Insurable Ages
Standard Plan
|
Coverage |
Plan 1
200,000 |
Plan 2
350,000 |
Plan 3
500,000 |
|
1. Loss of life, Dismemberment, (Loss of foot, hand or sight) or Total Permanent Disability from Accident |
200,000 |
350,000 |
500,000 |
|
2. Maximum Medical Expenses per year |
200,000 |
350,000 |
500,000 |
|
2.1 Maximum Inpatient Medical Expenses (from accident and sickness) per time including : |
50,000 |
75,000 |
100,000 |
| - Room and board including nursing care per day |
2,000 |
3,500 |
5,000 |
|
- ICU room and nursing care per day |
4,000 |
7,000 |
10,000 |
|
- General Medical Expenses* |
Actual |
Actual |
Actual |
|
- Surgeon’s operation fee/ Anesthesiologist fee |
Actual |
Actual |
Actual |
|
- Doctor visit fee and special consultant fee |
Actual |
Actual |
Actual |
|
2.2 Medical Expenses for Outpatient from accident (treatment within 24 hours after the accident include follow up treatment 15 days after the first outpatient treatment date) |
2,000 |
3,500 |
5,000 |
* General Medical Expenses means costs of drugs and intravenous feeding, blood transfusion, costs of ambulance, costs of medical equipment and supplies, costs of laboratory tests and radiological tests etc
Main Exclusion : - Injury or sickness including the complications that occurred during 5 years prior the
effective date of this health policy and have no any treatment or diagnosis by a physician.
- Sickness occurs within 30 days from effective date to this health policy.
- Sexually transmitted disease , AIDS.
Premiums
|
Age (Yesr) |
Plan 1
200,000 |
Plan 2
350,000 |
Plan 3
500,000 |
|
20-30 |
3,610 |
5,500 |
7,380 |
|
31-40 |
4,280 |
6,490 |
8,710 |
|
41-50 |
4,940 |
7,490 |
10,040 |
Remark : the premium above include vat and stamp duty
Special : The insured can purchase additional plan “Serious Illness” as following:
ผลประโยชน์ความคุ้มครองเพิ่มเติม “โรคร้ายแรง”Additional plan : “Serious Illness”
|
Lump Sum Payment when
Serious Illness is found
(pay for the first serious illness only)
|
Plan 1
200,000 |
Plan 2
350,000 |
Plan 3
500,000
|
|
1. Cancer (Invasive) |
200,000 |
350,000 |
500,000 |
|
2. Acute Myocardial Infraction |
|
3. Stroke |
|
4. Kidney failure chronic |
|
5. Coma |
|
6. Major organic transplantation |
|
7. Coronary Artery Bypass Surgery |
|
8. Liver failure |
|
9. Last stage of lung disease |
|
10. Total permanent disability (accident & sickness) |
Main Exclusion :
- Serious illness including the complications that occurred during 5 years prior the effective date of this health policy.
- Serious illness occurs within 120 days from effective date of this health policy.
Premiums
|
Age (year) |
Plan 1
|
Plan 2
|
Plan 3
|
|
20-30 |
1,230 |
2,150 |
3,070 |
|
31-40 |
2,210 |
3,860 |
5,520 |
|
41-50 |
4,660 |
8,150 |
11,640 |
หมายเหตุ: เบี้ยประกันภัยดังกล่าวรวมภาษีและอากรแล้ว