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Insurance for the long-term stay in Samui

 

Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui
Insurance for the long-term stay in Samui

For those who have decided to spend the whole summer or winter on Koh Samui, while the children are on the school holidays, the usual traveler's insurance (travel insurance) is still suitable. Because, as a rule, this type of insurance has a limit on terms of a one-time residence abroad - usually up to 90 days. This is just enough time for the summer vacation. Or calendar winter.

In recent years, some insurance companies have created products that allow you to make insurance for up to 365 days. You choose to purchase any term that you need, the amount of coverage and a list of countries.
However, there might be noted that the insurance will take effect only from the start of the trip, that is - the crossing of the border (and if you're already outside, then what?).

Or it will state that if the insurance contract for a period of one year, provides multiple trips Insured abroad, the coverage applies only to the first 90 days of each trip, unless otherwise provided in the contract of insurance. This option is ideal for those planning to make the monthly Border Runs, and even those who will be staying here on a tourist visa, but it will not do, if you are planning to stay in Thailand for a long time, in case you have a student, working or retirement visa . Yes, some insurance companies may not pay attention to these terms, but some may ask you to send them a scan of all the pages of your passport. And be assured that if the insurance amount is high enough that the insurance company decides to save some money on you, they will find what to complain about, and of course, will include the terms

Alternatively, you can use the travel insurance that is accepted around the world, each featuring foreign insurance companies. A little more about such insurance I told at the end of this article (insurance for travelers). But those are not a panacea, because there are possible nuances, and one should also scrutinize the terms and conditions, which may be limitations on the duration of a trip, and on the total period of stay outside the permanent place of residence.

If you intend to stay in Thailand, and only in Thailand, no more than six months in a row - you can get yourself Bupa SunShine insurance - http://www.bupa.co.th/en/individuals/health-insurance/individual/detail.aspx?iid=5

The advantages of this insurance:
- Coverage for one claim - up to 1 million baht (it's a little more than 30 thousand dollars), and coverage limits can be optional (maximum possible cost of the room, the treatment, surgery, etc.) Patient can be treated in Bangkok Hospital Samui the insurance company is working with;
- Covers treatment of injuries sustained while driving motorbike (with the exception of powerful sport motorcycles - that is considered dangerous sports).

cons:
- The age of the insured - from 18 to 70 years old;
- Visits to the doctor are not covered, only the hospitalization and treatment of the accident.
The other exceptions are standard for all tourists insurances: diagnosis and treatment of chronic diseases and anomalies, mental and venereal diseases; injuries sustained in an alcohol or drug intoxication, and in the process of attempting suicide, dental expenses, treatment of HIV and other , etc. - see Bupa website.

If the dates of your stay on Koh Samui in Thailand are close to a year, and probably will last on, then, it is reasonable to consider buying a local insurance to cover medical costs.

Lets have a look at the basic option, the concepts and nuances of the local long-term insurance

To protect against insurance fraud, all insurances will include two periods of stand-by: the first month and the first three or six months from the date of purchase of the original policy in a particular company.
If you change the insurance company (even within the same country, even if both policies were bought from one insurance agent - it does not matter), the new company will give you the same two  waiting periods when insurance is not going to work in full.
In the first month it will cover only accidents.
During the second waiting period starting from 31st day after the purchase it will cover all of the desease treatment and visits to a doctor, with the exception of chronic disease which course takes place gradually and does not require immediate attention. Each insurance company has a list of these diseases. For example, the list would include varicose veins and cholelithiasis.
At the end of the waiting period the treatment of these diseases will be covered.
So, if you decide to purchase a local annual insurance, then in the first month you will need some additional protection. Usual travel insurance will do fine.
Since the transition from one insurance company to another entails a new period of limitation of the insurance, it is better to make sure what kind of insurance you want. In addition, if the previous insurance company might take your word that there are no particular health problems that you might have, then the new company will likely ask for the history of your requests.
Maternity (pregnancy and childbirth)
The annual insurance option can include supporting of pregnancy and childbirth.
Nuance: at the time of signing of the insurance agreement with this option, pregnancy must still be scheduled ("waiting period" before the actual birth is usually no less than 280 days). Costs associated with miscarriage, are not carried out within the first 90 days from the date of purchase of the policy.
Personal accident (accidents)
Exactly the same as in the travelers insurance, in this case it refers to the payment for damages done to the body as a result of the accident. Medical expenses for treatment of injuries sustained in accidents have nothing to do with this optionand are covered regardless of whether you have included the option Personal accident to your insurance plan or not.
OPD (outpatient doctor visits)
This is an option that includes a package for a certain number of visits. The cost of one visit should be no higher than *** and comprehensive expence for the year - no more than *** (amounts in the policy).
Typically, the cost of this option is commensurate with the total coverage for visits throughout the year, so buying it is not profitable.
Standard or basic package usually includes only the cost of hospitalization.
This coverage is not entirely within the limits of the total insured sum, but is set according to the established limits, different for each category of expenditure.
Let us consider the main ones:
Room and board including nursing charge – the payment for staying in hospital (room and board), including the services of nurses. Some companies and some insurance plans might have this category divided into two parts: a separate charge for the room and separate charge for nurses care.
ICU room and board including nursing charge - payment for the intensive care unit, including nursing services and meals.
Hospital general expenses - hospital-wide costs, including medicines, clothes, surveys, physical therapy and more.
Surgical fee
Physician's fees for in-patient hospital visit.

In an ideal situation, each option should have full cost recovery, no matter how much you needed (Full cover), and then your only concern is to make sure that the total amount of bills did not go beyond the limits of the total sum insured.
In reality the cheaper the insurance, the lower the limits it has.
An example of a good insurance - Platinum Plan from Bupa http://www.bupa.co.th/en/individuals/health-insurance/individual/detail.aspx?iid=1 You can choose to cover one common treatment in 1, 2 or 5 million baht.
The cheaper plans, such as Personal Care from Bupa http://www.bupa.co.th/en/individuals/health-insurance/individual/detail.aspx?iid=2  will have lower limits.
On this particular insurance exceeding limits for the room, meals and nursing services are covered by the patient
That is, if your Room and board including nursing charge is stated around 3-4 or 5000 baht, you can be treated in Koh Samui or Tai Interneshnal Hospital without paying extra, or you can go to Bangkok Hospital Samui, and pay the difference (usualy several thousand baht per day) by yourself.

If you exceed the limits set out in the insurance for the physician visits, medication or surgery - 80% of the excess is paid by the insurance company, and 20% - by the patient.
But within the category limit.
Limit for surgery in these insurance plans is often calculated from the tables, where each organ (per operation) has the percentage of the total amount allocated to this cost category.

Example: If for the surgery in general, according to your health plan, there has been allocated 200,000 baht, and appendectomy would cost not more than 10% (all figures are conditional), then with the actual cost of the removal (surgeon work) 50,000 baht, the excess of the limit will be 30,000. Of these, 80%, or 24,000 baht, will be paid by the insurance company, and the remaining 20%, or 6,000 baht will be charged from the patient.

Overall, the annual medical insurance is not cheap, and the rates are highly dependent on the age of the insured, but there are options on how to save (for example in Bupa)

- When you make a family policy (no need to show any proof of marriage documents) - 10% discount
- When renewing the policy for the next year, after a year without any treatment, after 6 months you will be given a 10%
bonus from the amount paid in the current year.

In case of a too frequent and substantial use of insurance in the current year, the following year will include the raising factor. For example, if during the year the family spent 800-900 thousand baht, then the next year it will get all the same family discount of minus 10% and plus a fine of 25% (the maximum possible would be 35%).
Penalties increase in tariffs can be only one-time, once a year.

Besides Bupa, you can consider the option of buying insurance from a local Thai Health - http://www.thaihealth.co.th
Schemes are roughly the same as the general principle of "pay more - get more", but the ratio of "cost / coverage"  seem to be more profitable at Bupa.
The increase in the cost of insurance in the transition from one age group to another might not be the same in different insurance companies.

If you have a plastic card of the local Kasikorn Bank (and it can be issued in any office for 20 minutes, even if you moved to Thailand under an agreement on visa-free entry for 30 days), you can make any of their insurance packages. From the simplest, for 2500 baht per year, which covers only accidents, such as traffic accidents, including the motorbike, but with a rather low coverage limits (see terms and conditions on their website), to high-quality, covering even heart surgery, transplantation and treatment of cancer.
However, Bupa has a similar insurance that covers only accidents with a limit of 50 thousand baht medical expenses per accident (http://www.bupa.co.th/en/individuals/health-insurance/personal-accident/detail.aspx?iid=6), it will be exactly 2.5 times cheaper.
All variants of insurance from Kasikorn - see their website: http://www.kasikornbank.com/EN/Personal/Insurance/Pages/Insurance.aspx
Also the "free bonus" to their K-max bank card would be the accident insurance with a very very symbolic level of coverage. You pay only for the issuing and maintenance of a credit card. Read more here - http://www.kasikornbank.com/EN/Personal/Debit/Pages/KMaxDebit.aspx
Local residents (citizens of Thailand), as well as those who have lived here a long time (and plan to live for a very long time), have their legal business, have a work permit, use banking services, etc. - often buy insurance products from of Muang Thai (office is located opposite Tesco, Chaweng, on the ring road; http://www.muangthai.co.th and http://www.muangthaiinsurance.com/ENG/main.html).
According to insurance agents and their insurance products are complex and include not only health insurance costs, but also life insurance, property, business, and eventually the conditions are more favorable, compared with Bupa. However, the private study of the tariff plans that appeared not long ago on their website shows that by their medical insurance is not so profitable - low coverage and they are not much cheaper than other good insurance.

Quite favorable conditions are offered by Bupa and Thai Health for corporate insurance plans  However, the same situation exists everywhere - corporate Insurance is more profitable than  individual one.
In addition, for anyone who has official permission to work in Thailand and whose employers do pay social security, there is a "state insurance".


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