ประกันสุขภาพเหมาจ่าย, แผนประกันสุขภาพ แผนแพลทินัม (80MB) และแผนบียอนด์ แพลทินัม


Giving you the best medical treatment with the benefits of Hundred Million Baht

Health coverage – Platinum Plan (80MB) and Health coverage – Beyond Platinum Plan (100MB) (HSMFCP_S/ HSMFCB_S)
Remark: Special privileges: provide a holistic care service through the Illness period for Allianz Ayudhya customers.
If you are interested, you can  Click to learn the details, conditions, and a service provider. The details, conditions and the service provider can be changed or cancelled without prior notice.
With the benefits limit up to THB 100 million per the Policy Year,
covering for all medical treatments such as Inpatient, Outpatient, dental, Ophthalmology, childbirth, Surgery, Lab & Xray, Hemodialysis, Chemotherapy, Targeted Therapy for Cancer and psychiatric disorder treatment fees
Coverage for preventive care comprising vaccination fee and annual health check-up fee.
Special...provide a holistic care service through the Illness period such as  Emergency Medical Evacuation service, Medical Concierge service and Nursing Care service.

Take care of the medical treatment fee whether the Insured is admitted in a Hospital with the actual payment of the medical treatment fees up to THB 100 million per the Policy Year and provide health coverage for all Hospitals in Thailand and the specified Hospitals in Cambodia.

There are 2 coverage plans available for selection: Beyond Platinum (up to THB 100 million per the Policy Year) and Platinum Plan (up to THB 80 million per the Policy Year).

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Highlights
Benefits and Coverage per the Policy Year
Beyond Platinum Plan,
Maximum benefits:
THB 100 million
Platinum Plan,
Maximum benefits:
THB 80 million
Medical treatment fee – Inpatient
(Having the limitation of the benefits such as room and board and service fees in the Hospital per day, daily cost of taking care Insured aged under 16 years old, psychiatric disorder treatment fees)

Actual payment

Actual payment

Medical treatment fees – Outpatient
(Maximum of 30 visits per the Policy Year)
Actual payment

Actual payment

Able to purchase additionally for OPD

Vaccination fee*

80,000 Baht

50,000 Baht

Annual health check-up fee*
(Maximum of 1 visits per Policy Year)

20,000 Baht

15,000 Baht

Dental treatment fees
(Compensated 80% of medical treatment fees)

100,000 Baht

50,000 Baht
 (additional from the
benefits 80 million Baht)

Able to purchase additionally for Dental

Eye examination and treatment fees*
(Compensated 80% of treatment fee)

15,000 Baht

Not cover

Medical treatment fees for pregnancy and childbirth per each pregnancy and childbirth** 200,000 Baht for Normal childbirth
400,000 Baht for Complication status
Not cover

*the benefits can be used after the insurance contract has been effective continually more than 12 consecutive months.

**the benefits can be used after the insurance contract has been effective continually more than 10 consecutive months for childbirth and after 3 consecutive months for miscarriages.

Premium calculator

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Remark

  • The above premiums are calculated from the My Whole Life 90/21 life protection plan. The insured amount is 200,000 baht and the insured in occupational stages 1 and 2 chooses to pay annual premiums only.
  • For sales reasons only, this information is only preliminary. Customers should review further details on the policy's coverage, terms, conditions, exceptions, and benefits.
  • The company reserves the right to determine insurance in accordance with its criteria.

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Maximum Benefits per the Policy Year
100 million Baht
Maximum Benefits per the Policy Year
80 million Baht
1.1 Room and board and service fees in the Hospital
15,000 Baht per day
10,000 Baht per day
1.2 Nursing service fees
Actual payment
Actual payment
1.3 Room and board, service fees in the Hospital and nursing service fees in the ICU
Actual payment
Actual payment
1.4 Physician fees for the treatment
Actual payment
Actual payment
1.5 Medicine prices for taking home
(Maximum 15 days per each medical treatment in the Hospital)
Actual payment
Actual payment
1.6 Other medical treatment fees as specified in the contract

having example as follows: 

  • Medical service fees for diagnosis or treatment.
  • Medicine prices, parenteral nutrition fees and medical supplies fees.
  • Medical treatment fees for surgical operation (surgery) and procedures.
  • Day surgery.
Actual payment
Actual payment
2.1 Chemotherapy fees including the Targeted Therapy, radiation therapy fees for cancer including brachytherapy fees, and hemodialysis fees
Actual payment
Actual payment
2.2 Medical treatment fee for the Injury due to the Accident for the Outpatient within 24 hours
of each Accident
Actual payment
Actual payment
2.3 Diagnostic radiology fee and clinical laboratory diagnostic fee (which occurs within 30 days before the Hospital Confinement and within 60 days after such Hospital Confinement as Inpatient)
such as X-ray, CT scan, MRI, Ultrasound and Blood test etc.
Actual payment
Actual payment
2.4 Medical treatment fee for the Outpatient after the Hospital Confinement per time for the continuous treatment within 30 days after such Hospital Confinement
Actual payment
Actual payment
2.5 Emergency ambulance service fees
Actual payment
Actual payment
2.6 Medical treatment fees for minor surgery
such as incision of abscesses, wart excision, hemorrhoids etc.
Actual payment
Actual payment
3.1 Daily cost of taking care in case the Insured age is under 16 years old
(maximum 30 day per each medical treatment in the Hospital)
3,000 Baht per day
2,000 Baht per day
3.2 Specialist Physician consulting fee
Actual payment
Actual payment
3.3 Reconstructive surgery fees due to the Accident or cancer***
Actual payment
Actual payment
3.4 Dental treatment fees due to the Accident***
Within 7 days from the date of the Accident.
Actual payment
Actual payment
3.5 Psychiatric disorder treatment fees***
(Waiting period is 365 days.)
500,000 Baht
Through this Rider and Endorsement 
400,000 Baht
Through this Rider and Endorsement
3.6 Medical treatment fees for pregnancy and childbirth**
- Normal childbirth
200,000 Baht
Not cover
- Complication status during pregnancy or childbirth
400,000 Baht
Not cover
3.7 Medical treatment fees as Outpatient
(Maximum 30 visits per the Policy Year.)
Actual payment
Actual payment

Able to purchase additionally for OPD
3.8 Rehabilitation fees and physical therapy fees
per the Policy Year.
30,000 Baht
20,000 Baht
3.9 Medical device and durable device for the Outpatient per the Policy Year
Such as hearing aid device, respiration aid, oxygen aid, wheelchair, supportive devices, artificial organ etc.
10,000 Baht
10,000 Baht
3.10 Vaccination fee*
per the Policy Year.
80,000 Baht
50,000 Baht
3.11 Annual health check-up fee*
(Maximum 1 time per the Policy Year)
20,000 Baht
15,000 Baht
3.12 Dental treatment fees (compensated 80% of medical treatment fee)
Maximum per the Policy Year such as dental examination, tooth scaling, dental fillings, extraction, wisdom tooth extraction, root canal treatment, nerve root treatment, radiological diagnosis an laboratory examination, treatment relating to gum disease, crowns, inlays, Adhesive Reconstructions, or Restorations, bridges, dentures [and artificial root implants only for Beyond Platinum Plan (100MB)]
100,000 Baht
50,000 Baht
(additional from the benefits 80 million Baht)

Able to purchase additionally for Dental
3.13 Eye examination and treatment fees* (Compensated 80% of the actual amount)
Maximum per the Policy Year such as optical measurement and visual acuity test, optical frame, optical lens, contact lens, lens cleaner, including artificial tears
15,000 Baht
Not cover

*the benefits can be used after the insurance contract has been effective continually more than 12 consecutive months.

**the benefits can be used after the insurance contract has been effective continually more than 10 consecutive months for childbirth and after 3 consecutive months for miscarriages.

***The Company shall pay the benefits under 1, 2.5, 3.1, and 3.2

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Health Coverage Beyond Platinum Plan
(100 Million Baht)
Platinum Plan
(80 Million Baht)
Entry age 11 – 70 years old
11 – 70 years old
Renew up to age 84 years old, cover up to age 85 years old
The basic plan which attachable
  • Ayudhya Term
Sum assured 100,000 Baht Sum assured 50,000 Baht
and 100,000 Baht
  • My Whole Life A90/21

The regulations are as follows

  1. Minimum sum assured 200,000 baht or
  2. Minimum annual premium 6,000 baht with minimum sum assured 100,000 baht
  • Other basic plan which can attach the health rider as specified by the Company
Sum assured 100,000 baht and above
Other Conditions
  • The Insured can apply Health Coverage - Platinum Plan (80MB) or Health Coverage - Beyond Platinum Plan (100MB) only one.
  • The underwriting shall follow the Company’s underwriting guideline.
The Insured is entitled to a personal income tax deduction for the premium of health coverage, not exceeding 25,000 Baht per year (if any) and the premium of the life coverage but both shall not exceed 100,000 Baht per year, according to the Revenue Department regulations.
  • Non-conventional medical treatment, as well as the alternative medical treatment.
  • Health check-up, a request for the medical treatment in a Hospital, or request for a surgical operation, recovery or rest for recovery or rest cure or medical treatment by way of relaxation by general care giver, analytical examination to investigate other causes not directly dealing with the medical treatment in the Hospital, examination to diagnose an Injury or Illness, treatment or analytical examination to investigate any cause, which may not be the Medical Necessity or Medical Standard.
  • Health Coverage – Platinum Plan (80MB) and Health Coverage – Beyond Platinum Plan (100MB) are the marketing name. The name of insurance plan stated in the policy are Health Coverage Rider – My First Class: Platinum Plan and Endorsement of Health Coverage Rider – My First Class: Platinum Plan (Other Benefits) and Health Coverage 
  • The Company shall pay the benefits for Illness occurring after 30 days from the Rider Effective Date except for some benefits stated particularly.
  • The benefit payments under Health Coverage – Platinum Plan (80MB) or Health Coverage – Beyond Platinum Plan (100MB) altogether shall not exceed the maximum benefit per the Policy Year as specified in the table of benefits. The medical treatment occurring outside Thailand is not covered, except the medical treatment occurs in Hospitals in Cambodia as specified by the Company or in case of Emergency Patient outside Thailand.
  • The premiums of a rider or endorsement may vary by gender, age, occupation, and the coverage plan of the Insured. The premiums for the renewal year may be adjusted according to age and/or occupation of the Insured. In addition, it may be adjusted according to the Company’s regulations.
  • The Hospitals in Cambodia as specified by the Company are Royal Angkor International and Royal Phnom Penh.
  • The information contained in this website is provided as illustrative information only. The customer is advised to study further information regarding an insurance coverage, terms and conditions, exclusions and benefits from the Company’s policy only.
  • The customer should understand the details, coverage and conditions of the insurance plan before applying the insurance.
Coverage by Allianz Ayudhya Assurance Public Company Limited
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