Enhancement Measures of Means Test Mechanism The enhancement measures of the means test mechanism of the Samaritan Fund and Community Care Fund (CCF) Medical Assistance Programmes were implemented in 2019. Please click here for the details of financial assessment of CCF Medical Assistance Programmes. |
Patient Type | Household and core family member definitions |
Dependent patient | The patient, his/her parentsi/legal guardians, and dependentii siblings living under the same roof |
Non-dependent patient | If marriediii – the patient, his/her spouse, and dependentii childreni (but not parents/legal guardians or siblings) living under the same roof If unmarried – the patient would be treated as a single person household (irrespective of whether parents/legal guardians or siblings are living under the same roof) |
Household Size | Median Monthly Domestic Household Income ^ (HK Dollar) (4th Quarter 2024) |
1 | $10,600 |
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2 | $21,500 |
3 | $36,200 |
4 | $49,400 |
5 | $63,900 |
6 or above | $70,400 |
Household assets with reference to the cost of the one-off item concerned |
Percentage of partial contribution to the cost of the one-off item concerned |
Above 2 times to below 2.25 times | 55% |
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From 2.25 to below 2.5 times | 65% |
From 2.5 to below 2.75 times | 75% |
From 2.75 to below 3 times | 85% |
Equal to 3 times | 90% |
Insurance type / Annuity Scheme |
ü Items to be counted as assets in the financial assessment |
Life insurance |
ü Cash Value (regardless of whether the policy would be cancelled due to mobilization) ü Dividends (regardless of whether the policy would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the policy |
Investment-linked insurance |
ü Policy value (regardless of whether the policy would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the policy |
Annuity scheme |
ü Cash Value (regardless of whether the scheme would be cancelled due to mobilization) ü Dividends (regardless of whether the scheme would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the scheme |
Subject to documents submitted by the applicant. |
Patient Type | Household and core family member definitions |
Dependent patient | The patient, his/her parents1/legal guardians, and dependent2 siblings living under the same roof |
Non-dependent patient | If married3 – the patient, his/her spouse, and dependent2 children1 (but not parents/legal guardians or siblings) living under the same roof If unmarried – the patient would be treated as a single person household (irrespective of whether parents/legal guardians or siblings are living under the same roof) |
Number of Household Member(s) (including the Patient) |
Total Personal Allowances ^ (HK Dollar) |
1 Person | $7,630 |
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2 Persons | $12,510 |
3 Persons | $18,370 |
4 Persons | $23,540 |
5 Persons | $32,240 |
6 Persons | $35,490 |
7 or more Persons | $38,820 |
Number of Household Member(s) (including the Patient) |
Allowance to be deducted from Disposable Capital ^ (HK Dollar) |
1 Person | $291,000 |
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2 Persons | $394,000 |
3 Persons | $514,000 |
4 Persons | $600,000 |
5 Persons | $666,000 |
6 Persons | $721,000 |
7 Persons | $770,000 |
8 Persons | $805,000 |
9 Persons | $892,000 |
10 or more Persons | $961,000 |
Insurance type / Annuity Scheme |
ü Items to be counted as assets in the financial assessment |
Life insurance |
ü Dividends (regardless of whether the policy would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the policy |
Investment-linked insurance |
ü Policy value (regardless of whether the policy would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the policy |
Annuity scheme |
ü Dividends (regardless of whether the scheme would be cancelled due to mobilization) ü Other values that could be mobilized without leading to the cancellation of the scheme |
Subject to documents submitted by the applicant. |
(A) Annual Disposable Financial Resources (ADFR) (HK Dollar) |
(B) Contribution Ratio (%) |
(C) Maximum Contribution from Patient* (HK Dollar) (C) = (A) x (B) |
(D) ADFR after deducting Annual Contribution (HK Dollar) (D) = (A) - (C) |
$0 - 20,000 | - | $0 | $0 - $20,000 |
---|---|---|---|
$20,001 - 40,000 | - | $1,000 | $19,001 - 39,000 |
$40,001 - 60,000 # | - | $2,000 | $38,001 - 58,000 |
$60,001 - 100,000 | 5 | $3,000 - 5,000 | $57,001 - 95,000 |
$100,001 - 140,000 | 10 | $10,000 - 14,000 | $90,001 - 126,000 |
$140,001 - 180,000 | 15 | $21,000 - 27,000 | $119,001 - 153,000 |
$180,001 - 280,000 | 20 | $36,000 - 56,000 | $144,001 - 224,000 |
280,001 - 380,000 | 20 | $56,000 - 76,000 | $224,001 - 304,000 |
$380,001 - 480,000 | 20 | $76,000 - 96,000 | $304,001 - 384,000 |
$480,001 - 580,000 | 20 | $96,000 - 116,000 | $384,001 - 464,000 |
$580,001 - 680,000 | 20 | $116,000 - 136,000 | $464,001 - 544,000 |
$680,001 - 780,000 | 20 | $136,000 - 156,000 | $544,001 - 624,000 |
$780,001 - 880,000 | 20 | $156,000 - 176,000 | $624,001 - 704,000 |
$880,001 - 980,000 | 20 | $176,000 - 196,000 | $704,001 - 784,000 |
$980,001 - 1,080,000 | 20 | $196,000 - 216,000 | $784,001 - 864,000 |
≥ $1,080,001 | 20~ | as calculated |
(a) | For non-drug items, approved application expired more than 6 months with no subsidy used |
(b) | During the application process, change in patient’s clinical condition or other factors that make the clinical eligibility for funding application cannot be met |
(c) | During the application process, change in patient’s clinical condition or other factors that result in change in the recommendation or recommended drug or dosage, etc. (under this circumstance, clinical department will create a new funding application to replace the cancelled application) |
(d) | During the application process, the concerned drug/non-drug item becomes covered by standard fees and charges |
(e) | During the application process or upon approval of funding subsidy, the funding subsidy is considered not required and the subsidy provided (if any) has been returned. |
(f) | Change of employment status (including being employed, self-employed, change of job / resigning etc.) |
(g) | Change of income (actual monthly income / bonus / end of year payment / pension, or changes of amount to the aforementioned items etc.) |
(h) | Change of sources of financial resources (e.g. maintenance paid / financial contribution from family and friends / monthly compensation / compensation received on a regular basis, or changes of amount to the aforementioned items etc.) |
(i) | Change of family situation (e.g. change of number of family members living under the same roof, marital status etc.) |
(j) | Change of assets (e.g. receipt of insurance compensation, changes of amount to bank accounts or other investment products etc.) |
Applicant can also utilize the Means Test Calculator to preview his / her eligibility resulting from the above changes.
The HA may withdraw and/or vary the terms and conditions of any financial assistance (in whole or in part) in the event of any such change. The patient’s failure to notify the HA of his / her change of financial status / household composition / CSSA status may result in rejection of the application or withdrawal of approved financial assistance (in whole or in part) and / or criminal prosecution. Any paid financial assistance prior to withdrawal shall be recoverable by the HA as a debt or otherwise repayable on demand and the patient / applicant should undertake to repay to the HA the paid financial assistance.
The HA has a Post Approval Checking Mechanism in place, which regularly conducts checks on the approved applications.
If there is overpayment of subsidies caused by calculation, assessment or administrative errors, the patient is required to refund the overpaid amount to HA immediately and, if necessary, adjust or forfeit the amount that may be payable.
If patient / applicant disagrees with the application result/ the result of the Post-Approval Check, he / she has to lodge an appeal within four weeks after received the notification of the application / checking result by HA / the issue date of notification letter of application / checking result (if applicable). Related enquiries can be made to the Patient Relations Officer of the concerned hospital.
When you provide Personal Data to the HA in relation to your application, please make sure that such data is accurate and complete; failure to provide accurate / complete information may affect your application. Please refer to “Notice to Client” prepared for the SF on collection and transfer of personal data before providing your personal data to the HA.
@ Including the MSWs' discretionary consideration on the special social and financial factors / circumstances which was based on the declaration or supporting data provided by patient household/ applicant at the time of application, maybe withdrawn due to provision of incomplete, inaccurate, not up-to-date or false information of patient’s household / applicant.
** In general, financial re-assessment will be based on the eligibility criteria adopted under the original application