BOC Medical Comprehensive Protection Plan (Series 1)

Bank of China Group Insurance Company Limited ("BOCG Insurance") is delighted to present BOC Medical Comprehensive Protection Plan (Series 1) ("the Plan") that offers you and your family a comprehensive medical protection. The Plan puts three basic benefits including Hospital and Surgical, Supplementary Major Medical and Hospital Cash under one roof. Together with the optional benefits1 including Out-patient, Dental, Maternity or Critical Illness, the Plan provides you and your family with added peace of mind. 

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Product Highlights

  1. 10% premium discount and flexible plan combination2 for family enrolment
    • Enjoy 10% premium discount if two or more family members3 are insured under the same policy.
    • Each family member can opt to take up different plans and optional benefits1 under the same policy. Child(ren)4 can be insured on his/her own while the applications are required to be arranged by the parent or legal guardian.
  2. 15% No Claim Renewal Discount Offer
    Each insured person with no claim record of basic benefits for 3 consecutive policy years or above will be entitled to 15% renewal premium discount for basic benefits in the next policy year.
  3. Guaranteed lifetime renewal
    The Plan offers you guaranteed lifetime renewal for Hospital and Surgical, Out-patient and Dental benefits. Regardless of the insured person's health or claim conditions, BOCG Insurance will not charge any additional fees or impose any additional terms on the insured person after the policy has taken into effect5.

  4. Value-added benefits for your extra protection
    • Extended coverage of Clinical Surgery: includes day case surgery performed in a hospital or clinical surgery at clinic6.
    • Special cash allowance for health supplement food: Allowance for health supplements will be provided after surgical operation. The receipts of purchasing health supplementary food are not required to be provided upon submission of the claim.
    • Medical top-up plan: A supplementary top-up protection will be provided for you and/or your family members3 to supplement the existing Hospital and Surgical insurance (e.g. the medical insurance offered by your employer).
    • Critical illness benefits: Apart from 40 common critical illnesses, the Plan also provides coverage for medical expenses arising from cancer, stroke or cardiomyopathy. Besides, additional benefits will be offered if the Insured Person is diagnosed with designated male or female's critical illness or serious diseases.
    • Once the application for insurance is approved, the protection will take effect immediately without waiting period (except “Maternity Benefit”, “Critical Illness Benefit”, any designated disease as specified under "Pre-existing Medical Conditions" and other excluded items7).
  5. Free health check-up and 24-hour services
    • Health check-up: Each insured person will be entitled to a basic health check-up in the first policy year. A comprehensive health check-up for male, female or child will be provided every 2 consecutive policy years thereafter.
    • 24-hour Worldwide Emergency Assistance Service: The Plan provides 24-hour Worldwide Emergency Assistance Service. Besides, you can enjoy a hospital deposit guarantee of up to HK$40,000 in the event of emergency hospital confinement outside Hong Kong.
    • 24-hour online service: You can visit BOCG Insurance's website anytime and anywhere for calculation of premium and Body Mass Index, enquiry of claim status and record, downloading of policy document, claim forms and information of network doctors, etc.
  6. Instant approval and 15-day Policy Review Period
    If your application is approved instantly and the coverage is confirmed in effect, BOCG Insurance will issue your policy about 10 working days after the application and relevant documents have been received. Within 15 days after the confirmation date of the coverage ("Policy Review Period"), you can download the policy document and major exclusions via BOCG Insurance's website (http://www.bocgins.com). If the insured benefits do not meet your needs, you can terminate your policy by giving written notice to BOCG Insurance within Policy Review Period (if you have already received the policy, you are required to return it to BOCG Insurance). If no claim has been made by the insured person within Policy Review Period, all paid premium will be totally refunded.
  7. Auto-renewal service
    If you do not receive any notice of amendments on renewal terms by BOCG Insurance before the expiry date of every policy year, your policy will be renewed automatically by paying the required premium for the next policy year.

Basic Benefits and Optional Benefits

Premium

Premium Payment Methods

  1. Auto-pay through bank account with Bank of China (Hong Kong) Limited ("BOCHK")
    • Annual Payment: Please complete the Direct Debit Authorisation Form and settle the first year premium by bank account payment transfer, cash or a crossed cheque payable to "Bank of China Group Insurance Company Limited" upon application at any branch of BOCHK in the Hong Kong Special Administrative Region ("HKSAR") 
  2. Payment made by credit card
    • Annual Payment: Please complete the Credit Card Authorisation Form to settle the premium upon application at any branch of BOCHK in the HKSAR 
  3. Payment made by cheque (Applicable to Annual Payment only)
    • Please settle the premium by a crossed cheque payable to "Bank of China Group Insurance Company Limited" upon application at any branch of BOCHK in the HKSAR.

Major Exclusions (For details, please refer to the policy)

Any congenital conditions, latent illness or disease existed prior to the effective date of the policy (including any designated disease occurring during the first year and the first six months from the effective date of the benefits cover); routine physical examination, dental treatment (except the cover provided under Dental Benefits), eye tests; cosmetic or plastic surgery, pregnancy or childbirth (except the cover provided under Maternity Benefits), fertility or infertility treatment; AIDS, HIV related sickness or injury (except the cover provided under Critical Illness); alcoholism, mental disorders, drug addiction, venereal diseases, illegal acts, war, strike, riot, act of terrorism, professional sports or high risks activities; all hospitalisation expenses incurred primarily for examinations (such as diagnostic scanning, X-ray examination, etc) or physiotherapy, etc.

Notes of Revisions, Notice of Termination and Claims

  • Premium, terms and maximum limit: Premium, terms and maximum limit are determined according to the plan selected on the day of application and by the age and the health condition of the Insured Person. The premium will be increased progressively when Insured Person enters into another pre-set age group at the time of policy renewal. Regardless of the Insured Person's health or claim conditions, BOCG Insurance will not charge any additional fees or impose any additional terms on the Insured Person after the policy has taken into effect. However, BOCG Insurance reserves the right to underwrite, amend the terms and/or adjust the premium and maximum limit for all policies covered under BOC Medical Comprehensive Protection Plan (Series 1).
  • Revision of the plan: The Proposer can revise the policy by giving a written notice to BOCG Insurance 30 days prior to the expiry date of the policy. The new plan and premium will become effective on the first day of the new policy year.
  • Termination of policy and premium refund:
    1. If the Proposer terminates the policy or any one of the insured persons' benefits within the policy period, the premium will not be refunded and the Proposer should pay 100% of the annual premium.
    2. If the Insured Person covered under Plan 4 "Medical top-up plan" gives a written notice for policy termination within the policy period due to the cancellation of company medical insurance after termination of employment, he/she will be entitled to the refund of the paid annual premium on a designated percentage upon submission of the documentary proof. Besides, the insured person can request to convert his/her insured plan to Plan 1, Plan 2 or Plan 3 (if Plan 3 is selected, Insured Person should submit the documentary proof showing that his/her previous company medical insurance coverage is equivalent to or better than that of Plan 3 before the conversion).
  • Claims: For claim application, the Insured Person should submit a written notice together with the documentary proof to BOCG Insurance for processing at the soonest. BOCG Insurance will complete within 10 working days after the sufficient documentary proof has been received.

Important Notes

  • Age: the Proposer and his/her spouse should be aged 18 or above.
  • Child(ren): can be insured individually but the application should be arranged by the parent or legal guardian.
  • Insured person: must be a legal resident of the HKSAR.
  • Notes to applicant who is studying outside Hong Kong:
    1. Individual underwriting is required for the application of the Plan (Applicant and/or Insured Person who is studying outside Hong Kong cannot apply the plan through online application).
    2. If the relevant applicant is approved by BOCG Insurance to be covered by the Plan, the Plan will be based on the details of the endorsement of the policy to extend Student Studying outside Hong Kong Benefit, and provide 24-Hour Emergency Assistance Services and Protection, including Medical Evacuation, Repatriation after Treatment, Compassionate Visit and Hotel Room Accommodation for Convalescence, etc.
    3. BOCG Insurance reserves the right to underwrite, reject the application, adjust the premium and/or the maximum limit of benefits, and/ or amend the terms and conditions for the relevant application.
  • Change of Risk: The immediate notice in writing shall be given to BOCG Insurance if any change of risk of the Insured Person (including change of identity of the residence, the occupation, etc). BOCG Insurance reserves the right in its sole and absolute discretion to treat the insurance policy as premium adjustment or termination for any change of risk which is from the inception date of any change of risk. BOCG Insurance will not refund any premiums paid and reserves rights to require repayment of the paid claims.
  • Geographical Limit: Worldwide. Applicable to the following coverage:
    1. Hospital and Surgical (including medical top-up plan), Dental, Maternity, Critical Illness;
    2. Supplementary Major Medical (only applicable to accidental emergency situation), Hospital Cash (limited to hospital confinement of 90 days per policy year), Out-patient (only applicable to Plan 3).

Insuring and Renewal Age Limit

Insured Items Insured age Renewal age
A. Hospital and Surgical 15 days - 65 years old Lifetime
B. Supplementary Major Medical 15 days - 65 years old up to 75 years old
C. Hospital Cash 15 days - 60 years old up to 60 years old
D. Out-patient 15 days - 65 years old Lifetime
E. Dental 15 days - 65 years old Lifetime
F. Maternity 18 - 50 years old up to 50 years old
G. Critical Illness 18 - 50 years old up to 60 years old

Remarks:

  1. The Insured Person should enrol in the basic benefits prior to the application for optional benefits.
  2. Different Insured Person under the same policy can apply for different basic benefits, plans and optional benefits.
  3. Family members refer to the Proposer and/or his/her legally married spouse and/or his/her child(ren).
  4. Child(ren) refer(s) to the legal child of the Proposer, including step child, adopted child, or guardian child. (For online application, Child(ren) must be unmarried and aged between 15 days to 17 year old, or be aged below 23 as full-time student).
  5. BOCG Insurance reserves the right to underwrite, amend the terms and/or adjust the premium and maximum limit for all policies of BOC Medical Comprehensive Protection Plan (Series 1).
  6. "Day Case Surgery" means any surgery performed in the hospital that does not require hospitalisation. "Clinical Surgery" means surgery that can be undertaken at the clinic.
  7. For the details of designated disease as specified under "Pre-existing Medical Conditions" and other excluded items, please refer to the policy. 

Terms and Conditions:

  • This Plan is underwritten by Bank of China Group Insurance Company Limited ("BOCG Insurance").
  • Bank of China (Hong Kong) Limited (“BOCHK”) is the appointed insurance agent of BOCG Insurance for distribution of the Plan. This Plan is a product of BOCG Insurance but not BOCHK.
  • In respect of an eligible dispute (as defined in the Terms of Reference for the Financial Dispute Resolution Centre in relation to the Financial Dispute Resolution Scheme) arising between BOCHK and the customer out of the selling process or processing of the related transaction, BOCHK is required to enter into a Financial Dispute Resolution Scheme process with the customer; however any dispute over the contractual terms of the Plan should be resolved between directly BOCG Insurance and the customer.
  • BOCG Insurance is authorised and regulated by the Insurance Authority to carry on general insurance business in the Hong Kong Special Administrative Region of the People's Republic of China.
  • BOCG Insurance reserves the sole right to determine whether any application for the Plan is acceptable or not in accordance with the information submitted at the time of application by the Proposer and/or Insured Person.
  • BOCG Insurance reserves the right to amend, suspend and terminate the above products, services and offer and to amend the relevant terms at any time at its discretion without prior notice. In case of dispute, the decision of BOCG Insurance shall be final.
  • The above information is for reference only. It shall not be construed as an offer to sell or solicitation of an offer or recommendation to purchase or sale or provision of any products of BOCG Insurance outside Hong Kong. Details of the coverage of the Plan are subject to the terms stipulated in the policy by BOCG Insurance. Please refer to the policy document for the details of the insured items and coverage, provisions and exclusions.
  • Should there be any discrepancy between the English and Chinese versions, the English version shall prevail.

The Insurance Authority (“IA”) will collect premium levy from the policyholder at the applicable rate. In order to avoid any legal consequences, the policyholder must pay to the insurance company a prescribed levy for the premium for direct remittance to the IA. The levy amount may be subject to change depending on the applicable rate. For details, please visit IA's website www.ia.org.hk.