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Non-urgent hospital visits to cost more from next year

26 March 2025

 

Non-urgent patients will be charged more than 2x the current rate from Jan 1

Starting Jan 1, 2026, patients who go to public hospitals’ accident and emergency departments for non-urgent or non-emergency cases will be charged $400 instead of the current $180.

But patients who are in critical condition or need emergency services will not be charged.

The move is part of the government’s plan to revamp health care charges, with the higher fees taking effect over three phases from next year.

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Also as part of the new scheme is the adjustment of charges for other services, such as hospital stays and consultations at specialist and outpatient clinics.

To ease the effect on less financially able patients, the government plans to cap charges at $10,000 per patient per year, and help eligible people to apply for a total fee waiver when needed.

Health minister Lo Chung-mau said that what the government intends is to offer more help to indigent patients and those who are seriously ill.

The estimated $3 billion that will be generated from the initial phase of the scheme will go toward improving public health services, Lo said.

As part of the plan, a “co-payment model” will be introduced, in which patients will be charged between $50 and $500 for advanced and highly complicated pathology and non-urgent imaging tests.

But basic check-ups will remain free.

The scheme will also see patients being prescribed no more than four weeks' worth of drugs each time they go to public hospitals or clinics for a consultation.

Despite all these adjustments, the government is still expected to subsidize about 90% of the patients’ treatment in public hospitals, slightly down from 97.6 percent at present.

Hospital Authority chief executive Tony Ko said that from past experience, a number of patients would rather try alternative methods of care once a new fee structure is put in place.

"This enables us to have more capability to reserve our manpower resources to take care of the patients who really need emergency and accidents, and urgent care,” he said.

About 1.4 million residents are expected to benefit from the government’s plan to relax the income and asset requirements to qualify for a fee waiver, up from the current 300,000.

The HK$10,000 annual fee cap, on the other hand, is expected to benefit around 70,000 chronic or severely-ill patients who need to visit hospitals frequently.
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