Coverage |
Sum Insured |
1 STAR |
2 STAR |
3 STAR |
4 STAR |
5 STAR |
6 STAR |
1. Maximum Payable - Inpatient benefit per disability |
- Overall maximum inpatient benefit payable per disability |
150,000 |
400,000 |
600,000 |
1,000,000 |
2,000,000 |
8,000,000 |
2. Inpatient Treatment |
- Room and board including nursing & service charges (Max per day) |
1,000 |
3,000 |
5,000 |
7,000 |
11,000 |
12,000 |
- ICU room and board including nursing and service charges (Max per day) |
2,000 |
5,000 |
10,000 |
100% |
100% |
100% |
3. Hospital General Expenses |
- Hospital general expenses including drugs , dressings , X-ray , laboratory tests , physical therapy & use of operating theater & Emergency treatment ( Max per disability ) Incl. follow-up OPD treatments up to max 30 days after discharge
|
12,000 |
40,000 |
70,000 |
100% |
100% |
100% |
- Emergency OPD Treatment - within 24 hours of accident (Included in hosp. gen exp. ) Incl. follow-up OPD treatments up to max 15 days after incident
|
5,000 |
7,000 |
10,000 |
100% |
100% |
100% |
Ambulance Transport Medically necessary & reasonable road ambulance transport to the nearest place of adequate treatment (Included in hosp. gen exp.)
|
- Organ Transplant per year #
|
30,000 |
80,000 |
120,000 |
200,000 |
400,000 |
1,000,000 |
- Kidney Dialysis per year #
|
30,000 |
80,000 |
120,000 |
200,000 |
400,000 |
1,000,000 |
4. Surgical fee per disability (Including surgeon's consultations)
|
- Surgical fee per disability (Including surgeon's consultations)
|
20,000 |
50,000 |
80,000 |
100% |
100% |
100% |
5. Cost for a physician |
- In-patient physician's fees for doctor visits (max.1 visit per day)
|
500 |
700 |
1,000 |
100% |
100% |
100% |
- Specialist's consultation fee per disability
|
2,000 |
4,000 |
6,000 |
10,000 |
12,000 |
100% |
6. Coverage Area
|
- Cover outside Thailand up to max. 30 days per trip, on reimbursement basis
|
Global, but outside Thailand accidents Only
|
Global coverage for illness and accident, except for USA/Canada, where cover is for accidents only
|
- Cover outside Thailand up to max. 30 days per trip, on reimbursement basis
|
7. Emergency Medical Assistance in Thailand
|
- Evacuation , repatriation and repatriation of mortal remains within Thailand (limit per year)
|
500,000 |
100% up to total IPD limit |
- Expanded Emergency Medical Assistance Cover World-Wide
|
Not Covered |
Covered |
8. Preventive Healthcare, Dental check-ups / clean ups, on reimbursement basis
|
- One general check up annually
|
300 |
600 |
800 |
2,000 |
4,000 |
8,000 |
- Screening (max. 2 times per year), i.e. the assessment of diseased, missing and filled teeth, including x-rays where necessary, preventive scaling, polishing, and sealing (max. 2 times per year), fillings (standard amalgam or composite fillings only), extractions and root canal treatment |
9. Personal Accident |
- Personal Accident (Orbor 2) - Lump Sum payment in the event of death or dismemberment including driving and being passenger on motorcycle
|
100,000 |
200,000 |
200,000 |
200,000 |
500,000 |
500,000 |
10. Rooming in
|
- Daily coverage for one parent to stay (excl. food/drinks) with a child who is the insured at the hospital during the child's inpatient (under the age of 16)
|
500 |
800 |
1,000 |
11. Star Cash plan benefit for treament received for which no benefits have been claimed from Star Health Plan
|
- Amount payable per day of in-patient treatment (Max. 30 days) |
500 |
1,000 |
1,000 |
1,000 |
1,500 |
2,000 |
12. Add on Out patient Cover |
Cover Max. per time, 30 times per year |
Unlimited times, Max. per year
|
- Out patient "Standard" |
400 |
600 |
1,000 |
1,500 |
40,000 |
50,000 |
- Out patient "Deluxe"
|
600 |
1,000 |
1,500 |
2,000 |
60,000 |
75,000 |
*Covers the cost of major organ transplant of the life assured, as the recipient of the organ harvested and not the living donor
*Family Discount 10% (min. 3 people joining same time)
*No Claim Discount up to 15% (see No Claim Discount clause for details)
|