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Proposed cap on how much Hong Kong’s elderly can spend on eye tests leaves optometrists fuming

  • Health officials suggest HK$2,000 limit for medical vouchers scheme in bid to stop patients from spending money all in one place

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The proposed cap limit on health care vouchers has angered the city’s opticians. Photo: K.Y. Cheng

Hong Kong health officials have proposed a HK$2,000 cap every two years on the value elderly residents can spend on optometric services using their medical care vouchers, drawing ire from the industry.

The government had initially considered a HK$1,000 cap, but raised it after consulting patients’ groups and optometrists.

The idea, according to Secretary for Food and Health Sophia Chan Siu-chee, is to discourage the elderly from spending all their vouchers on a single service, and to ensure a “decent balance” was kept for other pressing services, such as body check-ups and chronic illness prevention.

A recent review showed that more than three quarters of claims above HK$4,000 were made at optometrists last year, a worrying trend that could undermine the scheme’s effectiveness in promoting a more diverse use of primary health care services.

Health minister Professor Sophia Chan said claims for optometric services were higher than average. Photo: Edmond So
Health minister Professor Sophia Chan said claims for optometric services were higher than average. Photo: Edmond So

“Our review has shown that each claim for optometric services has been disproportionately high in terms of per claim amount and total expenses,” Chan said.

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