COVERAGE BENEFITS

BENEFITS (BAHT)
 
Maximum payable per Disability/Time/Year

SP1000
100000
SP1500
150000
SP2000
200000
SP3000
300000
SP4000
400000
SP6000
600000
SP12000
1200000
 
IPD COVERAGE
  Room and Board , including nursing service and ICU (Maximum payable per disability/time)

60,000

90,000

120,000

180,000

240,000

360,000

720,000
  - Room and Board , including nursing service
(Maximum payable per day, limit 60 days)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  ICU Room and Board , including nursing service
(Maximum payable per day, limit 15 days)
2,000
3,000
4,000
6,000
8,000
12,000
24,000
  General Expenses including OPD follow up within 30 days (Maximum payable per disability/time)
10,000
15,000
20,000
30,000
40,000
60,000
120,000
  Emergency OPD treatment for accident first visit within 24 hours after accident,
including follow up within 15 days (including in General Expenses)
2,000
3,000
4,000
6,000
8,000
12,000
24,000
  Special Consultation Fee
(including in General Expenses)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  Ambulance Fee
(including in General Expenses)
1,000
1,000
1,000
1,000
1,000
1,000
1,000
 
SURGICAL COVERAGE
             
  - Surgical's Fee (Maximum payable per
disability/time, as per actual expense)
15,000
22,500
30,000
45,000
60,000
90,000
180,000
  - Special Consultation Fee for Surgical
(including in Surgical's Fee)
1,500
2,250
3,000
4,500
6,000
9,000
18,000
  DOCTOR VISIT COVERAGE
  - In- patient Doctor Visit Fee
(Maximum payable per day, limit 60 days)
250
375
500
750
1,000
1,500
3,000
  PERSONAL ACCIDENT COVERAGE (PA2)
  - Accidental Death,Dismemberment, and Total
Permanent Disability
(100 percent payable for murder and assault)
(100 percent payable for riding or being a passenger of a motorcycle)
100,000
100,000
100,000
100,000
100,000
100,000
100,000
 
OUT-PATIENT COVERAGE
(OPD) OPTIONAL

OPD 1

OPD 2
OPD 3
OPD 4
OPD 5
OPD 6
OPD 7
 
- Maximum Payable per Day
(Maximum 1 visit per day,limit 30 visits per year)
600
800
1,000
1,500
2,000
2,500
3,000
 
- X-ray and Labaloratory Test Expenses
(Maximum per year)
6000
8000
10000
15000
20000
25000
30000
               
 
PREMIUM SCHEDULE (IPD)
* Renew Only 
 
Male Premium include Duty Stamp
and SBT (Baht)

Age (Year)

SP1000
100,000

SP1500
150,000
SP2000
200,000
SP3000
300,000
SP4000
400,000
SP6000
600,000

SP12000
1,200,000
15 Days-5
5,661
8,273
10,884
16,106
21,327
31,771
44,304
6-20
3,050
4,356
5,661
8,273
10,884
16,106
22,372
21-35
2,528
3,573
4,617
6,705
8,795
12,972
17,985
36-40
2,842
4,042
5,244
7,645
10,047
14,852
20,617
41-45
3,050
4,356
5,661
8,273
10,884
16,106
22,372
46-50
3,573
5,138
6,705
9,840
12,972
19,238
26,758
51-55
4,095
5,922
7,751
11,406
15,061
22,372
31,145
56-60
4,617
6,705
8,795
12,972
17,150
25,504
35,531
*61-65 (Renew Only)
5,750
8,360
10,971
16,193
21,415
31,859
44,392
*66-70 (Renew Only)
8,014
11,669
15,324
22,635
29,946
44,567
62,112
 
Female Premium include Duty Stamp
and SBT (Baht)

Age (Year)

SP1000
100,000

SP1500
150,000
SP2000
200,000
SP3000
300,000
SP4000
400,000
SP6000
600,000

SP12000
1,200,000
15 Days-5
7,228
10,623
14,017
20,805
27,593
41,171
57,463
6-20
3,834
5,531
7,228
10,623
14,017
20,805
28,951
21-35
3,156
4,513
5,870
8,586
11,301
16,732
23,249
36-40
3,561
5,123
6,685
9,808
12,931
19,176
26,671
41-45
3,834
5,531
7,228
10,623
14,017
20,805
28,951
46-50
4,513
6,549
8,586
12,659
16,732
24,879
34,654
51-55
5,192
7,567
9,944
14,695
19,448
28,951
40,356
56-60
5,870
8,586
11,301
16,732
22,162
33,025
46,058
*61-65 (Renew Only)
7,315
10,710
14,105
20,893
27,681
41,258
57,552
*66-70 (Renew Only)
10,207
14,958
19,711
29,214
38,719
57,726
80,537
               
 
PREMIUM SCHEDULE (OPD)
* Renew Only 
 
Male Premium include Duty Stamp
and SBT (Baht)

Age (Year)

OPD 1

OPD 2
OPD 3
OPD 4
OPD 5
OPD 6

OPD 7

15 Days-5
8,768
11,347
13,926
20,373
26,819
33,266
39,713
6-20
4,384
5,674
6,963
10,187
13,410
16,634
19,857
21-35
3,508
4,539
5,571
8,150
10,728
13,307
15,886
36-40
4,034
5,221
6,406
9,372
12,337
15,303
18,269
41-45
4,384
5,674
6,963
10,187
13,410
16,634
19,857
46-50
5,262
6,809
8,356
12,224
16,092
19,961
23,829
51-55
6,138
7,943
9,748
14,262
18,774
23,287
27,800
56-60
7,015
9,078
11,141
16,299
21,456
26,614
31,771
*61-65 (Renew Only)
8,768
11,347
13,926
20,373
26,819
33,266
39,713
*66-70 (Renew Only)
12,276
15,886
19,496
28,522
37,547
46,573
55,599
 
Female Premium include Duty Stamp
and SBT (Baht)

Age (Year)

OPD 1

OPD 2
OPD 3
OPD 4
OPD 5
OPD 6

OPD 7

15 Days-5
11,399
14,752
18,104
26,485
34,866
43,246
51,628
6-20
5,700
7,376
9,053
13,244
17,433
21,624
25,815
21-35
4,560
5,901
7,243
10,595
13,947
17,300
20,652
36-40
5,244
6,786
8,329
12,184
16,039
19,895
23,750
41-45
5,700
7,376
9,053
13,244
17,433
21,624
25,815
46-50
6,840
8,851
10,863
15,891
20,920
25,948
30,977
51-55
7,979
10,327
12,673
18,540
24,406
30,274
36,140
56-60
9,120
11,801
14,484
21,188
27,893
34,598
41,303
*61-65 (Renew Only)
11,399
14,752
18,104
26,485
34,866
43,246
51,628
*66-70 (Renew Only)
15,958
20,652
25,345
37,078
48,812
60,545
72,278



This health insurance policy covers treatment expenses resulting from injury from accident or illness that occurs  
  unexpectedly after the policy is in effect..  
Injury from accident benefits shall be start covered immediately from policy effective date.  
IPD and OPD benefits ( in case of buying optional OPD coverage ) shall be start covered after the first 30 days  
  waiting period.  
     
Pre-existing conditions, including related symptom and chronic conditions that the applicant has had before this  
  insurance is in effect.  
Conditions that is not medical treatment such as physical check-up, preventive vaccination, Convalescent care  
  including rest cures and rehabilitation, beauty care, and any unnecessary expenses and unrelated to medical treatment.  
Condition that increases risk to health such as suicide or attempted to suicide or self-inflicted injury, participation  
  in dispute or quarrel, chronicalcoholism, drugs addiction, venereal disease, service in connection with treatment of nervous or mental disorder etc.  
     
Cover 24 hour a day, worldwide.  
Cover both injury from accident and illness.  
Cover both IPD and OPD (in case of buying optional OPD coverage).  
Cover personal accident (PA2).  
Cover from 15 days to 60 years of age (renewable up to 70 years of age).  
No physical check-up required, only truthfully declare health status on the application.*  
No up front payment, upon showing Thai Health Insurance card at more than 300 network contracted  
  hospitals/clinics.  
Daily claims service from 8.30 a.m. to 5.00 p.m.  
* In case the applicant knows any fact but declare false statement or fails to declare it, in which should the company acknowledge it, the company may increase the insurance premium or reject the applications, this insurance shall be voided ,according to the Civil and Commercial Code, Section 865, the company has the right to dissolve it.