With success come greater responsibilities and concerns for your family’s future, a reliable plan is vital. AIA’s CEO Medical Plan 5 / CEO Medical Plan (Worldwide) 5 provides a lifetime of quality medical insurance and confidence in any situation. With global medical protection, guaranteed renewal and full reimbursement for major medical expenses, you can pursue your life with passion and make the most out of every occasion.
CEO Medical Plan 5 / CEO Medical Plan (Worldwide) 5 is a medical protection insurance plan that provides lifetime cover up to HK$/MOP50,000,000. With this plan, you will enjoy broad hospitalisation and surgery cover around the world, giving you support when you need it most.
Lifetime guaranteed renewal
CEO Medical Plan 5 / CEO Medical Plan (Worldwide) 5 guarantees that your premium for renewal will not be raised for any claim you have made, or any changes in your health condition. You can renew your cover every year for life. Renewal premium will be based on the prevailing premium rates at the time of renewal (Please refer to the Annual Premium Table for the first year premium provided by your financial planner).
EXTENDED CARING PROTECTION TO SAFEGUARD THE NEEDS OF STROKE AND CANCER PATIENTS
Stroke is a common disease with potentially harmful consequences, often requiring extensive periods of recovery and additional living support. This plan offers extended caring protection to address the daily needs and self-care capabilities of stroke patients, so that you may receive the proper care even in the comfort of your own home.
home facility enhancements approved by occupational therapists – widening of corridors, adapting bathroom facilities and purchasing specialised furniture, etc.
professional medical support – consultations, treatments and prescriptions from chiropractors, physiotherapists, speech therapists, occupational therapists, neurologist, neurosurgeons and Chinese medical practitioners according to your personal needs
disability subsidy – if you become unable to take care of yourself for at least 6 uninterrupted months, we will provide a disability subsidy of HK$/MOP5,000 per month to you for up to 24 months
This plan also includes enhanced support for cancer patients with cover for chemotherapy, radiotherapy, targeted therapy and the related consultations, medications and diagnostic tests. For patients with kidney diseases, we also cover the expenses required for regular dialysis treatments.
If no claim is made for two consecutive cover years, our CEO Medical Plan 5 / CEO Medical Plan (Worldwide) 5 offers a 10% discount on your selected deductible choice in the following cover year. Such discount will accumulate every two consecutive cover years and can reach up to 100%, meaning that the deductible amount can be reduced to zero.
The discount applies to the original deductible amount of your plan, and will be reset to 0% in the next cover year upon claim payment.
Even if you received hospital cash benefit, lower room class cash benefit, day surgery benefit, day surgery cash benefit or worldwide emergency assistance services (see benefits schedule, items 8, 9, 11, 13 and 29 in product brochure for details), your eligibility for this discount will not be affected.
Timely medical protection can improve your chances of a quick recovery. That is why AIA CARE+, AIA’s all-in-one medical services platform, offers a range of additional services to assist you in the hospital and beyond, for a smooth treatment journey. Through key partnerships with leading medical specialists and institutions, AIA CARE+ connects you to personalised treatments, priority financial arrangements for hospitalisation, worldwide assistance and more. With AIA CARE+ on your side, you can rest assured knowing that your health is in good hands, so you can focus on your recovery and spending time with your loved ones.
PERSONAL MEDICAL CASE MANAGEMENT *
If you are unfortunately diagnosed with a serious illness, an expert team is here to help. Through Personal Medical Case Management Services, our designated service provider will get you the medical support you need with ongoing updates on your condition.
Your diagnosis and treatment will be assessed by a specialist, so you can count on additional medical expertise to help you overcome your health challenges with confidence.
For more information, please refer to the Personal Medical Case Management Services leaflet.
* This service is provided by the designated service provider engaged by AIAHK and is not applicable to Macau Region.
This is a value-added service designed to further enhance your peace of mind in a medical situation. Our medical network has a group of multi-disciplinary medical specialists and provides you with access to a number of advanced day case medical centres, a safe and convenient alternative to hospitals. You can book day case procedure at network clinics and day case procedure centres, the network doctor will apply for the Medical Expense Pre-approval Service on your behalf. You can also enjoy the convenience of cashless hospitalisation (also known as Credit Facility Service for Hospitalisation) and a dedicated hotline for centralised booking.
For more information, please refer to the specialist network leaflet.
* This service is provided by the designated service provider engaged by AIAHK and is not applicable to Macau Region.
Hassle-free medical payment at home and overseas
When you are facing a health challenge, the last thing you want is the hassle of paying your medical bills, especially in a foreign country. Through AIA CARE+, you can enjoy the total convenience of cashless hospitalisation, even while in designated private hospitals in Asia, including Singapore, Malaysia and Thailand, as well as the United States and Europe (subject to geographic cover set out in the benefit schedule). Once this service has been approved, we will settle the medical expenses incurred during your hospital stay on your behalf, allowing you to focus on your recovery without the stress of paying hospital bills and making subsequent claims. Any shortfall payment resulting from your hospital stay will be settled after your treatment. Once the final claim amount has been settled, any related benefit limits will be reduced accordingly.
For more information and the list of designated hospitals, please refer to our Credit Facility Service for Hospitalisation leaflet.
You need to pay the premium for this plan for life as long as you renew for this plan or for this add-on plan until the basic plan it is attached to is terminated. If you do not pay the premium within 31 days of the premium due date, the policy will be terminated and you / the person protected under the policy will lose the cover.
You may request for the termination of your policy by notifying us in written notice. Also, we will terminate your policy and you / the person protected under the policy will lose the cover when one of the following happens:
the person protected under the policy passes away;
you do not pay the premium within 31 days of the premium due date;
the aggregate benefits under the relevant insurance policy reaches the overall lifetime limit; or
when you take this plan as an add-on plan of any basic plan which has been terminated.
If the person protected under the policy happens to be hospitalised on the date when this plan / add-on plan is terminated because you do not pay the premium within 31 days of the premium due date, we will extend the cover for an additional 30 days without the need for you to make any payments, subject to the same benefit limits which apply to your original plan.
We underwrite the plan and you are subject to our credit risk. If we are unable to satisfy the financial obligations of the policy, the person protected under the policy may lose his cover and you may lose the remaining premium for that policy year.
You are subject to exchange rate risks for plans denominated in currencies other than the local currency. Exchange rates fluctuate from time to time. You may suffer a loss of your benefit values and the subsequent premium payments (if any) may be higher than your initial premium payment as a result of exchange rate fluctuations. You should consider the exchange rate risks and decide whether to take such risks.
The future medical costs will be higher than they are today due to inflation. Hence, the benefit amounts and the future premium rate of this plan may be revised to reflect the inflation (Please refer to Annual Premium Table for the first year premium provided by your financial planner).
Under this plan, we will not cover any of the following events or conditions:
any treatment, investigation, service or supplies which is not medically necessary
any pre-existing condition or congenital defect that appears or is diagnosed before the person protected under the policy reaches the age of 17
self-destruction, intentional self-inflicted injury or drug abuse
war or warlike operations, and civil commotion, any violation or attempted violation of the law or resisting arrest, acts of terrorism for the person protected under the policy is a terrorist, the use of atomic, biological or chemical weapons as well as radioactive, biological or chemical contamination due to any act of terrorism (except where the person protected under the policy is injured during a Trip outside the permanent residence country or place of the person protected under the policy); or when the person protected under the policy travels to a country at war, or where there is warlike operation, mutiny, riot, civil commotion, martial law or state of siege, or a war zone as recognised by the United Nations
pregnancy, miscarriage, child birth, abortion, or related complications, except for “pregnancy complications benefit” (see benefits schedule, item 26 for details), AIDS or any complications associated with HIV infection, except for the “HIV / AIDS treatment benefit” (see benefits schedule, item 22 for details), mental or nervous disorder, except for the “mental or nervous disorder benefit” (see benefits schedule, item 23 for details)
consumption of any of the following traditional Chinese medicines, except for the “post-hospitalisation / day surgery ancillary benefit” and "stroke ancillary benefit" (see benefits schedule, items 18b and 25biii for details):
consumption of any of the following traditional Chinese medicines, except for the “Post-hospitalisation / outpatient surgery ancillary benefit” and "Stroke ancillary benefit" (see benefits schedule in product brochure, items 17b and 24biii for details):
The above list is for reference only. Please refer to the policy contract of this plan for the complete list and details of exclusions.
Premium Adjustment and Product Features Revision
In order to provide you with continuous protection, we will annually review and adjust the premium of your plan accordingly at the end of policy year if necessary. During the review, we may consider factors including but not limited to the following:
claim costs incurred from all policies under this plan and the expected claim outgo in the coming year which reflects the impact of medical trend, medical cost inflation and product feature revisions
historical investment returns and the future outlook of the product's backing asset
policy surrenders and lapses
expenses directly related to the policy and indirect expenses allocated to this product
Product Features Revision
We reserve the right to revise the benefit structure, terms and conditions and / or product features, so as to keep pace with the times for medical advancement and to provide you with continuous protection.
We will give you a written notice of any revision 31 days before the end of policy year or upon renewal.
Cover for specific items will be effective on the following dates (after the policy commences):
Accidental injury: Immediately
Illness: 30 days
Investigation / treatment / surgery for tonsils, adenoids, hernias or a disease particular to female generative organs: 120 days
Specialist Network service: 180 days
Optional dental benefit: 6 months
Pregnancy complications benefit: 10 months
HIV / AIDS treatment: 5 years
We only cover the charges and / or expenses of the person protected under the policy on medically necessary and reasonable and customary basis.
"Medically necessary” means that the medical services, diagnosis and / or treatments are:
delivered according to standards of good medical practice;
cannot be safely delivered in a lower level of medical care.
Experimental, screening, and preventive services or supplies are not considered medically necessary.
“Reasonable and customary” means:
the medical services, diagnosis and / or treatments are medically necessary and delivered according to standards of good medical practice;
the costs of your medical services and the duration of your hospital stay are not more expensive or longer than the usual level of charges or duration for similar treatment in the locality of such services delivered; and
does not include charges that would not have been made if no insurance existed.
We may adjust any and all benefits payable in relation to any hospital / medical charges which is not a reasonable and customary charge.
The person protected under the policy will be covered for any room type in which he stays at hospital, but there will be a reduction in his benefit pay-out amount in case the person protected under the policy stays in a room type higher than the plan covered. In such a case, the benefit pay-out amount will be adjusted by multiplying the following factor:
= Daily room charge of the standard private room in the hospital admitted by the person protected under the policy / Daily room charge of the room the person protected under the policy stays
If the person protected under the policy continuously stays for 365 days in one of following regions, the medical services and / or treatments provided to the person protected under the policy in such region will be permanently reduced to 60% of his benefit pay-out amount. Such reduction applies to all items in the benefits schedule except items 29 and 30:
North America: United States and Canada
Western Europe: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Monaco, Netherlands, Norway, Portugal, Spain, Sweden, Switzerland, United Kingdom and Vatican City
If the eligible expenses have been reimbursed under any law, or medical program or other insurance policy provided by any government, company, other third party or us, such will not be reimbursable by us under this policy.
Worldwide emergency assistance services are covered during the trip only (except for 24-hour worldwide telephone enquiring services), which are additional benefits. The services are provided by third party service provider(s). AIA shall not be responsible for any act, negligence or omission of medical advice, opinion, service or treatment on the part of them. AIA reserves the right to amend, suspend or terminate the service without further notice.
Medical network services, Credit Facility Service for Hospitalisation, and Medical Expense Pre-approval Service are additional benefits and do not form part of the contractual service. Medical network services are provided by network doctor. AIA shall not be responsible for any act or omission of network doctor in the provision of medical network services. Credit Facility Service for Hospitalisation is provided by third party service provider(s). AIA reserves the right to amend, suspend or terminate these services without further notice.
If you wish to make a claim, you must notify us in writing within 20 days of the date the covered event happened, and send us the appropriate forms and relevant proof within 90 days of the same date. You can get the appropriate claim forms from your financial planner, by calling the AIA Customer Hotline (852) 2232 8888 in Hong Kong, or (853) 8988 1822 in Macau, or by visiting any AIA Customer Service Centre. If you wish to know more about claim related matter, you may visit “File A Claim” section under our company website www.aia.com.hk.
You have the right to cancel and obtain a refund of any premiums and any levy paid by giving written notice to us.
Such notice must be signed by you and submitted to the Customer Service Centre of AIA International Limited at 12/F, AIA Tower, 183 Electric Road, North Point, Hong Kong or the Customer Service Centre of AIA International Limited at Unit 1903, 19/F, AIA Tower, 251A-301 Avenida Comercial de Macau, Macau within 21 calendar days immediately following either the day of delivery of the policy or the Cooling-off Notice to you or your nominated representative , whichever is the earlier.
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