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Bank of China Group Insurance Company Limited ("BOCG Insurance") is delighted to present the newly-launched BOC Medical Comprehensive Protection Plan (Series 1) ("the Plan") to you and your family. This comprehensive plan puts three basic benefits including Hospital and Surgical, Supplementary Major Medical and Hospital Cash under one roof. To better meet your needs, the Plan also comes with the optional Out-patient, Dental, Maternity or Critical Illness for your added peace of mind. |
Product Highlights
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| Remarks: | |
| 1. | Different insured persons under the same policy can apply for different basic benefits, plan and optional benefits. |
| 2. | Family members mean the insured and/or his/her legally married spouse and/or his/her child(ren). |
| 3. | Insured person must insure basic benefits prior to the application of optional benefits. |
| 4. | Child(ren) means unmarried child(ren) who is/are from 15 days to 17 years old , or full-time student(s) aged 23 or below. |
| 5. | BOCG Insurance reserves the right to amend or adjust the premium and terms for all policies covered under BOC Medical Comprehensive Protection Plan (Series 1). |
I. Basic Benefits6 – enroll in all or 2 out of 3
| Insured Items and Coverage | Maximum Limit (HK$)(per insured person) |
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| A | Hospital and Surgical Benefit(per disability)- compulsory item | Plan1 |
Plan2 |
Plan3 |
Plan4 (Medical top up plan)7 |
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$630 |
$1,450 |
$2,800 |
Maximum annual overall limit is $200,000 and 50% reimbursement for each claim and no item limit is applied. Note: This benefit will become invalid if the insured person does not own a valid hospital & surgical insurance upon submission of claims. |
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$630 |
$1,450 |
$2,800 |
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$12,000 |
$18,000 |
$25,000 |
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$32,000 |
$48,000 |
$68,000 |
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$18,000 |
$28,000 |
$45,000 |
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$8,000 |
$12,500 |
$18,000 |
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$3,800 |
$5,500 |
$6,500 |
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$120 |
$150 |
$180 |
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up to 30% of Surgical Expenses in A4 |
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up to 30% of Surgical Expenses in A4 |
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$3,000 |
$5,000 |
$8,000 |
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$15,000 |
$20,000 |
$25,000 |
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$1,200 |
$2,500 |
$4,500 |
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$500 |
$800 |
$1,000 |
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$1,000 |
$1,500 |
$2,000 |
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$200 |
$500 |
$800 |
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$20,000 |
$35,000 |
$50,000 |
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$200 |
$300 |
$500 |
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$500 |
$750 |
$1,000 |
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| Annual overall limit for insured person aged 76 or above under Item A. | $200,000 |
$400,000 |
$600,000 |
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| B | Supplementary Major Medical Benefit(per disability) | ||||||
| Applicable to the exhaustion of "Hospital and Surgical Benefits" payable under Basic Benefits Item A3 to A88 (reimbursement in accordance with percentage) | $150,000 80% |
$300,000 80% |
$500,000 a. 80% or b. 100% |
N/A |
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| C | Hospital Daily Cash Benefit | ||||||
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300 |
500 |
1,000 |
300 |
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600 |
1,000 |
2,000 |
600 |
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| Free Services | |||||||
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Please refer to policy for details |
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N/A |
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| Remarks: | |
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II. Optional Benefits6 (Additional coverage under "Optional Benefits" can be added after Basic Benefits are applied)
Insured Items and Coverage |
Maximum Limit (HK$)(per insured person) |
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Plan 1 |
Plan 2 |
Plan 3 |
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| D | Out-patient Benefits (only 1 visit per day in total is allowed amongst item 1 to 4 below) | |||||||||||||||||||||||||||
Network and Non-network doctor |
Network doctor |
Network doctor |
Network doctor and Non-network doctor |
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| E | Dental Benefits | |||||||||||||||||||||||||||
| Reimbursement in accordance with percentage: | 80% |
100% |
N/A |
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$60 |
$70 |
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$300 (1 visit) |
$400 (2 visits) |
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$300 |
$400 |
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$200 |
$300 |
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$600 |
$1,200 |
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| Maximum aggregate limit per policy year | $2,000 |
$3,800 |
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| F | Maternity Benefits(per pregnancy)(not applicable to child) | |||||||||||||||||||||||||||
| Including pre-natal and post-natal out-patient expenses. These benefits are not applicable to pregnancy or birth of a child within 9 months from the policy commencement date of these benefits. | ||||||||||||||||||||||||||||
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$12,000 |
$15,000 |
$22,500 |
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$8,000 |
$10,000 |
$15,000 |
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$6,000 |
$8,000 |
$12,000 |
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| G | Critical Illness (not applicable to child) | |||||||||||||||||||||||||||
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$100,000 |
$200,000 |
$300,000 |
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| Extended benefits | ||||||||||||||||||||||||||||
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$30,000 |
$45,000 |
$60,000 |
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$50,000 |
$80,000 |
$100,000 |
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$50,000 |
$80,000 |
$100,000 |
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| Remarks: | |
11. |
40 types of Critical Illness coverage includes Cancer, Cardiomyopathy, Coronary Artery Bypass Grafting, Heart Valve Replacement, Primary Pulmonary Arterial Hypertension, Surgery To Aorta, Heart Attack, Alzheimer’s Disease, Bacterial Meningitis, Tuberculous Meningitis, Benign Brain Tumor, Coma, Encephalitis, Brain Damage, Motor Neurone Disease, Multiple Sclerosis, Muscular Dystrophy, Paraplegia/Paralysis, Parkinson’s Disease, Poliomyelitis, Stroke, Progressive Bulbar Palsy, Blindness, Loss of Hearing, End Stage Lung Disease, Fulminant Viral Hepatitis, Kidney Failure, Loss of Independent Existence, Loss of Speech, Major Burns, Major Organ Transplant, Loss of Limbs, Total And Permanent Disability, Liver Failure, HIV Through Blood Transfusion, Aplastic Anaemia, Elephantiasis, Severe Rheumatoid Arthritis, Terminal Illness, Vegetative State (persistent). |
12. |
SLE: Subject to 90 days waiting period and once a claim being made in this benefit, item "G" benefit will be terminated immediately for the insured person receiving such claim. |
[Premium I. Basic Benefits] || [Premium II. Optional Benefits] || [Premium payment methods]
Premium (calculated in HKD and on per insured person basis. If two or more family members2 are insured under the same policy, 10% premium discount will be provided)
I. Basic Benefits – Hospital and Surgical13 + Supplementary Major Medical14 (A+B Benefits)
Age Group |
Monthly |
Annual |
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Plan 1 |
Plan 2 |
Plan 3a14 |
Plan 3b14 |
Plan 1 |
Plan 2 |
Plan 3a14 |
Plan 3b14 |
|
| 15 days – 17 years old | $144 |
$206 |
$310 |
$355 |
$1,649 |
$2,352 |
$3,544 |
$4,060 |
| 18 – 30 years old | $154 |
$246 |
$410 |
$455 |
$1,755 |
$2,813 |
$4,686 |
$5,202 |
| 31 – 45 years old | $196 |
$313 |
$522 |
$567 |
$2,242 |
$3,582 |
$5,964 |
$6,480 |
| 46 – 55 years old | $257 |
$415 |
$721 |
$782 |
$2,942 |
$4,747 |
$8,236 |
$8,933 |
| 56 – 60 years old | $280 |
$464 |
$819 |
$880 |
$3,199 |
$5,301 |
$9,365 |
$10,063 |
| 61–70 years old* | $380 |
$612 |
$1,014 |
$1,075 |
$4,341 |
$6,991 |
$11,592 |
$12,289 |
| 71–75 years old* | $573 |
$947 |
$1,275 |
$1,336 |
$6,553 |
$10,821 |
$14,573 |
$15,271 |
| 76 years old or above* | $509 |
$864 |
$1,153 |
$1,153 |
$5,815 |
$9,874 |
$13,178 |
$13,178 |
* 66 years old or above is applicable to renewal only; 76 years old or above can be renewed on Hospital and Surgical Benefits only.
I. Basic Benefits – Hospital and Surgical13 + Hospital Daily Cash15 (A+C Benefits)
Age Group |
Monthly |
Annual |
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Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
|
| 15 days– 17 years old | $122 |
$170 |
$246 |
$95 |
$1,391 |
$1,946 |
$2,806 |
$1,081 |
| 18 – 30 years old | $145 |
$235 |
$391 |
$117 |
$1,659 |
$2,684 |
$4,468 |
$1,339 |
| 31 – 45 years old | $201 |
$318 |
$551 |
$153 |
$2,294 |
$3,638 |
$6,298 |
$1,754 |
| 46 – 55 years old | $291 |
$456 |
$861 |
$199 |
$3,329 |
$5,206 |
$9,842 |
$2,273 |
| 56 – 60 years old | $333 |
$519 |
$974 |
$275 |
$3,805 |
$5,935 |
$11,129 |
$3,143 |
| 61–70 years old* | $315 |
$529 |
$892 |
$223 |
$3,603 |
$6,044 |
$10,197 |
$2,546 |
| 71 years old or above* | $509 |
$864 |
$1,153 |
- |
$5,815 |
$9,874 |
$13,178 |
- |
| * 61 years old or above can be renewed on Hospital and Surgical Benefits only. Upon renewal of Plan 4, insured person aged 71 or above can convert insured plan to Plan 1 or Plan 2. If the insured person opts to convert to Plan 3, he/she is required to submit documentary proof, showing that his/her coverage limit is equivalent to or better than Plan 3’s coverage limit before the conversion). |
I. Basic Benefits – Hospital and Surgical13 + Supplementary Major Medical14 + Hospital Daily Cash15 (A+B+C Benefits)
Age Group |
Monthly |
Annual |
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Plan 1 |
Plan 2 |
Plan 3a14 |
Plan 3b14 |
Plan 1 |
Plan 2 |
Plan 3a14 |
Plan 3b14 |
|
| 15 days– 17 years old | $159 |
$223 |
$341 |
$379 |
$1,817 |
$2,545 |
$3,897 |
$4,336 |
| 18 – 30 years old | $180 |
$280 |
$457 |
$496 |
$2,061 |
$3,195 |
$5,224 |
$5,663 |
| 31 – 45 years old | $234 |
$361 |
$610 |
$648 |
$2,674 |
$4,120 |
$6,971 |
$7,410 |
| 46 – 55 years old | $340 |
$518 |
$945 |
$960 |
$3,880 |
$5,917 |
$10,797 |
$11,425 |
| 56 – 60 years old | $379 |
$580 |
$1,056 |
$1,111 |
$4,335 |
$6,629 |
$12,069 |
$12,696 |
| 61–70 years old* | $380 |
$612 |
$1,014 |
$1,075 |
$4,341 |
$6,991 |
$11,592 |
$12,289 |
| 71–75 years old* | $573 |
$947 |
$1,275 |
$1,336 |
$6,553 |
$10,821 |
$14,573 |
$15,271 |
| 76 years old or above* | $509 |
$864 |
$1,153 |
$1,153 |
$5,815 |
$9,874 |
$13,178 |
$13,178 |
| * 61-75 years old can be renewed on Hospital and Surgical Benefits and Supplementary Major Medical Benefits only; 76 years old or above can be renewed on Hospital and Surgical Benefits only. |
Age Group/Benefits |
Monthly |
Annual |
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Plan 1 |
Plan 2 |
Plan 3 |
Plan 1 |
Plan 2 |
Plan 3 |
|
| D. Out-patient13 Benefit | Network |
Network & Non-network (80% Reimbursement) |
Network |
Network & Non-network (80% Reimbursement) |
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| 15 days– 4 years old | 289 |
396 |
477 |
3,300 |
4,523 |
5,446 |
| 5 - 30 years old | 232 |
331 |
468 |
2,656 |
3,780 |
5,349 |
| 31 - 45 years old | 232 |
331 |
588 |
2,656 |
3,780 |
6,724 |
| 46 - 60 years old | 232 |
331 |
746 |
2,656 |
3,780 |
8,528 |
| 61 - 70 years old | 297 |
417 |
960 |
3,390 |
4,760 |
10,972 |
| 71 years old or above | 297 |
417 |
1,119 |
3,390 |
4,760 |
12,792 |
| E. Dental13Benefit | ||||||
| 15 days or above | 79 |
140 |
N/A |
902 |
1,600 |
N/A |
| F. Maternity Benefit (not applicable to child) | ||||||
| 18 – 30 years old | 344 |
431 |
646 |
3,936 |
4,920 |
7,380 |
| 31 – 40 years old | 387 |
484 |
726 |
4,428 |
5,535 |
8,303 |
| 41 – 50 years old | 301 |
377 |
565 |
3,444 |
4,305 |
6,458 |
| G1. Critical Illness (non-smoking) (not applicable to child) | ||||||
| 18 – 30 years old | 12 |
23 |
34 |
142 |
267 |
386 |
| 31 – 40 years old | 35 |
66 |
98 |
397 |
757 |
1,122 |
| 41 – 45 years old | 57 |
111 |
166 |
654 |
1,271 |
1,900 |
| 46 – 50 years old | 85 |
168 |
251 |
969 |
1,922 |
2,867 |
| 51 – 55 years old* | 122 |
242 |
362 |
1,393 |
2,769 |
4,142 |
| 56 – 60 years old* | 177 |
352 |
526 |
2,022 |
4,017 |
6,015 |
| G2. Critical Illness (smoking) (not applicable to child) | ||||||
| 18 – 30 years old | 17 |
33 |
48 |
196 |
373 |
546 |
| 31 – 40 years old | 51 |
98 |
145 |
578 |
1,115 |
1,658 |
| 41 – 45 years old | 83 |
165 |
245 |
950 |
1,883 |
2,803 |
| 46 – 50 years old | 124 |
245 |
366 |
1,412 |
2,801 |
4,184 |
| 51 – 55 years old* | 177 |
352 |
527 |
2,022 |
4,022 |
6,020 |
| 56 – 60 years old* | 256 |
509 |
763 |
2,923 |
5,819 |
8,717 |
*51-60 years old is for renewal only
| Remarks: | |
13. |
Hospital and Surgical, Out-patient and Dental Benefits: enrolment age is up to 65 years old, aged 66 or above is for renewal only. |
14. |
Supplementary Major Medical Benefits: enrolment age is up to 65 years old and renewal age is up to 75 years old. Claim reimbursement percentage for Plan 3a and Plan 3b are 80% and 100% respectively. |
15. |
Hospital Daily Cash Benefits: both enrolment and renewal age is up to 60 years old. Regardless of the basic benefits or plan selected, insured child(ren) will be covered under Plan 1 only. |
[Eligibility and geographical limit] ||[Insuring and renewal age limit:] ||[Major exclusions] || [Revisions, notice of termination and claims note]
Eligibility and geographical limit
Insuring and renewal age limit
| Insured Items | Insured age group | Renewal ages |
| 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 Daily 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 |
Major exclusions (For more details, please refer to the policy)
Congenital conditions, any latent illness or disease existed prior to the effective date of the policy, sickness occurred within 15 days from the effective date of the coverage, routine physical examination, dental treatment (except cover is provided under Dental benefit), eye tests, cosmetic or plastic surgery, pregnancy or childbirth (except cover is provided under maternity benefit), fertility or infertility treatment, AIDS, HIV related sickness or injury (except cover is 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 hospitalization expenses incurred primarily for examinations (such as diagnostic scanning, X-ray examination, etc) or physiotherapy, etc.
Revisions, notice of termination and claims note
Terms & conditions:
The product has extensive special features which provides you & your family members total medical protection solution including: