cigna healthfirst elite medical plan

29
First Year Premium Discount Renewal Year Premium Discount Child 30% 15% Adult (Age 18 or above) 30% 15% Discount for child if buying with one parent 80% 65% (Kids under Age 18) Civil Servants and Non-civil Servants employed by the Hong Kong Government, and their family who successfully apply for Cigna HealthFirst Elite Medical Plan during the specified promotion period will enjoy up to 80% discount on first year premium. Key Benefits of Cigna HealthFirst Elite Medical Plan - No lifetime limit 1 - Up to HK$50 million annual limit 2 - Flexible options to suit your needs (area of coverage, accommodation room type and annual deductible options) - Optional benets (Outpatient, Pharmacy, Dental, Deductible Discount, Premium Waiver due to Cancer) - All-round healthcare concierge service in Hong Kong - Free annual physical health check-ups and virtual assessment Promotion Period: 1 July 2021 – 30 June 2022 CIGNA HEALTHFIRST ELITE MEDICAL PLAN Voluntary Medical Insurance Scheme for Civil Servants and Non-civil Servants Employed by the Hong Kong Government The above promotion is subject to terms and conditions. For enquiries, please contact us via: Please scan the QR code to watch the video. Enroll now: 8100 6162 Product details: 15% (Age 18 or above) 1. This promotion (the "Promotion") is organized and sponsored by Cigna Worldwide Life Insurance Company Limited and Cigna Worldwide General Insurance Company Limited (collectively "Cigna"). The Promotion is valid from 1 July 2021 to 30 June 2022, both dates inclusive (the "Promotion Period"). 2. To qualify for the Promotion, (i) new applications of Cigna HealthFirst Elite Medical Plan (the "Plan") must be received by Cigna within the Promotion Period, solely based on Cigna's record; (ii) policies of the relevant application(s) must be underwritten and issued by Cigna on or before 31 July 2022 (each an "Eligible Policy"); (iii) each Eligible Policy shall only be counted once for the Promotion. 3. Policyholder or insured person under an existing policy of the same Plan which was cancelled within the previous 12 months and re-applied for the same Plan are not eligible for the Promotion. 4. To qualify for the offer, applicants must be Hong Kong Civil Servants or Non-Civil Servants employed by the Government of the Hong Kong Special Administrative Region, or their family. 5. Children’s discount is applicable only if the child is aged below 18. The child must enroll at the same time together with one of the parents or enroll in any policy year after the issuance of the parent’s policy. To enjoy the discount, the child must enroll in the same area of coverage as the parent. For children aged 6 or above, if the parent’s policy is terminated, the discount for the child’s policy will no longer apply. For children aged below 6, the child’s policy will be terminated if the parent’s policy is terminated. The children’s discount does not apply to Optional Dental Benefits. 6. Unless otherwise specified, this promotional offer cannot be used in conjunction with other promotional offer applicable to the Plan at the same time, including but not limited to the standard discount being offered to the public. 7. If the relevant policy of the Plan under the Promotion is cancelled within the cooling off period (if applicable), the refund of premium shall be the actual amount paid after discount. 8. All application(s) for the Plan(s) are subject to underwriting and approval by Cigna. Cigna reserves the right to accept or decline any application. 9. Applicants are responsible for reviewing these terms and conditions. By participating in the Promotion, applicants agree and accept to be bound by these terms and conditions. 10. Cigna reserves the right to change any of the terms and conditions of the Promotion without prior notice. In case of any disputes, Cigna's decision shall be final. 11. This leaflet contains terms and conditions of the promotion only and does not represent the full terms of the policy. For details of the features, contents, terms, conditions and exclusions of the Cigna products in this leaflet, please refer to the relevant product brochure(s) at www.cigna.com.hk and the policy provision(s). www.cigna.com.hk/en/voluntary- medical-insurance-scheme DM/FLYER/VMIS_E/2107/EN Remark on product features: 1 Lifetime limit of HK$500,000 applies to the Optional Pharmacy Benefits. 2 The Basic Benefits and Optional Outpatient Benefits under standard private room and semi-private room types are subject to an overall maximum annual limit of HK$50,000,000 and HK$30,000,000 respectively. Terms & Conditions of offer:

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Page 1: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

First Year Premium Discount Renewal Year Premium Discount

Child 30% 15%

Adult (Age 18 or above) 30% 15%

Discount for child if buying with one parent

80% 65%(Kids under Age 18)

Civil Servants and Non-civil Servants employed by the Hong Kong Government, and their family who

successfully apply for Cigna HealthFirst Elite Medical Plan during the specified promotion

period will enjoy up to 80% discount on first year premium.

Key Benefits of Cigna HealthFirst Elite Medical Plan

- No lifetime limit1

- Up to HK$50 million annual limit2

- Flexible options to suit your needs (area of coverage,accommodation room type and annual deductible options)

- Optional benefits (Outpatient, Pharmacy, Dental, DeductibleDiscount, Premium Waiver due to Cancer)

- All-round healthcare concierge service in Hong Kong- Free annual physical health check-ups and virtual assessment

Promotion Period: 1 July 2021 – 30 June 2022

CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Voluntary Medical Insurance Scheme for Civil Servantsand Non-civil Servants Employed by the Hong Kong Government

The above promotion is subject to terms and conditions. For enquiries, please contact us via:

Please scan the QR code to watch the video.

Enroll now: 8100 6162 Product details:

15%(Age 18 or above)

1. This promotion (the "Promotion") is organized and sponsored by Cigna Worldwide Life Insurance Company Limited and Cigna Worldwide General Insurance Company Limited (collectively "Cigna"). The Promotion is valid from 1 July 2021 to 30 June 2022, both dates inclusive (the "Promotion Period").

2. To qualify for the Promotion, (i) new applications of Cigna HealthFirst Elite Medical Plan (the "Plan") must be received by Cigna within the Promotion Period, solely based on Cigna's record; (ii) policies of the relevant application(s) must be underwritten and issued by Cigna on or before 31 July 2022 (each an "Eligible Policy"); (iii) each Eligible Policy shall only be counted once for the Promotion.

3. Policyholder or insured person under an existing policy of the same Plan which was cancelled within the previous 12 months and re-applied for the same Plan are not eligible for the Promotion.4. To qualify for the offer, applicants must be Hong Kong Civil Servants or Non-Civil Servants employed by the Government of the Hong Kong Special Administrative Region, or their family.5. Children’s discount is applicable only if the child is aged below 18. The child must enroll at the same time together with one of the parents or enroll in any policy year after the issuance of the parent’s policy.

To enjoy the discount, the child must enroll in the same area of coverage as the parent. For children aged 6 or above, if the parent’s policy is terminated, the discount for the child’s policy will no longer apply. For children aged below 6, the child’s policy will be terminated if the parent’s policy is terminated. The children’s discount does not apply to Optional Dental Benefits.

6. Unless otherwise specified, this promotional offer cannot be used in conjunction with other promotional offer applicable to the Plan at the same time, including but not limited to the standard discount being offered to the public.

7. If the relevant policy of the Plan under the Promotion is cancelled within the cooling off period (if applicable), the refund of premium shall be the actual amount paid after discount.8. All application(s) for the Plan(s) are subject to underwriting and approval by Cigna. Cigna reserves the right to accept or decline any application.9. Applicants are responsible for reviewing these terms and conditions. By participating in the Promotion, applicants agree and accept to be bound by these terms and conditions.10. Cigna reserves the right to change any of the terms and conditions of the Promotion without prior notice. In case of any disputes, Cigna's decision shall be final.11. This leaflet contains terms and conditions of the promotion only and does not represent the full terms of the policy. For details of the features, contents, terms,

conditions and exclusions of the Cigna products in this leaflet, please refer to the relevant product brochure(s) at www.cigna.com.hk and the policy provision(s).

www.cigna.com.hk/en/voluntary-medical-insurance-scheme

DM/FLYER/VMIS_E/210

7/EN

Remark on product features:1 Lifetime limit of HK$500,000 applies to the Optional Pharmacy Benefits.2 The Basic Benefits and Optional Outpatient Benefits under standard private room and semi-private room types are subject to an overall maximum annual limit of HK$50,000,000 and HK$30,000,000 respectively.

Terms & Conditions of offer:

Page 2: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium Table 保費表Effective from 1 April 2021 2021年4月1日起生效

CIGNA HEALTHFIRST ELITE MEDICAL PLAN信諾尊尚醫療保

保費表Premium Table

Page 3: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 18,122 1,577 10,925 950 9,685 843 8,106 705 6,886 599 50 22,965 1,998 13,891 1,209 12,313 1,071 10,300 896 8,727 759

1 16,157 1,406 9,739 847 8,634 751 7,227 629 6,140 534 51 24,258 2,110 14,674 1,277 13,009 1,132 10,881 947 9,218 802

2 14,234 1,238 8,578 746 7,607 662 6,360 553 5,409 471 52 25,617 2,229 15,501 1,349 13,740 1,195 11,495 1,000 9,734 847

3 14,105 1,227 8,498 739 7,537 656 6,302 548 5,360 466 53 26,936 2,343 16,300 1,418 14,450 1,257 12,087 1,052 10,236 891

4 13,977 1,216 8,419 732 7,467 650 6,243 543 5,311 462 54 28,116 2,446 17,015 1,480 15,084 1,312 12,614 1,097 10,684 930

5 13,379 1,164 8,063 701 7,151 622 5,980 520 5,084 442 55 29,346 2,553 17,757 1,545 15,737 1,369 13,164 1,145 11,151 970

6 13,503 1,175 8,140 708 7,218 628 6,036 525 5,131 446 56 30,618 2,664 18,528 1,612 16,422 1,429 13,734 1,195 11,635 1,012

7 13,627 1,186 8,216 715 7,286 634 6,093 530 5,178 450 57 31,954 2,780 19,335 1,682 17,137 1,491 14,333 1,247 12,143 1,056

8 13,750 1,196 8,292 721 7,353 640 6,149 535 5,225 455 58 33,351 2,902 20,182 1,756 17,887 1,556 14,961 1,302 12,673 1,103

9 13,874 1,207 8,368 728 7,421 646 6,205 540 5,272 459 59 34,806 3,028 21,061 1,832 18,666 1,624 15,610 1,358 13,226 1,151

10 13,883 1,208 8,379 729 7,430 646 6,213 541 5,276 459 60 36,345 3,162 21,982 1,912 19,483 1,695 16,292 1,417 13,811 1,202

11 14,296 1,244 8,633 751 7,655 666 6,402 557 5,432 473 61 38,047 3,310 23,013 2,002 20,395 1,774 17,058 1,484 14,458 1,258

12 14,709 1,280 8,887 773 7,881 686 6,590 573 5,589 486 62 39,708 3,455 24,017 2,089 21,282 1,852 17,801 1,549 15,089 1,313

13 15,122 1,316 9,141 795 8,106 705 6,779 590 5,746 500 63 41,442 3,605 25,065 2,181 22,215 1,933 18,579 1,616 15,748 1,370

14 15,536 1,352 9,396 817 8,332 725 6,968 606 5,904 514 64 43,253 3,763 26,161 2,276 23,184 2,017 19,389 1,687 16,436 1,430

15 16,074 1,398 9,727 846 8,627 751 7,214 628 6,108 531 65 46,905 4,081 28,351 2,467 25,121 2,186 21,010 1,828 17,824 1,551

16 16,363 1,424 9,898 861 8,777 764 7,344 639 6,218 541 66 48,954 4,259 29,589 2,574 26,218 2,281 21,927 1,908 18,603 1,618

17 17,102 1,488 10,344 900 9,171 798 7,674 668 6,499 565 67 51,089 4,445 30,880 2,687 27,365 2,381 22,885 1,991 19,414 1,689

18 8,918 776 5,394 469 4,782 416 4,003 348 3,389 295 68 53,320 4,639 32,228 2,804 28,558 2,485 23,884 2,078 20,262 1,763

19 9,287 808 5,618 489 4,980 433 4,168 363 3,529 307 69 55,651 4,842 33,636 2,926 29,804 2,593 24,925 2,168 21,147 1,840

20 9,657 840 5,841 508 5,180 451 4,332 377 3,670 319 70 58,071 5,052 35,106 3,054 31,107 2,706 26,015 2,263 22,067 1,920

21 9,859 858 5,963 519 5,287 460 4,425 385 3,746 326 71 59,878 5,209 36,190 3,149 32,066 2,790 26,816 2,333 22,754 1,980

22 10,115 880 6,118 532 5,424 472 4,539 395 3,844 334 72 62,497 5,437 37,774 3,286 33,470 2,912 27,988 2,435 23,749 2,066

23 10,374 903 6,274 546 5,565 484 4,654 405 3,942 343 73 65,224 5,674 39,421 3,430 34,930 3,039 29,210 2,541 24,785 2,156

24 10,641 926 6,436 560 5,707 497 4,775 415 4,044 352 74 68,074 5,922 41,144 3,580 36,456 3,172 30,486 2,652 25,868 2,251

25 10,923 950 6,601 574 5,852 509 4,896 426 4,151 361 75 70,997 6,177 42,944 3,736 38,051 3,310 31,818 2,768 26,979 2,347

26 11,241 978 6,794 591 6,024 524 5,039 438 4,272 372 76* 74,626 6,492 45,143 3,927 40,000 3,480 33,450 2,910 28,358 2,467

27 11,530 1,003 6,968 606 6,177 537 5,168 450 4,381 381 77* 77,889 6,776 47,118 4,099 41,751 3,632 34,914 3,038 29,598 2,575

28 11,826 1,029 7,147 622 6,334 551 5,300 461 4,494 391 78* 81,290 7,072 49,174 4,278 43,572 3,791 36,436 3,170 30,890 2,687

29 12,133 1,056 7,333 638 6,500 566 5,438 473 4,611 401 79* 84,836 7,381 51,319 4,465 45,473 3,956 38,025 3,308 32,238 2,805

30 12,440 1,082 7,519 654 6,668 580 5,576 485 4,727 411 80* 88,547 7,704 53,563 4,660 47,460 4,129 39,688 3,453 33,648 2,927

31 12,978 1,129 7,846 683 6,957 605 5,821 506 4,932 429 81* 92,413 8,040 55,902 4,863 49,533 4,309 41,419 3,603 35,117 3,055

32 13,304 1,157 8,044 700 7,130 620 5,966 519 5,056 440 82* 96,451 8,391 58,347 5,076 51,696 4,498 43,227 3,761 36,651 3,189

33 13,578 1,181 8,209 714 7,274 633 6,086 529 5,160 449 83* 100,661 8,758 60,893 5,298 53,952 4,694 45,114 3,925 38,251 3,328

34 13,857 1,206 8,377 729 7,425 646 6,212 540 5,266 458 84* 105,061 9,140 63,555 5,529 56,309 4,899 47,082 4,096 39,923 3,473

35 13,954 1,214 8,445 735 7,488 651 6,265 545 5,303 461 85* 109,645 9,539 66,327 5,770 58,765 5,113 49,137 4,275 41,665 3,625

36 14,140 1,230 8,556 744 7,585 660 6,346 552 5,373 467 86* 114,439 9,956 69,228 6,023 61,334 5,336 51,285 4,462 43,487 3,783

37 14,325 1,246 8,667 754 7,685 669 6,428 559 5,444 474 87* 119,435 10,391 72,251 6,286 64,011 5,569 53,525 4,657 45,385 3,948

38 14,509 1,262 8,776 764 7,781 677 6,509 566 5,513 480 88* 124,653 10,845 75,405 6,560 66,806 5,812 55,862 4,860 47,368 4,121

39 14,693 1,278 8,885 773 7,877 685 6,591 573 5,583 486 89* 130,098 11,319 78,699 6,847 69,723 6,066 58,297 5,072 49,437 4,301

40 15,079 1,312 9,112 793 8,078 703 6,757 588 5,730 499 90* 135,780 11,813 82,138 7,146 72,770 6,331 60,845 5,294 51,596 4,489

41 15,760 1,371 9,524 829 8,442 734 7,061 614 5,989 521 91* 141,713 12,329 85,726 7,458 75,947 6,607 63,501 5,525 53,851 4,685

42 16,469 1,433 9,952 866 8,821 767 7,380 642 6,258 544 92* 147,903 12,868 89,471 7,784 79,263 6,896 66,271 5,766 56,203 4,890

43 17,212 1,497 10,402 905 9,220 802 7,712 671 6,541 569 93* 154,361 13,429 93,376 8,124 82,726 7,197 69,166 6,017 58,657 5,103

44 17,985 1,565 10,870 946 9,635 838 8,059 701 6,834 595 94* 161,105 14,016 97,457 8,479 86,335 7,511 72,187 6,280 61,220 5,326

45 18,243 1,587 11,026 959 9,774 850 8,174 711 6,932 603 95* 168,141 14,628 101,714 8,849 90,105 7,839 75,336 6,554 63,894 5,559

46 19,134 1,665 11,566 1,006 10,252 892 8,576 746 7,271 633 96* 175,486 15,267 106,156 9,236 94,042 8,182 78,628 6,841 66,685 5,802

47 20,066 1,746 12,129 1,055 10,752 935 8,995 783 7,625 663 97* 183,149 15,934 110,792 9,639 98,149 8,539 82,059 7,139 69,597 6,055

48 21,045 1,831 12,723 1,107 11,275 981 9,433 821 7,997 696 98* 191,149 16,630 115,631 10,060 102,433 8,912 85,641 7,451 72,637 6,319

49 22,071 1,920 13,344 1,161 11,829 1,029 9,892 861 8,387 730 99* 199,497 17,356 120,682 10,499 106,905 9,301 89,378 7,776 75,809 6,595

Premium For Non Smoker – Asia 非吸煙人士保費–亞洲

Accommodation Room Type: Semi-private Room 病房類別:半私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 4: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 21,321 1,855 14,780 1,286 11,397 992 9,537 830 8,102 705 50 27,019 2,351 18,794 1,635 14,485 1,260 12,117 1,054 10,267 893

1 19,008 1,654 13,175 1,146 10,157 884 8,502 740 7,223 628 51 28,537 2,483 19,854 1,727 15,305 1,332 12,801 1,114 10,844 943

2 16,746 1,457 11,605 1,010 8,949 779 7,485 651 6,363 554 52 30,139 2,622 20,972 1,825 16,163 1,406 13,521 1,176 11,453 996

3 16,595 1,444 11,498 1,000 8,867 771 7,416 645 6,306 549 53 31,690 2,757 22,056 1,919 17,000 1,479 14,219 1,237 12,042 1,048

4 16,443 1,431 11,391 991 8,784 764 7,347 639 6,248 544 54 33,078 2,878 23,021 2,003 17,743 1,544 14,840 1,291 12,570 1,094

5 15,741 1,369 10,909 949 8,414 732 7,037 612 5,982 520 55 34,525 3,004 24,026 2,090 18,517 1,611 15,487 1,347 13,120 1,141

6 15,887 1,382 11,012 958 8,493 739 7,103 618 6,037 525 56 36,022 3,134 25,067 2,181 19,321 1,681 16,159 1,406 13,688 1,191

7 16,032 1,395 11,115 967 8,573 746 7,169 624 6,092 530 57 37,594 3,271 26,160 2,276 20,160 1,754 16,863 1,467 14,286 1,243

8 16,178 1,407 11,218 976 8,652 753 7,236 630 6,148 535 58 39,237 3,414 27,303 2,375 21,042 1,831 17,600 1,531 14,910 1,297

9 16,323 1,420 11,321 985 8,732 760 7,302 635 6,203 540 59 40,948 3,562 28,495 2,479 21,961 1,911 18,365 1,598 15,560 1,354

10 16,334 1,421 11,335 986 8,742 761 7,311 636 6,207 540 60 42,758 3,720 29,740 2,587 22,920 1,994 19,166 1,667 16,248 1,414

11 16,820 1,463 11,679 1,016 9,007 784 7,533 655 6,392 556 61 44,763 3,894 31,135 2,709 23,995 2,088 20,068 1,746 17,010 1,480

12 17,305 1,506 12,023 1,046 9,272 807 7,755 675 6,576 572 62 46,716 4,064 32,493 2,827 25,039 2,178 20,943 1,822 17,752 1,544

13 17,791 1,548 12,367 1,076 9,538 830 7,977 694 6,761 588 63 48,757 4,242 33,914 2,951 26,134 2,274 21,857 1,902 18,528 1,612

14 18,278 1,590 12,712 1,106 9,804 853 8,199 713 6,946 604 64 50,885 4,427 35,395 3,079 27,276 2,373 22,810 1,984 19,336 1,682

15 18,910 1,645 13,161 1,145 10,149 883 8,488 738 7,186 625 65 55,184 4,801 38,358 3,337 29,554 2,571 24,717 2,150 20,970 1,824

16 19,253 1,675 13,392 1,165 10,324 898 8,641 752 7,316 636 66 57,594 5,011 40,032 3,483 30,845 2,684 25,797 2,244 21,886 1,904

17 20,120 1,750 13,996 1,218 10,792 939 9,029 786 7,646 665 67 60,106 5,229 41,778 3,635 32,192 2,801 26,924 2,342 22,840 1,987

18 10,491 913 7,299 635 5,625 489 4,707 410 3,987 347 68 62,732 5,458 43,603 3,793 33,596 2,923 28,099 2,445 23,838 2,074

19 10,926 951 7,602 661 5,859 510 4,904 427 4,152 361 69 65,470 5,696 45,508 3,959 35,063 3,050 29,323 2,551 24,879 2,164

20 11,361 988 7,903 688 6,095 530 5,097 443 4,317 376 70 68,319 5,944 47,496 4,132 36,595 3,184 30,606 2,663 25,961 2,259

21 11,599 1,009 8,068 702 6,220 541 5,205 453 4,408 383 71 70,444 6,129 48,964 4,260 37,726 3,282 31,547 2,745 26,769 2,329

22 11,899 1,035 8,277 720 6,380 555 5,339 464 4,522 393 72 73,526 6,397 51,105 4,446 39,376 3,426 32,928 2,865 27,940 2,431

23 12,205 1,062 8,489 739 6,547 570 5,476 476 4,638 404 73 76,736 6,676 53,336 4,640 41,092 3,575 34,366 2,990 29,160 2,537

24 12,519 1,089 8,707 758 6,711 584 5,617 489 4,757 414 74 80,086 6,967 55,666 4,843 42,890 3,731 35,867 3,120 30,433 2,648

25 12,851 1,118 8,931 777 6,886 599 5,759 501 4,883 425 75 83,526 7,267 58,098 5,055 44,766 3,895 37,435 3,257 31,740 2,761

26 13,225 1,151 9,191 800 7,085 616 5,928 516 5,026 437 76* 87,795 7,638 61,077 5,314 47,060 4,094 39,352 3,424 33,362 2,902

27 13,565 1,180 9,428 820 7,268 632 6,081 529 5,155 448 77* 91,633 7,972 63,746 5,546 49,117 4,273 41,073 3,573 34,821 3,029

28 13,913 1,210 9,669 841 7,453 648 6,235 542 5,287 460 78* 95,634 8,320 66,529 5,788 51,261 4,460 42,866 3,729 36,341 3,162

29 14,273 1,242 9,919 863 7,646 665 6,398 557 5,424 472 79* 99,809 8,683 69,435 6,041 53,498 4,654 44,736 3,892 37,927 3,300

30 14,637 1,273 10,173 885 7,845 683 6,560 571 5,562 484 80* 104,172 9,063 72,470 6,305 55,836 4,858 46,692 4,062 39,585 3,444

31 15,268 1,328 10,617 924 8,183 712 6,846 596 5,802 505 81* 108,720 9,459 75,634 6,580 58,273 5,070 48,728 4,239 41,314 3,594

32 15,652 1,362 10,884 947 8,388 730 7,018 611 5,948 517 82* 113,472 9,872 78,938 6,868 60,820 5,291 50,856 4,424 43,119 3,751

33 15,975 1,390 11,107 966 8,559 745 7,162 623 6,071 528 83* 118,426 10,303 82,385 7,167 63,474 5,522 53,078 4,618 45,002 3,915

34 16,302 1,418 11,333 986 8,735 760 7,308 636 6,195 539 84* 123,601 10,753 85,984 7,481 66,247 5,763 55,393 4,819 46,968 4,086

35 16,419 1,428 11,429 994 8,809 766 7,372 641 6,239 543 85* 128,995 11,223 89,738 7,807 69,136 6,015 57,809 5,029 49,018 4,265

36 16,635 1,447 11,577 1,007 8,925 776 7,467 650 6,321 550 86* 134,634 11,713 93,659 8,148 72,157 6,278 60,334 5,249 51,161 4,451

37 16,852 1,466 11,725 1,020 9,040 786 7,561 658 6,404 557 87* 140,513 12,225 97,750 8,504 75,308 6,552 62,970 5,478 53,395 4,645

38 17,068 1,485 11,872 1,033 9,155 796 7,657 666 6,486 564 88* 146,650 12,759 102,020 8,876 78,596 6,838 65,719 5,718 55,727 4,848

39 17,287 1,504 12,022 1,046 9,266 806 7,754 675 6,569 572 89* 153,056 13,316 106,476 9,263 82,027 7,136 68,586 5,967 58,161 5,060

40 17,741 1,543 12,329 1,073 9,504 827 7,950 692 6,742 587 90* 159,741 13,897 111,128 9,668 85,611 7,448 71,583 6,228 60,702 5,281

41 18,541 1,613 12,884 1,121 9,931 864 8,307 723 7,046 613 91* 166,720 14,505 115,982 10,090 89,348 7,773 74,708 6,500 63,354 5,512

42 19,374 1,686 13,464 1,171 10,378 903 8,682 755 7,362 640 92* 174,002 15,138 121,048 10,531 93,250 8,113 77,966 6,783 66,121 5,753

43 20,248 1,762 14,071 1,224 10,848 944 9,072 789 7,694 669 93* 181,601 15,799 126,336 10,991 97,325 8,467 81,371 7,079 69,008 6,004

44 21,158 1,841 14,705 1,279 11,336 986 9,481 825 8,040 699 94* 189,535 16,490 131,853 11,471 101,571 8,837 84,926 7,389 72,023 6,266

45 21,462 1,867 14,917 1,298 11,497 1,000 9,617 837 8,156 710 95* 197,814 17,210 137,612 11,972 106,006 9,223 88,631 7,711 75,169 6,540

46 22,510 1,958 15,647 1,361 12,062 1,049 10,089 878 8,554 744 96* 206,454 17,961 143,624 12,495 110,637 9,625 92,502 8,048 78,453 6,825

47 23,607 2,054 16,410 1,428 12,650 1,101 10,582 921 8,971 780 97* 215,469 18,746 149,896 13,041 115,469 10,046 96,541 8,399 81,878 7,123

48 24,758 2,154 17,213 1,498 13,266 1,154 11,097 965 9,408 818 98* 224,882 19,565 156,443 13,611 120,507 10,484 100,755 8,766 85,455 7,435

49 25,965 2,259 18,053 1,571 13,915 1,211 11,638 1,013 9,867 858 99* 234,705 20,419 163,277 14,205 125,772 10,942 105,151 9,148 89,188 7,759

Premium for Non Smoker - Asia 非吸煙人士保費–亞洲 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 5: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide (excluding US) 非吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 29,860 2,598 20,699 1,801 15,958 1,388 13,351 1,162 11,347 987 50 39,566 3,442 27,521 2,394 21,215 1,846 17,746 1,544 15,035 1,308

1 26,622 2,316 18,454 1,605 14,225 1,238 11,903 1,036 10,116 880 51 41,936 3,648 29,176 2,538 22,491 1,957 18,809 1,636 15,936 1,386

2 23,453 2,040 16,253 1,414 12,533 1,090 10,486 912 8,912 775 52 44,439 3,866 30,924 2,690 23,837 2,074 19,936 1,734 16,887 1,469

3 23,241 2,022 16,103 1,401 12,417 1,080 10,390 904 8,832 768 53 46,890 4,079 32,633 2,839 25,155 2,188 21,041 1,831 17,818 1,550

4 23,029 2,004 15,953 1,388 12,302 1,070 10,293 895 8,751 761 54 49,111 4,273 34,180 2,974 26,344 2,292 22,037 1,917 18,662 1,624

5 22,044 1,918 15,278 1,329 11,781 1,025 9,857 858 8,377 729 55 51,437 4,475 35,793 3,114 27,590 2,400 23,077 2,008 19,546 1,701

6 22,248 1,936 15,422 1,342 11,893 1,035 9,950 866 8,454 735 56 53,853 4,685 37,475 3,260 28,885 2,513 24,159 2,102 20,464 1,780

7 22,452 1,953 15,567 1,354 12,004 1,044 10,043 874 8,532 742 57 56,399 4,907 39,247 3,414 30,249 2,632 25,299 2,201 21,432 1,865

8 22,656 1,971 15,711 1,367 12,115 1,054 10,136 882 8,609 749 58 59,068 5,139 41,104 3,576 31,681 2,756 26,499 2,305 22,446 1,953

9 22,860 1,989 15,855 1,379 12,226 1,064 10,229 890 8,687 756 59 61,856 5,381 43,045 3,745 33,178 2,886 27,749 2,414 23,505 2,045

10 22,875 1,990 15,875 1,381 12,242 1,065 10,242 891 8,693 756 60 64,813 5,639 45,079 3,922 34,744 3,023 29,058 2,528 24,629 2,143

11 23,555 2,049 16,357 1,423 12,613 1,097 10,553 918 8,951 779 61 68,087 5,924 47,360 4,120 36,500 3,176 30,528 2,656 25,873 2,251

12 24,235 2,108 16,839 1,465 12,985 1,130 10,864 945 9,209 801 62 71,302 6,203 49,597 4,315 38,223 3,325 31,968 2,781 27,095 2,357

13 24,916 2,168 17,320 1,507 13,356 1,162 11,174 972 9,468 824 63 74,676 6,497 51,943 4,519 40,031 3,483 33,482 2,913 28,377 2,469

14 25,598 2,227 17,804 1,549 13,729 1,194 11,486 999 9,727 846 64 78,209 6,804 54,400 4,733 41,924 3,647 35,063 3,050 29,719 2,586

15 26,483 2,304 18,431 1,603 14,213 1,237 11,891 1,035 10,064 876 65 85,104 7,404 59,155 5,146 45,587 3,966 38,127 3,317 32,340 2,814

16 26,960 2,346 18,754 1,632 14,459 1,258 12,094 1,052 10,245 891 66 89,129 7,754 61,953 5,390 47,743 4,154 39,929 3,474 33,869 2,947

17 28,175 2,451 19,599 1,705 15,111 1,315 12,644 1,100 10,707 932 67 93,339 8,120 64,879 5,644 49,996 4,350 41,815 3,638 35,469 3,086

18 14,690 1,278 10,219 889 7,881 686 6,592 574 5,582 486 68 97,753 8,505 67,946 5,911 52,360 4,555 43,789 3,810 37,146 3,232

19 15,299 1,331 10,641 926 8,204 714 6,867 597 5,814 506 69 102,376 8,907 71,161 6,191 54,834 4,771 45,863 3,990 38,903 3,385

20 15,910 1,384 11,068 963 8,535 743 7,138 621 6,046 526 70 107,204 9,327 74,531 6,484 57,431 4,996 48,030 4,179 40,738 3,544

21 16,251 1,414 11,305 984 8,716 758 7,290 634 6,175 537 71 110,916 9,650 77,094 6,707 59,408 5,168 49,684 4,323 42,148 3,667

22 16,679 1,451 11,602 1,009 8,946 778 7,485 651 6,338 551 72 116,171 10,107 80,746 7,025 62,220 5,413 52,035 4,527 44,145 3,841

23 17,119 1,489 11,906 1,036 9,182 799 7,683 668 6,505 566 73 121,661 10,585 84,562 7,357 65,161 5,669 54,494 4,741 46,231 4,022

24 17,566 1,528 12,219 1,063 9,422 820 7,880 686 6,675 581 74 127,414 11,085 88,561 7,705 68,241 5,937 57,068 4,965 48,417 4,212

25 18,043 1,570 12,537 1,091 9,666 841 8,086 703 6,856 596 75 133,344 11,601 92,751 8,069 71,477 6,218 59,773 5,200 50,671 4,408

26 18,574 1,616 12,908 1,123 9,951 866 8,328 725 7,058 614 76* 140,645 12,236 97,842 8,512 75,401 6,560 63,052 5,486 53,445 4,650

27 19,065 1,659 13,250 1,153 10,216 889 8,544 743 7,245 630 77* 147,304 12,815 102,474 8,915 78,967 6,870 66,038 5,745 55,976 4,870

28 19,562 1,702 13,595 1,183 10,482 912 8,768 763 7,434 647 78* 154,266 13,421 107,318 9,337 82,699 7,195 69,158 6,017 58,621 5,100

29 20,079 1,747 13,955 1,214 10,756 936 8,999 783 7,630 664 79* 161,555 14,055 112,389 9,778 86,606 7,535 72,425 6,301 61,391 5,341

30 20,602 1,792 14,322 1,246 11,039 960 9,236 804 7,829 681 80* 169,202 14,721 117,708 10,241 90,707 7,892 75,851 6,599 64,297 5,594

31 21,500 1,871 14,948 1,300 11,524 1,003 9,641 839 8,170 711 81* 177,202 15,417 123,274 10,725 94,992 8,264 79,434 6,911 67,337 5,858

32 22,052 1,919 15,333 1,334 11,819 1,028 9,888 860 8,380 729 82* 185,588 16,146 129,107 11,232 99,485 8,655 83,192 7,238 70,523 6,136

33 22,516 1,959 15,655 1,362 12,067 1,050 10,097 878 8,556 744 83* 194,355 16,909 135,207 11,763 104,185 9,064 87,122 7,580 73,855 6,425

34 22,990 2,000 15,983 1,391 12,321 1,072 10,305 897 8,736 760 84* 203,556 17,709 141,608 12,320 109,114 9,493 91,244 7,938 77,351 6,730

35 23,168 2,016 16,125 1,403 12,434 1,082 10,399 905 8,804 766 85* 213,173 18,546 148,297 12,902 114,270 9,941 95,554 8,313 81,006 7,048

36 23,486 2,043 16,344 1,422 12,601 1,096 10,541 917 8,925 776 86* 223,260 19,424 155,314 13,512 119,674 10,412 100,072 8,706 84,839 7,381

37 23,804 2,071 16,561 1,441 12,767 1,111 10,680 929 9,046 787 87* 233,816 20,342 162,659 14,151 125,334 10,904 104,804 9,118 88,850 7,730

38 24,123 2,099 16,778 1,460 12,936 1,125 10,821 941 9,167 798 88* 244,875 21,304 170,352 14,821 131,259 11,420 109,756 9,549 93,053 8,096

39 24,443 2,127 16,997 1,479 13,103 1,140 10,961 954 9,288 808 89* 256,453 22,311 178,407 15,521 137,465 11,959 114,946 10,000 97,452 8,478

40 25,098 2,184 17,439 1,517 13,444 1,170 11,246 978 9,537 830 90* 268,580 23,366 186,842 16,255 143,965 12,525 120,377 10,473 102,060 8,879

41 26,319 2,290 18,289 1,591 14,098 1,227 11,792 1,026 10,001 870 91* 281,285 24,472 195,681 17,024 150,772 13,117 126,071 10,968 106,888 9,299

42 27,596 2,401 19,178 1,668 14,784 1,286 12,368 1,076 10,486 912 92* 294,586 25,629 204,935 17,829 157,899 13,737 132,029 11,487 111,943 9,739

43 28,941 2,518 20,114 1,750 15,505 1,349 12,970 1,128 10,998 957 93* 308,519 26,841 214,627 18,673 165,368 14,387 138,273 12,030 117,237 10,200

44 30,350 2,640 21,091 1,835 16,260 1,415 13,601 1,183 11,533 1,003 94* 323,108 28,110 224,776 19,556 173,184 15,067 144,808 12,598 122,781 10,682

45 30,892 2,688 21,471 1,868 16,551 1,440 13,843 1,204 11,739 1,021 95* 338,388 29,440 235,404 20,480 181,372 15,779 151,655 13,194 128,587 11,187

46 32,510 2,828 22,597 1,966 17,420 1,516 14,571 1,268 12,354 1,075 96* 354,393 30,832 246,539 21,449 189,950 16,526 158,823 13,818 134,669 11,716

47 34,214 2,977 23,785 2,069 18,335 1,595 15,335 1,334 13,001 1,131 97* 371,152 32,290 258,198 22,463 198,931 17,307 166,329 14,471 141,038 12,270

48 36,005 3,132 25,031 2,178 19,296 1,679 16,140 1,404 13,682 1,190 98* 388,702 33,817 270,406 23,525 208,331 18,125 174,190 15,155 147,707 12,851

49 37,891 3,297 26,344 2,292 20,308 1,767 16,984 1,478 14,399 1,253 99* 407,082 35,416 283,194 24,638 218,183 18,982 182,427 15,871 154,691 13,458

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 6: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide 非吸煙人士保費 - 全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 55,595 4,837 38,538 3,353 29,704 2,584 24,854 2,162 21,126 1,838 50 70,561 6,139 49,078 4,270 37,830 3,291 31,645 2,753 26,813 2,333

1 49,564 4,312 34,356 2,989 26,482 2,304 22,155 1,927 18,834 1,639 51 74,565 6,487 51,877 4,513 39,988 3,479 33,446 2,910 28,335 2,465

2 43,667 3,799 30,261 2,633 23,326 2,029 19,516 1,698 16,593 1,444 52 78,786 6,854 54,824 4,770 42,259 3,677 35,349 3,075 29,939 2,605

3 43,272 3,765 29,982 2,608 23,111 2,011 19,336 1,682 16,443 1,431 53 82,881 7,211 57,681 5,018 44,462 3,868 37,191 3,236 31,495 2,740

4 42,878 3,730 29,703 2,584 22,895 1,992 19,156 1,667 16,294 1,418 54 86,550 7,530 60,236 5,241 46,430 4,039 38,837 3,379 32,889 2,861

5 41,044 3,571 28,447 2,475 21,929 1,908 18,346 1,596 15,597 1,357 55 90,383 7,863 62,896 5,472 48,478 4,218 40,552 3,528 34,346 2,988

6 41,423 3,604 28,716 2,498 22,136 1,926 18,519 1,611 15,741 1,369 56 94,349 8,208 65,656 5,712 50,606 4,403 42,329 3,683 35,853 3,119

7 41,803 3,637 28,984 2,522 22,343 1,944 18,692 1,626 15,885 1,382 57 98,513 8,571 68,552 5,964 52,837 4,597 44,199 3,845 37,435 3,257

8 42,182 3,670 29,253 2,545 22,550 1,962 18,865 1,641 16,029 1,395 58 102,872 8,950 71,586 6,228 55,177 4,800 46,152 4,015 39,091 3,401

9 42,562 3,703 29,521 2,568 22,757 1,980 19,038 1,656 16,174 1,407 59 107,412 9,345 74,744 6,503 57,611 5,012 48,188 4,192 40,817 3,551

10 42,591 3,705 29,556 2,571 22,785 1,982 19,062 1,658 16,185 1,408 60 112,215 9,763 78,049 6,790 60,154 5,233 50,318 4,378 42,642 3,710

11 43,857 3,816 30,453 2,649 23,476 2,042 19,641 1,709 16,666 1,450 61 117,535 10,226 81,752 7,112 63,011 5,482 52,705 4,585 44,663 3,886

12 45,124 3,926 31,350 2,727 24,168 2,103 20,219 1,759 17,147 1,492 62 122,720 10,677 85,360 7,426 65,790 5,724 55,030 4,788 46,634 4,057

13 46,391 4,036 32,247 2,805 24,859 2,163 20,798 1,809 17,629 1,534 63 128,146 11,149 89,136 7,755 68,697 5,977 57,463 4,999 48,695 4,236

14 47,661 4,147 33,147 2,884 25,553 2,223 21,378 1,860 18,111 1,576 64 133,807 11,641 93,072 8,097 71,731 6,241 60,001 5,220 50,847 4,424

15 49,311 4,290 34,316 2,985 26,454 2,301 22,131 1,925 18,738 1,630 65 145,178 12,630 100,911 8,779 77,768 6,766 65,050 5,659 55,168 4,800

16 50,195 4,367 34,913 3,037 26,917 2,342 22,517 1,959 19,074 1,659 66 151,597 13,189 105,372 9,167 81,202 7,065 67,925 5,909 57,607 5,012

17 52,456 4,564 36,488 3,174 28,129 2,447 23,531 2,047 19,933 1,734 67 158,289 13,771 110,024 9,572 84,786 7,376 70,922 6,170 60,150 5,233

18 27,352 2,380 19,026 1,655 14,667 1,276 12,273 1,068 10,394 904 68 165,285 14,380 114,887 9,995 88,537 7,703 74,057 6,443 62,808 5,464

19 28,484 2,478 19,815 1,724 15,275 1,329 12,782 1,112 10,824 942 69 172,586 15,015 119,962 10,437 92,446 8,043 77,328 6,728 65,583 5,706

20 29,624 2,577 20,606 1,793 15,886 1,382 13,288 1,156 11,257 979 70 180,192 15,677 125,271 10,899 96,538 8,399 80,751 7,025 68,473 5,957

21 30,239 2,631 21,031 1,830 16,212 1,410 13,564 1,180 11,491 1,000 71 185,882 16,172 129,200 11,240 99,564 8,662 83,281 7,245 70,635 6,145

22 31,014 2,698 21,572 1,877 16,630 1,447 13,914 1,211 11,785 1,025 72 194,111 16,888 134,919 11,738 103,972 9,046 86,967 7,566 73,762 6,417

23 31,809 2,767 22,125 1,925 17,055 1,484 14,270 1,241 12,087 1,052 73 202,682 17,633 140,878 12,256 108,561 9,445 90,808 7,900 77,019 6,701

24 32,619 2,838 22,688 1,974 17,490 1,522 14,633 1,273 12,395 1,078 74 211,640 18,413 147,103 12,798 113,359 9,862 94,817 8,249 80,423 6,997

25 33,479 2,913 23,266 2,024 17,934 1,560 15,002 1,305 12,722 1,107 75 220,837 19,213 153,609 13,364 118,383 10,299 99,017 8,614 83,918 7,301

26 34,445 2,997 23,940 2,083 18,451 1,605 15,438 1,343 13,089 1,139 76* 232,239 20,205 161,562 14,056 124,511 10,832 104,142 9,060 88,251 7,678

27 35,329 3,074 24,554 2,136 18,925 1,646 15,834 1,378 13,425 1,168 77* 242,512 21,099 168,709 14,678 130,019 11,312 108,749 9,461 92,155 8,017

28 36,228 3,152 25,177 2,190 19,405 1,688 16,234 1,412 13,767 1,198 78* 253,225 22,031 176,160 15,326 135,760 11,811 113,552 9,879 96,226 8,372

29 37,159 3,233 25,826 2,247 19,905 1,732 16,652 1,449 14,120 1,228 79* 264,409 23,004 183,941 16,003 141,755 12,333 118,567 10,315 100,475 8,741

30 38,100 3,315 26,482 2,304 20,415 1,776 17,078 1,486 14,478 1,260 80* 276,106 24,021 192,078 16,711 148,027 12,878 123,811 10,772 104,920 9,128

31 39,734 3,457 27,628 2,404 21,296 1,853 17,816 1,550 15,099 1,314 81* 288,305 25,083 200,564 17,449 154,564 13,447 129,279 11,247 109,556 9,531

32 40,726 3,543 28,317 2,464 21,826 1,899 18,258 1,588 15,476 1,346 82* 301,052 26,192 209,433 18,221 161,398 14,042 134,994 11,744 114,400 9,953

33 41,556 3,615 28,892 2,514 22,270 1,937 18,631 1,621 15,791 1,374 83* 314,351 27,349 218,685 19,026 168,527 14,662 140,956 12,263 119,453 10,392

34 42,401 3,689 29,478 2,565 22,719 1,977 19,008 1,654 16,112 1,402 84* 328,255 28,558 228,356 19,867 175,981 15,310 147,190 12,806 124,737 10,852

35 42,699 3,715 29,721 2,586 22,912 1,993 19,167 1,668 16,226 1,412 85* 342,749 29,819 238,439 20,744 183,749 15,986 153,686 13,371 130,245 11,331

36 43,258 3,763 30,103 2,619 23,203 2,019 19,412 1,689 16,438 1,430 86* 357,904 31,138 248,982 21,661 191,873 16,693 160,479 13,962 136,004 11,832

37 43,816 3,812 30,484 2,652 23,498 2,044 19,657 1,710 16,650 1,449 87* 373,719 32,514 259,985 22,619 200,349 17,430 167,571 14,579 142,013 12,355

38 44,373 3,860 30,864 2,685 23,793 2,070 19,904 1,732 16,862 1,467 88* 390,236 33,951 271,474 23,618 209,205 18,201 174,974 15,223 148,290 12,901

39 44,930 3,909 31,245 2,718 24,085 2,095 20,149 1,753 17,073 1,485 89* 407,479 35,451 283,469 24,662 218,450 19,005 182,703 15,895 154,842 13,471

40 46,103 4,011 32,037 2,787 24,695 2,148 20,659 1,797 17,519 1,524 90* 425,491 37,018 296,001 25,752 228,101 19,845 190,779 16,598 161,687 14,067

41 48,203 4,194 33,497 2,914 25,820 2,246 21,599 1,879 18,317 1,594 91* 444,298 38,654 309,083 26,890 238,182 20,722 199,209 17,331 168,833 14,688

42 50,397 4,385 35,022 3,047 26,997 2,349 22,585 1,965 19,151 1,666 92* 463,931 40,362 322,742 28,079 248,707 21,638 208,011 18,097 176,294 15,338

43 52,694 4,584 36,620 3,186 28,229 2,456 23,613 2,054 20,024 1,742 93* 484,439 42,146 337,010 29,320 259,700 22,594 217,204 18,897 184,087 16,016

44 55,094 4,793 38,288 3,331 29,513 2,568 24,690 2,148 20,936 1,821 94* 505,848 44,009 351,904 30,616 271,174 23,592 226,799 19,732 192,222 16,723

45 55,912 4,864 38,860 3,381 29,956 2,606 25,056 2,180 21,247 1,848 95* 528,202 45,954 367,451 31,968 283,157 24,635 236,821 20,603 200,717 17,462

46 58,666 5,104 40,779 3,548 31,433 2,735 26,293 2,287 22,293 1,939 96* 551,549 47,985 383,695 33,381 295,674 25,724 247,286 21,514 209,589 18,234

47 61,561 5,356 42,795 3,723 32,985 2,870 27,594 2,401 23,393 2,035 97* 575,925 50,105 400,652 34,857 308,738 26,860 258,212 22,464 218,852 19,040

48 64,593 5,620 44,906 3,907 34,613 3,011 28,953 2,519 24,545 2,135 98* 601,369 52,319 418,352 36,397 322,378 28,047 269,619 23,457 228,520 19,881

49 67,773 5,896 47,122 4,100 36,322 3,160 30,381 2,643 25,754 2,241 99* 627,953 54,632 436,847 38,006 336,626 29,286 281,534 24,493 238,622 20,760

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 7: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Asia 吸煙人士保費–亞洲

Accommodation Room Type: Semi-private Room 病房類別:半私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - 50 25,665 2,233 15,792 1,374 13,996 1,218 11,710 1,019 9,753 849

1 - - - - - - - - - - 51 27,109 2,358 16,680 1,451 14,784 1,286 12,367 1,076 10,301 896

2 - - - - - - - - - - 52 28,630 2,491 17,616 1,533 15,610 1,358 13,059 1,136 10,879 946

3 - - - - - - - - - - 53 30,104 2,619 18,522 1,611 16,415 1,428 13,730 1,195 11,440 995

4 - - - - - - - - - - 54 31,422 2,734 19,334 1,682 17,134 1,491 14,332 1,247 11,940 1,039

5 - - - - - - - - - - 55 32,799 2,854 20,178 1,755 17,880 1,556 14,956 1,301 12,464 1,084

6 - - - - - - - - - - 56 34,221 2,977 21,054 1,832 18,658 1,623 15,605 1,358 13,004 1,131

7 - - - - - - - - - - 57 35,716 3,107 21,973 1,912 19,471 1,694 16,285 1,417 13,572 1,181

8 - - - - - - - - - - 58 37,278 3,243 22,933 1,995 20,322 1,768 16,998 1,479 14,166 1,232

9 - - - - - - - - - - 59 38,902 3,384 23,932 2,082 21,208 1,845 17,740 1,543 14,783 1,286

10 - - - - - - - - - - 60 40,636 3,535 24,986 2,174 22,140 1,926 18,517 1,611 15,442 1,343

11 - - - - - - - - - - 61 42,546 3,702 26,159 2,276 23,178 2,016 19,387 1,687 16,167 1,407

12 - - - - - - - - - - 62 44,401 3,863 27,301 2,375 24,188 2,104 20,232 1,760 16,872 1,468

13 - - - - - - - - - - 63 46,337 4,031 28,491 2,479 25,247 2,196 21,116 1,837 17,608 1,532

14 - - - - - - - - - - 64 48,363 4,208 29,738 2,587 26,348 2,292 22,036 1,917 18,378 1,599

15 - - - - - - - - - - 65 52,482 4,566 32,243 2,805 28,564 2,485 23,891 2,079 19,943 1,735

16 - - - - - - - - - - 66 54,775 4,765 33,651 2,928 29,812 2,594 24,933 2,169 20,815 1,811

17 - - - - - - - - - - 67 57,165 4,973 35,120 3,055 31,115 2,707 26,022 2,264 21,723 1,890

18 9,972 868 6,132 533 5,433 473 4,549 396 3,789 330 68 59,661 5,191 36,653 3,189 32,470 2,825 27,158 2,363 22,671 1,972

19 10,383 903 6,385 555 5,660 492 4,737 412 3,946 343 69 62,264 5,417 38,251 3,328 33,889 2,948 28,341 2,466 23,660 2,058

20 10,800 940 6,639 578 5,884 512 4,923 428 4,104 357 70 64,976 5,653 39,916 3,473 35,363 3,077 29,575 2,573 24,691 2,148

21 11,027 959 6,778 590 6,009 523 5,028 437 4,190 365 71 66,996 5,829 41,157 3,581 36,460 3,172 30,493 2,653 25,458 2,215

22 11,314 984 6,953 605 6,162 536 5,157 449 4,299 374 72 69,928 6,084 42,959 3,737 38,056 3,311 31,826 2,769 26,573 2,312

23 11,605 1,010 7,133 621 6,324 550 5,290 460 4,410 384 73 72,980 6,349 44,834 3,901 39,715 3,455 33,217 2,890 27,732 2,413

24 11,902 1,035 7,315 636 6,484 564 5,425 472 4,523 394 74 76,167 6,627 46,791 4,071 41,453 3,606 34,666 3,016 28,943 2,518

25 12,229 1,064 7,509 653 6,655 579 5,568 484 4,647 404 75 79,374 6,906 48,814 4,247 43,248 3,763 36,167 3,147 30,162 2,624

26 12,583 1,095 7,728 672 6,847 596 5,729 498 4,782 416 76* 83,433 7,259 51,310 4,464 45,455 3,955 38,014 3,307 31,705 2,758

27 12,908 1,123 7,925 689 7,025 611 5,878 511 4,905 427 77* 87,078 7,576 53,551 4,659 47,442 4,127 39,677 3,452 33,090 2,879

28 13,239 1,152 8,128 707 7,204 627 6,026 524 5,031 438 78* 90,880 7,907 55,889 4,862 49,514 4,308 41,406 3,602 34,534 3,004

29 13,579 1,181 8,337 725 7,390 643 6,183 538 5,160 449 79* 94,849 8,252 58,329 5,075 51,674 4,496 43,213 3,760 36,043 3,136

30 13,920 1,211 8,552 744 7,580 659 6,340 552 5,290 460 80* 98,995 8,613 60,880 5,297 53,931 4,692 45,102 3,924 37,618 3,273

31 14,521 1,263 8,920 776 7,907 688 6,616 576 5,518 480 81* 103,319 8,989 63,539 5,528 56,289 4,897 47,072 4,095 39,261 3,416

32 14,884 1,295 9,145 796 8,105 705 6,783 590 5,656 492 82* 107,833 9,381 66,315 5,769 58,746 5,111 49,125 4,274 40,977 3,565

33 15,193 1,322 9,336 812 8,270 719 6,920 602 5,773 502 83* 112,538 9,791 69,209 6,021 61,312 5,334 51,272 4,461 42,764 3,720

34 15,504 1,349 9,525 829 8,441 734 7,061 614 5,892 513 84* 117,458 10,219 72,233 6,284 63,990 5,567 53,508 4,655 44,634 3,883

35 15,595 1,357 9,596 835 8,508 740 7,116 619 5,926 516 85* 122,583 10,665 75,385 6,558 66,780 5,810 55,843 4,858 46,582 4,053

36 15,802 1,375 9,724 846 8,620 750 7,210 627 6,005 522 86* 127,942 11,131 78,683 6,845 69,699 6,064 58,283 5,071 48,618 4,230

37 16,007 1,393 9,849 857 8,733 760 7,302 635 6,083 529 87* 133,529 11,617 82,117 7,144 72,743 6,329 60,827 5,292 50,741 4,414

38 16,213 1,411 9,977 868 8,842 769 7,397 644 6,161 536 88* 139,362 12,124 85,705 7,456 75,919 6,605 63,483 5,523 52,958 4,607

39 16,418 1,428 10,103 879 8,957 779 7,494 652 6,239 543 89* 145,450 12,654 89,449 7,782 79,233 6,893 66,252 5,764 55,271 4,809

40 16,857 1,467 10,367 902 9,191 800 7,688 669 6,406 557 90* 151,801 13,207 93,354 8,122 82,694 7,194 69,146 6,016 57,684 5,019

41 17,619 1,533 10,835 943 9,603 835 8,034 699 6,695 582 91* 158,435 13,784 97,435 8,477 86,305 7,509 72,167 6,279 60,205 5,238

42 18,412 1,602 11,324 985 10,037 873 8,395 730 6,997 609 92* 165,357 14,386 101,691 8,847 90,075 7,837 75,315 6,552 62,836 5,467

43 19,242 1,674 11,834 1,030 10,490 913 8,774 763 7,312 636 93* 172,577 15,014 106,131 9,233 94,008 8,179 78,604 6,839 65,579 5,705

44 20,104 1,749 12,365 1,076 10,960 954 9,169 798 7,640 665 94* 180,115 15,670 110,767 9,637 98,111 8,536 82,038 7,137 68,444 5,955

45 20,393 1,774 12,544 1,091 11,117 967 9,298 809 7,749 674 95* 187,982 16,354 115,604 10,058 102,395 8,908 85,615 7,449 71,433 6,215

46 21,388 1,861 13,156 1,145 11,661 1,015 9,754 849 8,127 707 96* 196,193 17,069 120,654 10,497 106,869 9,298 89,356 7,774 74,553 6,486

47 22,431 1,951 13,797 1,200 12,228 1,064 10,230 890 8,524 742 97* 204,760 17,814 125,924 10,955 111,533 9,703 93,257 8,113 77,809 6,769

48 23,526 2,047 14,472 1,259 12,823 1,116 10,728 933 8,940 778 98* 213,703 18,592 131,424 11,434 116,402 10,127 97,327 8,467 81,207 7,065

49 24,669 2,146 15,175 1,320 13,447 1,170 11,249 979 9,374 816 99* 223,039 19,404 137,164 11,933 121,486 10,569 101,576 8,837 84,755 7,374

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 8: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Asia 吸煙人士保費–亞洲 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - 50 30,195 2,627 21,364 1,859 16,467 1,433 13,775 1,198 11,474 998

1 - - - - - - - - - - 51 31,893 2,775 22,568 1,963 17,393 1,513 14,548 1,266 12,119 1,054

2 - - - - - - - - - - 52 33,681 2,930 23,832 2,073 18,366 1,598 15,363 1,337 12,799 1,114

3 - - - - - - - - - - 53 35,414 3,081 25,060 2,180 19,312 1,680 16,153 1,405 13,457 1,171

4 - - - - - - - - - - 54 36,967 3,216 26,158 2,276 20,157 1,754 16,861 1,467 14,047 1,222

5 - - - - - - - - - - 55 38,589 3,357 27,300 2,375 21,037 1,830 17,596 1,531 14,664 1,276

6 - - - - - - - - - - 56 40,261 3,503 28,485 2,478 21,949 1,910 18,358 1,597 15,299 1,331

7 - - - - - - - - - - 57 42,018 3,656 29,727 2,586 22,905 1,993 19,157 1,667 15,967 1,389

8 - - - - - - - - - - 58 43,855 3,815 31,025 2,699 23,907 2,080 19,999 1,740 16,665 1,450

9 - - - - - - - - - - 59 45,768 3,982 32,380 2,817 24,951 2,171 20,870 1,816 17,392 1,513

10 - - - - - - - - - - 60 47,808 4,159 33,805 2,941 26,049 2,266 21,786 1,895 18,167 1,581

11 - - - - - - - - - - 61 50,053 4,355 35,392 3,079 27,269 2,372 22,808 1,984 19,020 1,655

12 - - - - - - - - - - 62 52,236 4,545 36,937 3,214 28,457 2,476 23,803 2,071 19,850 1,727

13 - - - - - - - - - - 63 54,515 4,743 38,548 3,354 29,701 2,584 24,842 2,161 20,716 1,802

14 - - - - - - - - - - 64 56,898 4,950 40,232 3,500 30,998 2,697 25,925 2,255 21,621 1,881

15 - - - - - - - - - - 65 61,745 5,372 43,621 3,795 33,604 2,924 28,106 2,445 23,463 2,041

16 - - - - - - - - - - 66 64,441 5,606 45,526 3,961 35,072 3,051 29,335 2,552 24,488 2,130

17 - - - - - - - - - - 67 67,252 5,851 47,513 4,134 36,604 3,185 30,613 2,663 25,556 2,223

18 11,731 1,021 8,296 722 6,392 556 5,350 465 4,458 388 68 70,188 6,106 49,589 4,314 38,201 3,323 31,951 2,780 26,671 2,320

19 12,215 1,063 8,639 752 6,658 579 5,571 485 4,642 404 69 73,253 6,373 51,754 4,503 39,870 3,469 33,345 2,901 27,836 2,422

20 12,708 1,106 8,982 781 6,923 602 5,792 504 4,829 420 70 76,442 6,650 54,006 4,699 41,603 3,619 34,795 3,027 29,048 2,527

21 12,974 1,129 9,170 798 7,069 615 5,918 515 4,930 429 71 78,819 6,857 55,685 4,845 42,894 3,732 35,872 3,121 29,951 2,606

22 13,310 1,158 9,408 818 7,250 631 6,067 528 5,058 440 72 82,269 7,157 58,121 5,057 44,773 3,895 37,441 3,257 31,262 2,720

23 13,652 1,188 9,648 839 7,440 647 6,223 541 5,188 451 73 85,860 7,470 60,658 5,277 46,726 4,065 39,078 3,400 32,627 2,839

24 14,003 1,218 9,898 861 7,630 664 6,383 555 5,321 463 74 89,609 7,796 63,307 5,508 48,766 4,243 40,784 3,548 34,051 2,962

25 14,387 1,252 10,159 884 7,828 681 6,551 570 5,467 476 75 93,381 8,124 66,042 5,746 50,879 4,426 42,547 3,702 35,485 3,087

26 14,804 1,288 10,453 909 8,055 701 6,742 587 5,626 489 76* 98,156 8,540 69,418 6,039 53,477 4,652 44,721 3,891 37,299 3,245

27 15,184 1,321 10,721 933 8,265 719 6,915 602 5,770 502 77* 102,446 8,913 72,452 6,303 55,815 4,856 46,678 4,061 38,929 3,387

28 15,574 1,355 10,996 957 8,475 737 7,091 617 5,918 515 78* 106,919 9,302 75,616 6,579 58,252 5,068 48,714 4,238 40,629 3,535

29 15,977 1,390 11,281 981 8,694 756 7,276 633 6,071 528 79* 111,586 9,708 78,917 6,866 60,795 5,289 50,840 4,423 42,403 3,689

30 16,376 1,425 11,570 1,007 8,918 776 7,459 649 6,223 541 80* 116,465 10,132 82,367 7,166 63,451 5,520 53,062 4,616 44,257 3,850

31 17,081 1,486 12,068 1,050 9,301 809 7,782 677 6,491 565 81* 121,550 10,575 85,964 7,479 66,223 5,761 55,378 4,818 46,189 4,018

32 17,511 1,523 12,374 1,077 9,536 830 7,979 694 6,654 579 82* 126,862 11,037 89,721 7,806 69,113 6,013 57,795 5,028 48,208 4,194

33 17,874 1,555 12,630 1,099 9,732 847 8,142 708 6,792 591 83* 132,398 11,519 93,637 8,146 72,131 6,275 60,319 5,248 50,311 4,377

34 18,238 1,587 12,886 1,121 9,931 864 8,311 723 6,930 603 84* 138,186 12,022 97,728 8,502 75,282 6,550 62,952 5,477 52,511 4,568

35 18,346 1,596 12,984 1,130 10,009 871 8,374 729 6,971 606 85* 144,217 12,547 101,995 8,874 78,565 6,835 65,697 5,716 54,802 4,768

36 18,588 1,617 13,155 1,144 10,140 882 8,483 738 7,063 614 86* 150,520 13,095 106,451 9,261 81,999 7,134 68,567 5,965 57,198 4,976

37 18,831 1,638 13,326 1,159 10,274 894 8,593 748 7,156 623 87* 157,094 13,667 111,102 9,666 85,581 7,446 71,562 6,226 59,696 5,194

38 19,075 1,660 13,499 1,174 10,405 905 8,704 757 7,249 631 88* 163,955 14,264 115,953 10,088 89,317 7,771 74,686 6,498 62,303 5,420

39 19,317 1,681 13,671 1,189 10,537 917 8,815 767 7,340 639 89* 171,116 14,887 121,019 10,529 93,215 8,110 77,942 6,781 65,024 5,657

40 19,832 1,725 14,026 1,220 10,812 941 9,044 787 7,536 656 90* 178,592 15,538 126,305 10,989 97,287 8,464 81,348 7,077 67,865 5,904

41 20,729 1,803 14,661 1,276 11,298 983 9,451 822 7,877 685 91* 186,394 16,216 131,822 11,469 101,536 8,834 84,900 7,386 70,830 6,162

42 21,661 1,885 15,320 1,333 11,807 1,027 9,877 859 8,231 716 92* 194,535 16,925 137,580 11,969 105,969 9,219 88,606 7,709 73,923 6,431

43 22,636 1,969 16,010 1,393 12,341 1,074 10,321 898 8,602 748 93* 203,031 17,664 143,590 12,492 110,598 9,622 92,476 8,045 77,152 6,712

44 23,653 2,058 16,729 1,455 12,894 1,122 10,787 938 8,988 782 94* 211,900 18,435 149,861 13,038 115,425 10,042 96,513 8,397 80,522 7,005

45 23,992 2,087 16,971 1,476 13,080 1,138 10,939 952 9,117 793 95* 221,155 19,240 156,407 13,607 120,464 10,480 100,725 8,763 84,039 7,311

46 25,164 2,189 17,799 1,549 13,718 1,193 11,474 998 9,562 832 96* 230,816 20,081 163,238 14,202 125,728 10,938 105,124 9,146 87,710 7,631

47 26,390 2,296 18,667 1,624 14,386 1,252 12,034 1,047 10,028 872 97* 240,894 20,958 170,368 14,822 131,217 11,416 109,713 9,545 91,540 7,964

48 27,678 2,408 19,578 1,703 15,085 1,312 12,622 1,098 10,518 915 98* 251,415 21,873 177,807 15,469 136,944 11,914 114,503 9,962 95,538 8,312

49 29,025 2,525 20,529 1,786 15,821 1,376 13,234 1,151 11,030 960 99* 262,399 22,829 185,576 16,145 142,926 12,435 119,500 10,397 99,712 8,675

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 9: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide (excluding US) 吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - 50 44,217 3,847 31,288 2,722 24,115 2,098 20,173 1,755 16,802 1,462

1 - - - - - - - - - - 51 46,866 4,077 33,163 2,885 25,561 2,224 21,376 1,860 17,809 1,549

2 - - - - - - - - - - 52 49,664 4,321 35,142 3,057 27,084 2,356 22,655 1,971 18,872 1,642

3 - - - - - - - - - - 53 52,402 4,559 37,080 3,226 28,578 2,486 23,902 2,079 19,913 1,732

4 - - - - - - - - - - 54 54,884 4,775 38,835 3,379 29,931 2,604 25,034 2,178 20,856 1,814

5 - - - - - - - - - - 55 57,490 5,002 40,673 3,539 31,347 2,727 26,219 2,281 21,846 1,901

6 - - - - - - - - - - 56 60,192 5,237 42,585 3,705 32,817 2,855 27,448 2,388 22,873 1,990

7 - - - - - - - - - - 57 63,036 5,484 44,596 3,880 34,370 2,990 28,746 2,501 23,954 2,084

8 - - - - - - - - - - 58 66,019 5,744 46,709 4,064 35,996 3,132 30,106 2,619 25,087 2,183

9 - - - - - - - - - - 59 69,137 6,015 48,912 4,255 37,695 3,279 31,528 2,743 26,272 2,286

10 - - - - - - - - - - 60 72,471 6,305 51,244 4,458 39,489 3,436 33,027 2,873 27,539 2,396

11 - - - - - - - - - - 61 76,132 6,623 53,834 4,684 41,482 3,609 34,697 3,019 28,930 2,517

12 - - - - - - - - - - 62 79,729 6,936 56,377 4,905 43,441 3,779 36,333 3,161 30,297 2,636

13 - - - - - - - - - - 63 83,499 7,264 59,042 5,137 45,495 3,958 38,054 3,311 31,730 2,761

14 - - - - - - - - - - 64 87,448 7,608 61,835 5,380 47,646 4,145 39,853 3,467 33,230 2,891

15 - - - - - - - - - - 65 95,220 8,284 67,273 5,853 51,835 4,510 43,354 3,772 36,184 3,148

16 - - - - - - - - - - 66 99,724 8,676 70,455 6,130 54,285 4,723 45,403 3,950 37,895 3,297

17 - - - - - - - - - - 67 104,436 9,086 73,783 6,419 56,848 4,946 47,547 4,137 39,686 3,453

18 16,424 1,429 11,613 1,010 8,956 779 7,490 652 6,241 543 68 109,373 9,515 77,273 6,723 59,537 5,180 49,794 4,332 41,562 3,616

19 17,105 1,488 12,097 1,052 9,323 811 7,803 679 6,500 566 69 114,546 9,966 80,929 7,041 62,351 5,425 52,150 4,537 43,527 3,787

20 17,796 1,548 12,577 1,094 9,697 844 8,112 706 6,762 588 70 119,951 10,436 84,742 7,373 65,291 5,680 54,606 4,751 45,581 3,966

21 18,176 1,581 12,847 1,118 9,903 862 8,285 721 6,907 601 71 124,105 10,797 87,678 7,628 67,550 5,877 56,496 4,915 47,160 4,103

22 18,658 1,623 13,187 1,147 10,168 885 8,506 740 7,090 617 72 129,984 11,309 91,832 7,989 70,746 6,155 59,169 5,148 49,394 4,297

23 19,147 1,666 13,535 1,178 10,435 908 8,731 760 7,276 633 73 136,127 11,843 96,172 8,367 74,090 6,446 61,965 5,391 51,728 4,500

24 19,648 1,709 13,889 1,208 10,706 931 8,957 779 7,466 650 74 142,563 12,403 100,717 8,762 77,595 6,751 64,896 5,646 54,174 4,713

25 20,196 1,757 14,261 1,241 10,989 956 9,194 800 7,674 668 75 149,080 12,970 105,433 9,173 81,236 7,068 67,938 5,911 56,650 4,929

26 20,793 1,809 14,683 1,277 11,315 984 9,468 824 7,901 687 76* 157,241 13,680 111,205 9,675 85,683 7,454 71,656 6,234 59,752 5,198

27 21,342 1,857 15,068 1,311 11,614 1,010 9,716 845 8,110 706 77* 164,683 14,327 116,468 10,133 89,738 7,807 75,047 6,529 62,580 5,444

28 21,896 1,905 15,461 1,345 11,917 1,037 9,968 867 8,320 724 78* 172,471 15,005 121,975 10,612 93,980 8,176 78,593 6,838 65,539 5,702

29 22,477 1,955 15,872 1,381 12,230 1,064 10,233 890 8,541 743 79* 180,620 15,714 127,740 11,113 98,418 8,562 82,305 7,161 68,636 5,971

30 23,052 2,006 16,287 1,417 12,551 1,092 10,501 914 8,760 762 80* 189,167 16,458 133,784 11,639 103,077 8,968 86,197 7,499 71,883 6,254

31 24,053 2,093 16,993 1,478 13,101 1,140 10,958 953 9,140 795 81* 198,113 17,236 140,112 12,190 107,946 9,391 90,273 7,854 75,283 6,550

32 24,672 2,146 17,432 1,517 13,435 1,169 11,239 978 9,375 816 82* 207,486 18,051 146,740 12,766 113,053 9,836 94,543 8,225 78,845 6,860

33 25,195 2,192 17,800 1,549 13,718 1,193 11,479 999 9,574 833 83* 217,292 18,904 153,674 13,370 118,395 10,300 99,010 8,614 82,571 7,184

34 25,722 2,238 18,173 1,581 14,007 1,219 11,717 1,019 9,774 850 84* 227,576 19,799 160,949 14,003 123,997 10,788 103,694 9,021 86,479 7,524

35 25,889 2,252 18,321 1,594 14,121 1,229 11,813 1,028 9,838 856 85* 238,329 20,735 168,551 14,664 129,855 11,297 108,591 9,447 90,565 7,879

36 26,243 2,283 18,572 1,616 14,317 1,246 11,976 1,042 9,972 868 86* 249,606 21,716 176,527 15,358 135,997 11,832 113,729 9,894 94,850 8,252

37 26,600 2,314 18,824 1,638 14,511 1,262 12,137 1,056 10,108 879 87* 261,409 22,743 184,874 16,084 142,428 12,391 119,104 10,362 99,335 8,642

38 26,957 2,345 19,077 1,660 14,706 1,279 12,302 1,070 10,244 891 88* 273,771 23,818 193,618 16,845 149,163 12,977 124,731 10,852 104,033 9,051

39 27,315 2,376 19,330 1,682 14,899 1,296 12,462 1,084 10,380 903 89* 286,716 24,944 202,773 17,641 156,214 13,591 130,630 11,365 108,952 9,479

40 28,058 2,441 19,844 1,726 15,294 1,331 12,795 1,113 10,662 928 90* 300,274 26,124 212,361 18,475 163,600 14,233 136,803 11,902 114,104 9,927

41 29,421 2,560 20,809 1,810 16,038 1,395 13,416 1,167 11,180 973 91* 314,477 27,359 222,407 19,349 171,336 14,906 143,272 12,465 119,501 10,397

42 30,854 2,684 21,823 1,899 16,819 1,463 14,070 1,224 11,725 1,020 92* 329,348 28,653 232,922 20,264 179,436 15,611 150,044 13,054 125,152 10,888

43 32,356 2,815 22,884 1,991 17,638 1,535 14,755 1,284 12,295 1,070 93* 344,923 30,008 243,938 21,223 187,923 16,349 157,139 13,671 131,071 11,403

44 33,928 2,952 23,996 2,088 18,495 1,609 15,472 1,346 12,893 1,122 94* 361,236 31,428 255,476 22,226 196,805 17,122 164,567 14,317 137,270 11,942

45 34,532 3,004 24,426 2,125 18,827 1,638 15,747 1,370 13,122 1,142 95* 378,319 32,914 267,557 23,277 206,110 17,932 172,347 14,994 143,761 12,507

46 36,343 3,162 25,706 2,236 19,812 1,724 16,573 1,442 13,810 1,201 96* 396,212 34,470 280,212 24,378 215,859 18,780 180,494 15,703 150,561 13,099

47 38,247 3,327 27,053 2,354 20,850 1,814 17,441 1,517 14,534 1,264 97* 414,950 36,101 293,463 25,531 226,063 19,667 189,027 16,445 157,681 13,718

48 40,250 3,502 28,471 2,477 21,943 1,909 18,354 1,597 15,295 1,331 98* 434,569 37,808 307,339 26,738 236,748 20,597 197,958 17,222 165,136 14,367

49 42,359 3,685 29,962 2,607 23,092 2,009 19,315 1,680 16,096 1,400 99* 455,118 39,595 321,872 28,003 247,941 21,571 207,319 18,037 172,945 15,046

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 10: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide 吸煙人士保費–全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

* These rates apply only to renewing policies. 此保費只供續保之用。

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Age年齡

Hospitalization and Surgical Benefits and Extended Benefits 住院及手術保障與延伸保障

Deductible Option 墊底費選項 Deductible Option 墊底費選項

$0 $15,000 $25,000 $50,000 $75,000 $0 $15,000 $25,000 $50,000 $75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - 50 78,857 6,861 55,798 4,854 43,002 3,741 35,971 3,129 29,966 2,607

1 - - - - - - - - - - 51 83,332 7,250 58,965 5,130 45,443 3,954 38,014 3,307 31,666 2,755

2 - - - - - - - - - - 52 88,046 7,660 62,300 5,420 48,015 4,177 40,167 3,495 33,457 2,911

3 - - - - - - - - - - 53 92,624 8,058 65,541 5,702 50,512 4,395 42,253 3,676 35,197 3,062

4 - - - - - - - - - - 54 96,725 8,415 68,442 5,954 52,747 4,589 44,124 3,839 36,756 3,198

5 - - - - - - - - - - 55 101,020 8,789 71,468 6,218 55,079 4,792 46,075 4,009 38,388 3,340

6 - - - - - - - - - - 56 105,454 9,174 74,607 6,491 57,496 5,002 48,097 4,184 40,073 3,486

7 - - - - - - - - - - 57 110,108 9,579 77,899 6,777 60,033 5,223 50,219 4,369 41,841 3,640

8 - - - - - - - - - - 58 114,980 10,003 81,345 7,077 62,690 5,454 52,440 4,562 43,692 3,801

9 - - - - - - - - - - 59 120,054 10,445 84,936 7,389 65,454 5,694 54,753 4,764 45,621 3,969

10 - - - - - - - - - - 60 125,472 10,916 88,721 7,719 68,369 5,948 57,192 4,976 47,679 4,148

11 - - - - - - - - - - 61 131,421 11,434 92,929 8,085 71,613 6,230 59,901 5,211 49,940 4,345

12 - - - - - - - - - - 62 137,218 11,938 97,028 8,441 74,769 6,505 62,544 5,441 52,143 4,536

13 - - - - - - - - - - 63 143,287 12,466 101,319 8,815 78,076 6,793 65,310 5,682 54,449 4,737

14 - - - - - - - - - - 64 149,619 13,017 105,796 9,204 81,524 7,093 68,194 5,933 56,855 4,946

15 - - - - - - - - - - 65 162,435 14,132 114,762 9,984 88,425 7,693 73,969 6,435 61,725 5,370

16 - - - - - - - - - - 66 169,618 14,757 119,835 10,426 92,333 8,033 77,236 6,720 64,455 5,608

17 - - - - - - - - - - 67 177,103 15,408 125,123 10,886 96,405 8,387 80,645 7,016 67,299 5,855

18 30,583 2,661 21,626 1,881 16,668 1,450 13,947 1,213 11,622 1,011 68 184,933 16,089 130,655 11,367 100,669 8,758 84,211 7,326 70,275 6,114

19 31,847 2,771 22,521 1,959 17,359 1,510 14,524 1,264 12,102 1,053 69 193,103 16,800 136,428 11,869 105,116 9,145 87,931 7,650 73,379 6,384

20 33,133 2,883 23,419 2,037 18,051 1,570 15,100 1,314 12,591 1,095 70 201,615 17,541 142,437 12,392 109,746 9,548 91,805 7,987 76,614 6,665

21 33,819 2,942 23,906 2,080 18,423 1,603 15,413 1,341 12,851 1,118 71 207,984 18,095 146,935 12,783 113,211 9,849 94,699 8,239 79,034 6,876

22 34,687 3,018 24,517 2,133 18,898 1,644 15,812 1,376 13,181 1,147 72 217,191 18,896 153,441 13,349 118,221 10,285 98,893 8,604 82,533 7,180

23 35,580 3,095 25,148 2,188 19,383 1,686 16,218 1,411 13,520 1,176 73 226,781 19,730 160,215 13,939 123,442 10,739 103,262 8,984 86,177 7,497

24 36,484 3,174 25,788 2,244 19,874 1,729 16,630 1,447 13,864 1,206 74 236,805 20,602 167,297 14,555 128,900 11,214 107,820 9,380 89,986 7,829

25 37,474 3,260 26,462 2,302 20,393 1,774 17,060 1,484 14,240 1,239 75 246,897 21,480 174,612 15,191 134,547 11,706 112,544 9,791 93,821 8,162

26 38,557 3,354 27,226 2,369 20,981 1,825 17,555 1,527 14,652 1,275 76* 259,645 22,589 183,627 15,976 141,495 12,310 118,354 10,297 98,665 8,584

27 39,546 3,441 27,925 2,429 21,519 1,872 18,005 1,566 15,027 1,307 77* 271,130 23,588 191,750 16,682 147,752 12,854 123,587 10,752 103,029 8,964

28 40,550 3,528 28,633 2,491 22,065 1,920 18,460 1,606 15,409 1,341 78* 283,108 24,630 200,222 17,419 154,277 13,422 129,049 11,227 107,581 9,360

29 41,594 3,619 29,371 2,555 22,633 1,969 18,935 1,647 15,806 1,375 79* 295,611 25,718 209,063 18,188 161,091 14,015 134,744 11,723 112,332 9,773

30 42,628 3,709 30,119 2,620 23,211 2,019 19,419 1,689 16,199 1,409 80* 308,686 26,856 218,312 18,993 168,215 14,635 140,703 12,241 117,301 10,205

31 44,458 3,868 31,411 2,733 24,207 2,106 20,250 1,762 16,894 1,470 81* 322,327 28,042 227,958 19,832 175,646 15,281 146,921 12,782 122,484 10,656

32 45,565 3,964 32,194 2,801 24,811 2,159 20,758 1,806 17,315 1,506 82* 336,577 29,282 238,036 20,709 183,413 15,957 153,413 13,347 127,899 11,127

33 46,495 4,045 32,850 2,858 25,316 2,202 21,181 1,843 17,668 1,537 83* 351,445 30,576 248,550 21,624 191,511 16,661 160,188 13,936 133,549 11,619

34 47,441 4,127 33,520 2,916 25,829 2,247 21,612 1,880 18,028 1,568 84* 366,991 31,928 259,546 22,581 199,983 17,399 167,273 14,553 139,457 12,133

35 47,714 4,151 33,766 2,938 26,027 2,264 21,774 1,894 18,131 1,577 85* 383,194 33,338 271,004 23,577 208,810 18,166 174,656 15,195 145,614 12,668

36 48,339 4,205 34,208 2,976 26,366 2,294 22,056 1,919 18,369 1,598 86* 400,138 34,812 282,988 24,620 218,042 18,970 182,376 15,867 152,052 13,229

37 48,962 4,260 34,650 3,015 26,706 2,323 22,340 1,944 18,606 1,619 87* 417,819 36,350 295,491 25,708 227,675 19,808 190,434 16,568 158,771 13,813

38 49,584 4,314 35,090 3,053 27,044 2,353 22,628 1,969 18,842 1,639 88* 436,284 37,957 308,551 26,844 237,739 20,683 198,849 17,300 165,788 14,424

39 50,207 4,368 35,531 3,091 27,386 2,383 22,912 1,993 19,079 1,660 89* 455,562 39,634 322,186 28,030 248,242 21,597 207,634 18,064 173,114 15,061

40 51,540 4,484 36,454 3,171 28,096 2,444 23,504 2,045 19,585 1,704 90* 475,701 41,386 336,427 29,269 259,212 22,551 216,808 18,862 180,766 15,727

41 53,888 4,688 38,112 3,316 29,375 2,556 24,572 2,138 20,477 1,781 91* 496,724 43,215 351,296 30,563 270,668 23,548 226,388 19,696 188,755 16,422

42 56,344 4,902 39,850 3,467 30,712 2,672 25,695 2,235 21,411 1,863 92* 518,675 45,125 366,820 31,913 282,629 24,589 236,393 20,566 197,097 17,147

43 58,910 5,125 41,667 3,625 32,113 2,794 26,862 2,337 22,386 1,948 93* 541,606 47,120 383,036 33,324 295,121 25,676 246,840 21,475 205,810 17,905

44 61,590 5,358 43,561 3,790 33,571 2,921 28,085 2,443 23,404 2,036 94* 565,539 49,202 399,963 34,797 308,158 26,810 257,745 22,424 214,905 18,697

45 62,503 5,438 44,210 3,846 34,072 2,964 28,503 2,480 23,751 2,066 95* 590,531 51,376 417,638 36,335 321,778 27,995 269,134 23,415 224,402 19,523

46 65,582 5,706 46,389 4,036 35,750 3,110 29,906 2,602 24,921 2,168 96* 616,636 53,647 436,102 37,941 336,000 29,232 281,028 24,449 234,322 20,386

47 68,815 5,987 48,674 4,235 37,516 3,264 31,382 2,730 26,150 2,275 97* 643,886 56,018 455,372 39,617 350,846 30,524 293,445 25,530 244,677 21,287

48 72,206 6,282 51,073 4,443 39,363 3,425 32,927 2,865 27,438 2,387 98* 672,334 58,493 475,493 41,368 366,347 31,872 306,406 26,657 255,487 22,227

49 75,761 6,591 53,588 4,662 41,299 3,593 34,547 3,006 28,789 2,505 99* 702,054 61,079 496,511 43,196 382,538 33,281 319,948 27,835 266,781 23,210

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 11: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker – Asia 非吸煙人士保費–亞洲

Accommodation Room Type: Semi-private Room 病房類別:半私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 22,996 2,001 2,761 240 25 2 25 2 25 2 25 2 23 2 599 52 675 59 807 70 968 84

1 20,489 1,783 2,734 238 25 2 25 2 25 2 25 2 23 2 531 46 599 52 716 62 859 75

2 18,050 1,570 2,710 236 25 2 25 2 25 2 25 2 23 2 474 41 535 47 640 56 768 67

3 17,887 1,556 2,685 234 25 2 25 2 25 2 25 2 23 2 476 41 537 47 642 56 770 67

4 17,724 1,542 2,661 232 25 2 25 2 25 2 25 2 23 2 477 41 537 47 642 56 770 67

5 16,924 1,472 2,541 221 25 2 25 2 25 2 25 2 23 2 461 40 520 45 621 54 745 65

6 17,080 1,486 1,689 147 25 2 25 2 25 2 25 2 23 2 469 41 529 46 632 55 758 66

7 17,237 1,500 1,704 148 25 2 25 2 25 2 25 2 23 2 478 42 540 47 645 56 774 67

8 17,394 1,513 1,720 150 25 2 25 2 25 2 25 2 23 2 486 42 548 48 656 57 787 68

9 17,551 1,527 1,735 151 25 2 25 2 25 2 25 2 23 2 494 43 558 49 668 58 802 70

10 17,540 1,526 1,734 151 25 2 25 2 25 2 25 2 23 2 497 43 561 49 671 58 805 70

11 18,062 1,571 1,370 119 25 2 25 2 25 2 25 2 23 2 516 45 583 51 696 61 835 73

12 18,584 1,617 1,410 123 25 2 25 2 25 2 25 2 23 2 534 46 602 52 720 63 864 75

13 19,106 1,662 1,449 126 25 2 25 2 25 2 25 2 23 2 551 48 622 54 744 65 893 78

14 19,627 1,708 1,489 130 25 2 25 2 25 2 25 2 23 2 569 50 641 56 768 67 922 80

15 20,296 1,766 1,540 134 25 2 25 2 25 2 25 2 23 2 591 51 667 58 798 69 958 83

16 20,662 1,798 1,540 134 25 2 25 2 25 2 25 2 23 2 601 52 678 59 810 70 972 85

17 21,593 1,879 1,541 134 25 2 25 2 25 2 25 2 23 2 631 55 711 62 851 74 1,021 89

18 11,260 980 554 48 25 2 25 2 25 2 25 2 23 2 329 29 371 32 444 39 533 46

19 11,724 1,020 575 50 25 2 25 2 25 2 25 2 23 2 344 30 388 34 464 40 557 48

20 12,187 1,060 628 55 25 2 25 2 25 2 25 2 23 2 358 31 404 35 483 42 580 50

21 12,471 1,085 640 56 25 2 25 2 25 2 25 2 23 2 365 32 412 36 492 43 590 51

22 13,135 1,143 656 57 25 2 25 2 25 2 25 2 23 2 376 33 423 37 507 44 608 53

23 13,796 1,200 680 59 25 2 25 2 25 2 25 2 23 2 384 33 434 38 519 45 623 54

24 14,455 1,258 706 61 25 2 25 2 25 2 25 2 23 2 394 34 444 39 531 46 637 55

25 15,119 1,315 735 64 25 2 25 2 25 2 25 2 23 2 404 35 457 40 545 47 654 57

26 15,893 1,383 763 66 25 2 25 2 25 2 25 2 23 2 415 36 468 41 560 49 672 58

27 16,558 1,441 823 72 25 2 25 2 25 2 25 2 23 2 427 37 481 42 576 50 691 60

28 17,224 1,498 869 76 25 2 25 2 25 2 25 2 23 2 435 38 491 43 587 51 704 61

29 17,890 1,556 975 85 25 2 25 2 25 2 25 2 23 2 445 39 503 44 600 52 720 63

30 18,561 1,615 1,092 95 25 2 25 2 25 2 25 2 23 2 455 40 513 45 614 53 737 64

31 19,407 1,688 1,227 107 25 2 25 2 25 2 25 2 23 2 474 41 535 47 639 56 767 67

32 19,663 1,711 1,330 116 25 2 25 2 25 2 25 2 23 2 482 42 543 47 650 57 780 68

33 19,944 1,735 1,450 126 25 2 25 2 25 2 25 2 23 2 489 43 551 48 659 57 791 69

34 20,244 1,761 1,592 139 25 2 25 2 25 2 25 2 23 2 497 43 561 49 671 58 805 70

35 20,220 1,759 1,760 153 25 2 25 2 25 2 25 2 23 2 499 43 563 49 672 58 806 70

36 20,461 1,780 1,905 166 25 2 25 2 25 2 25 2 23 2 502 44 566 49 676 59 811 71

37 20,732 1,804 2,075 181 30 3 25 2 25 2 25 2 23 2 505 44 570 50 681 59 817 71

38 21,088 1,835 2,197 191 33 3 25 2 25 2 25 2 23 2 509 44 574 50 687 60 824 72

39 21,566 1,876 2,328 203 38 3 25 2 25 2 25 2 23 2 512 45 577 50 691 60 829 72

40 22,365 1,946 2,517 219 42 4 25 2 25 2 25 2 23 2 523 46 590 51 705 61 846 74

41 22,896 1,992 2,698 235 49 4 30 3 26 2 25 2 23 2 543 47 612 53 731 64 877 76

42 23,428 2,038 2,914 254 55 5 34 3 30 3 25 2 23 2 564 49 636 55 760 66 912 79

43 24,161 2,102 3,157 275 63 5 39 3 34 3 29 3 23 2 585 51 659 57 788 69 946 82

44 24,898 2,166 3,431 298 71 6 43 4 39 3 32 3 26 2 606 53 684 60 819 71 983 86

45 24,877 2,164 3,615 315 76 7 47 4 42 4 35 3 28 2 611 53 690 60 824 72 989 86

46 25,686 2,235 3,999 348 87 8 53 5 47 4 40 3 32 3 636 55 717 62 857 75 1,028 89

47 26,642 2,318 4,419 384 98 9 61 5 53 5 44 4 36 3 661 58 746 65 891 78 1,069 93

48 27,789 2,418 4,813 419 109 9 67 6 60 5 50 4 41 4 688 60 777 68 929 81 1,115 97

49 29,089 2,531 5,236 456 122 11 75 7 66 6 56 5 46 4 717 62 808 70 967 84 1,160 101

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 12: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker – Asia 非吸煙人士保費–亞洲

Accommodation Room Type: Semi-private Room 病房類別:半私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Month-ly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 29,899 2,601 5,649 491 135 12 83 7 74 6 62 5 50 4 740 64 835 73 998 87 1,198 104

51 31,243 2,718 6,216 541 150 13 93 8 82 7 68 6 57 5 776 68 874 76 1,046 91 1,255 109

52 32,680 2,843 6,805 592 167 15 103 9 92 8 76 7 64 6 811 71 916 80 1,095 95 1,314 114

53 34,288 2,983 7,423 646 184 16 114 10 100 9 84 7 71 6 851 74 960 84 1,147 100 1,376 120

54 35,635 3,100 7,944 691 204 18 126 11 111 10 93 8 79 7 883 77 996 87 1,192 104 1,430 124

55 37,112 3,229 8,501 740 224 19 138 12 122 11 103 9 87 8 915 80 1,032 90 1,234 107 1,481 129

56 38,844 3,379 9,086 790 250 22 154 13 137 12 115 10 97 8 946 82 1,067 93 1,276 111 1,531 133

57 40,746 3,545 9,769 850 278 24 172 15 152 13 127 11 108 9 979 85 1,105 96 1,321 115 1,585 138

58 42,919 3,734 10,492 913 309 27 190 17 169 15 141 12 119 10 1,013 88 1,143 99 1,366 119 1,639 143

59 45,270 3,938 11,420 994 341 30 210 18 186 16 156 14 132 11 1,047 91 1,182 103 1,413 123 1,696 148

60 47,949 4,172 12,423 1,081 376 33 232 20 205 18 172 15 145 13 1,085 94 1,225 107 1,465 127 1,758 153

61 51,226 4,457 13,575 1,181 421 37 259 23 231 20 192 17 163 14 1,126 98 1,270 110 1,518 132 1,822 159

62 54,465 4,738 14,960 1,302 470 41 289 25 256 22 214 19 182 16 1,165 101 1,315 114 1,571 137 1,885 164

63 57,980 5,044 16,436 1,430 522 45 321 28 285 25 238 21 202 18 1,206 105 1,361 118 1,626 141 1,951 170

64 61,743 5,372 17,933 1,560 577 50 355 31 314 27 264 23 223 19 1,246 108 1,408 122 1,682 146 2,018 176

65 68,494 5,959 18,507 1,610 661 58 407 35 361 31 301 26 255 22 1,341 117 1,514 132 1,809 157 2,171 189

66 73,077 6,358 19,935 1,734 736 64 453 39 402 35 335 29 284 25 1,388 121 1,567 136 1,874 163 2,249 196

67 77,968 6,783 21,464 1,867 815 71 502 44 445 39 372 32 315 27 1,436 125 1,621 141 1,938 169 2,326 202

68 83,198 7,238 22,586 1,965 924 80 569 50 504 44 421 37 357 31 1,487 129 1,678 146 2,007 175 2,408 209

69 88,770 7,723 24,160 2,102 1,052 92 648 56 574 50 480 42 407 35 1,540 134 1,738 151 2,077 181 2,492 217

70 94,896 8,256 25,694 2,235 1,175 102 723 63 641 56 536 47 460 40 1,595 139 1,799 157 2,152 187 2,582 225

71 100,434 8,738 27,105 2,358 1,287 112 792 69 702 61 587 51 498 43 1,632 142 1,842 160 2,203 192 2,644 230

72 104,432 9,086 29,291 2,548 1,401 122 863 75 764 66 639 56 542 47 1,691 147 1,908 166 2,282 199 2,738 238

73 108,433 9,434 31,645 2,753 1,520 132 935 81 828 72 693 60 587 51 1,752 152 1,977 172 2,364 206 2,837 247

74 112,429 9,781 34,221 2,977 1,650 144 1,016 88 900 78 752 65 638 56 1,815 158 2,049 178 2,450 213 2,940 256

75 116,435 10,130 37,015 3,220 1,799 157 1,109 96 982 85 821 71 690 60 1,882 164 2,124 185 2,541 221 3,049 265

76 120,815 10,511 40,146 3,493 1,943 169 1,197 104 1,060 92 887 77 751 65 1,966 171 2,219 193 2,653 231 3,184 277

77 124,827 10,860 54,656 4,755 2,136 186 1,316 114 1,166 101 975 85 826 72 2,040 177 2,301 200 2,752 239 3,302 287

78 128,840 11,209 58,574 5,096 2,347 204 1,446 126 1,281 111 1,071 93 907 79 2,117 184 2,389 208 2,857 249 3,428 298

79 132,852 11,558 62,772 5,461 2,581 225 1,590 138 1,409 123 1,178 102 997 87 2,197 191 2,480 216 2,966 258 3,559 310

80 136,861 11,907 67,272 5,853 2,841 247 1,750 152 1,550 135 1,296 113 1,098 96 2,284 199 2,577 224 3,082 268 3,698 322

81 140,876 12,256 72,089 6,272 3,083 268 1,898 165 1,682 146 1,406 122 1,192 104 2,372 206 2,678 233 3,202 279 3,842 334

82 145,104 12,624 77,248 6,721 3,353 292 2,065 180 1,830 159 1,530 133 1,296 113 2,466 215 2,783 242 3,328 290 3,994 347

83 149,458 13,003 82,751 7,199 3,650 318 2,248 196 1,992 173 1,666 145 1,411 123 2,563 223 2,894 252 3,461 301 4,153 361

84 153,940 13,393 86,600 7,534 3,981 346 2,452 213 2,173 189 1,817 158 1,539 134 2,669 232 3,013 262 3,603 313 4,324 376

85 158,559 13,795 90,621 7,884 4,354 379 2,682 233 2,376 207 1,987 173 1,682 146 2,778 242 3,135 273 3,750 326 4,500 392

86 163,316 14,208 94,834 8,251 4,785 416 2,948 256 2,611 227 2,183 190 1,849 161 2,894 252 3,266 284 3,906 340 4,687 408

87 168,216 14,635 99,239 8,634 5,270 458 3,245 282 2,876 250 2,405 209 2,036 177 3,016 262 3,404 296 4,070 354 4,884 425

88 173,262 15,074 103,848 9,035 5,812 506 3,580 311 3,171 276 2,652 231 2,246 195 3,145 274 3,551 309 4,246 369 5,095 443

89 178,459 15,526 108,681 9,455 6,417 558 3,952 344 3,501 305 2,928 255 2,480 216 3,281 285 3,704 322 4,430 385 5,316 462

90 183,815 15,992 113,732 9,895 7,095 617 4,369 380 3,872 337 3,236 282 2,742 239 3,426 298 3,867 336 4,625 402 5,550 483

91 189,329 16,472 119,020 10,355 7,864 684 4,844 421 4,291 373 3,588 312 3,039 264 3,579 311 4,040 351 4,832 420 5,798 504

92 195,010 16,966 124,556 10,836 8,726 759 5,374 468 4,761 414 3,981 346 3,372 293 3,736 325 4,216 367 5,042 439 6,050 526

93 200,860 17,475 130,347 11,340 9,690 843 5,968 519 5,287 460 4,421 385 3,745 326 3,899 339 4,400 383 5,263 458 6,316 549

94 206,884 17,999 136,417 11,868 10,770 937 6,633 577 5,876 511 4,913 427 4,162 362 4,068 354 4,593 400 5,493 478 6,592 574

95 213,091 18,539 142,775 12,421 11,974 1,042 7,375 642 6,534 568 5,463 475 4,628 403 4,245 369 4,793 417 5,733 499 6,880 599

96 219,482 19,095 150,080 13,057 13,685 1,191 8,429 733 7,467 650 6,242 543 5,289 460 4,432 386 5,003 435 5,983 521 7,180 625

97 226,070 19,668 159,932 13,914 15,676 1,364 9,656 840 8,554 744 7,151 622 6,058 527 4,624 402 5,220 454 6,244 543 7,493 652

98 232,851 20,258 170,918 14,870 17,999 1,566 11,086 964 9,820 854 8,210 714 6,956 605 4,828 420 5,449 474 6,518 567 7,822 681

99 239,834 20,866 182,662 15,892 20,707 1,802 12,753 1,110 11,298 983 9,445 822 8,002 696 5,037 438 5,686 495 6,801 592 8,161 710

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 13: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker – Asia 非吸煙人士保費–亞洲

Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 22,996 2,001 2,761 240 25 2 25 2 25 2 25 2 23 2 613 53 794 69 949 83 1,139 99

1 20,489 1,783 2,734 238 25 2 25 2 25 2 25 2 23 2 544 47 706 61 843 73 1,012 88

2 18,050 1,570 2,710 236 25 2 25 2 25 2 25 2 23 2 485 42 630 55 753 66 904 79

3 17,887 1,556 2,685 234 25 2 25 2 25 2 25 2 23 2 487 42 631 55 754 66 905 79

4 17,724 1,542 2,661 232 25 2 25 2 25 2 25 2 23 2 487 42 632 55 756 66 907 79

5 16,924 1,472 2,541 221 25 2 25 2 25 2 25 2 23 2 471 41 611 53 730 64 876 76

6 17,080 1,486 1,689 147 25 2 25 2 25 2 25 2 23 2 480 42 623 54 745 65 894 78

7 17,237 1,500 1,704 148 25 2 25 2 25 2 25 2 23 2 489 43 634 55 758 66 910 79

8 17,394 1,513 1,720 150 25 2 25 2 25 2 25 2 23 2 498 43 645 56 772 67 926 81

9 17,551 1,527 1,735 151 25 2 25 2 25 2 25 2 23 2 506 44 657 57 785 68 942 82

10 17,540 1,526 1,734 151 25 2 25 2 25 2 25 2 23 2 509 44 660 57 789 69 947 82

11 18,062 1,571 1,370 119 25 2 25 2 25 2 25 2 23 2 528 46 685 60 819 71 983 86

12 18,584 1,617 1,410 123 25 2 25 2 25 2 25 2 23 2 546 48 708 62 847 74 1,016 88

13 19,106 1,662 1,449 126 25 2 25 2 25 2 25 2 23 2 564 49 732 64 875 76 1,050 91

14 19,627 1,708 1,489 130 25 2 25 2 25 2 25 2 23 2 582 51 755 66 903 79 1,084 94

15 20,296 1,766 1,540 134 25 2 25 2 25 2 25 2 23 2 605 53 785 68 939 82 1,127 98

16 20,662 1,798 1,540 134 25 2 25 2 25 2 25 2 23 2 615 54 797 69 953 83 1,144 100

17 21,593 1,879 1,541 134 25 2 25 2 25 2 25 2 23 2 645 56 838 73 1,001 87 1,201 104

18 11,260 980 554 48 25 2 25 2 25 2 25 2 23 2 337 29 437 38 522 45 626 54

19 11,724 1,020 575 50 25 2 25 2 25 2 25 2 23 2 352 31 457 40 546 48 655 57

20 12,187 1,060 628 55 25 2 25 2 25 2 25 2 23 2 366 32 475 41 568 49 682 59

21 12,471 1,085 640 56 25 2 25 2 25 2 25 2 23 2 374 33 485 42 579 50 695 60

22 13,135 1,143 656 57 25 2 25 2 25 2 25 2 23 2 384 33 499 43 596 52 715 62

23 13,796 1,200 680 59 25 2 25 2 25 2 25 2 23 2 393 34 510 44 610 53 732 64

24 14,455 1,258 706 61 25 2 25 2 25 2 25 2 23 2 404 35 523 46 625 54 750 65

25 15,119 1,315 735 64 25 2 25 2 25 2 25 2 23 2 414 36 537 47 641 56 769 67

26 15,893 1,383 763 66 25 2 25 2 25 2 25 2 23 2 426 37 551 48 659 57 791 69

27 16,558 1,441 823 72 25 2 25 2 25 2 25 2 23 2 436 38 566 49 677 59 812 71

28 17,224 1,498 869 76 25 2 25 2 25 2 25 2 23 2 445 39 578 50 691 60 829 72

29 17,890 1,556 975 85 25 2 25 2 25 2 25 2 23 2 455 40 591 51 706 61 847 74

30 18,561 1,615 1,092 95 25 2 25 2 25 2 25 2 23 2 466 41 604 53 722 63 866 75

31 19,407 1,688 1,227 107 25 2 25 2 25 2 25 2 23 2 485 42 629 55 752 65 902 78

32 19,663 1,711 1,330 116 25 2 25 2 25 2 25 2 23 2 493 43 640 56 764 66 917 80

33 19,944 1,735 1,450 126 25 2 25 2 25 2 25 2 23 2 500 44 649 56 776 68 931 81

34 20,244 1,761 1,592 139 25 2 25 2 25 2 25 2 23 2 509 44 660 57 788 69 946 82

35 20,220 1,759 1,760 153 26 2 25 2 25 2 25 2 23 2 510 44 662 58 790 69 948 82

36 20,461 1,780 1,905 166 30 3 25 2 25 2 25 2 23 2 514 45 666 58 796 69 955 83

37 20,732 1,804 2,075 181 34 3 25 2 25 2 25 2 23 2 517 45 671 58 802 70 962 84

38 21,088 1,835 2,197 191 39 3 28 2 25 2 25 2 23 2 521 45 675 59 807 70 968 84

39 21,566 1,876 2,328 203 44 4 31 3 25 2 25 2 23 2 524 46 680 59 812 71 974 85

40 22,365 1,946 2,517 219 50 4 35 3 26 2 25 2 23 2 535 47 693 60 829 72 995 87

41 22,896 1,992 2,698 235 56 5 40 3 31 3 25 2 23 2 555 48 720 63 860 75 1,032 90

42 23,428 2,038 2,914 254 65 6 46 4 35 3 30 3 24 2 576 50 748 65 894 78 1,073 93

43 24,161 2,102 3,157 275 74 6 52 5 40 3 33 3 27 2 598 52 776 68 927 81 1,112 97

44 24,898 2,166 3,431 298 83 7 58 5 45 4 38 3 30 3 621 54 805 70 962 84 1,154 100

45 24,877 2,164 3,615 315 89 8 64 6 49 4 41 4 33 3 625 54 810 70 970 84 1,164 101

46 25,686 2,235 3,999 348 101 9 72 6 55 5 46 4 37 3 651 57 844 73 1,009 88 1,211 105

47 26,642 2,318 4,419 384 115 10 82 7 63 5 53 5 42 4 677 59 878 76 1,049 91 1,259 110

48 27,789 2,418 4,813 419 129 11 92 8 71 6 58 5 48 4 705 61 914 80 1,093 95 1,312 114

49 29,089 2,531 5,236 456 143 12 101 9 78 7 65 6 54 5 733 64 951 83 1,138 99 1,366 119

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 14: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker – Asia 非吸煙人士保費–亞洲

Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Month-ly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 29,899 2,601 5,649 491 159 14 113 10 86 7 73 6 59 5 757 66 982 85 1,174 102 1,409 123

51 31,243 2,718 6,216 541 176 15 125 11 96 8 81 7 67 6 793 69 1,029 90 1,229 107 1,475 128

52 32,680 2,843 6,805 592 196 17 139 12 107 9 89 8 75 7 831 72 1,078 94 1,288 112 1,546 135

53 34,288 2,983 7,423 646 217 19 154 13 119 10 99 9 84 7 870 76 1,129 98 1,349 117 1,619 141

54 35,635 3,100 7,944 691 239 21 170 15 131 11 109 9 93 8 904 79 1,173 102 1,401 122 1,681 146

55 37,112 3,229 8,501 740 264 23 186 16 143 12 120 10 102 9 936 81 1,214 106 1,452 126 1,742 152

56 38,844 3,379 9,086 790 295 26 208 18 161 14 135 12 114 10 968 84 1,256 109 1,502 131 1,802 157

57 40,746 3,545 9,769 850 328 29 232 20 179 16 150 13 127 11 1,002 87 1,300 113 1,554 135 1,865 162

58 42,919 3,734 10,492 913 363 32 257 22 199 17 165 14 140 12 1,036 90 1,345 117 1,608 140 1,930 168

59 45,270 3,938 11,420 994 400 35 284 25 218 19 183 16 155 13 1,072 93 1,391 121 1,663 145 1,996 174

60 47,949 4,172 12,423 1,081 442 38 313 27 242 21 202 18 171 15 1,110 97 1,441 125 1,723 150 2,068 180

61 51,226 4,457 13,575 1,181 496 43 351 31 270 23 226 20 192 17 1,151 100 1,494 130 1,787 155 2,144 187

62 54,465 4,738 14,960 1,302 553 48 392 34 301 26 253 22 214 19 1,191 104 1,546 135 1,849 161 2,219 193

63 57,980 5,044 16,436 1,430 613 53 435 38 335 29 280 24 237 21 1,233 107 1,601 139 1,914 167 2,297 200

64 61,743 5,372 17,933 1,560 678 59 481 42 371 32 310 27 262 23 1,275 111 1,655 144 1,980 172 2,376 207

65 68,494 5,959 18,507 1,610 778 68 550 48 424 37 354 31 300 26 1,372 119 1,780 155 2,129 185 2,555 222

66 73,077 6,358 19,935 1,734 866 75 613 53 472 41 395 34 335 29 1,420 124 1,844 160 2,204 192 2,645 230

67 77,968 6,783 21,464 1,867 960 84 678 59 523 46 438 38 371 32 1,470 128 1,907 166 2,281 198 2,737 238

68 83,198 7,238 22,586 1,965 1,088 95 770 67 593 52 496 43 421 37 1,521 132 1,975 172 2,361 205 2,833 246

69 88,770 7,723 24,160 2,102 1,239 108 876 76 675 59 565 49 479 42 1,576 137 2,044 178 2,445 213 2,934 255

70 94,896 8,256 25,694 2,235 1,382 120 978 85 753 66 630 55 541 47 1,632 142 2,117 184 2,532 220 3,038 264

71 100,434 8,738 27,105 2,358 1,515 132 1,072 93 826 72 691 60 585 51 1,670 145 2,167 189 2,591 225 3,109 270

72 104,432 9,086 29,291 2,548 1,649 143 1,167 102 899 78 751 65 637 55 1,730 151 2,246 195 2,685 234 3,222 280

73 108,433 9,434 31,645 2,753 1,788 156 1,265 110 975 85 815 71 691 60 1,792 156 2,326 202 2,781 242 3,337 290

74 112,429 9,781 34,221 2,977 1,941 169 1,374 120 1,059 92 886 77 750 65 1,857 162 2,411 210 2,883 251 3,460 301

75 116,435 10,130 37,015 3,220 2,117 184 1,499 130 1,155 100 966 84 812 71 1,926 168 2,499 217 2,989 260 3,587 312

76 120,815 10,511 40,146 3,493 2,286 199 1,618 141 1,248 109 1,042 91 883 77 2,011 175 2,610 227 3,122 272 3,746 326

77 124,827 10,860 54,656 4,755 2,513 219 1,780 155 1,371 119 1,147 100 971 84 2,086 181 2,708 236 3,237 282 3,884 338

78 128,840 11,209 58,574 5,096 2,761 240 1,956 170 1,507 131 1,260 110 1,067 93 2,165 188 2,810 244 3,361 292 4,033 351

79 132,852 11,558 62,772 5,461 3,037 264 2,151 187 1,657 144 1,385 120 1,173 102 2,248 196 2,917 254 3,489 304 4,187 364

80 136,861 11,907 67,272 5,853 3,342 291 2,367 206 1,823 159 1,526 133 1,292 112 2,336 203 3,032 264 3,625 315 4,350 378

81 140,876 12,256 72,089 6,272 3,627 316 2,569 224 1,979 172 1,655 144 1,402 122 2,427 211 3,150 274 3,768 328 4,522 393

82 145,104 12,624 77,248 6,721 3,945 343 2,794 243 2,152 187 1,800 157 1,524 133 2,522 219 3,274 285 3,915 341 4,698 409

83 149,458 13,003 82,751 7,199 4,294 374 3,041 265 2,343 204 1,959 170 1,659 144 2,623 228 3,404 296 4,072 354 4,886 425

84 153,940 13,393 86,600 7,534 4,684 408 3,318 289 2,556 222 2,138 186 1,810 157 2,730 238 3,544 308 4,238 369 5,086 442

85 158,559 13,795 90,621 7,884 5,122 446 3,628 316 2,795 243 2,337 203 1,979 172 2,842 247 3,688 321 4,412 384 5,294 461

86 163,316 14,208 94,834 8,251 5,630 490 3,988 347 3,072 267 2,569 224 2,176 189 2,960 258 3,842 334 4,595 400 5,514 480

87 168,216 14,635 99,239 8,634 6,199 539 4,391 382 3,383 294 2,828 246 2,396 208 3,085 268 4,005 348 4,789 417 5,747 500

88 173,262 15,074 103,848 9,035 6,837 595 4,843 421 3,731 325 3,120 271 2,642 230 3,218 280 4,177 363 4,996 435 5,995 522

89 178,459 15,526 108,681 9,455 7,550 657 5,348 465 4,120 358 3,445 300 2,918 254 3,357 292 4,357 379 5,210 453 6,252 544

90 183,815 15,992 113,732 9,895 8,347 726 5,912 514 4,555 396 3,808 331 3,226 281 3,505 305 4,550 396 5,441 473 6,529 568

91 189,329 16,472 119,020 10,355 9,252 805 6,554 570 5,048 439 4,222 367 3,576 311 3,662 319 4,752 413 5,684 495 6,821 593

92 195,010 16,966 124,556 10,836 10,266 893 7,271 633 5,602 487 4,683 407 3,967 345 3,821 332 4,960 432 5,933 516 7,120 619

93 200,860 17,475 130,347 11,340 11,401 992 8,075 703 6,220 541 5,201 452 4,406 383 3,988 347 5,177 450 6,192 539 7,430 646

94 206,884 17,999 136,417 11,868 12,670 1,102 8,974 781 6,913 601 5,780 503 4,897 426 4,162 362 5,403 470 6,462 562 7,754 675

95 213,091 18,539 142,775 12,421 14,088 1,226 9,978 868 7,686 669 6,427 559 5,444 474 4,344 378 5,638 491 6,745 587 8,094 704

96 219,482 19,095 150,080 13,057 16,100 1,401 11,404 992 8,784 764 7,344 639 6,222 541 4,533 394 5,885 512 7,039 612 8,447 735

97 226,070 19,668 159,932 13,914 18,443 1,605 13,063 1,136 10,063 875 8,413 732 7,127 620 4,731 412 6,141 534 7,346 639 8,815 767

98 232,851 20,258 170,918 14,870 21,175 1,842 14,998 1,305 11,553 1,005 9,660 840 8,183 712 4,938 430 6,411 558 7,668 667 9,202 801

99 239,834 20,866 182,662 15,892 24,361 2,119 17,255 1,501 13,291 1,156 11,113 967 9,415 819 5,153 448 6,690 582 8,002 696 9,602 835

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 15: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide (excluding US) 非吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 27,861 2,424 3,135 273 25 2 25 2 25 2 25 2 23 2 858 75 1,113 97 1,330 116 1,596 139

1 24,830 2,160 3,105 270 25 2 25 2 25 2 25 2 23 2 762 66 988 86 1,180 103 1,416 123

2 21,874 1,903 3,077 268 25 2 25 2 25 2 25 2 23 2 680 59 881 77 1,054 92 1,265 110

3 21,677 1,886 3,049 265 25 2 25 2 25 2 25 2 23 2 682 59 884 77 1,056 92 1,267 110

4 21,479 1,869 3,022 263 25 2 25 2 25 2 25 2 23 2 683 59 885 77 1,058 92 1,270 110

5 20,509 1,784 2,885 251 25 2 25 2 25 2 25 2 23 2 660 57 856 74 1,023 89 1,228 107

6 20,698 1,801 1,916 167 25 2 25 2 25 2 25 2 23 2 672 58 871 76 1,042 91 1,250 109

7 20,889 1,817 1,933 168 25 2 25 2 25 2 25 2 23 2 686 60 888 77 1,062 92 1,274 111

8 21,079 1,834 1,951 170 25 2 25 2 25 2 25 2 23 2 696 61 904 79 1,080 94 1,296 113

9 21,269 1,850 1,968 171 25 2 25 2 25 2 25 2 23 2 708 62 920 80 1,099 96 1,319 115

10 21,258 1,849 1,969 171 25 2 25 2 25 2 25 2 23 2 713 62 925 80 1,105 96 1,326 115

11 21,891 1,905 1,554 135 25 2 25 2 25 2 25 2 23 2 739 64 959 83 1,147 100 1,376 120

12 22,523 1,960 1,599 139 25 2 25 2 25 2 25 2 23 2 764 66 991 86 1,185 103 1,422 124

13 23,156 2,015 1,643 143 25 2 25 2 25 2 25 2 23 2 790 69 1,025 89 1,225 107 1,470 128

14 23,787 2,069 1,689 147 25 2 25 2 25 2 25 2 23 2 815 71 1,057 92 1,264 110 1,517 132

15 24,596 2,140 1,747 152 25 2 25 2 25 2 25 2 23 2 848 74 1,099 96 1,314 114 1,577 137

16 25,035 2,178 1,747 152 25 2 25 2 25 2 25 2 23 2 861 75 1,118 97 1,336 116 1,603 139

17 26,168 2,277 1,748 152 25 2 25 2 25 2 25 2 23 2 904 79 1,172 102 1,401 122 1,681 146

18 13,646 1,187 633 55 25 2 25 2 25 2 25 2 23 2 471 41 611 53 731 64 877 76

19 14,206 1,236 657 57 25 2 25 2 25 2 25 2 23 2 494 43 640 56 765 67 918 80

20 14,771 1,285 715 62 25 2 25 2 25 2 25 2 23 2 513 45 665 58 796 69 955 83

21 15,109 1,314 731 64 25 2 25 2 25 2 25 2 23 2 524 46 679 59 811 71 973 85

22 15,916 1,385 745 65 25 2 25 2 25 2 25 2 23 2 539 47 699 61 836 73 1,003 87

23 16,720 1,455 772 67 25 2 25 2 25 2 25 2 23 2 551 48 715 62 855 74 1,026 89

24 17,518 1,524 801 70 25 2 25 2 25 2 25 2 23 2 566 49 733 64 878 76 1,054 92

25 18,320 1,594 834 73 25 2 25 2 25 2 25 2 23 2 581 51 753 66 901 78 1,081 94

26 19,259 1,676 866 75 25 2 25 2 25 2 25 2 23 2 597 52 775 67 925 80 1,110 97

27 20,063 1,745 934 81 25 2 25 2 25 2 25 2 23 2 614 53 795 69 951 83 1,141 99

28 20,871 1,816 988 86 25 2 25 2 25 2 25 2 23 2 626 54 813 71 971 84 1,165 101

29 21,677 1,886 1,107 96 25 2 25 2 25 2 25 2 23 2 641 56 832 72 994 86 1,193 104

30 22,493 1,957 1,242 108 25 2 25 2 25 2 25 2 23 2 654 57 849 74 1,015 88 1,218 106

31 23,516 2,046 1,394 121 25 2 25 2 25 2 25 2 23 2 682 59 886 77 1,058 92 1,270 110

32 23,828 2,073 1,512 132 25 2 25 2 25 2 25 2 23 2 695 60 901 78 1,077 94 1,292 112

33 24,166 2,102 1,649 143 29 3 25 2 25 2 25 2 23 2 705 61 915 80 1,094 95 1,313 114

34 24,531 2,134 1,809 157 33 3 25 2 25 2 25 2 23 2 717 62 930 81 1,113 97 1,336 116

35 24,503 2,132 2,000 174 36 3 26 2 25 2 25 2 23 2 720 63 934 81 1,117 97 1,340 117

36 24,794 2,157 2,166 188 43 4 30 3 25 2 25 2 23 2 725 63 941 82 1,124 98 1,349 117

37 25,124 2,186 2,359 205 49 4 34 3 26 2 25 2 23 2 731 64 947 82 1,133 99 1,360 118

38 25,553 2,223 2,497 217 55 5 39 3 30 3 25 2 23 2 735 64 954 83 1,141 99 1,369 119

39 26,133 2,274 2,643 230 62 5 44 4 34 3 29 3 23 2 741 64 961 84 1,150 100 1,380 120

40 27,100 2,358 2,861 249 69 6 50 4 38 3 32 3 25 2 756 66 981 85 1,173 102 1,408 122

41 27,744 2,414 3,068 267 81 7 57 5 44 4 36 3 29 3 788 69 1,022 89 1,222 106 1,466 128

42 28,390 2,470 3,311 288 93 8 65 6 51 4 42 4 34 3 821 71 1,065 93 1,273 111 1,528 133

43 29,280 2,547 3,587 312 105 9 74 6 57 5 47 4 38 3 854 74 1,109 96 1,325 115 1,590 138

44 30,170 2,625 3,899 339 118 10 84 7 65 6 54 5 43 4 890 77 1,155 100 1,380 120 1,656 144

45 30,145 2,623 4,106 357 129 11 92 8 71 6 60 5 47 4 900 78 1,167 102 1,395 121 1,674 146

46 31,125 2,708 4,546 396 147 13 104 9 81 7 67 6 54 5 940 82 1,219 106 1,457 127 1,748 152

47 32,285 2,809 5,021 437 167 15 118 10 90 8 76 7 61 5 981 85 1,272 111 1,521 132 1,825 159

48 33,674 2,930 5,470 476 188 16 132 11 103 9 86 7 69 6 1,025 89 1,330 116 1,590 138 1,908 166

49 35,246 3,066 5,949 518 210 18 149 13 115 10 96 8 78 7 1,070 93 1,388 121 1,659 144 1,991 173

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,809 418

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 16: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide (excluding US) 非吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Month-ly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 36,228 3,152 6,420 559 232 20 164 14 127 11 106 9 87 8 1,108 96 1,438 125 1,719 150 2,063 179

51 37,856 3,293 7,062 614 259 23 184 16 142 12 119 10 98 9 1,166 101 1,511 131 1,807 157 2,168 189

52 39,604 3,446 7,731 673 289 25 205 18 158 14 132 11 111 10 1,225 107 1,589 138 1,899 165 2,279 198

53 41,549 3,615 8,435 734 321 28 228 20 175 15 147 13 124 11 1,287 112 1,670 145 1,997 174 2,396 208

54 43,183 3,757 9,028 785 356 31 253 22 194 17 162 14 138 12 1,341 117 1,740 151 2,080 181 2,496 217

55 44,972 3,913 9,661 841 393 34 278 24 214 19 180 16 152 13 1,394 121 1,809 157 2,162 188 2,594 226

56 47,069 4,095 10,325 898 440 38 312 27 240 21 201 17 170 15 1,447 126 1,878 163 2,246 195 2,695 234

57 49,372 4,295 11,100 966 491 43 349 30 268 23 224 19 190 17 1,503 131 1,950 170 2,331 203 2,797 243

58 52,008 4,525 11,924 1,037 546 48 387 34 299 26 249 22 211 18 1,561 136 2,024 176 2,420 211 2,904 253

59 54,855 4,772 12,975 1,129 606 53 429 37 331 29 277 24 234 20 1,618 141 2,100 183 2,510 218 3,012 262

60 58,101 5,055 14,121 1,229 672 58 475 41 366 32 307 27 259 23 1,683 146 2,184 190 2,611 227 3,133 273

61 62,074 5,400 15,428 1,342 755 66 534 46 411 36 344 30 292 25 1,751 152 2,272 198 2,717 236 3,260 284

62 65,997 5,742 17,003 1,479 844 73 598 52 460 40 385 33 326 28 1,819 158 2,361 205 2,822 246 3,386 295

63 70,258 6,112 18,681 1,625 940 82 665 58 513 45 429 37 363 32 1,889 164 2,451 213 2,931 255 3,517 306

64 74,818 6,509 20,379 1,773 1,042 91 739 64 569 50 477 41 403 35 1,961 171 2,544 221 3,042 265 3,650 318

65 82,999 7,221 21,033 1,830 1,199 104 848 74 654 57 547 48 463 40 2,116 184 2,746 239 3,284 286 3,941 343

66 88,553 7,704 22,657 1,971 1,340 117 949 83 731 64 611 53 518 45 2,198 191 2,853 248 3,411 297 4,093 356

67 94,476 8,219 24,396 2,122 1,489 130 1,055 92 812 71 680 59 576 50 2,283 199 2,962 258 3,541 308 4,249 370

68 100,816 8,771 25,669 2,233 1,695 147 1,200 104 924 80 773 67 655 57 2,371 206 3,076 268 3,679 320 4,415 384

69 107,568 9,358 27,460 2,389 1,936 168 1,370 119 1,056 92 884 77 748 65 2,464 214 3,197 278 3,822 333 4,586 399

70 114,990 10,004 29,201 2,540 2,169 189 1,536 134 1,183 103 989 86 849 74 2,560 223 3,322 289 3,973 346 4,768 415

71 121,702 10,588 30,807 2,680 2,385 207 1,688 147 1,301 113 1,088 95 922 80 2,629 229 3,412 297 4,080 355 4,896 426

72 126,547 11,010 33,291 2,896 2,604 227 1,843 160 1,421 124 1,188 103 1,007 88 2,734 238 3,548 309 4,242 369 5,090 443

73 131,395 11,431 35,966 3,129 2,835 247 2,007 175 1,545 134 1,293 112 1,096 95 2,842 247 3,688 321 4,410 384 5,292 460

74 136,241 11,853 38,891 3,384 3,089 269 2,186 190 1,684 147 1,409 123 1,194 104 2,955 257 3,835 334 4,586 399 5,503 479

75 141,090 12,275 42,066 3,660 3,379 294 2,394 208 1,844 160 1,542 134 1,297 113 3,075 268 3,990 347 4,771 415 5,725 498

76 146,401 12,737 45,627 3,970 3,661 319 2,593 226 1,999 174 1,671 145 1,415 123 3,223 280 4,182 364 5,001 435 6,001 522

77 151,261 13,160 62,118 5,404 4,040 351 2,861 249 2,205 192 1,844 160 1,561 136 3,353 292 4,352 379 5,204 453 6,245 543

78 156,124 13,583 66,571 5,792 4,454 387 3,155 274 2,431 211 2,033 177 1,721 150 3,494 304 4,534 394 5,421 472 6,505 566

79 160,988 14,006 71,341 6,207 4,915 428 3,481 303 2,683 233 2,244 195 1,899 165 3,639 317 4,722 411 5,647 491 6,776 590

80 165,846 14,429 76,455 6,652 5,428 472 3,844 334 2,963 258 2,478 216 2,098 183 3,795 330 4,924 428 5,888 512 7,066 615

81 170,706 14,851 81,933 7,128 5,912 514 4,187 364 3,227 281 2,698 235 2,285 199 3,957 344 5,134 447 6,140 534 7,368 641

82 175,832 15,297 87,795 7,638 6,451 561 4,569 398 3,521 306 2,944 256 2,493 217 4,126 359 5,355 466 6,403 557 7,684 669

83 181,109 15,756 94,047 8,182 7,047 613 4,992 434 3,847 335 3,217 280 2,723 237 4,306 375 5,588 486 6,682 581 8,018 698

84 186,538 16,229 98,423 8,563 7,714 671 5,464 475 4,211 366 3,521 306 2,981 259 4,498 391 5,837 508 6,980 607 8,376 729

85 192,136 16,716 102,990 8,960 8,464 736 5,995 522 4,620 402 3,863 336 3,271 285 4,697 409 6,096 530 7,290 634 8,748 761

86 197,899 17,217 107,780 9,377 9,336 812 6,613 575 5,095 443 4,260 371 3,608 314 4,910 427 6,371 554 7,619 663 9,143 795

87 203,839 17,734 112,787 9,812 10,316 897 7,307 636 5,630 490 4,708 410 3,987 347 5,134 447 6,664 580 7,969 693 9,563 832

88 209,955 18,266 118,023 10,268 11,417 993 8,087 704 6,230 542 5,210 453 4,412 384 5,374 468 6,974 607 8,341 726 10,009 871

89 216,249 18,814 123,517 10,746 12,650 1,101 8,959 779 6,903 601 5,772 502 4,889 425 5,624 489 7,300 635 8,730 760 10,476 911

90 222,740 19,378 129,257 11,245 14,034 1,221 9,940 865 7,659 666 6,405 557 5,424 472 5,894 513 7,649 665 9,148 796 10,978 955

91 229,418 19,959 135,269 11,768 15,610 1,358 11,057 962 8,519 741 7,123 620 6,033 525 6,178 537 8,018 698 9,590 834 11,508 1,001

92 236,304 20,558 141,562 12,316 17,380 1,512 12,310 1,071 9,485 825 7,930 690 6,717 584 6,470 563 8,398 731 10,043 874 12,052 1,049

93 243,395 21,175 148,143 12,888 19,367 1,685 13,718 1,193 10,570 920 8,838 769 7,485 651 6,777 590 8,795 765 10,519 915 12,623 1,098

94 250,691 21,810 155,038 13,488 21,600 1,879 15,299 1,331 11,788 1,026 9,856 857 8,347 726 7,096 617 9,211 801 11,016 958 13,219 1,150

95 258,218 22,465 162,265 14,117 24,099 2,097 17,068 1,485 13,151 1,144 10,996 957 9,313 810 7,432 647 9,646 839 11,537 1,004 13,844 1,204

96 265,957 23,138 170,571 14,840 27,637 2,404 19,575 1,703 15,082 1,312 12,611 1,097 10,681 929 7,784 677 10,102 879 12,083 1,051 14,500 1,262

97 273,942 23,833 181,763 15,813 31,769 2,764 22,501 1,958 17,337 1,508 14,495 1,261 12,277 1,068 8,151 709 10,579 920 12,653 1,101 15,184 1,321

98 282,162 24,548 194,251 16,900 36,601 3,184 25,924 2,255 19,973 1,738 16,700 1,453 14,145 1,231 8,537 743 11,082 964 13,254 1,153 15,905 1,384

99 290,621 25,284 207,596 18,061 42,254 3,676 29,927 2,604 23,057 2,006 19,279 1,677 16,329 1,421 8,940 778 11,603 1,009 13,877 1,207 16,652 1,449

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,809 418

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 17: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide 非吸煙人士保費–全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 38,328 3,335 3,452 300 25 2 25 2 25 2 25 2 23 2 1,597 139 2,071 180 2,476 215 2,971 258

1 34,153 2,971 3,418 297 25 2 25 2 25 2 25 2 23 2 1,418 123 1,839 160 2,198 191 2,638 230

2 30,087 2,618 3,388 295 25 2 25 2 25 2 25 2 23 2 1,265 110 1,641 143 1,962 171 2,354 205

3 29,815 2,594 3,356 292 25 2 25 2 25 2 25 2 23 2 1,268 110 1,645 143 1,967 171 2,360 205

4 29,543 2,570 3,326 289 25 2 25 2 25 2 25 2 23 2 1,270 110 1,648 143 1,970 171 2,364 206

5 28,210 2,454 3,177 276 25 2 25 2 25 2 25 2 23 2 1,228 107 1,593 139 1,904 166 2,285 199

6 28,470 2,477 2,111 184 25 2 25 2 25 2 25 2 23 2 1,251 109 1,622 141 1,940 169 2,328 203

7 28,732 2,500 2,129 185 25 2 25 2 25 2 25 2 23 2 1,275 111 1,654 144 1,978 172 2,374 207

8 28,993 2,522 2,149 187 25 2 25 2 25 2 25 2 23 2 1,297 113 1,682 146 2,010 175 2,412 210

9 29,255 2,545 2,168 189 25 2 25 2 25 2 25 2 23 2 1,319 115 1,712 149 2,045 178 2,454 213

10 29,239 2,544 2,168 189 25 2 25 2 25 2 25 2 23 2 1,327 115 1,722 150 2,059 179 2,471 215

11 30,109 2,619 1,711 149 25 2 25 2 25 2 25 2 23 2 1,377 120 1,786 155 2,135 186 2,562 223

12 30,979 2,695 1,761 153 25 2 25 2 25 2 25 2 23 2 1,423 124 1,846 161 2,207 192 2,648 230

13 31,849 2,771 1,810 157 25 2 25 2 25 2 25 2 23 2 1,472 128 1,908 166 2,281 198 2,737 238

14 32,718 2,846 1,860 162 25 2 25 2 25 2 25 2 23 2 1,518 132 1,969 171 2,354 205 2,825 246

15 33,829 2,943 1,925 167 25 2 25 2 25 2 25 2 23 2 1,578 137 2,047 178 2,447 213 2,936 255

16 34,434 2,996 1,925 167 25 2 25 2 25 2 25 2 23 2 1,603 139 2,080 181 2,486 216 2,983 260

17 35,993 3,131 1,926 168 25 2 25 2 25 2 25 2 23 2 1,683 146 2,183 190 2,609 227 3,131 272

18 18,766 1,633 695 60 25 2 25 2 25 2 25 2 23 2 878 76 1,139 99 1,361 118 1,633 142

19 19,539 1,700 722 63 25 2 25 2 25 2 25 2 23 2 918 80 1,191 104 1,423 124 1,708 149

20 20,315 1,767 785 68 25 2 25 2 25 2 25 2 23 2 954 83 1,238 108 1,481 129 1,777 155

21 20,783 1,808 802 70 25 2 25 2 25 2 25 2 23 2 974 85 1,263 110 1,510 131 1,812 158

22 21,893 1,905 819 71 25 2 25 2 25 2 25 2 23 2 1,002 87 1,299 113 1,553 135 1,864 162

23 22,996 2,001 849 74 25 2 25 2 25 2 25 2 23 2 1,024 89 1,329 116 1,589 138 1,907 166

24 24,093 2,096 883 77 25 2 25 2 25 2 25 2 23 2 1,051 91 1,362 118 1,629 142 1,955 170

25 25,198 2,192 918 80 25 2 25 2 25 2 25 2 23 2 1,078 94 1,398 122 1,672 145 2,006 175

26 26,490 2,305 955 83 25 2 25 2 25 2 25 2 23 2 1,107 96 1,436 125 1,717 149 2,060 179

27 27,594 2,401 1,030 90 25 2 25 2 25 2 25 2 23 2 1,136 99 1,474 128 1,761 153 2,113 184

28 28,707 2,498 1,085 94 26 2 25 2 25 2 25 2 23 2 1,160 101 1,505 131 1,798 156 2,158 188

29 29,816 2,594 1,218 106 30 3 25 2 25 2 25 2 23 2 1,186 103 1,539 134 1,840 160 2,208 192

30 30,936 2,691 1,367 119 34 3 25 2 25 2 25 2 23 2 1,211 105 1,571 137 1,877 163 2,252 196

31 32,347 2,814 1,535 134 40 3 29 3 25 2 25 2 23 2 1,261 110 1,636 142 1,956 170 2,347 204

32 32,776 2,852 1,663 145 46 4 33 3 25 2 25 2 23 2 1,283 112 1,664 145 1,989 173 2,387 208

33 33,240 2,892 1,814 158 54 5 37 3 30 3 25 2 23 2 1,302 113 1,688 147 2,019 176 2,423 211

34 33,742 2,936 1,992 173 61 5 43 4 33 3 28 2 24 2 1,323 115 1,717 149 2,052 179 2,462 214

35 33,704 2,932 2,199 191 67 6 47 4 37 3 31 3 26 2 1,327 115 1,721 150 2,058 179 2,470 215

36 34,101 2,967 2,384 207 78 7 55 5 43 4 35 3 30 3 1,335 116 1,733 151 2,070 180 2,484 216

37 34,554 3,006 2,594 226 89 8 64 6 49 4 41 4 34 3 1,345 117 1,743 152 2,084 181 2,501 218

38 35,147 3,058 2,748 239 101 9 72 6 55 5 46 4 38 3 1,353 118 1,755 153 2,099 183 2,519 219

39 35,946 3,127 2,908 253 114 10 81 7 62 5 52 5 42 4 1,362 118 1,767 154 2,113 184 2,536 221

40 37,275 3,243 3,146 274 128 11 90 8 69 6 58 5 46 4 1,390 121 1,803 157 2,154 187 2,585 225

41 38,159 3,320 3,372 293 148 13 105 9 81 7 67 6 54 5 1,442 125 1,871 163 2,237 195 2,684 234

42 39,050 3,397 3,642 317 169 15 119 10 92 8 77 7 61 5 1,500 131 1,945 169 2,326 202 2,791 243

43 40,272 3,504 3,948 343 191 17 136 12 105 9 87 8 70 6 1,555 135 2,018 176 2,413 210 2,896 252

44 41,495 3,610 4,290 373 215 19 152 13 117 10 98 9 79 7 1,615 141 2,096 182 2,506 218 3,007 262

45 41,461 3,607 4,517 393 234 20 165 14 128 11 107 9 86 7 1,628 142 2,113 184 2,525 220 3,030 264

46 42,814 3,725 5,000 435 266 23 189 16 144 13 121 11 98 9 1,696 148 2,200 191 2,629 229 3,155 274

47 44,404 3,863 5,525 481 300 26 212 18 163 14 137 12 111 10 1,765 154 2,290 199 2,736 238 3,283 286

48 46,319 4,030 6,020 524 336 29 238 21 183 16 153 13 125 11 1,838 160 2,385 207 2,851 248 3,421 298

49 48,481 4,218 6,545 569 375 33 266 23 205 18 171 15 140 12 1,914 167 2,483 216 2,968 258 3,562 310

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

5,061 440

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 18: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Non Smoker - Worldwide 非吸煙人士保費–全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Month-ly月繳

Annual年繳

Month-ly月繳

Annual年繳

Month-ly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 49,830 4,335 7,062 614 414 36 293 25 226 20 189 16 155 13 1,977 172 2,565 223 3,066 267 3,679 320

51 52,071 4,530 7,770 676 462 40 328 29 253 22 211 18 175 15 2,072 180 2,688 234 3,213 280 3,856 335

52 54,471 4,739 8,505 740 513 45 364 32 280 24 235 20 197 17 2,172 189 2,817 245 3,368 293 4,042 352

53 57,150 4,972 9,277 807 568 49 403 35 310 27 259 23 220 19 2,276 198 2,953 257 3,530 307 4,236 369

54 59,396 5,167 9,931 864 628 55 444 39 343 30 287 25 242 21 2,364 206 3,067 267 3,667 319 4,400 383

55 61,855 5,381 10,626 924 690 60 489 43 377 33 315 27 267 23 2,449 213 3,179 277 3,799 331 4,559 397

56 64,741 5,632 11,358 988 771 67 546 48 421 37 352 31 298 26 2,536 221 3,290 286 3,933 342 4,720 411

57 67,911 5,908 12,212 1,062 858 75 608 53 469 41 391 34 332 29 2,625 228 3,406 296 4,071 354 4,885 425

58 71,532 6,223 13,116 1,141 952 83 674 59 519 45 435 38 368 32 2,717 236 3,525 307 4,216 367 5,059 440

59 75,450 6,564 14,275 1,242 1,051 91 744 65 575 50 480 42 406 35 2,810 244 3,646 317 4,359 379 5,231 455

60 79,915 6,953 15,532 1,351 1,162 101 823 72 634 55 530 46 448 39 2,914 254 3,780 329 4,520 393 5,424 472

61 85,378 7,428 16,971 1,476 1,301 113 922 80 710 62 594 52 503 44 3,023 263 3,922 341 4,690 408 5,628 490

62 90,775 7,897 18,703 1,627 1,451 126 1,028 89 792 69 663 58 561 49 3,131 272 4,062 353 4,857 423 5,828 507

63 96,637 8,407 20,547 1,788 1,612 140 1,141 99 880 77 736 64 623 54 3,242 282 4,206 366 5,029 438 6,035 525

64 102,907 8,953 22,417 1,950 1,784 155 1,264 110 974 85 814 71 690 60 3,355 292 4,353 379 5,204 453 6,245 543

65 114,160 9,932 23,137 2,013 2,045 178 1,447 126 1,115 97 933 81 790 69 3,611 314 4,684 408 5,601 487 6,721 585

66 121,800 10,597 24,924 2,168 2,278 198 1,612 140 1,243 108 1,040 90 881 77 3,738 325 4,852 422 5,800 505 6,960 606

67 129,949 11,306 26,835 2,335 2,525 220 1,788 156 1,377 120 1,152 100 976 85 3,871 337 5,023 437 6,005 522 7,206 627

68 138,666 12,064 28,236 2,457 2,866 249 2,028 176 1,564 136 1,308 114 1,108 96 4,009 349 5,202 453 6,219 541 7,463 649

69 147,955 12,872 30,206 2,628 3,263 284 2,309 201 1,780 155 1,489 130 1,261 110 4,152 361 5,389 469 6,442 560 7,730 673

70 158,163 13,760 32,122 2,795 3,645 317 2,579 224 1,987 173 1,663 145 1,426 124 4,303 374 5,584 486 6,676 581 8,011 697

71 167,397 14,564 33,888 2,948 3,997 348 2,828 246 2,179 190 1,823 159 1,545 134 4,407 383 5,718 497 6,836 595 8,203 714

72 174,060 15,143 36,621 3,186 4,352 379 3,079 268 2,373 206 1,985 173 1,682 146 4,568 397 5,928 516 7,087 617 8,504 740

73 180,727 15,723 39,562 3,442 4,721 411 3,342 291 2,575 224 2,154 187 1,825 159 4,735 412 6,144 535 7,345 639 8,814 767

74 187,389 16,303 42,782 3,722 5,129 446 3,630 316 2,797 243 2,340 204 1,983 173 4,909 427 6,370 554 7,615 663 9,138 795

75 194,066 16,884 46,275 4,026 5,595 487 3,962 345 3,054 266 2,554 222 2,147 187 5,093 443 6,608 575 7,900 687 9,480 825

76 201,365 17,519 50,187 4,366 6,043 526 4,281 372 3,300 287 2,759 240 2,336 203 5,322 463 6,906 601 8,256 718 9,907 862

77 208,048 18,100 68,333 5,945 6,649 578 4,709 410 3,629 316 3,036 264 2,570 224 5,522 480 7,165 623 8,566 745 10,279 894

78 214,738 18,682 73,228 6,371 7,309 636 5,178 450 3,990 347 3,337 290 2,826 246 5,734 499 7,441 647 8,897 774 10,676 929

79 221,428 19,264 78,476 6,827 8,042 700 5,696 496 4,389 382 3,671 319 3,109 270 5,955 518 7,729 672 9,240 804 11,088 965

80 228,113 19,846 84,101 7,317 8,856 770 6,272 546 4,834 421 4,043 352 3,423 298 6,192 539 8,034 699 9,606 836 11,527 1,003

81 234,802 20,428 90,125 7,841 9,617 837 6,811 593 5,249 457 4,390 382 3,717 323 6,437 560 8,354 727 9,987 869 11,984 1,043

82 241,849 21,041 96,573 8,402 10,462 910 7,411 645 5,712 497 4,776 416 4,045 352 6,694 582 8,686 756 10,385 903 12,462 1,084

83 249,106 21,672 103,450 9,000 11,395 991 8,072 702 6,220 541 5,202 453 4,405 383 6,964 606 9,037 786 10,805 940 12,966 1,128

84 256,579 22,322 108,265 9,419 12,437 1,082 8,809 766 6,789 591 5,678 494 4,808 418 7,253 631 9,412 819 11,253 979 13,504 1,175

85 264,274 22,992 113,289 9,856 13,605 1,184 9,636 838 7,426 646 6,211 540 5,259 458 7,553 657 9,801 853 11,719 1,020 14,063 1,223

86 272,202 23,682 118,559 10,315 14,963 1,302 10,598 922 8,167 711 6,831 594 5,784 503 7,871 685 10,214 889 12,212 1,062 14,654 1,275

87 280,371 24,392 124,065 10,794 16,484 1,434 11,676 1,016 8,998 783 7,526 655 6,372 554 8,208 714 10,651 927 12,734 1,108 15,281 1,329

88 288,780 25,124 129,827 11,295 18,190 1,583 12,883 1,121 9,929 864 8,304 722 7,031 612 8,565 745 11,115 967 13,289 1,156 15,947 1,387

89 297,441 25,877 135,869 11,821 20,094 1,748 14,233 1,238 10,969 954 9,173 798 7,768 676 8,938 778 11,599 1,009 13,868 1,207 16,642 1,448

90 306,366 26,654 142,184 12,370 22,227 1,934 15,744 1,370 12,132 1,055 10,147 883 8,592 748 9,339 812 12,118 1,054 14,489 1,261 17,387 1,513

91 315,558 27,454 148,797 12,945 24,649 2,144 17,459 1,519 13,454 1,170 11,253 979 9,529 829 9,759 849 12,665 1,102 15,143 1,317 18,172 1,581

92 325,027 28,277 155,717 13,547 27,363 2,381 19,381 1,686 14,935 1,299 12,491 1,087 10,578 920 10,192 887 13,225 1,151 15,813 1,376 18,976 1,651

93 334,779 29,126 162,956 14,177 30,403 2,645 21,535 1,874 16,594 1,444 13,879 1,207 11,753 1,023 10,643 926 13,810 1,201 16,513 1,437 19,816 1,724

94 344,817 29,999 170,541 14,837 33,807 2,941 23,946 2,083 18,452 1,605 15,433 1,343 13,068 1,137 11,111 967 14,419 1,254 17,241 1,500 20,689 1,800

95 355,165 30,899 178,493 15,529 37,606 3,272 26,636 2,317 20,526 1,786 17,167 1,494 14,537 1,265 11,603 1,009 15,057 1,310 18,002 1,566 21,602 1,879

96 365,812 31,826 187,627 16,324 43,001 3,741 30,458 2,650 23,470 2,042 19,629 1,708 16,623 1,446 12,116 1,054 15,723 1,368 18,800 1,636 22,560 1,963

97 376,794 32,781 199,941 17,395 49,283 4,288 34,906 3,037 26,899 2,340 22,496 1,957 19,051 1,657 12,650 1,101 16,416 1,428 19,628 1,708 23,554 2,049

98 388,099 33,765 213,677 18,590 56,611 4,925 40,097 3,488 30,899 2,688 25,842 2,248 21,884 1,904 13,212 1,149 17,145 1,492 20,500 1,784 24,600 2,140

99 399,737 34,777 228,357 19,867 65,161 5,669 46,153 4,015 35,565 3,094 29,744 2,588 25,189 2,191 13,792 1,200 17,899 1,557 21,401 1,862 25,681 2,234

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

5,061 440

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 19: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Asia 吸煙人士保費–亞洲 Accommodation Room Type: Semi-private Room 病房類別:半私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - - - - - - - - - - - - -

1 - - - - - - - - - - - - - - - - - - - - - -

2 - - - - - - - - - - - - - - - - - - - - - -

3 - - - - - - - - - - - - - - - - - - - - - -

4 - - - - - - - - - - - - - - - - - - - - - -

5 - - - - - - - - - - - - - - - - - - - - - -

6 - - - - - - - - - - - - - - - - - - - - - -

7 - - - - - - - - - - - - - - - - - - - - - -

8 - - - - - - - - - - - - - - - - - - - - - -

9 - - - - - - - - - - - - - - - - - - - - - -

10 - - - - - - - - - - - - - - - - - - - - - -

11 - - - - - - - - - - - - - - - - - - - - - -

12 - - - - - - - - - - - - - - - - - - - - - -

13 - - - - - - - - - - - - - - - - - - - - - -

14 - - - - - - - - - - - - - - - - - - - - - -

15 - - - - - - - - - - - - - - - - - - - - - -

16 - - - - - - - - - - - - - - - - - - - - - -

17 - - - - - - - - - - - - - - - - - - - - - -

18 12,662 1,102 624 54 25 2 25 2 25 2 25 2 23 2 374 33 423 37 505 44 606 53

19 13,184 1,147 648 56 25 2 25 2 25 2 25 2 23 2 392 34 442 38 528 46 634 55

20 13,712 1,193 708 62 25 2 25 2 25 2 25 2 23 2 408 35 459 40 550 48 660 57

21 14,032 1,221 722 63 25 2 25 2 25 2 25 2 23 2 416 36 469 41 560 49 672 58

22 14,778 1,286 737 64 25 2 25 2 25 2 25 2 23 2 428 37 482 42 577 50 692 60

23 15,523 1,351 764 66 25 2 25 2 25 2 25 2 23 2 438 38 494 43 590 51 708 62

24 16,264 1,415 792 69 25 2 25 2 25 2 25 2 23 2 449 39 506 44 605 53 726 63

25 17,034 1,482 829 72 25 2 25 2 25 2 25 2 23 2 461 40 519 45 622 54 746 65

26 17,906 1,558 860 75 25 2 25 2 25 2 25 2 23 2 473 41 534 46 638 56 766 67

27 18,655 1,623 929 81 25 2 25 2 25 2 25 2 23 2 486 42 548 48 654 57 785 68

28 19,407 1,688 978 85 25 2 25 2 25 2 25 2 23 2 496 43 559 49 669 58 803 70

29 20,154 1,753 1,100 96 25 2 25 2 25 2 25 2 23 2 507 44 572 50 684 60 821 71

30 20,895 1,818 1,229 107 25 2 25 2 25 2 25 2 23 2 518 45 584 51 699 61 839 73

31 21,848 1,901 1,382 120 25 2 25 2 25 2 25 2 23 2 539 47 608 53 727 63 872 76

32 22,137 1,926 1,498 130 25 2 25 2 25 2 25 2 23 2 549 48 619 54 740 64 888 77

33 22,451 1,953 1,632 142 25 2 25 2 25 2 25 2 23 2 557 48 628 55 752 65 902 78

34 22,791 1,983 1,792 156 25 2 25 2 25 2 25 2 23 2 567 49 639 56 764 66 917 80

35 22,712 1,976 1,977 172 25 2 25 2 25 2 25 2 23 2 568 49 639 56 765 67 918 80

36 22,980 1,999 2,141 186 29 3 25 2 25 2 25 2 23 2 571 50 644 56 771 67 925 80

37 23,285 2,026 2,330 203 33 3 25 2 25 2 25 2 23 2 576 50 649 56 776 68 931 81

38 23,684 2,061 2,469 215 38 3 25 2 25 2 25 2 23 2 579 50 653 57 782 68 938 82

39 24,223 2,107 2,611 227 42 4 25 2 25 2 25 2 23 2 583 51 658 57 787 68 944 82

40 25,139 2,187 2,830 246 46 4 29 3 25 2 25 2 23 2 596 52 672 58 803 70 964 84

41 25,737 2,239 3,032 264 54 5 33 3 30 3 25 2 23 2 617 54 698 61 834 73 1,001 87

42 26,338 2,291 3,276 285 62 5 38 3 33 3 28 2 23 2 642 56 725 63 866 75 1,039 90

43 27,163 2,363 3,548 309 69 6 43 4 38 3 32 3 25 2 666 58 751 65 898 78 1,078 94

44 27,988 2,435 3,856 335 78 7 49 4 43 4 35 3 29 3 691 60 779 68 932 81 1,118 97

45 27,962 2,433 4,062 353 85 7 53 5 46 4 39 3 31 3 696 61 786 68 939 82 1,127 98

46 28,869 2,512 4,495 391 97 8 60 5 53 5 44 4 36 3 724 63 817 71 977 85 1,172 102

47 29,946 2,605 4,964 432 109 9 67 6 60 5 50 4 40 3 753 66 851 74 1,017 88 1,220 106

48 31,235 2,717 5,409 471 122 11 75 7 66 6 56 5 45 4 784 68 885 77 1,058 92 1,270 110

49 32,695 2,844 5,884 512 137 12 84 7 74 6 62 5 51 4 816 71 921 80 1,101 96 1,321 115

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 20: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker – Asia 吸煙人士保費–亞洲

Accommodation Room Type: Semi-private Room 病房類別:半私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 33,587 2,922 6,348 552 150 13 93 8 82 7 68 6 56 5 842 73 951 83 1,136 99 1,363 119

51 35,096 3,053 6,982 607 168 15 104 9 92 8 76 7 64 6 883 77 995 87 1,190 104 1,428 124

52 36,713 3,194 7,642 665 186 16 115 10 101 9 85 7 72 6 924 80 1,042 91 1,246 108 1,495 130

53 38,521 3,351 8,337 725 206 18 127 11 113 10 94 8 80 7 968 84 1,092 95 1,305 114 1,566 136

54 40,035 3,483 8,923 776 227 20 140 12 125 11 104 9 88 8 1,005 87 1,134 99 1,355 118 1,626 141

55 41,701 3,628 9,552 831 250 22 154 13 137 12 115 10 97 8 1,040 90 1,174 102 1,403 122 1,684 147

56 43,645 3,797 10,208 888 280 24 172 15 152 13 128 11 108 9 1,076 94 1,214 106 1,452 126 1,742 152

57 45,784 3,983 10,978 955 311 27 192 17 170 15 142 12 120 10 1,114 97 1,257 109 1,503 131 1,804 157

58 48,227 4,196 11,789 1,026 345 30 212 18 188 16 158 14 133 12 1,152 100 1,300 113 1,555 135 1,866 162

59 50,868 4,426 12,829 1,116 381 33 234 20 207 18 173 15 147 13 1,192 104 1,344 117 1,608 140 1,930 168

60 53,919 4,691 13,968 1,215 421 37 259 23 229 20 192 17 162 14 1,235 107 1,394 121 1,667 145 2,000 174

61 57,602 5,011 15,265 1,328 471 41 290 25 257 22 215 19 182 16 1,280 111 1,446 126 1,728 150 2,074 180

62 61,245 5,328 16,825 1,464 525 46 323 28 286 25 239 21 203 18 1,326 115 1,496 130 1,789 156 2,147 187

63 65,197 5,672 18,482 1,608 584 51 359 31 318 28 266 23 225 20 1,372 119 1,548 135 1,851 161 2,221 193

64 69,429 6,040 20,165 1,754 645 56 396 34 352 31 293 25 249 22 1,419 123 1,601 139 1,915 167 2,298 200

65 77,113 6,709 20,836 1,813 739 64 454 39 403 35 336 29 286 25 1,527 133 1,724 150 2,061 179 2,473 215

66 82,272 7,158 22,445 1,953 824 72 506 44 448 39 375 33 318 28 1,580 137 1,784 155 2,134 186 2,561 223

67 87,778 7,637 24,165 2,102 912 79 560 49 496 43 415 36 353 31 1,636 142 1,847 161 2,209 192 2,651 231

68 93,667 8,149 25,428 2,212 1,035 90 635 55 564 49 471 41 400 35 1,694 147 1,912 166 2,286 199 2,743 239

69 99,941 8,695 27,200 2,366 1,178 102 724 63 641 56 536 47 455 40 1,753 153 1,979 172 2,367 206 2,840 247

70 106,841 9,295 28,929 2,517 1,315 114 807 70 716 62 598 52 514 45 1,815 158 2,050 178 2,450 213 2,940 256

71 113,078 9,838 30,517 2,655 1,441 125 885 77 784 68 655 57 557 48 1,858 162 2,098 183 2,509 218 3,011 262

72 117,578 10,229 32,980 2,869 1,568 136 963 84 854 74 714 62 606 53 1,926 168 2,174 189 2,599 226 3,119 271

73 122,083 10,621 35,629 3,100 1,701 148 1,045 91 926 81 774 67 657 57 1,995 174 2,252 196 2,693 234 3,232 281

74 126,581 11,013 38,529 3,352 1,847 161 1,134 99 1,005 87 841 73 714 62 2,068 180 2,334 203 2,790 243 3,348 291

75 130,899 11,388 41,612 3,620 2,011 175 1,237 108 1,095 95 917 80 772 67 2,143 186 2,418 210 2,892 252 3,470 302

76 135,822 11,817 45,133 3,927 2,172 189 1,336 116 1,184 103 989 86 839 73 2,237 195 2,525 220 3,020 263 3,624 315

77 140,333 12,209 61,447 5,346 2,388 208 1,468 128 1,301 113 1,088 95 923 80 2,320 202 2,619 228 3,132 272 3,758 327

78 144,845 12,602 65,852 5,729 2,624 228 1,614 140 1,430 124 1,196 104 1,014 88 2,409 210 2,719 237 3,251 283 3,901 339

79 149,355 12,994 70,569 6,140 2,886 251 1,775 154 1,572 137 1,315 114 1,115 97 2,501 218 2,822 246 3,375 294 4,050 352

80 153,864 13,386 75,628 6,580 3,176 276 1,954 170 1,730 151 1,447 126 1,227 107 2,598 226 2,932 255 3,507 305 4,208 366

81 158,374 13,779 81,044 7,051 3,447 300 2,120 184 1,877 163 1,571 137 1,332 116 2,700 235 3,048 265 3,644 317 4,373 380

82 163,130 14,192 86,844 7,555 3,748 326 2,306 201 2,042 178 1,708 149 1,449 126 2,806 244 3,168 276 3,788 330 4,546 396

83 168,024 14,618 93,030 8,094 4,080 355 2,510 218 2,223 193 1,859 162 1,577 137 2,918 254 3,294 287 3,938 343 4,726 411

84 173,064 15,057 97,358 8,470 4,451 387 2,738 238 2,425 211 2,027 176 1,720 150 3,037 264 3,429 298 4,101 357 4,921 428

85 178,257 15,508 101,879 8,863 4,867 423 2,993 260 2,652 231 2,217 193 1,881 164 3,162 275 3,569 311 4,268 371 5,122 446

86 183,604 15,974 106,613 9,275 5,350 465 3,291 286 2,914 254 2,437 212 2,068 180 3,293 286 3,717 323 4,446 387 5,335 464

87 189,115 16,453 111,570 9,707 5,892 513 3,623 315 3,209 279 2,684 234 2,277 198 3,432 299 3,875 337 4,634 403 5,561 484

88 194,785 16,946 116,747 10,157 6,497 565 3,995 348 3,540 308 2,960 258 2,511 218 3,580 311 4,042 352 4,833 420 5,800 505

89 200,629 17,455 122,182 10,630 7,175 624 4,412 384 3,908 340 3,268 284 2,773 241 3,734 325 4,215 367 5,041 439 6,049 526

90 206,646 17,978 127,861 11,124 7,932 690 4,878 424 4,321 376 3,613 314 3,065 267 3,900 339 4,402 383 5,265 458 6,318 550

91 212,848 18,518 133,806 11,641 8,792 765 5,407 470 4,790 417 4,005 348 3,398 296 4,074 354 4,599 400 5,500 479 6,600 574

92 219,235 19,073 140,030 12,183 9,756 849 6,000 522 5,314 462 4,443 387 3,770 328 4,251 370 4,800 418 5,740 499 6,888 599

93 225,808 19,645 146,539 12,749 10,834 943 6,663 580 5,902 513 4,934 429 4,187 364 4,438 386 5,010 436 5,990 521 7,188 625

94 232,582 20,235 153,362 13,342 12,040 1,047 7,405 644 6,559 571 5,485 477 4,653 405 4,630 403 5,228 455 6,252 544 7,502 653

95 239,563 20,842 160,510 13,964 13,387 1,165 8,233 716 7,293 634 6,097 530 5,174 450 4,832 420 5,456 475 6,525 568 7,830 681

96 246,745 21,467 168,725 14,679 15,300 1,331 9,410 819 8,334 725 6,968 606 5,913 514 5,044 439 5,695 495 6,810 592 8,172 711

97 254,152 22,111 179,800 15,643 17,526 1,525 10,779 938 9,546 831 7,982 694 6,773 589 5,263 458 5,942 517 7,107 618 8,528 742

98 261,779 22,775 192,150 16,717 20,123 1,751 12,375 1,077 10,961 954 9,164 797 7,777 677 5,494 478 6,204 540 7,419 645 8,903 775

99 269,628 23,458 205,351 17,866 23,150 2,014 14,237 1,239 12,610 1,097 10,543 917 8,947 778 5,734 499 6,473 563 7,742 674 9,290 808

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 21: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Asia 吸煙人士保費–亞洲 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - - - - - - - - - - - - -

1 - - - - - - - - - - - - - - - - - - - - - -

2 - - - - - - - - - - - - - - - - - - - - - -

3 - - - - - - - - - - - - - - - - - - - - - -

4 - - - - - - - - - - - - - - - - - - - - - -

5 - - - - - - - - - - - - - - - - - - - - - -

6 - - - - - - - - - - - - - - - - - - - - - -

7 - - - - - - - - - - - - - - - - - - - - - -

8 - - - - - - - - - - - - - - - - - - - - - -

9 - - - - - - - - - - - - - - - - - - - - - -

10 - - - - - - - - - - - - - - - - - - - - - -

11 - - - - - - - - - - - - - - - - - - - - - -

12 - - - - - - - - - - - - - - - - - - - - - -

13 - - - - - - - - - - - - - - - - - - - - - -

14 - - - - - - - - - - - - - - - - - - - - - -

15 - - - - - - - - - - - - - - - - - - - - - -

16 - - - - - - - - - - - - - - - - - - - - - -

17 - - - - - - - - - - - - - - - - - - - - - -

18 12,662 1,102 624 54 25 2 25 2 25 2 25 2 23 2 383 33 498 43 594 52 713 62

19 13,184 1,147 648 56 25 2 25 2 25 2 25 2 23 2 401 35 520 45 622 54 746 65

20 13,712 1,193 708 62 25 2 25 2 25 2 25 2 23 2 417 36 541 47 646 56 775 67

21 14,032 1,221 722 63 25 2 25 2 25 2 25 2 23 2 425 37 551 48 659 57 791 69

22 14,778 1,286 737 64 25 2 25 2 25 2 25 2 23 2 438 38 568 49 679 59 815 71

23 15,523 1,351 764 66 25 2 25 2 25 2 25 2 23 2 448 39 581 51 695 60 834 73

24 16,264 1,415 792 69 25 2 25 2 25 2 25 2 23 2 459 40 596 52 712 62 854 74

25 17,034 1,482 829 72 25 2 25 2 25 2 25 2 23 2 472 41 612 53 731 64 877 76

26 17,906 1,558 860 75 25 2 25 2 25 2 25 2 23 2 485 42 628 55 751 65 901 78

27 18,655 1,623 929 81 25 2 25 2 25 2 25 2 23 2 497 43 644 56 770 67 924 80

28 19,407 1,688 978 85 25 2 25 2 25 2 25 2 23 2 508 44 659 57 787 68 944 82

29 20,154 1,753 1,100 96 25 2 25 2 25 2 25 2 23 2 520 45 674 59 805 70 966 84

30 20,895 1,818 1,229 107 25 2 25 2 25 2 25 2 23 2 529 46 688 60 821 71 985 86

31 21,848 1,901 1,382 120 25 2 25 2 25 2 25 2 23 2 552 48 716 62 856 74 1,027 89

32 22,137 1,926 1,498 130 25 2 25 2 25 2 25 2 23 2 561 49 729 63 870 76 1,044 91

33 22,451 1,953 1,632 142 25 2 25 2 25 2 25 2 23 2 570 50 739 64 884 77 1,061 92

34 22,791 1,983 1,792 156 26 2 25 2 25 2 25 2 23 2 579 50 752 65 899 78 1,079 94

35 22,712 1,976 1,977 172 29 3 25 2 25 2 25 2 23 2 580 50 753 66 900 78 1,080 94

36 22,980 1,999 2,141 186 34 3 25 2 25 2 25 2 23 2 584 51 759 66 906 79 1,087 95

37 23,285 2,026 2,330 203 39 3 28 2 25 2 25 2 23 2 589 51 763 66 913 79 1,096 95

38 23,684 2,061 2,469 215 43 4 31 3 25 2 25 2 23 2 592 52 769 67 919 80 1,103 96

39 24,223 2,107 2,611 227 49 4 34 3 26 2 25 2 23 2 597 52 774 67 926 81 1,111 97

40 25,139 2,187 2,830 246 55 5 39 3 30 3 25 2 23 2 610 53 790 69 945 82 1,134 99

41 25,737 2,239 3,032 264 63 5 45 4 34 3 29 3 23 2 632 55 820 71 981 85 1,177 102

42 26,338 2,291 3,276 285 73 6 51 4 40 3 33 3 26 2 657 57 853 74 1,019 89 1,223 106

43 27,163 2,363 3,548 309 82 7 58 5 45 4 38 3 30 3 681 59 884 77 1,056 92 1,267 110

44 27,988 2,435 3,856 335 93 8 65 6 51 4 42 4 34 3 707 62 917 80 1,096 95 1,315 114

45 27,962 2,433 4,062 353 100 9 71 6 55 5 45 4 37 3 712 62 924 80 1,104 96 1,325 115

46 28,869 2,512 4,495 391 114 10 81 7 62 5 52 5 42 4 741 64 961 84 1,150 100 1,380 120

47 29,946 2,605 4,964 432 128 11 90 8 69 6 58 5 47 4 770 67 1,001 87 1,196 104 1,435 125

48 31,235 2,717 5,409 471 143 12 101 9 78 7 66 6 53 5 802 70 1,041 91 1,245 108 1,494 130

49 32,695 2,844 5,884 512 161 14 114 10 87 8 73 6 60 5 834 73 1,083 94 1,296 113 1,555 135

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 22: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Asia 吸煙人士保費–亞洲 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 33,587 2,922 6,348 552 176 15 126 11 97 8 81 7 66 6 861 75 1,118 97 1,337 116 1,604 140

51 35,096 3,053 6,982 607 197 17 140 12 108 9 90 8 75 7 902 78 1,171 102 1,400 122 1,680 146

52 36,713 3,194 7,642 665 220 19 156 14 119 10 100 9 84 7 945 82 1,226 107 1,466 128 1,759 153

53 38,521 3,351 8,337 725 243 21 172 15 132 11 110 10 94 8 989 86 1,285 112 1,536 134 1,843 160

54 40,035 3,483 8,923 776 268 23 190 17 146 13 122 11 104 9 1,028 89 1,334 116 1,594 139 1,913 166

55 41,701 3,628 9,552 831 295 26 208 18 161 14 135 12 114 10 1,064 93 1,382 120 1,651 144 1,981 172

56 43,645 3,797 10,208 888 329 29 233 20 180 16 150 13 127 11 1,101 96 1,429 124 1,709 149 2,051 178

57 45,784 3,983 10,978 955 366 32 259 23 200 17 167 15 141 12 1,140 99 1,479 129 1,768 154 2,122 185

58 48,227 4,196 11,789 1,026 406 35 287 25 221 19 185 16 157 14 1,179 103 1,530 133 1,829 159 2,195 191

59 50,868 4,426 12,829 1,116 448 39 317 28 244 21 204 18 173 15 1,219 106 1,582 138 1,890 164 2,268 197

60 53,919 4,691 13,968 1,215 495 43 350 30 270 23 226 20 191 17 1,264 110 1,640 143 1,960 171 2,352 205

61 57,602 5,011 15,265 1,328 555 48 392 34 302 26 253 22 214 19 1,310 114 1,700 148 2,034 177 2,441 212

62 61,245 5,328 16,825 1,464 618 54 437 38 336 29 281 24 239 21 1,357 118 1,760 153 2,104 183 2,525 220

63 65,197 5,672 18,482 1,608 686 60 485 42 374 33 312 27 265 23 1,403 122 1,822 159 2,178 189 2,614 227

64 69,429 6,040 20,165 1,754 759 66 536 47 414 36 345 30 293 25 1,452 126 1,884 164 2,253 196 2,704 235

65 77,113 6,709 20,836 1,813 869 76 614 53 473 41 396 34 336 29 1,562 136 2,028 176 2,426 211 2,911 253

66 82,272 7,158 22,445 1,953 969 84 685 60 527 46 441 38 374 33 1,618 141 2,100 183 2,510 218 3,012 262

67 87,778 7,637 24,165 2,102 1,073 93 758 66 585 51 489 43 415 36 1,674 146 2,172 189 2,598 226 3,118 271

68 93,667 8,149 25,428 2,212 1,218 106 860 75 663 58 554 48 471 41 1,732 151 2,249 196 2,688 234 3,226 281

69 99,941 8,695 27,200 2,366 1,386 121 978 85 755 66 631 55 535 47 1,794 156 2,328 203 2,784 242 3,341 291

70 106,841 9,295 28,929 2,517 1,547 135 1,093 95 842 73 704 61 605 53 1,858 162 2,411 210 2,883 251 3,460 301

71 113,078 9,838 30,517 2,655 1,694 147 1,197 104 922 80 771 67 655 57 1,901 165 2,468 215 2,951 257 3,541 308

72 117,578 10,229 32,980 2,869 1,844 160 1,303 113 1,004 87 839 73 713 62 1,970 171 2,558 223 3,058 266 3,670 319

73 122,083 10,621 35,629 3,100 2,001 174 1,413 123 1,089 95 910 79 773 67 2,041 178 2,650 231 3,168 276 3,802 331

74 126,581 11,013 38,529 3,352 2,172 189 1,534 133 1,183 103 988 86 840 73 2,115 184 2,745 239 3,284 286 3,941 343

75 130,899 11,388 41,612 3,620 2,366 206 1,673 146 1,290 112 1,078 94 908 79 2,192 191 2,845 248 3,402 296 4,082 355

76 135,822 11,817 45,133 3,927 2,555 222 1,807 157 1,392 121 1,164 101 987 86 2,289 199 2,971 258 3,553 309 4,264 371

77 140,333 12,209 61,447 5,346 2,810 244 1,987 173 1,531 133 1,280 111 1,086 94 2,374 207 3,081 268 3,685 321 4,422 385

78 144,845 12,602 65,852 5,729 3,088 269 2,183 190 1,682 146 1,406 122 1,193 104 2,464 214 3,199 278 3,825 333 4,590 399

79 149,355 12,994 70,569 6,140 3,394 295 2,400 209 1,850 161 1,547 135 1,312 114 2,558 223 3,320 289 3,970 345 4,764 414

80 153,864 13,386 75,628 6,580 3,736 325 2,642 230 2,035 177 1,702 148 1,444 126 2,658 231 3,451 300 4,126 359 4,951 431

81 158,374 13,779 81,044 7,051 4,055 353 2,868 250 2,210 192 1,848 161 1,567 136 2,762 240 3,586 312 4,287 373 5,144 448

82 163,130 14,192 86,844 7,555 4,410 384 3,119 271 2,403 209 2,009 175 1,704 148 2,870 250 3,726 324 4,456 388 5,347 465

83 168,024 14,618 93,030 8,094 4,801 418 3,395 295 2,615 228 2,187 190 1,855 161 2,986 260 3,875 337 4,634 403 5,561 484

84 173,064 15,057 97,358 8,470 5,236 456 3,703 322 2,853 248 2,386 208 2,024 176 3,108 270 4,034 351 4,825 420 5,790 504

85 178,257 15,508 101,879 8,863 5,726 498 4,050 352 3,120 271 2,609 227 2,213 193 3,235 281 4,199 365 5,021 437 6,025 524

86 183,604 15,974 106,613 9,275 6,294 548 4,451 387 3,428 298 2,867 249 2,433 212 3,369 293 4,373 380 5,230 455 6,276 546

87 189,115 16,453 111,570 9,707 6,931 603 4,902 426 3,776 329 3,157 275 2,679 233 3,511 305 4,558 397 5,451 474 6,541 569

88 194,785 16,946 116,747 10,157 7,645 665 5,406 470 4,164 362 3,482 303 2,954 257 3,662 319 4,754 414 5,686 495 6,823 594

89 200,629 17,455 122,182 10,630 8,441 734 5,969 519 4,598 400 3,844 334 3,262 284 3,820 332 4,960 432 5,931 516 7,117 619

90 206,646 17,978 127,861 11,124 9,332 812 6,600 574 5,083 442 4,250 370 3,606 314 3,989 347 5,178 450 6,194 539 7,433 647

91 212,848 18,518 133,806 11,641 10,344 900 7,316 636 5,635 490 4,711 410 3,998 348 4,167 363 5,410 471 6,470 563 7,764 675

92 219,235 19,073 140,030 12,183 11,477 998 8,117 706 6,251 544 5,228 455 4,435 386 4,349 378 5,647 491 6,753 588 8,104 705

93 225,808 19,645 146,539 12,749 12,745 1,109 9,014 784 6,943 604 5,806 505 4,926 429 4,540 395 5,893 513 7,049 613 8,459 736

94 232,582 20,235 153,362 13,342 14,165 1,232 10,018 872 7,716 671 6,452 561 5,474 476 4,737 412 6,150 535 7,355 640 8,826 768

95 239,563 20,842 160,510 13,964 15,750 1,370 11,139 969 8,579 746 7,173 624 6,087 530 4,944 430 6,418 558 7,677 668 9,212 801

96 246,745 21,467 168,725 14,679 17,999 1,566 12,730 1,108 9,804 853 8,198 713 6,956 605 5,160 449 6,699 583 8,013 697 9,616 837

97 254,152 22,111 179,800 15,643 20,619 1,794 14,582 1,269 11,232 977 9,391 817 7,969 693 5,385 468 6,991 608 8,361 727 10,033 873

98 261,779 22,775 192,150 16,717 23,674 2,060 16,743 1,457 12,895 1,122 10,782 938 9,149 796 5,620 489 7,298 635 8,728 759 10,474 911

99 269,628 23,458 205,351 17,866 27,236 2,370 19,261 1,676 14,835 1,291 12,403 1,079 10,526 916 5,865 510 7,615 663 9,108 792 10,930 951

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,555 396

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 23: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide (excluding US) 吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - - - - - - - - - - - - -

1 - - - - - - - - - - - - - - - - - - - - - -

2 - - - - - - - - - - - - - - - - - - - - - -

3 - - - - - - - - - - - - - - - - - - - - - -

4 - - - - - - - - - - - - - - - - - - - - - -

5 - - - - - - - - - - - - - - - - - - - - - -

6 - - - - - - - - - - - - - - - - - - - - - -

7 - - - - - - - - - - - - - - - - - - - - - -

8 - - - - - - - - - - - - - - - - - - - - - -

9 - - - - - - - - - - - - - - - - - - - - - -

10 - - - - - - - - - - - - - - - - - - - - - -

11 - - - - - - - - - - - - - - - - - - - - - -

12 - - - - - - - - - - - - - - - - - - - - - -

13 - - - - - - - - - - - - - - - - - - - - - -

14 - - - - - - - - - - - - - - - - - - - - - -

15 - - - - - - - - - - - - - - - - - - - - - -

16 - - - - - - - - - - - - - - - - - - - - - -

17 - - - - - - - - - - - - - - - - - - - - - -

18 15,343 1,335 711 62 25 2 25 2 25 2 25 2 23 2 537 47 696 61 832 72 998 87

19 15,975 1,390 737 64 25 2 25 2 25 2 25 2 23 2 561 49 728 63 870 76 1,044 91

20 16,618 1,446 807 70 25 2 25 2 25 2 25 2 23 2 584 51 757 66 905 79 1,086 94

21 17,001 1,479 822 72 25 2 25 2 25 2 25 2 23 2 596 52 773 67 924 80 1,109 96

22 17,908 1,558 838 73 25 2 25 2 25 2 25 2 23 2 614 53 796 69 951 83 1,141 99

23 18,812 1,637 869 76 25 2 25 2 25 2 25 2 23 2 628 55 814 71 973 85 1,168 102

24 19,709 1,715 902 78 25 2 25 2 25 2 25 2 23 2 644 56 835 73 999 87 1,199 104

25 20,640 1,796 941 82 25 2 25 2 25 2 25 2 23 2 662 58 859 75 1,026 89 1,231 107

26 21,701 1,888 974 85 25 2 25 2 25 2 25 2 23 2 680 59 882 77 1,055 92 1,266 110

27 22,606 1,967 1,054 92 25 2 25 2 25 2 25 2 23 2 698 61 907 79 1,083 94 1,300 113

28 23,514 2,046 1,113 97 25 2 25 2 25 2 25 2 23 2 714 62 925 80 1,106 96 1,327 115

29 24,427 2,125 1,248 109 25 2 25 2 25 2 25 2 23 2 730 64 948 82 1,133 99 1,360 118

30 25,321 2,203 1,397 122 25 2 25 2 25 2 25 2 23 2 745 65 967 84 1,156 101 1,387 121

31 26,475 2,303 1,569 137 25 2 25 2 25 2 25 2 23 2 778 68 1,008 88 1,205 105 1,446 126

32 26,826 2,334 1,702 148 29 3 25 2 25 2 25 2 23 2 790 69 1,026 89 1,226 107 1,471 128

33 27,205 2,367 1,856 161 32 3 25 2 25 2 25 2 23 2 804 70 1,042 91 1,246 108 1,495 130

34 27,615 2,403 2,038 177 36 3 26 2 25 2 25 2 23 2 817 71 1,060 92 1,268 110 1,522 132

35 27,523 2,395 2,248 196 41 4 29 3 25 2 25 2 23 2 819 71 1,062 92 1,270 110 1,524 133

36 27,845 2,423 2,434 212 47 4 33 3 26 2 25 2 23 2 825 72 1,070 93 1,280 111 1,536 134

37 28,218 2,455 2,650 231 54 5 39 3 30 3 25 2 23 2 831 72 1,078 94 1,290 112 1,548 135

38 28,700 2,497 2,806 244 62 5 43 4 33 3 28 2 23 2 838 73 1,087 95 1,298 113 1,558 136

39 29,354 2,554 2,970 258 69 6 49 4 38 3 32 3 25 2 844 73 1,095 95 1,309 114 1,571 137

40 30,463 2,650 3,215 280 78 7 55 5 42 4 35 3 28 2 862 75 1,118 97 1,336 116 1,603 139

41 31,186 2,713 3,448 300 90 8 64 6 49 4 41 4 33 3 897 78 1,164 101 1,392 121 1,670 145

42 31,912 2,776 3,723 324 103 9 73 6 56 5 47 4 38 3 935 81 1,214 106 1,451 126 1,741 151

43 32,912 2,863 4,035 351 117 10 83 7 64 6 53 5 43 4 974 85 1,263 110 1,510 131 1,812 158

44 33,913 2,950 4,383 381 132 11 94 8 72 6 61 5 48 4 1,015 88 1,316 114 1,573 137 1,888 164

45 33,883 2,948 4,617 402 145 13 103 9 78 7 66 6 53 5 1,025 89 1,329 116 1,589 138 1,907 166

46 34,986 3,044 5,109 444 164 14 116 10 89 8 75 7 60 5 1,070 93 1,389 121 1,660 144 1,992 173

47 36,288 3,157 5,643 491 186 16 131 11 101 9 85 7 69 6 1,117 97 1,449 126 1,732 151 2,078 181

48 37,852 3,293 6,151 535 210 18 148 13 114 10 96 8 78 7 1,167 102 1,514 132 1,810 157 2,172 189

49 39,617 3,447 6,686 582 234 20 165 14 128 11 107 9 87 8 1,219 106 1,581 138 1,890 164 2,268 197

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,809 418

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 24: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide (excluding US) 吸煙人士保費 - 全球(美國除外) Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 40,699 3,541 7,214 628 259 23 183 16 141 12 118 10 97 8 1,262 110 1,637 142 1,958 170 2,350 204

51 42,529 3,700 7,936 690 290 25 205 18 158 14 132 11 110 10 1,326 115 1,721 150 2,058 179 2,470 215

52 44,492 3,871 8,688 756 323 28 228 20 176 15 148 13 124 11 1,394 121 1,808 157 2,162 188 2,594 226

53 46,676 4,061 9,477 824 360 31 254 22 196 17 164 14 139 12 1,465 127 1,901 165 2,273 198 2,728 237

54 48,513 4,221 10,143 882 398 35 281 24 217 19 181 16 154 13 1,526 133 1,979 172 2,367 206 2,840 247

55 50,533 4,396 10,856 944 439 38 311 27 239 21 200 17 170 15 1,586 138 2,058 179 2,460 214 2,952 257

56 52,888 4,601 11,602 1,009 492 43 349 30 268 23 224 19 190 17 1,647 143 2,137 186 2,554 222 3,065 267

57 55,478 4,827 12,472 1,085 549 48 388 34 299 26 250 22 212 18 1,710 149 2,218 193 2,653 231 3,184 277

58 58,439 5,084 13,399 1,166 611 53 432 38 333 29 278 24 236 21 1,775 154 2,303 200 2,754 240 3,305 288

59 61,638 5,363 14,582 1,269 677 59 479 42 370 32 309 27 262 23 1,842 160 2,389 208 2,856 248 3,427 298

60 65,333 5,684 15,877 1,381 750 65 531 46 409 36 342 30 289 25 1,915 167 2,486 216 2,972 259 3,566 310

61 69,800 6,073 17,349 1,509 844 73 597 52 460 40 384 33 326 28 1,993 173 2,587 225 3,093 269 3,712 323

62 74,212 6,456 19,120 1,663 943 82 667 58 514 45 430 37 365 32 2,070 180 2,687 234 3,212 279 3,854 335

63 79,005 6,873 21,005 1,827 1,050 91 742 65 573 50 479 42 406 35 2,150 187 2,791 243 3,336 290 4,003 348

64 84,132 7,319 22,916 1,994 1,166 101 825 72 635 55 532 46 451 39 2,231 194 2,896 252 3,462 301 4,154 361

65 93,444 8,130 23,677 2,060 1,341 117 948 82 730 64 611 53 518 45 2,410 210 3,128 272 3,740 325 4,488 390

66 99,694 8,673 25,509 2,219 1,499 130 1,059 92 816 71 683 59 580 50 2,504 218 3,249 283 3,885 338 4,662 406

67 106,366 9,254 27,465 2,389 1,667 145 1,177 102 907 79 759 66 644 56 2,600 226 3,373 293 4,034 351 4,841 421

68 113,502 9,875 28,898 2,514 1,897 165 1,340 117 1,033 90 864 75 733 64 2,700 235 3,505 305 4,190 365 5,028 437

69 121,106 10,536 30,914 2,690 2,167 189 1,531 133 1,179 103 986 86 837 73 2,805 244 3,641 317 4,353 379 5,224 454

70 129,465 11,263 32,878 2,860 2,427 211 1,714 149 1,322 115 1,105 96 949 83 2,915 254 3,784 329 4,524 394 5,429 472

71 137,023 11,921 34,685 3,018 2,668 232 1,885 164 1,453 126 1,215 106 1,031 90 2,994 260 3,887 338 4,648 404 5,578 485

72 142,477 12,395 37,481 3,261 2,914 254 2,060 179 1,586 138 1,327 115 1,126 98 3,114 271 4,041 352 4,831 420 5,797 504

73 147,936 12,870 40,496 3,523 3,171 276 2,240 195 1,726 150 1,444 126 1,226 107 3,236 282 4,200 365 5,022 437 6,026 524

74 153,389 13,345 43,787 3,809 3,456 301 2,441 212 1,881 164 1,573 137 1,336 116 3,365 293 4,368 380 5,223 454 6,268 545

75 158,618 13,800 47,293 4,114 3,778 329 2,672 232 2,058 179 1,722 150 1,450 126 3,500 305 4,541 395 5,431 472 6,517 567

76 164,589 14,319 51,292 4,462 4,094 356 2,895 252 2,230 194 1,865 162 1,582 138 3,667 319 4,760 414 5,691 495 6,829 594

77 170,048 14,794 69,836 6,076 4,516 393 3,195 278 2,461 214 2,058 179 1,745 152 3,817 332 4,954 431 5,922 515 7,106 618

78 175,518 15,270 74,840 6,511 4,979 433 3,522 306 2,714 236 2,269 197 1,925 167 3,976 346 5,160 449 6,170 537 7,404 644

79 180,985 15,746 80,204 6,978 5,495 478 3,886 338 2,994 260 2,504 218 2,124 185 4,140 360 5,375 468 6,427 559 7,712 671

80 186,447 16,221 85,954 7,478 6,068 528 4,292 373 3,307 288 2,765 241 2,345 204 4,318 376 5,604 488 6,702 583 8,042 700

81 191,912 16,696 92,110 8,014 6,610 575 4,675 407 3,602 313 3,011 262 2,554 222 4,503 392 5,844 508 6,988 608 8,386 730

82 197,675 17,198 98,700 8,587 7,213 628 5,101 444 3,930 342 3,286 286 2,788 243 4,695 408 6,094 530 7,287 634 8,744 761

83 203,608 17,714 105,728 9,198 7,878 685 5,572 485 4,293 373 3,589 312 3,045 265 4,900 426 6,360 553 7,605 662 9,126 794

84 209,712 18,245 110,647 9,626 8,624 750 6,099 531 4,699 409 3,929 342 3,333 290 5,118 445 6,643 578 7,945 691 9,534 829

85 216,002 18,792 115,784 10,073 9,463 823 6,693 582 5,156 449 4,312 375 3,657 318 5,346 465 6,939 604 8,297 722 9,956 866

86 222,481 19,356 121,168 10,542 10,438 908 7,382 642 5,687 495 4,755 414 4,034 351 5,587 486 7,252 631 8,673 755 10,408 905

87 229,160 19,937 126,796 11,031 11,533 1,003 8,156 710 6,284 547 5,255 457 4,457 388 5,844 508 7,585 660 9,071 789 10,885 947

88 236,037 20,535 132,684 11,544 12,764 1,110 9,027 785 6,954 605 5,816 506 4,933 429 6,116 532 7,939 691 9,494 826 11,393 991

89 243,112 21,151 138,859 12,081 14,143 1,230 10,002 870 7,705 670 6,443 561 5,466 476 6,402 557 8,310 723 9,937 865 11,924 1,037

90 250,407 21,785 145,315 12,642 15,690 1,365 11,096 965 8,548 744 7,148 622 6,064 528 6,707 584 8,707 758 10,413 906 12,496 1,087

91 257,918 22,439 152,073 13,230 17,451 1,518 12,343 1,074 9,508 827 7,951 692 6,744 587 7,031 612 9,128 794 10,915 950 13,098 1,140

92 265,660 23,112 159,149 13,846 19,430 1,690 13,741 1,195 10,587 921 8,852 770 7,509 653 7,364 641 9,559 832 11,431 994 13,717 1,193

93 273,628 23,806 166,544 14,489 21,653 1,884 15,313 1,332 11,797 1,026 9,864 858 8,368 728 7,713 671 10,012 871 11,973 1,042 14,368 1,250

94 281,833 24,519 174,297 15,164 24,148 2,101 17,078 1,486 13,157 1,145 11,001 957 9,332 812 8,077 703 10,484 912 12,538 1,091 15,046 1,309

95 290,295 25,256 182,422 15,871 26,942 2,344 19,054 1,658 14,678 1,277 12,274 1,068 10,412 906 8,458 736 10,980 955 13,131 1,142 15,757 1,371

96 298,997 26,013 191,758 16,683 30,898 2,688 21,853 1,901 16,834 1,465 14,075 1,225 11,941 1,039 8,859 771 11,500 1,001 13,752 1,196 16,502 1,436

97 307,973 26,794 204,344 17,778 35,517 3,090 25,119 2,185 19,350 1,683 16,179 1,408 13,726 1,194 9,276 807 12,042 1,048 14,402 1,253 17,282 1,504

98 317,211 27,597 218,381 18,999 40,920 3,560 28,940 2,518 22,293 1,939 18,640 1,622 15,814 1,376 9,717 845 12,614 1,097 15,085 1,312 18,102 1,575

99 326,723 28,425 233,385 20,304 47,239 4,110 33,409 2,907 25,735 2,239 21,518 1,872 18,256 1,588 10,175 885 13,208 1,149 15,796 1,374 18,955 1,649

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

4,809 418

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 25: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide 吸煙人士保費–全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

0 - - - - - - - - - - - - - - - - - - - - - -

1 - - - - - - - - - - - - - - - - - - - - - -

2 - - - - - - - - - - - - - - - - - - - - - -

3 - - - - - - - - - - - - - - - - - - - - - -

4 - - - - - - - - - - - - - - - - - - - - - -

5 - - - - - - - - - - - - - - - - - - - - - -

6 - - - - - - - - - - - - - - - - - - - - - -

7 - - - - - - - - - - - - - - - - - - - - - -

8 - - - - - - - - - - - - - - - - - - - - - -

9 - - - - - - - - - - - - - - - - - - - - - -

10 - - - - - - - - - - - - - - - - - - - - - -

11 - - - - - - - - - - - - - - - - - - - - - -

12 - - - - - - - - - - - - - - - - - - - - - -

13 - - - - - - - - - - - - - - - - - - - - - -

14 - - - - - - - - - - - - - - - - - - - - - -

15 - - - - - - - - - - - - - - - - - - - - - -

16 - - - - - - - - - - - - - - - - - - - - - -

17 - - - - - - - - - - - - - - - - - - - - - -

18 21,101 1,836 784 68 25 2 25 2 25 2 25 2 23 2 999 87 1,296 113 1,549 135 1,859 162

19 21,969 1,911 812 71 25 2 25 2 25 2 25 2 23 2 1,045 91 1,355 118 1,620 141 1,944 169

20 22,858 1,989 885 77 25 2 25 2 25 2 25 2 23 2 1,087 95 1,410 123 1,685 147 2,022 176

21 23,383 2,034 903 79 25 2 25 2 25 2 25 2 23 2 1,108 96 1,437 125 1,719 150 2,063 179

22 24,632 2,143 921 80 25 2 25 2 25 2 25 2 23 2 1,141 99 1,479 129 1,768 154 2,122 185

23 25,874 2,251 955 83 25 2 25 2 25 2 25 2 23 2 1,167 102 1,513 132 1,809 157 2,171 189

24 27,106 2,358 995 87 25 2 25 2 25 2 25 2 23 2 1,196 104 1,551 135 1,853 161 2,224 193

25 28,392 2,470 1,034 90 25 2 25 2 25 2 25 2 23 2 1,228 107 1,593 139 1,904 166 2,285 199

26 29,848 2,597 1,073 93 25 2 25 2 25 2 25 2 23 2 1,260 110 1,636 142 1,955 170 2,346 204

27 31,089 2,705 1,160 101 25 2 25 2 25 2 25 2 23 2 1,294 113 1,679 146 2,007 175 2,408 209

28 32,343 2,814 1,223 106 30 3 25 2 25 2 25 2 23 2 1,321 115 1,714 149 2,049 178 2,459 214

29 33,595 2,923 1,371 119 33 3 25 2 25 2 25 2 23 2 1,352 118 1,753 153 2,095 182 2,514 219

30 34,827 3,030 1,539 134 37 3 26 2 25 2 25 2 23 2 1,379 120 1,789 156 2,138 186 2,566 223

31 36,413 3,168 1,727 150 45 4 32 3 25 2 25 2 23 2 1,436 125 1,863 162 2,228 194 2,674 233

32 36,897 3,210 1,873 163 52 5 36 3 29 3 25 2 23 2 1,461 127 1,895 165 2,265 197 2,718 236

33 37,419 3,255 2,043 178 60 5 42 4 33 3 28 2 23 2 1,483 129 1,924 167 2,299 200 2,759 240

34 37,985 3,305 2,241 195 68 6 49 4 37 3 31 3 27 2 1,507 131 1,955 170 2,337 203 2,804 244

35 37,856 3,293 2,471 215 76 7 53 5 41 4 34 3 29 3 1,509 131 1,958 170 2,341 204 2,809 244

36 38,301 3,332 2,677 233 87 8 62 5 47 4 40 3 33 3 1,519 132 1,972 172 2,357 205 2,828 246

37 38,812 3,377 2,914 254 100 9 71 6 54 5 45 4 38 3 1,529 133 1,985 173 2,373 206 2,848 248

38 39,476 3,434 3,087 269 114 10 81 7 62 5 52 5 42 4 1,541 134 1,999 174 2,388 208 2,866 249

39 40,375 3,513 3,266 284 127 11 89 8 69 6 57 5 47 4 1,551 135 2,012 175 2,405 209 2,886 251

40 41,900 3,645 3,536 308 143 12 101 9 78 7 65 6 52 5 1,583 138 2,054 179 2,456 214 2,947 256

41 42,894 3,732 3,791 330 164 14 117 10 89 8 75 7 60 5 1,643 143 2,132 185 2,549 222 3,059 266

42 43,893 3,819 4,093 356 189 16 133 12 103 9 86 7 69 6 1,708 149 2,217 193 2,650 231 3,180 277

43 45,271 3,939 4,437 386 213 19 151 13 116 10 97 8 78 7 1,772 154 2,299 200 2,749 239 3,299 287

44 46,647 4,058 4,820 419 240 21 170 15 131 11 109 9 88 8 1,841 160 2,389 208 2,855 248 3,426 298

45 46,600 4,054 5,078 442 261 23 185 16 142 12 119 10 96 8 1,855 161 2,407 209 2,877 250 3,452 300

46 48,122 4,187 5,620 489 297 26 210 18 162 14 136 12 109 9 1,932 168 2,505 218 2,995 261 3,594 313

47 49,911 4,342 6,209 540 335 29 237 21 182 16 152 13 124 11 2,010 175 2,607 227 3,117 271 3,740 325

48 52,060 4,529 6,765 589 375 33 266 23 205 18 171 15 139 12 2,094 182 2,716 236 3,247 282 3,896 339

49 54,492 4,741 7,354 640 419 36 297 26 228 20 191 17 156 14 2,180 190 2,828 246 3,380 294 4,056 353

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

5,061 440

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 26: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Premium for Smoker - Worldwide 吸煙人士保費–全球 Accommodation Room Type: Standard Private Room 病房類別:標準私家房

Age年齡

Optional Outpatient

Benefits自選門診 保障

Optional Pharmacy Benefits自選藥物 保障

Optional Premium Waiver due to Cancer 自選癌症保費豁免

Optional Deductible Discount 自選墊底費折扣

Deductible Option 墊底費選項 Deductible Option 墊底費選項

HK$0 HK$15,000 HK$25,000 HK$50,000 HK$75,000 HK$15,000 HK$25,000 HK$50,000 HK$75,000

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

Annual年繳

Monthly月繳

50 55,979 4,870 7,935 690 462 40 328 29 253 22 211 18 173 15 2,250 196 2,920 254 3,490 304 4,188 364

51 58,498 5,089 8,728 759 516 45 365 32 281 24 235 20 196 17 2,358 205 3,059 266 3,658 318 4,390 382

52 61,193 5,324 9,553 831 573 50 406 35 312 27 261 23 220 19 2,471 215 3,206 279 3,832 333 4,598 400

53 64,201 5,585 10,423 907 635 55 449 39 346 30 290 25 245 21 2,590 225 3,359 292 4,016 349 4,819 419

54 66,724 5,805 11,155 970 700 61 496 43 383 33 320 28 271 24 2,689 234 3,490 304 4,171 363 5,005 435

55 69,504 6,047 11,940 1,039 771 67 546 48 420 37 352 31 298 26 2,786 242 3,616 315 4,323 376 5,188 451

56 72,747 6,329 12,764 1,110 862 75 610 53 470 41 393 34 333 29 2,885 251 3,744 326 4,475 389 5,370 467

57 76,309 6,639 13,722 1,194 959 83 678 59 523 46 438 38 371 32 2,987 260 3,875 337 4,632 403 5,558 484

58 80,378 6,993 14,738 1,282 1,063 92 752 65 580 50 485 42 411 36 3,092 269 4,012 349 4,796 417 5,755 501

59 84,781 7,376 16,039 1,395 1,175 102 832 72 641 56 536 47 454 39 3,198 278 4,148 361 4,960 432 5,952 518

60 89,865 7,818 17,465 1,519 1,299 113 919 80 708 62 592 52 501 44 3,317 289 4,304 374 5,145 448 6,174 537

61 96,009 8,353 19,084 1,660 1,456 127 1,029 90 793 69 664 58 563 49 3,441 299 4,466 389 5,338 464 6,406 557

62 102,076 8,881 21,032 1,830 1,623 141 1,148 100 884 77 740 64 627 55 3,563 310 4,624 402 5,528 481 6,634 577

63 108,669 9,454 23,105 2,010 1,802 157 1,275 111 983 86 822 72 697 61 3,690 321 4,788 417 5,724 498 6,869 598

64 115,719 10,068 25,208 2,193 1,995 174 1,411 123 1,087 95 909 79 771 67 3,818 332 4,955 431 5,923 515 7,108 618

65 128,524 11,182 26,046 2,266 2,287 199 1,616 141 1,245 108 1,042 91 884 77 4,111 358 5,336 464 6,378 555 7,654 666

66 137,125 11,930 28,058 2,441 2,550 222 1,801 157 1,388 121 1,161 101 986 86 4,258 370 5,526 481 6,606 575 7,927 690

67 146,299 12,728 30,213 2,629 2,825 246 1,996 174 1,538 134 1,287 112 1,092 95 4,408 383 5,721 498 6,840 595 8,208 714

68 156,116 13,582 31,791 2,766 3,207 279 2,266 197 1,746 152 1,460 127 1,240 108 4,565 397 5,925 515 7,084 616 8,501 740

69 166,573 14,492 34,008 2,959 3,651 318 2,579 224 1,987 173 1,663 145 1,411 123 4,729 411 6,139 534 7,338 638 8,806 766

70 178,074 15,492 36,167 3,147 4,078 355 2,882 251 2,220 193 1,857 162 1,596 139 4,900 426 6,359 553 7,602 661 9,122 794

71 188,469 16,397 38,154 3,319 4,471 389 3,158 275 2,434 212 2,036 177 1,728 150 5,018 437 6,514 567 7,786 677 9,343 813

72 195,971 17,049 41,231 3,587 4,869 424 3,440 299 2,650 231 2,217 193 1,882 164 5,202 453 6,753 588 8,073 702 9,688 843

73 203,479 17,703 44,545 3,875 5,283 460 3,732 325 2,875 250 2,405 209 2,042 178 5,392 469 6,998 609 8,366 728 10,039 873

74 210,980 18,355 48,166 4,190 5,739 499 4,055 353 3,124 272 2,614 227 2,219 193 5,591 486 7,256 631 8,675 755 10,410 906

75 218,174 18,981 52,021 4,526 6,255 544 4,423 385 3,409 297 2,851 248 2,401 209 5,796 504 7,522 654 8,992 782 10,790 939

76 226,378 19,695 56,422 4,909 6,757 588 4,779 416 3,682 320 3,080 268 2,612 227 6,056 527 7,860 684 9,397 818 11,276 981

77 233,895 20,349 76,821 6,683 7,434 647 5,257 457 4,051 352 3,389 295 2,874 250 6,283 547 8,154 709 9,749 848 11,699 1,018

78 241,414 21,003 82,325 7,162 8,172 711 5,780 503 4,453 387 3,725 324 3,159 275 6,526 568 8,470 737 10,125 881 12,150 1,057

79 248,933 21,657 88,224 7,675 8,991 782 6,359 553 4,900 426 4,098 357 3,476 302 6,778 590 8,796 765 10,517 915 12,620 1,098

80 256,450 22,311 94,549 8,226 9,900 861 7,002 609 5,395 469 4,513 393 3,827 333 7,047 613 9,145 796 10,934 951 13,121 1,142

81 263,968 22,965 101,323 8,815 10,751 935 7,603 661 5,858 510 4,900 426 4,156 362 7,327 637 9,507 827 11,367 989 13,640 1,187

82 271,891 23,655 108,570 9,446 11,698 1,018 8,272 720 6,374 555 5,332 464 4,522 393 7,618 663 9,886 860 11,819 1,028 14,183 1,234

83 280,051 24,364 116,300 10,118 12,740 1,108 9,010 784 6,942 604 5,806 505 4,925 428 7,926 690 10,287 895 12,298 1,070 14,758 1,284

84 288,449 25,095 121,714 10,589 13,904 1,210 9,834 856 7,576 659 6,338 551 5,375 468 8,255 718 10,713 932 12,809 1,114 15,371 1,337

85 297,103 25,848 127,363 11,081 15,211 1,323 10,757 936 8,289 721 6,933 603 5,880 512 8,596 748 11,157 971 13,338 1,160 16,006 1,393

86 306,016 26,623 133,286 11,596 16,729 1,455 11,831 1,029 9,116 793 7,625 663 6,467 563 8,958 779 11,626 1,011 13,899 1,209 16,679 1,451

87 315,200 27,422 139,478 12,135 18,429 1,603 13,033 1,134 10,042 874 8,400 731 7,124 620 9,341 813 12,123 1,055 14,494 1,261 17,393 1,513

88 324,655 28,245 145,953 12,698 20,336 1,769 14,382 1,251 11,081 964 9,268 806 7,861 684 9,749 848 12,652 1,101 15,126 1,316 18,151 1,579

89 334,390 29,092 152,748 13,289 22,466 1,955 15,888 1,382 12,241 1,065 10,239 891 8,684 756 10,173 885 13,204 1,149 15,785 1,373 18,942 1,648

90 344,424 29,965 159,845 13,907 24,850 2,162 17,575 1,529 13,540 1,178 11,326 985 9,606 836 10,628 925 13,794 1,200 16,491 1,435 19,789 1,722

91 354,756 30,864 167,281 14,553 27,558 2,398 19,490 1,696 15,017 1,306 12,560 1,093 10,653 927 11,108 966 14,416 1,254 17,237 1,500 20,684 1,800

92 365,401 31,790 175,060 15,230 30,592 2,662 21,635 1,882 16,669 1,450 13,943 1,213 11,826 1,029 11,600 1,009 15,054 1,310 17,999 1,566 21,599 1,879

93 376,366 32,744 183,199 15,938 33,991 2,957 24,039 2,091 18,522 1,611 15,491 1,348 13,140 1,143 12,112 1,054 15,721 1,368 18,796 1,635 22,555 1,962

94 387,651 33,726 191,727 16,680 37,796 3,288 26,730 2,326 20,595 1,792 17,226 1,499 14,611 1,271 12,646 1,100 16,414 1,428 19,624 1,707 23,549 2,049

95 399,286 34,738 200,665 17,458 42,044 3,658 29,735 2,587 22,910 1,993 19,161 1,667 16,253 1,414 13,205 1,149 17,139 1,491 20,491 1,783 24,589 2,139

96 411,255 35,779 210,934 18,351 48,075 4,183 34,000 2,958 26,195 2,279 21,909 1,906 18,584 1,617 13,790 1,200 17,897 1,557 21,398 1,862 25,678 2,234

97 423,600 36,853 224,778 19,556 55,098 4,794 38,967 3,390 30,022 2,612 25,110 2,185 21,299 1,853 14,397 1,253 18,686 1,626 22,342 1,944 26,810 2,332

98 436,311 37,959 240,220 20,899 63,292 5,506 44,762 3,894 34,487 3,000 28,844 2,509 24,466 2,129 15,036 1,308 19,516 1,698 23,333 2,030 28,000 2,436

99 449,392 39,097 256,724 22,335 72,850 6,338 51,522 4,482 39,695 3,453 33,200 2,888 28,161 2,450 15,697 1,366 20,374 1,773 24,360 2,119 29,232 2,543

Age 年齡 Annual 年繳 Monthly 月繳

Optional Dental Benefits 自選牙科保障

All Ages 任何年齡

5,061 440

* These rates apply only to renewing policies. 此保費只供續保之用。

Cigna HealthFirst Elite Medical Plan - Premium Table (Effective from 1 April 2021)信諾尊尚醫療保–保費表 (2021年4月1日起生效)

1. All the currencies in this table are in Hong Kong dollars. 本保費表內之所有貨幣均以港幣計算。2. The premium corresponding to the accommodation room type, area of cover and annual deductible option you select is determined based on the age and smoking habit of the person insured at

policy commencement and at the time of renewal upon each anniversary date of the policy. 您所選病房類別、保障地區及年度墊底費選項的相應保費是根據受保人於保單生效日及每個保單周年日續保時之年齡及吸煙習慣而計算。

3. Cigna reserves the right to revise the premium of each policy on the anniversary date or upon renewal. 在每個保單周年日或續保時,信諾保留調整保費之權利。4. The premium amount shown does not include levy collected by the Insurance Authority. 以上保費金額並不包括由保險業監管局徵收的保費徵費。

Page 27: CIGNA HEALTHFIRST ELITE MEDICAL PLAN
Page 28: CIGNA HEALTHFIRST ELITE MEDICAL PLAN
Page 29: CIGNA HEALTHFIRST ELITE MEDICAL PLAN

Cigna Worldwide Life Insurance Company LimitedCigna Worldwide General Insurance Company LimitedTel: (852) 2560 1990

www.cigna.com.hk

Issued by Cigna

信諾環球人壽保險有限公司

信諾環球保險有限公司

電話:(852) 2560 1990

www.cigna.com.hk

由信諾發行

CA/PremiumTable/0017/0421