ลองสเตย์ วีซ่า

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Approved by Thailand Immigration
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Entry Age up to 75 years
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Renewability to age 99 years
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Pre-existing health conditions can be considered
BENEFITS Platinum 1 Platinum 2 Platinum 3
Maximum Limit per Disability per Policy year 420,500 508,000 645,500
Inpatient Benefits
Room and Board, Nursing Charge, Other Medical Charge
(Maximum limit per day, 45 days per disability)
3,000 4,000 5,000
Intensive Care Unit and Coronary Care Unit
(Maximum limit per day, 15 days per disability)
6,000 8,000 10,000
Operating Theatre Included in Hospital Expenses
Surgical’s Fee Including Pre-Surgical Assessment and Normal
Post-Surgical Care (Actual Expenses)
100,000 100,000 100,000
Organ Transplant’s Fee for Liver, Heart, Lung, Kidneys, Bone Marrow and
Kidney Dialysis Including Donor’s Costs (Maximum per disability)
Included in Surgical Fee
Anaesthetist’s Fee Included in Hospital Expenses
Private Nurse Fee recommended by physician immediate after hospitalization
(Up to 30 days)
10,000 10,000 10,000
Hospital Expenses : Diagnostic Laboratory Fee, X-rays, Prescribed
Medicines, Blood and Plasma, Wheel Chair Rentals, Surgical Appliances
50,000 50,000 100,000
Permanent implanted medical devices and artificial organs
(Please see remark no. 7)
Included in Hospital Expenses
Physician’s Daily Hospital Visit (Maximum limit per day, 45 days per disability) 1,500 2,000 2,500
Specialist’s consultation fee 6,000 8,000 10,000
Emergency OPD within 24 hours, maximum per accident 6,000 8,000 10,000
Emergency Local Ambulance Service Including equipment and staff fee 1,000 2,000 3,000
Outpatient Benefits Platinum 1 Platinum 2 Platinum 3
Maximum Limit per Policy year 45,000 60,000 75,000
Doctor Consultation, Medicines, X-ray, Laboratory tests, Outpatient Surgery,

Dressings, Chemotherapy, Radiation, and Alternative Treatment when

referred by attending physician (Maximum 1 visit per day/30 visits per year)

1,500 2,000 2,500
Allowable number of visits to Chiropractor, Acupuncturist, and

Physiotherapist permitted without first reference to an attending physician

(Maximum visit per year)

3 Visits/Year
Emergency Expenses
Emergency Assistance: 24 Hours a Day and 7 Days a Week Fully Indemnified
Emergency Medical Evacuation* Fully Indemnified
Other Benefits
Personal Accident Benefit: Covers loss of life, loss of one or both hands,

loss of vision in one or both eyes, or permanent and total disability

caused directly and solely by accident

100,000 150,000 200,000

 

 

Annual Premium (BAHT) – INCLUDES TAX and Stamp Duty
Age Group Platinum 1 Platinum 2 Platinum 3
6-10 28,228 34,001 45,296
11-15 21,426 25,768 34,628
16-20 19,041 23,057 30,587
21-25 17,601 21,692 28,795
26-30 16,957 21,692 27,268
31-35 18,569 22,660 29,571
36-40 20,509 25,070 32,940
41-45 23,614 28,818 37,748
46-50 26,749 32,715 42,928
51-55 30,626 37,381 49,509
56-60 35,795 43,276 57,584
61-65 51,074 60,386 81,746
66-70 54,357 64,221 87,138
71-75 70,190 81,058 111,505

Long Stay Visa Platinum Plan

* Remarks

  • Applicant must be aged 6 – 75 years old.
  • If a claim is made by any insured or covered person under the Policy during a Policy year, any No Claim Discount achieved will be lost and the status of the discount will be as at 1st policy year shown above.
  • If a claim relating to the previous year is subsequently submitted and accepted, and a No Claim Discount has already been given, The Company reserves the right to deduct the equivalent monetary amount of the No Claim Discount from the value of the claim. Any No Claim Discount achieved will be lost and the status of the discount will be as at 1st policy.
  • Elective treatment for North America, Japan, HongKong, EU countries and Switzerland – This benefit is permitted only on a case by case basis with no guarantee of acceptance. In all others countries pre-approval of treatment is required.
  • The applicant must be Thai resident or reside in Thailand at least 6 months in 12 months period.
  • The emergency medical evacution service shall activate while the insured person travelling more than 150 kilometres away from home for less than 90 consecutive days.
  • The coverage of the permanent implanted medical devices and artificial organs are subject to 5 years waiting period.
  • The insured has the ability to continuously renew the policy up to age 99 years, premium and coverage may be adjusted following the claim experience, health condition, increasing age.
  • Information in this brochure is only preliminary information provided for the applicant to consider for applying for health insurance coverage from the company, all insuring conditions shall be referred to Definition, General Definition, General Exclusions, and Insuring Agreement of the health insurance policy of the company.