As health comes into sharper focus with age, sufficient medical protection is paramount to our well-being. Facing the realities of aging and accelerating medical costs, your existing insurance plan may be insufficient to cover your health-related expenses. Well Link Life's Well Care Silver Medical Plan ('the plan') is designed for customers from age 55 to 75 years. The plan helps to relieve the financial burden arising from medical expenses, allowing you to focus on your treatment.
Remarks:
1. Lifetime limit for daily hospital income benefit and daily rehabilitation benefit is 730 days. Hospital confinement means the registration for admission and confinement of the life insured as an in-patient in a hospital upon recommendation of a physician for the treatment of an injury or sickness provided that the life insured must be admitted in the hospital as an in-patient for a minimum of 12 hours and continuously stay in the Hospital thereafter prior to his discharge which incurs a charge for hospital daily room and board or intensive care. Hospital confinement must be medically necessary.
2. If the life insured is confined in a public hospital, the daily amount payable under this benefit shall equal: (i) the daily hospital income benefit of amount as specified on the policy schedule or (ii) the daily inpatient fee actually charged by the public hospital, whichever is lower.
3. Hospital confinement for the same inquiry or sickness for a minimum continuous period of 90 days is required and the life insured who is incapacitated as a direct or complication of the same inquiry or sickness receives treatment as recommended by a physician for rehabilitation treatment after discharge of the hospital confinement. Incapacitated means hospital confinement for a minimum continuous period of 90 days and the life Insured suffers any one of the following major disabilities or loss: (i) cognitive impairment; (ii) permanent need for wheelchair; or (iii) permanent loss of use of two limbs, sight, hearing or speech.
4. If the life insured undergoes a surgical operation in a hospital during the hospital confinement due to disability, the Company shall pay the surgical benefit on an indemnity basis subject to the applicable maximum benefit limit as specified in the policy schedule. If two or more surgical operations are performed during the same hospital confinement, the amount payable shall not exceed the maximum benefit limit of the most complicated surgical procedure performed.
5. Hospital confinement and surgical procedure must be medically necessary*. * Medically necessary means in respect of confinement, treatment, procedure, supplies or other medical services, such confinement, treatment, procedure, supplies or other medical services which are, in the Company's opinion:
(i) required for, appropriate and consistent with the symptoms and findings or diagnosis and treatment of the disability;
(ii) in accordance with generally accepted medical practice and not of an experimental or investigative nature;
(iii) not for the convenience of the life insured, the policyowner, the physician or any other person; and
(iv) not able to be omitted without adversely affecting the life insured's medical condition.
6. For hospitals in PRC, hospitals not listed on the prevailing “List of Specified Hospitals in PRC” maintained by the Company at the time of admission do not fall within the definition of “Hospital”. Please refer to the Company's website at www.wli.com.hk for the “List of Specified Hospitals in PRC”.
Plan Type:
Basic plan
Issue Age:
Age 55 to age 75 （on last birthday）
Policy Term
Renewable every five years, up to age 100. Premium will not be adjusted when the Life Insured reaches age 95.
Premium Payment Mode
Monthly/ Annual
Policy Currency
HKD
Daily Hospital Income Benefit1
Plan 1: $500
Plan 2: $750
Plan 3: $1,000
Cumulative up to 180 days of hospital confinement per policy year
Daily Rehabilitation Benefit1, 3
Plan 1: $500
Plan 2: $750
Plan 3: $1,000
Minimum 15 days to maximum 180 days per claim
Surgical Benefit2
Plan 1:
Complex: $50,000
Major: $25,000
Intermediate: $12,500
Minor: -
Plan 2:
Complex: $70,000
Major: $35,000
Intermediate: $17,500
Minor: -
Plan 3:
Complex: $90,000
Major: $45,000
Intermediate: $22,500
Minor: -
Cumlative up to two times per policy year
Remarks:
1. Lifetime limit for daily hospital income benefit and daily rehabilitation benefit is 730 days. Hospital confinement means the registration for admission and confinement of the life insured as an in-patient in a hospital upon recommendation of a physician for the treatment of an injury or sickness provided that the life insured must be admitted in the hospital as an in-patient for a minimum of 12 hours and continuously stay in the Hospital thereafter prior to his discharge which incurs a charge for hospital daily room and board or intensive care. Hospital confinement must be medically necessary.
2. If the life insured is confined in a public hospital, the daily amount payable under this benefit shall equal: (i) the daily hospital income benefit of amount as specified on the policy schedule or (ii) the daily inpatient fee actually charged by the public hospital, whichever is lower.
3. Hospital confinement for the same inquiry or sickness for a minimum continuous period of 90 days is required and the life insured who is incapacitated as a direct or complication of the same inquiry or sickness receives treatment as recommended by a physician for rehabilitation treatment after discharge of the hospital confinement. Incapacitated means hospital confinement for a minimum continuous period of 90 days and the life Insured suffers any one of the following major disabilities or loss: (i) cognitive impairment; (ii) permanent need for wheelchair; or (iii) permanent loss of use of two limbs, sight, hearing or speech.
4. If the life insured undergoes a surgical operation in a hospital during the hospital confinement due to disability, the Company shall pay the surgical benefit on an indemnity basis subject to the applicable maximum benefit limit as specified in the policy schedule. If two or more surgical operations are performed during the same hospital confinement, the amount payable shall not exceed the maximum benefit limit of the most complicated surgical procedure performed.
5. Hospital confinement and surgical procedure must be medically necessary*. * Medically necessary means in respect of confinement, treatment, procedure, supplies or other medical services, such confinement, treatment, procedure, supplies or other medical services which are, in the Company's opinion:
(i) required for, appropriate and consistent with the symptoms and findings or diagnosis and treatment of the disability;
(ii) in accordance with generally accepted medical practice and not of an experimental or investigative nature;
(iii) not for the convenience of the life insured, the policyowner, the physician or any other person; and
(iv) not able to be omitted without adversely affecting the life insured's medical condition.
6. For hospitals in PRC, hospitals not listed on the prevailing “List of Specified Hospitals in PRC” maintained by the Company at the time of admission do not fall within the definition of “Hospital”. Please refer to the Company's website at www.wli.com.hk for the “List of Specified Hospitals in PRC”.
Note:
1. This plan is underwritten by Well Link Life Insurance Company Limited.
2. The above content contains general information for reference only. It is not part of the policy and does not contain the full policy's terms. Please refer to the policy documents for the full terms and conditions of this plan as well as the complete definitions of the capitalized terms. You should read this information alongside the brochure and other relevant materials which cover additional information about this product, including but not limited to benefit illustration (if any), other marketing materials, policy provision and other policy documents, which are available upon request. You may seek independent professional advice if necessary.
This Policy does not cover any claims caused directly or indirectly, wholly or partly, by any of the following occurrences:
- Any Pre-existing Condition;
- Any sickness or disease of the Insured (a) the symptoms of which first manifest or occur or (b) for which the Life Insured has received medical treatment or been attended to by a Physician or been prescribed drugs, in each case, during the first 90 days after the Policy Issue Date or the date of endorsement or the effective date of last reinstatement, whichever is the latest;
- Drug-taking other than under the prescription or direction of a Physician, abuse of alcohol or the taking of poison;
- Disease of or infection of any Human Immunodeficiency Virus (HIV) and/or any HIV-related illness including Acquired Immune Deficiency Syndrome (AIDS) and/or any mutations, derivations or variations;
- War or hostilities (whether war be declared or not), civil commotion rebellion, revolution, riot, strikes, terrorist or warlike activities;
- Suicide or self-inflicted injuries while sane or insane;
- Violation or attempted violation of the law or resistance to arrest or participation in any brawl or affray;
- Professional sports, racing of any kind, underwater activities involving the use of breathing apparatus, aerial flights (including bungee-jumping, hang-gliding, ballooning, parachuting and sky-diving) other than as a crew member or a fare-paying passenger on a licensed carrying commercial aircraft operating in a regular scheduled route or any hazardous activities or sports unless agreed by special endorsement;
- Psychiatric treatment, mental or nervous disease or disorder or sleep disturbance disorder;
- General health checks, convalescence, custodial or rest care; or dental treatment, dentures, eye examination, glasses, hearing aids or the fitting thereof, cosmetic surgery or plastic surgery unless necessitate by Injury caused by an Accident;
- Refractive errors of the eyes or their correction by glasses;
- Driving any kind of vehicle while the alcohol level in the Life Insured's breath, blood or urine is higher than the legal limit in the country or territory where the driving takes place; or
- Confinement in an institution for extended care, or a place for alcoholics or drug addicts, or a nursing / rest / convalescent home or rehabilitation center, or home for the aged, or hydro-clinic or similar establishment. This exclusion is not be applicable to the Daily Rehabilitation Program.
If admission of life insured in PRC is in a hospital which is not listed on the prevailing “List of Specified Hospitals in PRC”, it does not fall within the definition of “Hospital” and no benefits will be paid. Please refer to the company website for the latest “List of Specified Hospitals in PRC”.
Nature of the product
This product is a non-participating policy and does not entitle the policyowner to participate in the profits or surplus of the Company. The product includes life insurance, critical illness insurance and accident insurance and is aimed at customers who are looking for the comprehensive protection solutions and can pay the premium as long as they want the protection. Customers are advised to save enough money to cover the premiums in the future.
Cooling-off period
If you are not satisfied with the policy and have not made any claim under the policy, you have the right to cancel it and obtain a refund of any premium(s) paid by giving a written notice of cancellation to us within the cooling-off period. The cooling-off period is the period of 21 calendar days immediately following the day of the delivery of (1) the policy; or (2) the Cooling-off Notice, to you or your nominated representative, whichever is the earlier. The Cooling-off Notice will be sent to you or your nominated representative to notify you of the cooling-off period around the time the policy is delivered.
Premium Adjustment
Premiums are determined based on the risk class (including but not limited to age, sex, smoking habit and occupation class, as the case may be) of the life insured. We reserve the right to review and adjust the premium rates for particular risk classes, based on the past experience and prevailing trend of claim occurrence of that risk class, on every policy anniversary. We will not adjust the premium unless we notify you prior to the policy's anniversary.
Claims
For daily hospital income benefit and surgical benefit, written notice of a claim must be given to the Company within 30 days after the date of commencement of the relevant hospital confinement. Satisfactory proof in the Company's prescribed form together with satisfactory proof and all official receipts must be made and furnished to the Company within 90 days of the life insured from the date of discharge from the Hospital. For daily rehabilitation benefit, satisfactory proof in the Company's prescribed form together with all official receipts must be made and furnished to the Company within 90 days of the life insured from the date of completion of the rehabilitation program. You can call our Claims Hotline at +852 2830 7600 for the appropriate claim form.
Termination Conditions
This Policy becomes effective on the Policy Issue Date and will terminate upon the first occurrence of any one of the following events:
- Death of the Life Insured;
- The Company approves the written request of the Policyowner for surrender;
- Maturity of the Policy; or
- Required premium not paid after the end of the grace period
While the Policy is in force, you may terminate this policy before the next premium due date by sending written request to the Company provided that such notice is duly received by the Company 14 days before the next premium due date.
Renewal
Subject to all the terms and conditions of this Policy, the Policyowner has a guaranteed right to renew this Policy on each Policy Anniversary for a further Policy Year by continued payment of premium at such premium rates as based on the Age of the Life Insured at the time of renewal. Notwithstanding the foregoing, the Company reserves the right to amend premium on every 5th Policy Anniversary in respect of like categories of the Life Insured, such as age or sex save and except the age of the Life Insured shall be above 95.
Without limiting the application of this clause, if there is any misrepresentation, non-disclosure or fraud on the part of the Life Insured, the Company shall have the right to terminate this Policy, or to revise the terms and conditions of this Policy. The payment to or acceptance by the Company or the Company's agent of any premium subsequent to the termination of this Policy will not create any liability on the Company's part except that of a refund of any such premium.
