ประกันภัยสุขภาพจากไทยวิวัฒน์
Coverage Sum Insured
HLSV01 HLSV02 HLSV03
Overall maximum limit per year 400,000 600,000 800,000
IPD
Room & Board incl. nursing service
- Room and board including nursing & service charges (Max per day) 4,000 6,000 8,000
- ICU room and board including nursing and service charges (Max per day) 8,000 12,000 16,000
Hospital general expenses / Disability
- Hospital general expenses / Disability, Incl. follow-up OPD treatments up to max 30 days after discharge Actual Cost
- Emergency OPD treatment for Accident, incl. follow up treatments up to max 15 days
Surgical fee per disability
- Surgical fee per disability (Including surgeon's consultations) Actual Cost
In Patient Physicain's fee for doctor visits
- In-patient Physician's fees for doctor visits (Max 1 visit per day) Actual Cost
Personal Accident
- Lump Sum payment in the event of death or dismemberment including murder, assault, driving and being passenger on motorcycle 100,000 100,000 100,000
Additional Cover
- Out patient Cover Max 1 Visit per day 2,000
3,000
4,000
- Transportation Cost for IPD case only (Max 30 times per year) 1,000 1,000 1,000
Age Annual Premium Incl. SBT & Stamp Duty
HLSV01 HLSV02 HLSV03
15 Days - 5 Years 36,000 60,200 100,600
6 - 10 Years 21,000 35,100 58,600
11 - 20 Years 17,000 28,400 47,400
21 - 35 Years 29,000 46,400 74,200
36 - 40 Years 29,000 46,400 74,200
41 - 50 Years 36,000 57,600 92,200
51 - 60 Years 46,000 73,600 117,800
61 - 70 Years 59,000 88,500
71 - 75 Years 81,000
76 -100 Years (Renewal Only) 120,000

Remarks :

  1. Eligibility requirements for the Thaivivat Health Insurance for Long Stay Visa Plans:
    1. 1.1 Nationality:
      Japan Australia Denmark Finland
      France Germany Italy The Netherlands
      Norway Sweden Switzerland United Kingdom (incl. Northern Ireland)
      Canada United States of America
    2. 1.2 Main applicant must be between 50 - 75 years of age at first entry, and can then renew for life.
    3. 1.3 Applicant's dependents can be aged 15 days - 75 years of age at first entry, and can renew as long as main applicant renews.
  2. This insurance will not pay the benefits for any sickness during the first 30 days from the first policy commencement date.
  3. This Insurance will not pay any benefits during the first 120 days from the first policy commencement date for the following diseases:
    1. 3.1 Benign or malignant tumor or cancer or cystic mass
    2. 3.2 Hemorrhoids
    3. 3.3 Hernias
    4. 3.4 Pterygium, pinguecula, cataract
    5. 3.5 Tonsillectomy or adenoidectomy
    6. 3.6 Stones
    7. 3.7 Varicose Veins
    8. 3.8 Endometriosis
  4. Pre-existing condition(s), chronic disease(s) or /and HIV, AIDS are not covered under this policy, unless pre-existing/chronic condition has been explicitly accepted in writing at time of application.
  5. Applicant must send the filled out and signed health application form together with a copy of passport for the company's consideration, and premium must be paid before coverage can commence.
  6. The English language used in this table of benefits is merely a translation of the Thai Version.
  7. Other terms, conditions and exclusions subject to the original Health and Personal Accident Insurance Policy wordings.
For more information, please contact:
Thaivivat Insurance PCL.
Thaivivat Insurance Building, 71 Din Daeng Road, Samsen Nai, Phaya Thai, Bangkok 10400
Telephone: +662-695-0800 or 1231 Ext.4901 Fax. +662-695-0808
Email: dutsadee_wan@thaivivat.co.th
ประกันภัยสุขภาพจากไทยวิวัฒน์