- Emergency medical assistance for up to USD 1,000,000***
- Optional outpatient care (OPD) coverage
- Extensive cashless medical network of over 490 hospitals and clinics nationwide****
- Obtain unlimited health and well-being advice from qualified doctors via telemedicine service***/*****
Health Insurance
Superior Health Plan
Provide you and your family a peace of mind
with fully protection of all medical treatment
with the maximum of THB 10M
Highlights
medical expenses*
insurance plan
purchase at least 2 family members
Special privileges
Remarks :
* Full cover, not over maximum coverage. Subject to the insurance policy’s terms and conditions.
** 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. Subject to the insurance policy’s terms and conditions.
*** The company reserves the right to change the terms of service without prior notice. You can study more details in the service guidance document. This service is an additional benefit, not part of the insurance policy.
**** You may be asked to disburse in case of investigating your pre-existing conditions by Allianz Ayudhya.
***** Available only for telemedicine providers within the company's network. To use the service, please contact 0 2677 0999
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 | Plan 1 | Plan 2 | Plan 3 | |
Maximum benefit for an injury or sickness per confinement* | 2,000,000 | 5,000,000 | 10,000,000 | |
1. Benefits for Inpatient Care | ||||
Section 1 | Room and board including service charges (inpatient) per confinement* | |||
Non-intensive care room, maximum payable per day | 6,000 | 9,000 | 12,000 | |
Intensive Care Unit (ICU), maximum payable per day (with a maximum limit of 15 days) | 12,000 | 18,000 | 24,000 | |
Section 2 | Hospital medical expenses for diagnostic and therapeutic procedures, blood and blood components, nursing service, medicines, and parenteral nutrition, and medical supplies per confinement* | |||
2.1 | Hospital medical expenses for diagnostic procedures | Paid in full**except for specialist’s consultation fee in case of non-surgery, not exceeding THB 20,000 | Paid in full**except for specialist’s consultation fee in case of non-surgery, not exceeding THB 50,000 | Paid in full**except for specialist’s consultation fee in case of non-surgery, not exceeding THB 100,000 |
2.2 | Hospital medical expenses for therapeutic procedures, blood and blood components, and nursing service |
Paid in full** |
||
2.3 | Medicines and parenteral nutrition, and medical supplies | |||
2.4 | Home medications and medical supplies 1 | |||
Section 3 | Medical practitioners’ fees per confinement* | |||
Section 4 | Fees for surgery and medical procedures per confinement* | |||
4.1 | Operating theater and procedure room |
Paid in full** |
||
4.2 | ค่Medicines, parenteral nutrition, medical supplies, surgery and procedure equipment | |||
4.3 | Surgeons’ fees including fees for surgical assistants | Paid in full**except for specialist’s consultation fee in case of surgery, not exceeding THB 20,000 | Paid in full**except for specialist’s consultation fee in case of surgery, not exceeding THB 50,000 | Paid in full**except for specialist’s consultation fee in case of surgery, not exceeding THB 100,000 |
4.4 | Anesthesiologists’ fees | Paid in full** | ||
4.5 | Organ transplantation | 2,000,000 | 5,000,000 | 10,000,000 |
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 confinement* | |||
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 | 20,000 | 50,000 | 100,000 |
Section 8 | Rehabilitation post hospitalization per confinement* | Paid in full** | ||
Section 9 | Hospital medical expenses for treatment of chronic kidney disease by hemodialysis per policy year | 100,000 | ||
Section 10 | Medical expenses for treatment of tumor or cancer by radiation therapy, interventional radiology, nuclear medicine therapy per policy year |
1,000,000 |
2,500,000 |
5,000,000 |
Section 11 | Medical expenses for treatment of cancer by chemotherapy per policy year | |||
Section 12 | Emergency ambulance services, maximum payable per trip | 20,000 | 50,000 | 100,000 |
Section 13 | Minor surgical expenses | Paid in full** | ||
3. Additional Benefits | ||||
1 | Personal Accident (Or.Bor.2)*** | 100,000 |
Optional Benefits
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Benefits for Outpatient Care | |
Outpatient benefits, maximum payable per year |
30,000 |
50,000 |
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Deductible options**** | |
Deductible options per confinement* |
30,000 |
50,000 | |
100,000 | |
200,000 |
* Per confinement means 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 center, at any time. The confinements for 2 times or more due to the same causes, disease or complication, with intervals of not more than 90 days from the most recent discharge from a hospital or medical center shall be considered a single confinement.
** Full cover, not over maximum coverage of each plan.
*** Personal Accident (Or.Bor.2) means death, dismemberment, loss of sight, loss of hearing, loss of speech or permanent disability from accident. 50% coverage in case of motorcycle accident.
**** Deductible is applicable to an inclusion of inpatient coverage (all 13 Sections). It excludes Outpatient Care and Personal Accident (Or.Bor.2) coverage.
Remark This insurance provides worldwide coverage, except for the medical expenses incurred in the United States, however Allianz Ayudhya will pay the benefits under this insurance only for the injuries arising from accidents occurring to the covered person during their stay in the United States. This is except for medical expenses for organ transplantation and treatments of chronic kidney disease by hemodialysis under Benefits for Inpatient Care and Benefits for Non-Inpatient Care, will be provided in Thailand only.
- 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. Subject to the insurance policy’s terms and conditions.
- Applicants under 10 years old must apply policy together with parent(s).
- 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 Health Insurance: Yearly Basis
- Acceptance is subject to underwriting assessment.
- Chronic diseases, injury or sickness (including complications), conditions or abnormalities that have occurred before entering into the insurance contract (Pre-existing Condition).
- Medical expenses incurred for
- sickness that occurs within first 30 days from the effective date of the insurance policy or
- sickness that occurs within 120 days of policy in the case of Tumors, Cysts or Cancer, Hemorrhoids, Hernias, Pterygium or
Cataracts, Tonsillectomy or Adenoid Excision, Stones, Varicose veins on leg, and Endometriosis.
Except for an emergency surgery that is not caused by a continual condition of a pre-existing disease.
- This document is not part of the insurance policy.
- 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.
- 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/sanctions