HIGHLIGHT
New health insurance concept that you can design your own coverage package.
Show care card for medical treatment without advance payment for medical expenses at our network hospitals
COVERAGES/BENEFITS
| Coverage |
Plan A (Baht) |
Plan B (Baht) |
Plan C (Baht) |
| Base Plan | |||
| 1. INPATIENT HOSPITALISATION (IPD) of injury or illness | |||
| Maximum Benefit for Inpatient Hospitalization of injury or illness per policy year | 100,000 | 200,000 | 300,000 |
| Maximum Benefit for Inpatient Hospitalization of injury or illness per disability | 15,000 | 30,000 | 50,000 |
| 1.1 Daily Room & Board and Nursing service fee | |||
| - Standard Room and Board (per day) | 2,000 | 3,000 | 4,000 |
|
- ICU/CCU Room and Board (per day) (Maximum benefits for Standard room, ICU/CCU would not exceeding 365 days per any injury or illness) |
4,000 | 6,000 | 8,000 |
| 1.2 Hospital General Expenses | |||
| - Hospital General Expenses (Including follow up 30 days) | As charged | ||
| - Emergency out-patient treatment within 24 hour after accident, include follow up treatment with in 15 days after treatment date | 4,000 | 6,000 | 8,000 |
| - Ambulance Service fee | As charged | ||
| 1.3 Surgical Procedure fees | |||
| - Surgeon's fee (Actual expense) | As charged | ||
| - Specialist's consultation fees for surgical case | As charged | ||
| 1.4 Doctor Visit fees or Specialist Physician consultation fees | |||
| - Physician's fee 1 visit per day (Maximum 365 days) | As charged | ||
| - Specialist Physician Consultation fees but not limited to surgical recommendation | As charged | ||
| 2. Personal Accident | |||
| Loss of Life, Dismemberment, Loss of sight or permanent disability from accident. Extended to riding on or travelling by motorcycle. | 100,000 | ||
| Optional Plan : OUT-PATIENT HOSPITALISATION (OPD) of injury or illness. | |||
| 3. OUT-PATIENT HOSPITALISATION (OPD) | 1,000 | 1,500 | 2,000 |
| (Maximum 1 visit per day, limit 30 visits per year) | |||
| Optional Plan : Benefit for daily hospitalization due to accident | |||
| 4. Benefit for daily hospitalization due to accident | 1,000 per day (Maximum 365 Days) | ||
| Optional Plan : Benefit for Critical Illness | |||
| 5. The critical illness, which has been diagnosed for the first time by the physician and acceptable to the company. Invasive Cancer, Acute Heart Attack, Major Stroke, Chronic Kidney Failure, Coma, Major Organ Transparentation or Bone Marrow Transparentation, Coronary Artery By-pass Surgery, Chronic Liver Disease / End-Stage Liver Disease / Liver Failure, Severe Chronic Obstructive Pulmonary Disease / End-Stage Lung Disease, Total and Permanent Disability - TPD | 100,000 | ||
|
Plan A (Baht) |
Plan B (Baht) |
Plan C (Baht) |
| Base Plan | ||
| 1. INPATIENT HOSPITALISATION (IPD) of injury or illness | ||
| Maximum Benefit for Inpatient Hospitalization of injury or illness per policy year | ||
| 100,000 | 200,000 | 300,000 |
| Maximum Benefit for Inpatient Hospitalization of injury or illness per disability | ||
| 15,000 | 30,000 | 50,000 |
| 1.1 Daily Room & Board and Nursing service fee | ||
| - Standard Room and Board (per day) | ||
| 2,000 | 3,000 | 4,000 |
|
- ICU/CCU Room and Board (per day) (Maximum benefits for Standard room, ICU/CCU would not exceeding 365 days per any injury or illness) |
||
| 4,000 | 6,000 | 8,000 |
| 1.2 Hospital General Expenses | ||
| - Hospital General Expenses (Including follow up 30 days) | ||
| As charged | ||
| - Emergency out-patient treatment within 24 hour after accident, include follow up treatment with in 15 days after treatment date | ||
| 4,000 | 6,000 | 8,000 |
| - Ambulance Service fee | ||
| As charged | ||
| 1.3 Surgical Procedure fees | ||
| - Surgeon's fee (Actual expense) | ||
| As charged | ||
| - Specialist's consultation fees for surgical case | ||
| As charged | ||
| 1.4 Doctor Visit fees or Specialist Physician consultation fees | ||
| - Physician's fee 1 visit per day (Maximum 365 days) | ||
| As charged | ||
| - Specialist Physician Consultation fees but not limited to surgical recommendation | ||
| As charged | ||
| 2. Personal Accident | ||
| Loss of Life, Dismemberment, Loss of sight or permanent disability from accident. Extended to riding on or travelling by motorcycle. | ||
| 100,000 | ||
| Optional Plan : OUT-PATIENT HOSPITALISATION (OPD) of injury or illness. | ||
| 3. OUT-PATIENT HOSPITALISATION (OPD) | ||
| 1,000 | 1,500 | 2,000 |
| (Maximum 1 visit per day, limit 30 visits per year) | ||
| Optional Plan : Benefit for daily hospitalization due to accident | ||
| 4. Benefit for daily hospitalization due to accident | ||
| 1,000 per day (Maximum 365 Days) | ||
| Optional Plan : Benefit for Critical Illness | ||
| 5. The critical illness, which has been diagnosed for the first time by the physician and acceptable to the company. Invasive Cancer, Acute Heart Attack, Major Stroke, Chronic Kidney Failure, Coma, Major Organ Transparentation or Bone Marrow Transparentation, Coronary Artery By-pass Surgery, Chronic Liver Disease / End-Stage Liver Disease / Liver Failure, Severe Chronic Obstructive Pulmonary Disease / End-Stage Lung Disease, Total and Permanent Disability - TPD | ||
| 100,000 | ||
Note
- This insured must age between 15 - 70 year old with healthy and not any disability or mental disorder on the effective date of policy and renew up to 80 year old.
- Premium rate subject to insured age and coverage plan. Please proceed for more information
- This policy does not cover injury / chronic disease which occur before effective date of policy and still not recover on the first effective date unnecessary medical treatment.
- This insurance policy is not covered any illness that occur within 30 days (Waiting Period) since first effective.
- This insurance policy is not covered illness as following : All Tumour or Cysts, Cholesystistic, Hemorrhoids, Hemias, Cataract, Tonsil or Adenoid and Calculus, Varicose vain and Endomentriosis which occur within 120 days (Waiting Period) after first effective date of policy.
- The benefit of critical illness under this insurance policy is not covered the case of critical illness occur within 120 days (Waiting Period) after first effective date In case, the receiving of benefits is discontinued from the first time, the period of 120 days will be counted from the last date of the critical illness benefit.
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If the insured was inpatient in hospital more than 2 times with same disease the condition will be as following :
- In case of treatments will be counted as the same disability if such treatment occur within 90 days after the same disability , that treatment will be count as same benefit.
- In case of treatments will be counted as the new disability if such treatment occur over 90 days after the same disability , that treatment will be count as new benefit.
- Medical treatment for emergency accident basis within 24 hours after the accident and include continuting treatment within 15 days after receive the first treatment but not exceed actual expense or maximumlimit of coverage.
- Company reserves the right to adjust the premium for renewal policy, the reneal premium is consider from age of insures and claim experience.
- The benefit and coverage are subject to term & condition of policy.
Remarks
- The Bank is only the insurance broker accommodating request for policy’s application.
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Dhipaya Insurance Public Company limited is responsible insurer
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- The buyer should thoroughly study the details of coverage, terms and conditions before purchasing.
- The benefits and coverages and the exclusions are according to the conditions specified in policy, please study more in the policy.
- Krungthai Bank Public Company limited as the brokerage firm with license no. ว00009/2548
