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Features & Benefits

Easy To Apply Extended Coverage
Easy To Apply
Extended Coverage

Eligibility & Requirements

  • Age: 18 – 65 years old (renewal up to 70 years old)
  • Good health condition with no chronic diseases or Self-perceived symptoms that has not been treated on the submission date
  • Maximum 1 policy per insured
  • If the insured is found unqualified, Company will cancel the policy and return the full amount of premium paid to the insured
  • SIO policy type that requires answer health questions

Benefit & Coverage Details

Coverage Benefits ( THB )
S M L Gold Platinum
1.In-Patient hospitalized benefit per time (1)

50,000

300,000

500,000

1,000,000

5,000,000

   1.1) General room, board, nursing service fee (Not including specialist treatment fees), maximum amount per day, not over 30 days per incident

1,000

3,000

5,000

10,000

20,000

   1.2) ICU room rates, maximum amount per day, not over 15 days and the total treatment day not over 30 days per incident

2,000

6,000

10,000

20,000

40,000

   1.3) General medical expenses (medicine, medical supplies)

 

Actual amount

Actual amount

Actual amount

Actual amount

Actual amount

   1.4) Surgical and Operative fees

Actual amount

Actual amount

Actual amount

Actual amount

Actual amount

    1.5) Anesthesiologist fees

Actual amount

Actual amount

Actual amount

Actual amount

Actual amount

   1.6) Doctor's visit fee or special medical consultation fee

Actual amount

Actual amount

Actual amount

Actual amount

Actual amount

   1.7) Emergency ambulance service fee (maximum one time per day per injury or illness)

5,000

5,000

5,000

5,000

5,000

Total benefits under 1.1. – 1.7 will not over maximum benefit amount per injury or sickness benefit.    
2.Medical expenses for emergency injuries due to injuries within 24 hours after the accident          
2.1 Outpatient emergency medical expenses as actually amount per injury and not over.

 

10,000

 

60,000

 

100,000

 

200,000

 

1,000,000

Remark: Limit medication expense due to medical needs for actual amount but not over 5,000 THB per injury or illness at any time

(1) Recovering from one time injury or illness means treatment as in-patient who is admitted to hospital or medical facility two or more times with causes or diseases from the same injury or illness by the period that stay in each hospital or medical facility is not over 90 days from the last treatment. And for outpatients not more than 14 days since the last treatment will count as same incident. 

 Waiting Period  

Company will not pay benefits under this insurance policy for any illness that occurs during the 30 days after the policy becomes effective for the first time as specified in the policy schedule. Company will not pay benefits under this insurance policy in a period of 120 days after the first policy effective for illness as follows : tumors, cysts, or all types of cancer. • Hemorrhoids • All types of hernia • Pterygium or cataract • tonsils or adenoids • All types of gallstones • Varicose veins on the legs • Endometriosis .  

Exceptions to the coverage under the policy contract

 

The following information is only a partial list of all exceptions. The insured applicant should study additional information and examine the policy waiver or Additional contracts which related. 

  • Non-disclosure of the truth Or make a false statement in the application for insurance may cause the company to refuse to pay compensation.
  • Pre-existing Condition
  • General health check up or request for admission to a hospital or medical facility
  • Diseases caused by symptoms of HIV infection or AIDS condition  

Remarks

 

  1. CIMB Thai Health Care is the marketing name. The product policy name of this insurance is "Personal Accident and Health Insurance SOMPO ENJOY“.
  2. CIMB Thai Health CARE is an insurance product, not a saving product.
  3. Premium payment is the duty of the insured. The non-life insurance broker is only service provide for premium collection. Please study more information from the Insured's Handbook.
  4. Insurance coverage and benefits payment are specified in the insurance policy of Sompo Insurance (Thailand) PCL. “(Company)”
  5. Health insurance premium up to 15,000 baht is eligible for tax-deductible for actual amount paid but not exceeding 100,000 baht per year(According to the revenue department director’s announcement No. 315)
  6. Insurance policy term is one year. The policy is renewable according to the policy terms and condition.
  7. Payment methods for applying new and renewal insurance are as follows: cash, check, debit via bank account, credit card.
  8. The sample premium might different  from actual premium according to applicant’s coverage plan. Which follow to company procedures.
  9. Premiums for the renewal year are subject to change according to the Company's procedures.
  10.  The information on this website is only preliminary for sales purposes only. Customers should study on detailed coverage, terms, conditions,exclusions and benefits from the insurance policy.
  11. Customers should thoroughly understand the terms and conditions of policy before deciding to apply for the insurance.
  12. CIMB Thai Bank Public Company Limited is non-life insurance broker as service provider to facilitate the premium payment. Sompo Insurance  (Thailand) PCL. is insurer responsible for coverage conditions and benefits as specified in the insurance policy.
  13. If there are any issue or question, please contact Sompo Insurance (Thailand) PCL. Customer Relations Center 02-119-3000. (Monday - Friday  08:30 - 17:00)