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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 |
Option 3 |
| IPD COVERAGE |
Maximum coverage for one policy year |
200,000 |
300,000 |
400,000 |
| Basic in-patient (as per admittance) |
Maximum coverage |
| A : Normal and ICU room, board and nursing services |
120,000 |
180,000 |
240,000 |
| B : Medical treatment, Special Consultation Fee and other hospital charge |
20,000 |
30,000 |
40,000 |
| C : Surgical doctor and Surgical Consultant Fee |
30,000 |
45,000 |
60,000 |
| D : Doctor’s visit Fee |
30,000 |
45,000 |
60,000 |
| (see attachment for sub-limit on each category) |
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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 |
100,000 |
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Option 1 |
Option 2 |
Option 3 |
| OPD COVERAGE |
Maximum coverage for one policy year |
40,000 |
60,000 |
80,000 |
| Basic out-patient (as per policy year) |
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| F : Hospital or clinical visit |
30,000 |
45,000 |
60,000 |
| G : X-ray and Lab test |
10,000 |
15,000 |
20,000 |
| (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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10,884 |
5,661 |
4,617 |
5,244 |
5,661 |
6,705 |
7,751 |
8,795 |
10,971 |
15,324 |
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13,926 |
6,963 |
5.571 |
6,406 |
6,963 |
8,356 |
9,748 |
11,141 |
13,926 |
19,496 |
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14,017 |
7,228 |
5,870 |
6,685 |
7,228 |
8,586 |
9,944 |
11,301 |
14,105 |
19,711 |
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18,104 |
9,053 |
7,243 |
8,329 |
9,053 |
10,863 |
12,673 |
14,484 |
18,104 |
25,345 |
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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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16,106 |
8,273 |
6,705 |
7,645 |
8,273 |
9,840 |
11,406 |
12,972 |
16,193 |
22,635 |
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20,373 |
10,187 |
8,150 |
9,372 |
10,187 |
12,224 |
14,262 |
16,299 |
20,373 |
28,522 |
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20,805 |
10,623 |
8,586 |
9,808 |
10,623 |
12,659 |
14,695 |
16,732 |
20,893 |
29,214 |
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26,485 |
13,244 |
10,595 |
12,184 |
13,244 |
15,891 |
18,540 |
21,188 |
26,485 |
37,078 |
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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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21,327 |
10,884 |
8,795 |
10,047 |
10,884 |
12,972 |
15,061 |
17,150 |
21,415 |
29,946 |
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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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27,593 |
14,017 |
11,301 |
12,931 |
14,017 |
16,732 |
19,448 |
22,162 |
27,681 |
38,719 |
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34,866 |
17,433 |
13,947 |
16,039 |
17,433 |
20,920 |
24,406 |
27,893 |
34,866 |
48,812 |
| Sub Limit |
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Option 1 |
Option 2 |
Option 3 |
| IPD COVERAGE |
Basic in-patient (as per admittance)
Sub Limit |
| A1 : Room and board including nursing services (Max. 60 days) |
2,000/day |
3,000/day |
4,000/day |
| A2 : Intensive Care Unit (ICU) daily charges (Max. 15 days) |
4,000/day |
6,000/day |
8,000/day |
| B1 : Specialist’s consulting fee |
2,000 |
3,000 |
4,000 |
| B2 : Emergency OPD treatment for accident and follow up within 15 days |
4,000 |
6,000 |
8,000 |
| C1 : Surgical consulting fee |
3,000 |
4,500 |
6,000 |
| D1 : Doctor’s visit fee (Max. 60 days) |
500/day |
750/day |
1,000/day |
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Option 1 |
Option 2 |
Option 3 |
| OPD COVERAGE |
| F1 : Hospital and clinic visit (Max. 30 visits per year) |
1,000 |
1,500 |
2,000 |
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