ประกันสุขภาพเหมาจ่าย, ประกันสุขภาพแผนแคร์เอนีแวร์

 

Care Anywhere Plan

Room & Board benefit up to THB 7,000 per day (365 days)
Worldwide coverage excluding USA
Deductible options
  • Lifetime renewal guarantee*
  • No requirement to buy additional life insurance plan
  • Obtain unlimited health and well-being advice from qualified doctors via telemedicine service*

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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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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Coverage/Benefits

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Description Benefit (Baht)
Plan 1 Plan 2 Plan 3
Maximum benefit for an injury or sickness per confinement* 600,000 700,000 800,000
1. Benefit for Inpatient Care  
Section 1 Room and board including service charges (inpatient) per confinement*      
Non-intensive care room, maximum payable per day 5,000 6,000 7,000
Intensive Care Unit (ICU), maximum payable per day (with a maximum limit of 15 days per per confinement*) 10,000 12,000 14,000
Section 2 Medical expenses (Inpatient) 80% ของจำนวนเงินที่ต้องจ่ายจริง
Section 3 Emergency ambulance services, maximum payable per trip 1,000
2. Additional Benefits  
Personal Accident (Or.Bor.2)** 1,000
Telemedicine service*** รับคำแนะนำด้านสุขภาพจากแพทย์ผู้เชี่ยวชาญผ่านบริการโทรเวช
3. Deductible options****  
Deductible options 10,000/ 20,000/ 30,000

Remarks :

*Each hospitalization as Inpatient for medical treatment(s), or each major surgery treatment without the hospitalization as inpatient (day surgery), in a hospital or medical facility. In this regard, hospitalizations as Inpatient for treatments, or major surgery treatments without hospitalization as inpatient (day surgery) in a hospital or medical facility, regardless of how many times, due to the same injury or sickness which has not been cured, including related or continuous complications, within 90 days from the date of last discharge from the hospital or medical facility will be considered as a single confinement.

**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.

***Available only for telemedicine providers within the company's network. To use Allianz Ayudhya’s proprietary telemedicine service please contact 02 677 0999.

****Deductible is applicable to an inclusion of inpatient coverage (all 1-3 Sections). It excludes outpatient, personal accident (Or.Bor.2) and telemedicine service benefit. Eligible medical expenses will be payable after the deductible has been met.

 

Remark :

- Worldwide coverage (excluding the United States of America where the benefits will be paid for the injury from an accident only).

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Description Benefit (Baht)
Plan 1 Plan 2 Plan 3
Maximum benefit for an injury or sickness per confinement* 600,000 700,000 800,000
Optional benefits      
The Insuring Agreement for Outpatient Medical Treatment      
Outpatient Medical Treatment, per visit (maximum benefit 1 visit per day, 30 visits per year) including medication prescribed by telemedicine service 500 / 1,000 / 2,000    
  • Eligible for persons aged 15 days to 65 years. 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.
  • Applicants under 10 years old must apply for policy together with parent(s).
  • Applicants are only permitted to hold one Allianz Ayudhya insurance policy to which a deductible is applicable.
  • Once selected, the deductible is fixed for the policy lifetime.
  • For insured members who hold more than one insurance policy with Allianz Ayudhya Health Insurance, the maximum payable for medical treatment of any illness will be THB30 million. The maximum payable for personal accident insurance will be THB 1 million across all Allianz Ayudhya policies.
  • Term of health insurance: Yearly Basis.
  • Acceptance is subject to underwriting assessment.
  • Telemedicine
Health insurance premium is eligible for tax-deductible benefit, in accordance with the terms and condition prescribed by the Revenue Department.
  • 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
  • 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.