ประกันสุขภาพ แผนสมาร์ทเตอร์ เฮลท์

Health insurance
Smarter Health Plan

Health insurance Smarter Health Plan, Medical expense coverage
Medical expense coverage for Maximum Plan is THB 5,000,000 per policy year
Health insurance Smarter Health Plan, Room & Board
Room & Board up to THB 7,000 per day
Health insurance Smarter Health Plan, Personal Accident
Personal Accident (Or.Bor.2) THB 100,000
Health insurance Smarter Health Plan, Lifetime renewal
Lifetime renewal
Health insurance Smarter Health Plan, 10% insurance premium refund
10% insurance premium refund in case of no claim
Health insurance Smarter Health Plan, Monthly premium payments available
Monthly premium payments available

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  • 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.
  • For insured members who are under 11 years of age will have a copayment 30 % of the expenses for coverage in section 1-13 according to the benefit table.

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Coverage Samrter Health
Plan 1
Samrter Health
Plan 2
Samrter Health
Plan 3
Samrter Health
Plan 4
Maximum benefit for an injury or sickness per policy year 750,000 1,500,000 3,000,000 5,000,000(1)
Area of cover Thailand
1. Benefits for Inpatient Care        
Section 1
Room and board including service charges (inpatient)
       
1.1 Non-intensive care room (maximum payable per day) 4,000 5,000 6,000 7,000
1.2 Intensive Care Unit (ICU) Maximum not more than 15 days 8,000 10,000 12,000 14,000
Section 2
Hospital medical expenses for diagnostic and therapeutic procedures, blood and blood components, nursing service, medicines, and parenteral nutrition, and medical supplies
       
2.1 Hospital medical expenses for diagnostic procedures

 

 

Paid in full(2)

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) for taking home Maximum not more than 14 days
Section 3
Medical practitioners’ fees, maximum payable
Paid in full(2)
Section 4
Fees for surgery and medical procedures
       
4.1 Operating theater and procedure room



Paid in full(2)
4.2 Medicines, parenteral nutrition, medical supplies, surgery and procedure equipment
4.3 Surgeons' fees including fees for surgical assistants
4.4 Anesthesiologists’ fees
4.5 Organ transplantation
Section 5
Day Surgery
Paid in full(2)
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
       
6.1 Hospital medical expenses for diagnostic procedures relating to the condition diagnosed within 30 days before and after hospitalization


Paid in full(2)
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 the incident


Paid in full(2)
Section 8
Rehabilitation post hospitalization


Paid in full(2)
Section 9
Hospital medical expenses for treatment of chronic kidney disease by hemodialysis

25,000

25,000

50,000

50,000
Section 10
Medical expenses for treatment of tumor or cancer by radiation therapy, interventional radiology, nuclear medicine therapy



375,000



750,000



1,500,000



2,500,000
Section 11
Medical expenses for treatment of cancer by chemotherapy
Section 12
Emergency ambulance services, maximum payable (per trip)
2,000
Section 13
Minor surgical expenses


Paid in full(2)
3. Additional Benefits        
Personal Accident (Or.Bor.2)(3) 100,000

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The Insuring Agreement for Outpatient Medical Treatment, per visit (maximum benefit 1 visit per day, 30 visits per year)
OPD 1,000 1,000 Baht/day
OPD 1,500 1,500 Baht/day
OPD 2,000 2,000 Baht/day
OPD 2,500 2,500 Baht/day

(1) For insured members who are under 11 years of age will have a copayment 30 % of the expenses for coverage in section 1-13 according to the benefit table.

(2) Full cover, not over maximum coverage per year.

(3) Applicable to the Insuring Agreement for Personal Accident, Death, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Disability Benefits (Or.Bor.2). 50% coverage in case of motorcycle accident.

1) Age of insured

 - Plans 1, 2 and 3 are insured from the age of 11 years and up

 - Plan 4 is insured from 15 days of age - 65 years of age

2) 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.

3) Applicants under 20 years old must apply for policy together with parent(s).

4) Term of health insurance. Yearly Basis.

5) 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 THB 30 million. The maximum payable for personal accident insurance will be THB 1 million across all Allianz Ayudhya policies.

6) Acceptance is subject to underwriting assessment.

  1. Chronic diseases, injury or sickness (including complications), symptoms or abnormalities that were present before insurance start (Pre-existing Condition)
  2. Medical expenses incurred
    - Within 30 days from effective date for any illness or
    - Within 120 days from effective date for the following illnesses: tumors, cysts, or all types of cancer, hemorrhoids, all types of hernias, pterygium or cataracts, tonsillectomy or adenoids, all types of stones, varicose veins in the legs. and endometriosis, excluding emergency surgery that is not due to conditions related to various diseases which was before insurance start (Pre-existing Condition)
  3. Not covered medical treatment occurring abroad
  • Can be used for income tax deduction rights according to the rules of the Revenue Department.
  • Outpatient benefits (maximum 1 visit per day, and not exceed 30 visits per year)
  1. This document is not part of the insurance policy.
  2. The applicant is advised to always study detail of coverage, condition and exclusion carefully before making decision to buy insurance.
  3. It is the responsibility of the Insured to make premium payments. Insurance agencies and brokers only facilitate for the service.
  4. Underwritten by Allianz Ayudhya General Insurance Public Company Limited
  5. This insurance plan provides coverage for medical treatment occurring in Thailand only.