan), positron emission tomography (“PET” scan), PET-CT combined and PET-MRI combined. You have to pay 30% of Prescribed Diagnostic Imaging Tests fee.
Treatments covered here only include radiotherapy, chemotherapy, targeted therapy, immunotherapy and hormonal therapy.
Congenital Condition is only covered for which has manifested or been diagnosed after the age of 8 (attained age) of the Insured Person.

If you are Hong Kong taxpayer, you are eligible for tax deduction up to HK$8,000 from the premium paid for yourself and your specified relatives . The proof of premium payment is issued to you on or before end of April every year for the premium paid during the preceding 12 months ending March of the same year. There is no cap on the number of specified relatives that are eligible for tax deduction. Tax deduction is applicable for Hong Kong only and shall be subject to the Inland Revenue Ordinance (Cap.112) and the Government’s policy as applicable from time to time. FWD and its intermediaries do not provide tax advice and you should consult your own tax advisors for any tax advice. For details, please refer to the websites of Inland Revenue Department of Hong Kong (www.ird.gov.hk) and Voluntary Health Insurance Scheme (www.vhis.gov.hk/en/).

Specified Relative	Conditions^*
Parent or Grandparent (Including parent and grandparent of the spouse	1) aged 55 (attained age) or more; or 2) under the age of 55 (attained age) but eligible to claim an allowance under the Government’s Disability Allowance Scheme
Child or Sibling (Include Sibling of Spouse)	1) under the age of 18 (attained age); or 2) aged 18 or more but under the age of 25 (attained age) and receiving full time education at a university, college, school or other similar educational establishment; or 3) aged 18 (attained age) or more but incapacitated for work by reason of physical or mental disability

^*The conditions shall be subject to the Inland Revenue Ordinance (Cap.112) and the Government’s policy as applicable from time to time.

It is subject to relevant underwriting requirements, otherwise, normal underwriting applies.
It is not part of the Terms and Benefits of the Certified Plan – vCore Medical Plan (Certification Number:S00036-01-000-01).
CANcierge, Second Medical Opinion Services & International SOS 24-hour Worldwide Assistance Services are provided by the third party service provider(s) which are not guaranteed renewable. FWD reserves the right to terminate the service without further notice. For details of the services, please refer to the leaflet of Ready to Help.
This option is only applicable if vCore has been in force for 2 Policy Years or above and the application shall be subject to the designated medical insurance plan with higher protection coverage available at that time and such terms and conditions as determined by FWD from time to time.
The benefit coverage, benefit amount and benefit limits, territorial scope of cover, choice of healthcare services provider, choice of ward class, deductible and Coinsurance of vCore will remain unchanged even if the Policy Year lasts for less than12 months.
Eligible Expenses incurred in respect of the same item shall not be recoverable under more than one benefit item in the table above.
All benefits described in these Terms and Benefits are not subject to any restriction in the choice of healthcare services providers, including but not limited to Registered Medical Practitioner and Hospital.
This benefit shall be payable for the Eligible Expenses charged on the psychiatric treatments during Confinement in Hong Kong as recommended by a Specialist. The benefit shall be payable in lieu of other benefit items under (a) to (k) of the Benefit Schedule.
The Policy Holder may change the beneficiary of this Policy or the Policy Holder while it is in force by submitting a written request to FWD. FWD shall register the change in its records when FWD determines that all relevant information has been received, from which time the change shall be effective (irrespective of whether the Insured Person is alive on that date).
Except for the psychiatric treatments as stated in benefit item (l) of the Benefit Schedule, all benefits described in the benefit items shall be applicable worldwide.
The percentage here applies to the Surgeon's fee actually payable or the benefit limit for the Surgeon's fee according to the surgical categorisation, whichever is the lower.

Issue Age (Attained Age)

15 Days to 80 Years Old

Benefit Term

Guaranteed yearly renewal up to age 100 of the Insured Person

Key Product Risks

Credit risk

vCore is an insurance policy issued by FWD. The application of this insurance product and all benefits payable under your policy are subject to the credit risk of FWD. You will bear the default risk in the event that FWD is unable to satisfy its financial obligations under this insurance contract.

Exchange rate and currency risk

The application of this insurance product with the policy currency denominated in a foreign currency is subject to that foreign currency’s exchange rate and currency risk. The foreign currency may be subject to the relevant regulatory bodies’ control (for example, exchange restrictions). If your home currency is different from the policy currency, please note that any exchange rate fluctuation between your home currency and the policy currency of this insurance product will have a direct impact on the amount of premium required and the value of benefit(s) to be received. For instance, if the policy currency of the insurance product depreciates substantially against your home currency, the potential loss arising from such exchange rate movement may have a negative impact on the benefits you received from vCore and your burden of the premium payment.

Inflation risk

The cost of living in the future may be higher than now due to the effects of inflation. Therefore, the benefits under vCore may not be sufficient for the increasing protection needs in the future even if FWDfulfils all of its contractual obligations.

General Exclusions
Under these Terms and Benefits of the Policy provisions, FWD shall not pay any benefits in relation to or arising from the following expenses.
Expenses incurred for treatments, procedures, medications, tests or services which are not Medically Necessary.
Expenses incurred for the whole or part of the Confinement solely for the purpose of diagnostic procedures or allied health services, including but not limited to physiotherapy, occupational therapy and speech therapy, unless such procedure or service is recommended by a Registered Medical Practitioner for Medically Necessary investigation or treatment of a Disability which cannot be effectively performed in a setting for providing Medical Services to a Day Patient.
Expenses arising from Human Immunodeficiency Virus (“HIV”) and its related Disability, which is contracted or occurs before the Policy Effective Date. Irrespective of whether it is known or unknown to the Policy Holder or the Insured Person at the time of submission of Application, including any updates of and changes to such requisite information (if so requested by FWD under Section 8 of Part 1 of the Terms and Benefits of the Policy provisions) such Disability shall be generally excluded from any coverage of the Terms and Benefits of the Policy provisions if it exists before the Policy Effective Date. If evidence of proof as to the time at which such Disability is first contracted or occurs is not available, manifestation of such Disability within the first five (5) years after the Policy Effective Date shall be presumed to be contracted or occur before the Policy Effective Date, while manifestation after such five (5) years shall be presumed to be contracted or occur after the Policy Effective Date.

However, the exclusion under this Section 3 shall not apply where HIV and its related Disability is caused by sexual assault, medical assistance, organ transplant, blood transfusions or blood donation, or infection at birth, and in such cases the other terms of these Terms and Benefits shall apply.
Expenses incurred for Medical Services as a result of Disability arising from or consequential upon the dependence, overdose or influence of drugs, alcohol, narcotics or similar drugs or agents, self-inflicted injuries or attempted suicide, illegal activity, or venereal and sexually transmitted disease or its sequelae (except for HIV and its related Disability, where this Section 3 applies).
Any charges in respect of services for –
(a) beautification or cosmetic purposes, unless necessitated by Injury caused by an Accident and the Insured Person receives the Medical Services within ninety (90) days of the Accident; or
(b) correcting visual acuity or refractive errors that can be corrected by fitting of spectacles or contact lens, including but not limited to eye refractive therapy, LASIK and any related tests, procedures and services.
Expenses incurred for prophylactic treatment or preventive care, including but not limited to general check-ups, routine tests, screening procedures for asymptomatic conditions, screening or surveillance procedures based on the health history of the Insured Person and/or his family members, Hair Mineral Analysis (HMA), immunisation or health supplements. For the avoidance of doubt, this Section 6 does not apply to –
(a) treatments, monitoring, investigation or procedures with the purpose of avoiding complications arising from any other Medical Services provided;
(b) removal of pre-malignant conditions; and
(c) treatment for prevention of recurrence or complication of a previous Disability.
Expenses incurred for dental treatment and oral and maxillofacial procedures performed by a dentist except for Emergency Treatment and surgery during Confinement arising from an Accident. Follow-up dental treatment or oral surgery after discharge from Hospital shall not be covered.
Expenses incurred for Medical Services and counselling services relating to maternity conditions and its complications, including but not limited to diagnostic tests for pregnancy or resulting childbirth, abortion or miscarriage; birth control or reversal of birth control; sterilisation or sex reassignment of either sex; infertility including in-vitro fertilisation or any other artificial method of inducing pregnancy; or sexual dysfunction including but not limited to impotence, erectile dysfunction or pre-mature ejaculation, regardless of cause.
Expenses incurred for the purchase of durable medical equipment or appliances including but not limited to wheelchairs, beds and furniture, airway pressure machines and masks, portable oxygen and oxygen therapy devices, dialysis machines, exercise equipment, spectacles, hearing aids, special braces, walking aids, over-the-counter drugs, air purifiers or conditioners and heat appliances for home use. For the avoidance of doubt, this exclusion shall not apply to rental of medical equipment or appliances during Confinement or on the day of the Day Case Procedure.
Expenses incurred for traditional Chinese medicine treatment, including but not limited to herbal treatment, bone-setting, acupuncture, acupressure and tui na, and other forms of alternative treatment including but not limited to hypnotism, qigong, massage therapy, aromatherapy, naturopathy, hydropathy, homeotherapy and other similar treatments.
Expenses incurred for experimental or unproven medical technology or procedure in accordance with the common standard, or not approved by the recognised authority, in the locality where the treatment, procedure, test or service is received.
Expenses incurred for Medical Services provided as a result of Congenital Condition(s) which have manifested or been diagnosed before the Insured Person attained the age of eight (8) years (attained age).
Eligible Expenses which have been reimbursed under any law, or medical program or insurance policy provided by any government, company or other third party.
Expenses incurred for treatment for Disability arising from war (declared or undeclared), civil war, invasion, acts of foreign enemies, hostilities, rebellion, revolution, insurrection, or military or usurped power.
Premium adjustment
The premium is non-guaranteed and will be determined annually based on the attained age of the Insured Person at the time of Renewal.
Premium term and non-payment of premium
The premium payment term of the Policy of vCore is up to the age of one hundred (100) years (attained age) of the Insured Person.

FWD shall allow a grace period of thirty (30) days after the premium due date for payment of each premium. The Policy shall continue to be in effect during the grace period but no benefits shall be payable unless the premium is paid. If the premium is still unpaid in full at the expiration of the grace period, the Policy shall be terminated immediately on the date on which the unpaid premium is first due.
Migration Arrangements
If you would like to migrate existing medical insurance policies to vCore Medical Plan or have any enquiry about the migration arrangements, please contact FWD Life Service Hotline at 3123 3123 or FWD Financial Service Hotline at 3123 3338.
Termination conditions
This Policy shall be automatically terminated on the earliest of the followings –
where this Policy is terminated due to non-payment of premiums after the grace period as specified in the Policy provisions; or
the day immediately following the death of the Insured Person; or
FWD has ceased to have the requisite authorisation under the Insurance Ordinance to write or continue to write this Policy.
For more details, please refer to the Terms and Conditions of the Policy provisions.
Enquiry and complaint channel
VHIS Office of the Food and Health Bureau – for issues specific to the VHIS including product availability, features of Certified Plans and compliance with Code of Practice for Insurance Companies under the Ambit of the Voluntary Health Insurance Scheme;
Insurance Authority – for issues concerning the general conduct of insurance companies and intermediaries; and
Inland Revenue Department – for issues concerning claims for tax deduction.
FWD – Customers can make enquiries and lodge complaints with us in writing or via FWD Service Hotlines 3123 3123.
FWD Financial – Customers can make enquiries and lodge complaints with us via email at cs.ifwd.hk@fwd.com or Service Hotline 3123 3338. FWD Financial is an appointed insurance agency of FWD.
Change of Policy Holder
FWD should not refuse any application by the Policy Holders for the transfer of ownership to –
the Insured Person if he has reached the age of 18 years;
the parent or guardian of the Insured Person if he is under the age of 18 years; or
any person whose familial relationship with the Insured Person is accepted by FWD according to its prevailing Underwriting practices.
Note: Online applicants will be requested to visit FWD Insurance Solutions Centres under the following circumstances: 1) Collection of policy documents upon issuance of policy; 2) Cancellation of policy during the cooling-off period; 3) Change of beneficiary; or 4) Full surrender. Under specific circumstances, we may request online applicants to visit FWD Insurance Solutions Centres for identity verification.

We are here for you

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In Person

Have questions or comments for us? Drop us an email at cs.ifwd.hk@fwd.com and one of our Customer Engagement Representatives will respond to your enquiry as soon as possible.

FAQ

For frequently asked questions related to the vCore Medical Plan, please click here.

Important Notes and Declarations

Important Notes and Declarations
FWD Life Insurance Company (Bermuda) Limited (“FWD”) reserves the right to revise, modify or adjust the benefits payable under the Policy as certified by the Hong Kong Special Administrative Region Government (“Government”) premium rates at each Policy Renewal and/or add-on services subject to FWD’s prevailing rules and regulations from time to time at its sole discretion.
vCore is underwritten by FWD. FWD is solely responsible for all features, Policy approval, coverage and benefit payment under vCore. FWD recommends you carefully consider whether vCore is suitable for you in view of your financial needs and that you fully understand the risk involved in vCore before submitting your Application. You should not apply for or purchase vCore unless you fully understand it and you agree it is suitable for you. Please read through the following related risks before making any Application of vCore.
vCore is issued by FWD. FWD accepts full responsibility for the accuracy of the information contained in this product material. This product material is intended to be distributed in the Hong Kong Special Administrative Region (“Hong Kong”) only and shall not be construed as an offer to sell, a solicitation to buy or the provision of any insurance products of FWD outside Hong Kong. All selling and application procedures of vCore must be conducted and completed in Hong Kong.
vCore is an insurance product. The premium paid is not a bank savings deposit or time deposit. vCore is not protected under the Deposit Protection Scheme in Hong Kong.
vCore is a medical protection product without any savings element. The costs of insurance and the related costs of the Policy are included in the premium paid under vCore despite the product brochure/leaflet and/or the information sheet of this product having no schedule/ section of fees and charges or no additional charge noted other than the premium.
All underwriting and claims decisions are made by FWD. FWD relies upon the information provided by you and the Insured Person in the insurance application to decide to accept or decline the application with a full refund of any premium paid without interest. FWD reserves the right to accept/reject any insurance application and can decline your insurance application by giving notification and explanation of application result.
If you are not satisfied with the Policy, you have the right to cancel it and obtain a refund of any premium paid (less any market value adjustment) and levy by giving a written notice during the cooling-off period. The cancellation right is subject to the request to cancel must be signed by you and received by FWD which is at 1/F., FWD Financial Centre, 308 Des Voeux Road Central, Hong Kong within twenty-one (21) days after (a) the delivery of the Terms and Benefits and the Policy Schedule of the Policy; or (b) the issue of a notice to you or your representative stating that the Terms and Benefits and the Policy Schedule of the Policy are available and when the cooling-off period would expire, whichever is earlier, provided that no refund of paid premium and levy can be made if a benefit payment has been made, is to be made or impeding.)
While the Policy is in force, you may terminate the Policy by sending a written request to FWD.
The Policy provisions of vCore are governed by the laws of Hong Kong.
This product material is for reference only and is indicative of the key features of vCore. This product material should read along with the illustration documents, Terms and Benefits and other relevant marketing materials. For the definition of capitalized terms, the exact terms and conditions and the full list of exclusions of vCore, please refer to the Policy provisions. In the event of any ambiguity or inconsistency between the terms of this leaflet and the Policy provisions, the Policy provisions shall prevail. If you want to read the Terms and Benefits before making an application, you can obtain a copy from FWD.
Effective from 1 January 2018, all Policy Holders are required to pay a levy on each premium payment made for both new and in-force policies to the Insurance Authority. For further information on levy, please visit www.fwd.com.hk/en/insurance-levy or contact FWD customer service hotline 3123 3123.

No claims period immediately prior to the Policy’s Renewal	No claims premium discount (Discount on the Renewal premium)
2 consecutive Policy Years	10%
3 consecutive Policy Years	10%
4 consecutive Policy Years	10%
5 consecutive Policy Years and thereafter	15%

1^st Policy Year	No coverage
2^nd Policy Year	25%
3^rd Policy Year	50%
4^th Policy Year and thereafter	100%

vCore Medical Plan

Begin to Shape your Healthy Future

Product Features

Benefit Schedule10,11,12

We are here for you

FAQ

Important Notes and Declarations

Benefit Schedule^10,11,12