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    Premium & Coverage of Semi-Private or Private Room Medical Plans

    premiums-and-coverage-of-semi-private-and-private-ward-insurance

    Long queues and overloading is common at public hospitals in Hong Kong. If budgets allow, many people would rather opt for the private sector for earlier treatments. However, private hospitals have various charging schemes and ward types. Is your insurance plan able to cover all your expenses at private hospitals? In this article, Cigna Smart Health will explain the coverage and premium related to semi-private or private ward plans.

    Common room types of private hospitals include general wards (standard rooms), semi-private rooms, and private rooms. Some hospitals may even provide more premium options, such as suite and VIP rooms. Below are the three standard room types with their services.

    Room Types

    Services

    General ward
    • 2 to 8 patients in a ward
    • Shared restroom and bathing facilities
    Semi-private single room
    • 1 to 3 patients in a room
    • Shared restroom and bathing facilities
    • Individual room with shared restroom can be arranged by cases
    Private room
    • 1 patient in a room
    • Private restroom and bathing facilities

    In the market, you can choose your medical insurance plans of different room types with their respective premiums, depending on your needs and budget. Apart from hospitalization fees, some plans also cover medical expenses incurred from related items, such as private nurses, medical appliances, and post-hospitalization auxiliary treatment. Therefore, their annual coverage limits are relatively higher. You can see the comparison in the table below.

     

    Common Medical Insurance

    High-End Medical Insurance

    Annual Premium*

    HK$3,000 up

    HK$10,000 up

    Annual Limit^

    Around HK$ 300,000 to 3,000,000

    Over HK$ 30,000,000

    Room Types

    General Wards

    Semi-Private / Private / Premium Rooms

    Coverage

    Medical expenses may not be fully covered

    Fully covered^

    *Estimate from a case of 35-year-old non-smoker
    ^Benefits are reimbursed on Medically Necessary and Reasonable and Customary basis

    However, your actual premium rate is subject to your lifestyle, conditions, needs and insured amount. You are advised to consult your insurer before subscribing to a medical plan.

    Cigna HealthFirst Elite 360 Medical Plan has been recognized as a preferred choice of high-end medical insurance plan in the market. It offers coverage on semi-private rooms and standard private rooms with superior annual limits of up to HK$30M and HK$50M, respectively. The Plan also garnered 5 Star Rating at Semi-Private Room Level.

    Furthermore, Cigna VHIS Series offers medical insurance plans according to your preferred accommodation room types, namely the Flexi Plan (Superior): Semi-Private and the brand-new Flexi Plan (Superior): Ward.

    Traditional medical insurance plans set benefit limits for surgical expenses and other miscellaneous items. However, Cigna gets you covered on your medical expenses with high annual benefit limits of up to HK$30M and HK$50M offered by Cigna VHIS Series – Flexi Plan (Superior) and Cigna HealthFirst Elite 360 Medical Plan, respectively. With unlimited lifetime claims, you need not worry about future medical expenses. The table below shows the coverage details of our plans regarding hospitalization.

    Cigna VHIS Series – Flexi Plan (Superior): Semi-Private
    • Annual Benefit Limit per Policy Year: HK$30,000,000
    • Full compensation on hospitalization
    • Home nursing for Confinement: HK$1,000 per day (Maximum 90 days per Policy Year)
    • Unlimited lifetime claims
    Cigna VHIS Series – Flexi Plan (Superior): Ward
    • Annual Benefit Limit per Policy Year: HK$5,000,000
    • Full compensation on hospitalization
    • Home nursing for Confinement: HK$800 per day (Maximum 90 days per Policy Year)
    • Unlimited lifetime claims
    Cigna VHIS Series – Flexi Plan (SMM)
    • Annual Benefit Limit per Policy Year: HK$570,000
    • Home nursing for Confinement: HK$700 per day (Maximum 15 days per Policy Year)
    • Unlimited lifetime claims
    Cigna VHIS Series – Standard Plan
    • Annual Benefit Limit per Policy Year: HK$420,000
    • Unlimited lifetime claims
    Cigna HealthFirst Elite 360 Medical Plan
    • Semi-Private Room Level: Annual Benefit Limit per Policy Year - HK$30M
    • Standard Private Room Level: Annual Benefit Limit per Policy Year - HK$50M
    • All your basic needs are covered, from hospital room and board to surgery, attending physician, specialist, intensive care, and private nursing fee
    • Up to HK$2,000 in cash benefit for each day you’re in hospital
    • Unlimited lifetime claims

    The above benefit items are for reference only. Benefits are reimbursed on a Medically Necessary and Reasonable and Customary basis.


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    Cigna VHIS Series offers you different medical insurance plans according to your needs. here for details.

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    © Cigna Healthcare 2025
    Information provided in this article is intended for health and fitness purposes only and is not intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment or prevention of disease (see Terms & Conditions for details). Any health-related information found in this article is available only for your interest and should not be treated as medical advice. Users should seek any medical advice from a physician, especially before self-diagnosing any ailment or embarking on any new lifestyle or exercise regime. Any information contained in this article may not be suitable, accurate, complete or reliable. Cigna Healthcare accepts no responsibility for the content or accuracy of information contained on external websites or resources, or for the security and safety of using them. "Cigna Healthcare" and the "Tree of Life" logo are registered trademarks of Cigna Intellectual Property, Inc. in the United States and elsewhere, licensed for use. All products and services are provided by or through operating subsidiaries, and not by The Cigna Group.

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