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1. Q: |
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Why do I need health insurance? |
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In recent times, innovations in
new medical technology are being rapidly developed to combat
the risks of severe diseases and accidents that can cause
damage and stress. Of great concern here is the burden of
increasing costly medical treatment that can be too much for
people to bear. |
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2. Q: |
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What are the benefits of health
insurance? |
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Today, you no longer need to
worry about unpredictable health problems and the potential
burdens of costly medical expenditure that may delay your
goals in life. With good planning for your health security by
an expert like Thai Health Insurance, your medical expenses
will be taken care of with maximum coverage, and with high
standards of treatment from a network of leading hospitals and
healthcare facilities nationwide. |
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3. Q: |
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Why should you buy health
insurance with Thai Health Insurance? |
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Thai Health Insurance is a
leading health insurance underwriter who can help to release
you from the burden of unexpected and expensive medical costs
through various types of health insurance plans, all of which
are designed to meet your needs to complete
satisfaction. |
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4. Q: |
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Easy Application for Health
Insurance |
A: |
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Applicants simply complete the
application form, using one form per person, and attach a copy
of their identification card (ID) as well as premium payment,
and return it to Thai Health Insurance Co., Ltd. Your coverage
will instantly be effective upon approval of their
application. |
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1. Q: |
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Individual insurance: In what
ways can I pay the premium? |
A: |
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various methods to pay the premium according to their
own convenience; |
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Pay by cash or cheque to
Thai Life Insurance office or sales representatives
nationwide. |
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Pay by VISA or MasterCard, or Thai
Military Bank credit cards. |
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Pay over the counter at the Bangkok
Bank, Bank of Ayudhya or Thai Military Bank
nationwide. |
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Transfer money to the Thai Military
Bank account through ATM system nationwide. |
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Pay mortgage with CitiBank’s PayLite
scheme with only 0.8% interest per
month |
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2. Q: |
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Customers can choose to receive
medical expense remuneration sent to Thai Health Insurance
Company in various ways as follows; |
A: |
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In case of outpatients, you
can ask to receive cash at Thai Health Insurance within
30 minutes. |
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Thai Health Insurance sends a cheque
by registered mail to customers who live in Bangkok and
its vicinity and sends a draft to customers who live
up-country. |
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Thai Health Insurance transfer money
to customers’ accounts. |
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Medical
Services |
1. Q: |
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How do you know which hospital is
in the Thai Health Insurance network? |
A: |
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The insurers can inquire from
the staff at the hospital. Also if you notice a Thai Health
Insurance sticker attached in the hospital this means it is in
the network. Alternatively, you can call for information at
the Medical Section, at 0 2642 3100 ext. 500-510. |
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2. Q: |
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How can I use network hospital
services and what benefits will I get? |
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The insurers need to bring with
them their Thai Health Insurance card every time when
receiving medical services. If your insurance card does not
have a photo of you attached, you need to bring along an
official card issued by a government body. You must inform the
hospital staff that you wish to use your Thai Health Insurance
card. You will receive optimal service from network hospital
and healthcare facilities. Regarding medical expenses, you do
not need to pay when such expenses are under the coverage and
protection of the insurance. |
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3. Q: |
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If a problem occurs regarding
services at hospital, what should I do? |
A: |
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If the insurers encounter
problems from their hospital visits such as a network hospital
refusing their Thai Health Insurance, please inquire the cause
of such rejection and call to report this to the Medical
Section at 0 2642 3100 ext. 600, 630 |
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4. Q: |
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Can I use health services from
other hospitals, which are not networked? |
A: |
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In case of visiting other
hospitals, which are not within Thai Health Insurance’s
network providers and health facilities, you need to pay for
medical expenses first and send the receipt to the Thai Health
Insurance Company for subsequent reimbursement. |
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1. Q: |
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What should I do if I lose my
Thai Health Insurance card? When will I get a new one? |
A: |
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Individual Insurance The insurers need to send a
copy of the police report and pay a 30 Baht fee. You
will receive your new Thai Health Insurance card within
5 working days. |
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Group Insurance The insurers need to send a copy of the police
report or a letter from the Personnel Department
regarding the lost card. For group insurance, you do not
need to pay a fee for a new card. You will receive your
new Thai Health Insurance card within 5 working
days. |
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2. Q: |
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Regarding specification of age
for insurance purposes, how is this calculated? For example I
may be 44 years and 9 months old but my individual insurance
may identify me as 45 years old. |
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The calculation was based on month of birth. If the current age of an insural person is greater than six month, The individual insurance may identity as 1 year. |
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Sales and
Marketing |
1. Q: |
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Is Thai Health Insurance Co.,
Ltd. Affiliated to the Thai Life Insurance Co., Ltd.? How long
has it been in operation? What are its highlights? |
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Thai Health Insurance Co., Ltd.
is an affiliate of the Thai Life Insurance Co., Ltd. It has
been operating since 1979. We are financially stable with
supporting from the Thai Life Insurance Co., Ltd. We have a claim
history system as well as a claim system, which is undertaken
in a short period. There are more than 270 network hospitals
and healthcare providers throughout the country. It is
estimated that by 2005 there will be 300 network hospitals and
healthcare providers which is more than any other insurance
company in Thailand. |
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2. Q: |
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What are the Health
Insurance types that Thai Health Insurance offers? |
A: |
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Individual Insurance |
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Simply Healthy : Simple protection with the least
strict conditions for exception. No health check-ups are
required.
Wealthy Healthy : Additional cover as well as
benefits in case of severe illness (major medical
benefits)
Maxi Healthy : Simple protection with the least strict condition for exception and additional cover as well as benefits in case of severe illness (major medical benerfits) |
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Group Insurance |
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Employee Healthy; Health insurance
plan for a minimum of 5 employees. |
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Travel Insurance |
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Journey Healthy; International health
insurance with comprehensive benefits for peace of mind
during travel. |
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3. Q: |
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What is the Artery Analysis
Report about? |
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| It is an analysis about
compensation which compiles |
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analyses of illness and
hospitals with the highest patients admittance
levels; |
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analyses of compensation inquiry
history in different aspects; |
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analyses of hospital
costs. |
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Compensation |
1. Q: |
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When I have health insurance,
what am I entitled to? |
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A request for reimbursement can
be made if the insured person has been treated for an injury or
illness by conventional doctors under the coverage of the
insurance for such ailments as colds, diarrhea, bronchitis,
heart diseases, high blood pressure, kidney diseases,
diabetes and other conditions. |
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2. Q: |
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If I already have other insurance
as well as my Social Insurance, what benefits would there
be? |
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You will get more benefits.
For example, if you get 1,000 Baht per one-night
hospital stay from another insurance company, you will
get an additional 1,000 Baht per one-night hospital stay
from Thai Health Insurance. In total you will get 2,000
Baht per one-night hospital stay. Other benefits will be
increased in the same way. |
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If you present both insurance cards
at the hospital and state your wish to use the Social
Insurance card first, whatever benefits that are beyond
the Social Insurance coverage will be covered by Thai
Health Insurance. As another example, you can ask to
transfer from the room provided by Social Insurance to a
better room. The extra expense will be covered by Thai
Health Insurance. |
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3. Q: |
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Within the same year, can I ask
for reimbursement for the costs resulting from the same
illness several times? |
A: |
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Thai Health Insurance will pay
up to the maximum benefit stipulated in the plan and will stop
paying for a particular illness. That exceeds the maximum benefit. |
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4. Q: |
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Nowadays there are a number of
medical treatments such as acupuncture, accupressure,
aromatherapy and so on. What is the insurance protection
regarding theses treatments? |
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The insurance does not
provide for accupressure and aromatherapy.as well as acupuncture. |
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