Bupa Global vs Now Health International in Hong Kong (2026): Benefits & premium comparisons

Choose Bupa Global if you want an unlimited hospital plan, standard suite accommodation, and coverage for young children at no extra charge. Choose Now Health International if you prefer full refund outpatient care from the Advance tier upward, zero starting deductibles, and a 12-month maternity waiting period.

Reviewed by a licensed advisor

Updated

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Expatriates and local residents seeking private healthcare in Hong Kong often compare Bupa Global and Now Health International. Bupa Global features five tiers: Major Medical, Select, Premier, Elite, and Ultimate. Now Health International offers four WorldCare tiers: WorldCare Essential, WorldCare Advance, WorldCare Excel, and WorldCare Apex. Both insurers provide global medical protection to help you secure the best expat health insurance in Hong Kong 2026.

Bupa Global vs Now Health International: Key elements

Feature

Bupa Global

Now Health International

Insurer

Bupa (Asia) Limited, administered by Bupa Global

Best Doctors Insurance Limited (issued by Now Health)


Plans

Major Medical, Select, Premier, Elite, Ultimate


WorldCare Essential, WorldCare Advance, WorldCare Excel, WorldCare Apex


Annual limits

USD 4,500,000 / HKD 35,000,000 to Unlimited


USD 3,000,000 to USD 4,500,000 (EUR 2,400,000 to EUR 3,600,000)


Area of cover

Worldwide or Worldwide excluding U.S. (Ultimate is Worldwide)


Worldwide Excluding USA (USA elective optional up to USD 1,500,000)


Hospital room

Semi-private or standard private (Ultimate: standard suite)


Hospital charges full refund across all plans


Deductibles

Optional USD 1,500 / HKD 11,700 to USD 10,000 / HKD 78,000


Standard Nil; optional USD 1,000 to USD 15,000


Cost share / Coinsurance

Optional 15% coinsurance on Select and Premier; None on others


Optional 10% or 20% outpatient coinsurance; optional excess USD 15 or USD 25


Outpatient

Built into Select, Premier, Elite, Ultimate; none on Major Medical


Full refund on Advance, Excel, Apex; pre/post hospital on Essential


Maternity

Elite (optional) and Ultimate; 18 months waiting period


Apex only (USD 17,500); 12 months waiting period


Dental

Premier, Elite, Ultimate; 6 months waiting period


Built into Excel and Apex; 9 months waiting period


Evacuation

Paid in full across all plans


Full refund across all plans



Outpatient appointments: Consultation caps on Bupa Global vs unlimited primary care with Now Health International

Bupa Global and Now Health International manage day to day medical visits, alternative therapies, and prescription medications through contrasting mechanisms.


Plan Tier

Outpatient Limit

Doctor Consultations

Prescribed Drugs

Bupa Plans




Major Medical

Not covered


Not covered


USD 1,000 / HKD 7,800 (post-hospital)


Select

USD 28,800 / HKD 225,000


Paid in full (max 15 visits)


USD 5,800 / HKD 45,000


Premier

USD 38,500 / HKD 300,000


Paid in full (max 30 visits)


Paid in full


Elite

USD 75,000 / HKD 585,000


Paid in full (max 60 visits)


Paid in full


Ultimate

Unlimited


Paid in full


Paid in full


Now Health Plans




Essential

Pre/post hospital only (USD 2,000)


Pre/post hospital only


Included in hospital claim


Advance

Up to plan maximum (USD 3,500,000)


Full refund


Included in outpatient care


Excel

Up to plan maximum (USD 4,000,000)


Full refund


Included in outpatient care


Apex

Up to plan maximum (USD 4,500,000)


Full refund


Included in outpatient care



Our Expert’ commentary on outpatient care (Bupa Global vs Now Health)

  • Bupa Global strengths: Consultations, diagnostic scans, and lab tests are paid in full on Select, Premier, Elite, and Ultimate up to each plan's visit limit. Elite and Ultimate provide high annual outpatient limits of USD 75,000 / HKD 585,000 or unlimited benefits.

  • Bupa Global considerations: Select, Premier, and Elite restrict doctor visits to 15, 30, or 60 consultations each year. Major Medical excludes regular outpatient doctor visits.

  • Now Health International strengths: Consultations on Advance, Excel, and Apex have no per-visit caps and are reimbursed with a full refund up to the overall plan limit. Physical therapy on Excel and Apex carries no session caps.

  • Now Health International considerations: WorldCare Essential excludes routine clinic care unless an optional outpatient charges rider is added. Base outpatient benefits on Essential are limited to pre and post hospital consultations.

Maternity timelines and benefits: 18 months on high Bupa Global plans vs 12 months on Now Health International Apex

Family planning coverage differs across plan eligibility, qualification waiting periods, and benefit limits.


Maternity Provision

Bupa Global (Elite / Ultimate)

Now Health International (Apex)

Eligible plans

Elite (optional add-on) and Ultimate


WorldCare Apex only


Waiting period

18 months


12 months


Normal delivery

Elite: USD 15,000 / HKD 117,000; Ultimate: Paid in full


Apex: USD 17,500 (EUR 14,000)


Medically essential C-section

Elite: USD 30,000 / HKD 234,000; Ultimate: Paid in full


Included within USD 17,500 routine limit


Pregnancy complications

Elite: Paid in full; Ultimate: Paid in full


Full refund across all 4 plans


Fertility benefits

Elite: USD 10,200; Ultimate: USD 17,000


Excluded (reproductive medicine not covered)


Our Expert’ commentary on maternity benefit (Bupa Global vs Now Health)

  • Bupa Global strengths: The Ultimate tier covers normal childbirth and medically essential caesarean sections in full. Elite and Ultimate include assisted fertility coverage, and babies born into the policy are accepted without medical underwriting.
    Bupa Global considerations: An 18 months waiting period requires a year and a half of continuous coverage before delivery benefits activate. Maternity is restricted to the two highest tiers.

  • Now Health International strengths: The 12-month waiting period on Apex activates maternity protection six months earlier than Bupa Global. Pregnancy medical conditions receive a full refund across all tiers, including Essential and Advance.

  • Now Health International considerations: Routine childbirth is restricted to the top Apex plan only. Assisted fertility and reproductive medicine are permanently excluded.

Inpatient protection and room standards: Suite accommodation on Bupa Global vs ancillary caps with Now Health International

Inpatient allowances dictate coverage limits during hospital stays. Checking these rules helps clarify how much do private hospitals charge in Hong Kong.


Inpatient Provision

Bupa Global

Now Health International

Overall annual maximum

USD 4,500,000 (Major Medical, Select) to Unlimited (Ultimate)


USD 3,000,000 (Essential) to USD 4,500,000 (Apex)


Room type covered

Semi-private or standard private (Ultimate: standard suite)


Hospital charges full refund across all plans


Room choice rules

50% coinsurance for private room if semi-private selected


Full refund for hospital accommodation


Ancillary hospital charges

Paid in full


Capped at USD 1,500 (Essential/Advance), USD 2,000 (Excel), USD 2,500 (Apex)


Emergency evacuation

Paid in full across all plans


Full refund across all plans



Our Expert’ commentary on inpatient benefits (Bupa Global vs Now Health)

  • Bupa Global strengths: The Ultimate plan delivers an unlimited annual maximum and standard suite accommodation. Upper limits on Elite reach USD 10,000,000 / HKD 78,000,000.

  • Bupa Global considerations: Upgrading to a private room after selecting a semi-private room plan triggers a 50% coinsurance penalty. Standard network users face a 50% coinsurance penalty at out-of-network facilities.

  • Now Health International strengths: Inpatient hospital charges receive a full refund across all four tiers, and base coverage on Essential starts with a high annual limit of USD 3,000,000.

  • Now Health International considerations: Ancillary hospital charges are capped between USD 1,500 and USD 2,500 per medical condition. Overall plan coverage caps at USD 4,500,000 on Apex with no unlimited tier.

Deductible mechanics: Unified policy excess on Bupa Global vs mandatory dual-excess linking with Now Health International

Both insurers allow you to lower your health insurance cost with deductibles and coinsurance, but their excess mechanics operate differently.


Deductible Feature

Bupa Global

Now Health International

Standard deductible

Nil on Ultimate; fixed options on others


Nil across all plans


Inpatient deductible options

USD 1,500 / HKD 11,700 to USD 10,000 / HKD 78,000


USD 1,000, USD 2,500, USD 5,000, USD 10,000, USD 15,000


Outpatient excess per visit

Not available

Optional USD 15 or USD 25 per visit (Advance, Excel, Apex)


Coinsurance options

Optional 15% coinsurance on Select and Premier


Optional 10% or 20% on outpatient treatments


Deductible application scope

Deductible applies across inpatient and outpatient care


Inpatient deductible requires selecting outpatient excess/coinsurance



Our Expert’ commentary on deductible options (Bupa Global vs Now Health)

  • Bupa Global strengths: The Ultimate plan provides comprehensive coverage with zero deductibles. The optional 15% coinsurance on Select and Premier provides a clear method to reduce premiums.

  • Bupa Global considerations: Deductibles apply across both hospital stays and outpatient care, meaning members must satisfy high thresholds before outpatient reimbursement begins.

  • Now Health International strengths: Starting with a standard Nil deductible provides straightforward coverage, and per-visit excess options of USD 15 or USD 25 keep routine outpatient claims simple.

  • Now Health International considerations: Selecting an inpatient deductible on Advance, Excel, or Apex requires choosing an outpatient coinsurance or per-visit excess.

Which one to choose


  • Choose Bupa Global Ultimate Health Plan if you want unlimited annual benefits, standard suite accommodation, and no deductible on any covered care.
    Choose Now Health WorldCare Apex if you want high core coverage of USD 4,500,000, full refund outpatient consultations, and routine maternity care up to USD 17,500.

  • Choose Bupa Global Elite Health Plan if you are a family with children aged 9 or younger who can join at no additional cost subject to underwriting.

  • Choose Now Health WorldCare Advance if you want all-round inpatient and outpatient medical protection starting with a standard Nil deductible.


Questions to ask before you buy


  • Do you prefer a plan that covers outpatient doctor visits with a full refund, or are you comfortable with annual consultation visit caps?

  • Are you planning a pregnancy in Hong Kong that requires maternity delivery coverage within the next 12 to 18 months?

  • Do you have young children who could qualify for no-cost coverage on an eligible upper tier plan?

  • Which hospital room type do you require when admitted to a private facility in Hong Kong?

  • Would you prefer an annual plan deductible or a policy that links inpatient deductibles to outpatient coinsurance?

Alea's verdict

The choice between Bupa Global and Now Health International centers on package depth versus consultation reimbursement flexibility. Bupa Global functions as an all-inclusive insurer, offering high annual limits up to unlimited, full emergency evacuation across all tiers, and free coverage for young children on Elite and Ultimate plans. Now Health International delivers comprehensive coverage with full refund doctor visits from the Advance tier upward, higher entry hospital limits starting at USD 3,000,000, and a shorter 12-month maternity waiting period on Apex. If you seek high annual maximums with suite accommodation and free child coverage, Bupa Global is a strong choice. If you want full refund outpatient consultations and predictable per-visit excess options, Now Health is a compelling alternative.

How we compared them

We compared these products using official plan rules and benefit schedules:

Alea is a licensed insurance broker in Hong Kong that compares more than 50 insurers, including Bupa Global and Cigna Global.

We help you save time, money and worry by explaining all your options and we work for you, not the insurer. Plus, you always get the best prices as our premiums are never higher than if you went directly with the insurers!

Why Choose Alea: We simplify health insurance. We have helped thousands of locals, expats, and families find the perfect coverage. Beyond securing your policy, our dedicated customer care team advocates for you year-round, ensuring you have expert support whenever you need it most.

Contact us to get a quote to compare both insurers for your age and needs.

Shannon Kapoor

Written by

Shannon Kapoor

Head of Customer Care & Insurance Specialist

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