| Coverage |
Benefit Amount (Baht) |
|---|
| S |
M |
L |
Gold |
Platinum |
|---|
| Inpatient benefits |
|
|
|
|
|
| Maximum In-patient coverage per confinement |
50,000 |
300,000 |
500,000
|
1,000,000
|
5,000,000
|
| Category1. Hospital daily room and board including hospital service charges (In-patient) per confinement (1) |
1,000
2,000
|
3,000
6,000
|
5,000
10,000
|
10,000
20,000
|
20,000
40,000
|
- Charges for room accommodation, meals and general hospital service charges incurred during confinement maximum
30 days
- Charges of Intensive Care Unit would be covered double amount of Daily room and board including hospital service
charges (In-patient) benefit maximum 15 days, but not exceeding 30 days for total hospitalization
|
Category2. Hospital general expenses for medical diagnostic and treatment, costs of blood transfusion and its components, nursing services, costs of drugs and intravenous feeding, and costs of medical supplies per confinement
|
As charged but not exceed maximum coverage per confinement |
2.1 Hospital general expenses for medical diagnostic
|
2.2 Hospital general expenses for medical treatment, costs of blood transfusion and its components, including nursing
services fees
|
2.3 Costs of drugs and intravenous feeding, including medical supplies
|
2.4 Costs of take home drugs and medical supplies I prescribed by physician
|
Category3. In-Hospital attending Physician's visit in connection with the treatment
|
Category4. Surgical hospital expenses and Surgeon's fees per confinement
|
4.1 Costs of operating room
|
4.2 Costs of drugs and intravenous feeding, medical supplies, including operating equipments
|
4.3 Surgeon's fees (including physician assistant)
|
4.4 Anesthesiologist
|
4.5 Medical expenses for organ transplantation
|
50,000
|
50,000
|
50,000
|
50,000
|
50,000
|
| Inpatient benefits |
|
|
|
|
|
Category5. Day Surgery - Major operation which not required hospitalization (Surgeon's fee only)
|
As charged but not exceed maximum coverage per confinement |
Category6. Pre and Post Hospitalization per confinement
|
6.1 Pre and Post Hospitalization Diagnostic Services - Charges related to the diagnostic procedures as recommended by a physician within 30 days before and after inpatient treatment
|
6.2 Post Hospitalization Treatment - Costs of outpatient treatment incurred in follow up within 30 days after discharge from hospital (excluding hospital general expenses for medical diagnostic)
|
Category7. Costs of outpatient emergency treatment due to injury within 24 hours of each accident
|
10,000
|
60,000
|
100,000
|
200,000
|
1,000,000
|
Category8. Medical expenses for Rehabilitation given after hospitalization per confinement
|
As charged but not exceed maximum coverage per confinement |
Category9. Medical expenses for treatment of Chronic kidney failure by Hemodialysis per policy year
|
50,000
|
50,000
|
50,000
|
50,000
|
50,000
|
| Category10. Medical expenses for tumor or cancer treatment using Radiotherapy, Interventionradiology, Nuclear medicine per policy year |
As charged but not exceed maximum coverage per confinement |
Category11. Medical expenses for cancer treatment using Chemotherapy including Targeted Therapy per policy year
|
Category12. Costs of ambulance for medical emergency
|
5,000
|
5,000
|
5,000
|
5,000
|
5,000
|
Category13. Medical expenses for minor surgery
|
As charged but not exceed maximum coverage per confinement |
