Basic Care Plan
Health insurance coverage for hospitalization
Health insurance coverage for hospitalization up to THB 750K per policy year.
Highlights
Cover up to THB 750,000 per policy year
Room & Board benefit up to THB 4,000 per day (365 days)
Optional outpatient (OPD) and personal accident coverage
How good is this insurance plan?
Remarks:
**Applicants who purchase their plan before 60 years old and continuously renew the plan will be eligible for lifetime renewal. Applicants who purchase their plan after 60 years old will be eligible to renew the policy until they are 80 years old.
***Available only for telemedicine providers within the company's network. To use Allianz Ayudhya’s proprietary telemedicine service please contact 02 677 0999.
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THB
Remark
- Subject to the insurance policy’s terms and conditions.
Warning: Buyers should understand in detail coverage and conditions before making insurance decisions every time. - This premium is an approximate based on minimum sum insured only. Please contact our sales staff or leave your information in "Are you interested in Allianz Ayudhya’s Health insurance?" box for our staff to contact you.
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Table of benefits
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Coverage/Benefits
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| Description | Benefit (Baht) | ||
| Plan 1 | Plan 2 | Plan 3 | |
| Maximum benefit for an injury or sickness per policy year | 350,000 | 550,000 | 750,000 |
| 1. Benefits for Inpatient Care | |||
| Section 1 Room and board including service charges (inpatient) per year | |||
| Non-intensive care room, maximum payable per day | 2,000 | 3,000 | 4,000 |
| Intensive Care Unit (ICU), maximum payable per day (with a maximum limit of 15 days per per year) | 4,000 | 6,000 | 8,000 |
| Section 2 Hospital medical expenses for diagnostic and therapeutic procedures, blood and blood components, nursing service, medicines, and parenteral nutrition, and medical supplies per year | |||
| 2.1 Hospital medical expenses for diagnostic procedures |
Paid in full* |
||
| 2.2 Hospital medical expenses for therapeutic procedures, blood and blood components, and nursing service | |||
| 2.3 Medicines and parenteral nutrition, and medical supplies | |||
| 2.4 Home medications and medical supplies 1 | |||
| Section 3 Medical practitioners’ fees per year | Paid in full* | ||
| Section 4 Fees for surgery and medical procedures per year | |||
| 4.1 Operating theater and procedure room |
Paid in full* |
||
| 4.2 Medicines, parenteral nutrition, medical supplies, surgery and procedure equipment | |||
| 4.3 Surgeons fee including surgical assistants | |||
| 4.4 Anesthesiologists’ fees | |||
| 4.5 Organ transplantation | |||
| Section 5 Day Surgery | Paid in full* | ||
| 2. Benefits for Non-Inpatient Care | |||
| Section 6 Hospital medical expenses for diagnostic procedures before or after hospitalization relating to the condition diagnosed, or outpatient treatment after hospitalization per year | |||
| 6.1 Hospital medical expenses for diagnostic procedures relating to the condition diagnosed within 30 days before and after hospitalization |
Paid in full* |
||
| 6.2 The expenses for OPD visit post hospitalization within 30 days (excluding hospital medical expenses for diagnostic procedures) | |||
| Section 7 Medical expenses for an injury (OPD) within 24 hours of accident | Paid in full* | ||
| Section 8 Rehabilitation post hospitalization per year | Paid in full* | ||
| Section 9 Hospital medical expenses for treatment of chronic kidney disease by hemodialysis per policy year | 10,000 | 15,000 | 20,000 |
| Section 10 Medical expenses for treatment of tumor or cancer by radiation therapy, interventional radiology, nuclear medicine therapy per policy year |
Paid in full* |
||
| Section 11 Medical expenses for treatment of cancer by chemotherapy per policy year | |||
| Section 12 Emergency ambulance services, maximum payable per trip | 1,000 | ||
| Section 13 Minor surgical expenses | Paid in full* | ||
| 3. Additional Benefits | |||
| Specialist’s consultation fees | Paid in full* | ||
| Personal Accident (Or.Bor.2)** | 100,000 | ||
| Fee for special nurse care at home, maximum payable per day (limited to 15 days per Confinement) | 500 | ||
*Full cover, not over maximum coverage per year.
**Applicable to the Insuring Agreement for Personal Accident, Death, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Permanent Disability Benefits (Or.Bor.2). 50% coverage in case of motorcycle accident.
Optional benefits
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| Description | Benefits (Baht) | ||
| Plan 1 | Plan 2 | Plan 3 | |
| Maximum benefit for an injury or sickness per policy year | 350,000 | 550,000 | 750,000 |
| Optional benefits | |||
| The Insuring Agreement for Outpatient Medical Treatment, per visit (maximum benefit 1 visit per day, 30 visits per year) | |||
| Classic plan | 1,000 | ||
| Plus plan | 1,500 | ||
| Deluxe plan | 2,000 | ||
| Personal Accident (Or.Bor.2)* | |||
| - PA 200 plan | 200,000 | ||
| - PA 400 plan | 400,000 | ||
| - PA 900 (for occupation class 1 and 2 only) | 900,000 | ||
*Applicable to the Insuring Agreement for Personal Accident, Death, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Permanent Disability Benefits (Or.Bor.2). 50% coverage in case of motorcycle accident.
Underwriting Conditions
Services
- Telemedicine
Tax benefits
Health insurance premium is eligible for tax-deductible benefit, in accordance with the terms and condition prescribed by the Revenue Department.
Remarks
- The Applicant is advised to always study details of coverage and conditions carefully before deciding to buy insurance. After receiving the Insurance policy, the insured is advised to study the terms and conditions of the policy contract.
- It is the responsibility of the Insured to make premium payments. Insurance agencies and brokers only facilitate the service.
- Beyond Care is the marketing name of Special Personal Health and Accident Insurance Policy.
- Should coverage provided by any insurance policy be in violation of any United States (US), United Nations (UN) of European Union (EU) economic or trade sanctions, such coverage shall be null and void. For example, we cannot pay for healthcare services provided in a country under sanction by the United States unless permitted under a written Office of Foreign Assets Control (OFAC) license. Learn more on the US Treasury’s website at: www.treasury.gov/resource-center/sanctionsz
Examples of Exclusions
- Chronic diseases, injury or sickness (including complications), conditions or abnormalities that have occurred before entering into the insurance contract.
- Medical expenses incurred for
* Sickness that occurs within first 30 days from the effective date of the insurance policy.
* Sickness or disease that occurs within 120 days of policy in the case of Tumor Cyst or Cancer, Hemorrhoids, Hernias, Pterygium or Cataract, Tonsillectomy or Adenoidectomy, Stones, Varicose veins, and Endometriosis.
- Cover is for treatment in Thailand only. No coverage for medical expenses incurred at the following providers:
1) Bumrungrad hospital
2) BNH Hospitals and BNH All Season Clinic
3) Samitivej Hospital (Sukhumvit, Srinakarin and Chinatown) and Samitivej Medical Clinic (Don Mueng, Suvanabhumi and Free Zone)
4) Bangkok Hospital (Soonvijai, Pattaya, Rayong, Phuket, Had Yai, Samui, Ratchasima, Hua Hin and Chiang Mai), Bangkok Pattaya Medical Clinic (Bang Saray), Bangkok Rayong Medical Clinic (Ban Chang, Bo Win, Pluak Daeng, Nikom Pattana, Eastern Seaboard, Banphe, Saphansi, Mapkha and Nong Chak) and Bangkok Phuket Medical Clinic Mai KHao
5) Paolo Hospital Prapadaeng
List of hospitals and clinics without coverage updated as of 11st April 2022.
Members may obtain an updated list of Allianz Ayudhya’s medical network here or by calling Allianz Ayudhya’s call center 1292. Allianz Ayudhya Health Insurance reserves the right to change our medical network information without prior announcement.
