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For : Normal health person, Age up to 60 years old
Coverage : Doctor and Hospital expenses arise from sickness or accident
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(Baht)
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Option 1 |
Option 2 |
| IPD COVERAGE |
Maximum coverage for one policy year |
800,000 |
2,400,000 |
| Basic in-patient (as per admittance) |
Maximum coverage |
| A : Normal and ICU room, board and nursing services |
240,000 |
720,000 |
| B : Medical treatment, Special Consultation Fee and other hospital charge |
40,000 |
120,000 |
| C : Surgical doctor and Surgical Consultant Fee |
60,000 |
180,000 |
| D : Doctor’s visit Fee |
60,000 |
180,000 |
Maximum coverage on basic in-patient
(see attachment for sub-limit on each category) |
400,000 |
1,200,000 |
| Excess coverage (as per policy year) |
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E : For major medical case, addition coverage extended beyond Basic in-patient
by absorb 90% expenses in excess of the Basic in-patient limit |
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Maximum coverage on Major Medical
(see attachment for sub-limit on each category) |
400,000 |
1,200,000 |
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| Plus Personal Accident Benefit |
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Loss of life, dismemberment and permanent disability from accident
(include murder & assault and accident from motorcycle) |
100,000 |
100,000 |
| SOS International Benefit |
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| Evacuation, repatriation of person (if require by physician) or mortal remains. |
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| Cover world-wide by SOS international at the maximum expenses of |
US$ 1,000,000 |
US$ 1,000,000 |
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Option 1 |
Option 2 |
| OPD COVERAGE |
Maximum coverage for one policy year |
800,000 |
120,000 |
| Basic out-patient (as per policy year) |
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| F : Hospital or clinical visit |
60,000 |
90,000 |
| G : X-ray and Lab test |
20,000 |
30,000 |
| (see attachment for sub-limit on each category) |
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Annual Premium (Tax & Duty Stamp included)
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Age |
15 days-5 |
6-20 |
21-35 |
36-40 |
41-45 |
46-50 |
51-55 |
56-60 |
61-65 |
66-70 |
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31,591 |
16,164 |
13,079 |
14,931 |
16,164 |
19,250 |
22,335 |
25,420 |
31,678 |
44,195 |
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26,819 |
13,410 |
10,728 |
12,337 |
13,410 |
16,092 |
18,774 |
21,456 |
26,819 |
37,547 |
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40,846 |
20,793 |
16,782 |
19,188 |
20,793 |
24,804 |
28,814 |
32,825 |
40,934 |
57,152 |
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34,866 |
17,433 |
13,947 |
16,039 |
17,433 |
20,920 |
24,406 |
27,893 |
34,866 |
48,812 |
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Age |
15 days-5 |
6-20 |
21-35 |
36-40 |
41-45 |
46-50 |
51-55 |
56-60 |
61-65 |
66-70 |
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65,528 |
33,134 |
26,654 |
30,542 |
33,134 |
39,613 |
46,091 |
52,570 |
65,616 |
91,706 |
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39,713 |
19,857 |
15,886 |
18,269 |
19,857 |
23,829 |
27,800 |
31,771 |
39,713 |
55,599 |
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84,965 |
42,852 |
34,429 |
39,483 |
42,852 |
51,274 |
59,697 |
68,120 |
85,052 |
118,919 |
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51,628 |
25,815 |
20,652 |
23,750 |
25,815 |
30,977 |
36,140 |
41,303 |
51,628 |
72,278 |
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