2010 Health Insurance Benchmark

Traditionally a preferred option of individual expatriates, Global Health Insurance benefits have gained in popularity amongst companies not only employing expat staff, but also with senior executive local nationals that  carry out overseas assignments or feel local benefit levels do not reflect their medical needs.

With significantly higher benefits and the freedom to choose a medical treatment facility anywhere in the World, International Health Insurance has always been a tempting alternative to the local national health care plans.

In Hong Kong, European style products have been made available to companies, perhaps another British colonial influence.  Although providing a Full Cover payment for inpatient and outpatient medical costs, they have traditionally been of a reactive insurance style, only making payments in the event of a covered injury or illness and have also included significant exclusions within policy wordings relating to congenital, hereditary, chronic and terminal conditions.

Recent years have seen a more proactive health management style be introduced to policies with the inclusion of wellbeing, health check and vaccination benefits coupled with access to chronic condition management and hospice care.

2009 also saw the launch of two Americanized products in Hong Kong for the first time, with Aetna Global Benefits and Cigna International opening their doors to the local market and bringing with them increased benefits which include as standard; congenital, hereditary, chronic and terminal condition cover, cover for pre-existing medical condition and a suite of wellness programs to cater for high flying executives.

The following table includes details of the standard cover included with three of the major international health insurance plans available to companies in Hong Kong.

 

GH - IHP

INTERGLOBAL

CIGNA INTERNATIONAL

Currency

US$

US$

US$

Annual Limit

1,600,000

3,400,000

7,500,000

In Patient (Hospitalization)

Full Cover

Full Cover

Full Cover

Out Patient (GP, Clinic, Specialists)

Full Cover

Full Cover

Full Cover

Organ Transplant

Full Cover

425,000

Full Cover

Oncology

Full Cover

Full Cover

Full Cover

Chronic Conditions

Acute Full Cover Palliative 15,000

Acute Full Cover Palliative 102,000 lifetime

Full cover

In-patient Psychiatric Treatment

Full Cover

Full Cover

Full Cover

Hormone Replacement Therapy

Full Cover up to 18 months

255

Full Cover

Traditional Chinese Medicine

30 per session up to 10 sessions

3,400

Full Cover

Home Nursing

Full Cover

8,500

Full Cover

Annual Medical Check-ups

No Cover

850

450

Vaccinations

No Cover

Full Cover

Congenital Conditions

No Cover

No Cover

Full Cover

Hereditary Conditions

No Cover

No Cover

Full Cover

Emergency Dental Treatment

Full Cover

Full Cover

Full Cover

DENTAL

Routine Dental Treatment

700   With co-insurance

1,275
With co-insurance

 

3,000
With co-insurance

Major Dental Treatment

1,500  With co-insurance

Dental Waiting Period

9 Months

6 Months

No Waiting

MATERNITY

Complications to Pregnancy

Full Cover

Full Cover

Full Cover

Routine Maternity

10,000

8,500

SERVICES

Emergency Evacuation

Full Cover

Full Cover

Full Cover

Administration Centre

Hong Kong

UK

Hong Kong

Claims Handling Out-patient

Direct Billing

Pay & Claim

Direct Billing

Online Claims

No

No

Yes

International Private Medical Insurers have also been quicker to adapt their terms to market demands influenced by global events and circumstances.  Many have loosened their stance on war and terrorism and with the outbreak of H1N1, companies like Cigna International and Aetna Global Benefits have indicated coverage for H1N1 vaccinations under their standard group plans.

Whether it is COBRA compliance, Australian Medicare compatibility, or tailored benefit schedules specific to the demographic of a company’s employees; group health insurance purchasers now have greater choice in the market and have the ability to adapt their insurance purchase to their needs.

 

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