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

WH1000
200,000

WH1500
300,000
WH2000
400,000
WH3000
600,000
WH4000
800,000
WH6000
1,200,000
WH12000
2,400,000
  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
  Genaral Expense 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 Expense)
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
  MAJOR MEDICAL COVERAGE
  - maximum payable per Disability/Time/Year
(pays 90 percent of the treatment expenses in excess of the IPD benefits)
100,000
150,000
200,000
300,000
400,000
600,000
1,200,000
  - Deductible Amount
10,000
15,000
20,000
30,000
40,000
60,000
120,000
  - Room and Board including nursing service
(Maximum payable per day, starts on 61st day)
1,000
1,500
2,000
3,000
4,000
6,000
12,000
  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 motorcyccle)
100,000
100,000
100,000
100,000
100,000
100,000
100,000
  WORLDWIDE EMERGENCY ASSISTANT COVERGE
(PROVIDED BY SOS INTERNATIONAL)
             
  Evacuation
USD 1,000,000
  Repatriation (Recommended by physician)
  Repatriation of mortal remain
  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)
6,000
8,000
10,000
15,000
20,000
25,000
30,000
               
  PREMIUM SCHEDULE (IPD)
* Renew Only 
  Male Premium include Duty Stamp
and SBT (Baht)

Age (Year)

WH 1000
200,000
WH 1500
300,000
WH 2000
400,000
WH 3000
600,000
WH 4000
800,000
WH 6000
1,200,000

WH 12000
2,400,000
15 Days-5
8,452
12,308
16,164
23,878
31,591
47,017
65,528
6-20
4,595
6,523
8,452
12,308
16,164
23,878
33,134
21-35
3,823
5,367
6,909
9,994
13,079
19,250
26,654
36-40
4,287
6,060
7,834
11,383
14,931
22,027
30,542
41-45
4,595
6,523
8,452
12,308
16,164
23,878
33,134
46-50
5,367
7,680
9,994
14,622
19,250
28,505
39,613
51-55
6,137
8,837
11,537
16,936
22,335
33,134
46,091
56-60
6,909
9,994
13,079
19,250
25,420
37,761
52,570
*61-65 (Renew Only)
8,540
12,396
16,253
23,965
31,678
47,104
65,616
*66-70 (Renew Only)
11,800
17,199
22,598
33,397
44,195
65,791
91,706
 
Female Premium include Duty Stamp
and SBT (Baht)

Age (Year)

WH 1000
200,000
WH 1500
300,000
WH 2000
400,000
WH 3000
600,000
WH 4000
800,000
WH 6000
1,200,000

WH 12000
2,400,000
15 Days-5
10,765
15,779
20,793
30,819
40,846
60,901
84,965
6-20
5,752
8,260
10,765
15,779
20,793
30,819
42,852
21-35
4,749
6,755
8,760
12,771
16,782
24,804
34,429
36-40
5,351
7,657
9,963
14,576
19,188
28,413
39,483
41-45
5,752
8,260
10,765
15,779
20,793
30,819
42,852
46-50
6,755
9,763
12,771
18,786
24,804
36,836
51,274
51-55
7,758
11,267
14,776
21,796
28,814
42,852
59,697
56-60
8,760
12,771
16,782
24,804
32,825
48,868
68,120
*61-65 (Renew Only)
10,854
15,866
20,880
30,906
40,934
60,988
85,052
*66-70 (Renew Only)
15,039
22,059
29,077
43,115
57,152
85,228
118,919
               
 
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 physcial check-up, preventive vaccination, Convalescent care  
  including vest 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.  
Emergency Service assistance from SOS  
  * 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.