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SmartCare Executive Group – The best benefits for your staff
We cannot prevent staff illness or accidents from happening, but with SmartCare Executive Group we can provide them the best medical attention and safeguard thier savings from high medical costs.
Plans with Maximum Benefits at Reasonable Cost
Designed to fit your budget, you can provide your staff a starting benefit per disability of Baht 300,000 for as little premium as Baht 5,000 per person per year.
What's more, SmartCare Executive Group have been also extended to cover:
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Outpatient Kidney Dialysis up to Baht 100,000.-
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Outpatient Cancer Treatment up to Baht 100,000.-
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Personal Accident up to Baht 100,000.-
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Special Grant up to Baht 20,000.-
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Miscarriage due to accident up to Baht 10,000.-
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Emergency Outpatient Treatment (due to accident) up to Baht 10,000.-
Plans with No Hidden Sub-Limit !!!
SmartCare Executive Group works on the concept of payment per disability. You will not be limited under miscellaneous expenses for:
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Surgery Specialist Consultation
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Surgery Diagnostic Services
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Follow up Treatment (Up to 30 days after admission)
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Anesthetist's Fee
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Others Hospital Services including Drugs, Dressings, Emergency Ambulance Service
Territory Limit
This policy will cover the insured whilst travelling anywhere outside Thailand for a maximum period of Maximum 90 consecutive days at a time. And the company liability is limited to the amount of reasonable and customary charges for equivalent treatment in Thailand if those medical expenses are lower than the actual charges incurred aboard.
Plans tailored to Fit your needs
You have a choice of 5 different plans for SmartCare Executive Group. You also have the flexibility of extension for Out-Patient Benefits and setting your own limit.
Eligibility
1. Thai Citizens, Permanent Resident of Thai, Employment Pass Holders, Dependent Pass Holders
2. Adult from age 18-59 years old. (Policy renewal up to 65 years subject to yearly review
3. Children from age 6 months (inclusive), and at least one parent must be included, with the same
benefits.
4. The company has the right to consider the insurance cover ,or insurance premium subject to the
applicant's occupation, illness and other individual information.
Example of Exclusions
1. "Pre-Existing Conditions" which refer to an injury or an illness which existed prior to the effective date of
cover.
2. The following specific illness for the first 6 months of cover : Hypertension, Cardiovascular Disease, All
Tumor or Cysts, Tonsils requiring surgery, Hernias, Hemorrhoids, Diabetes, Cholesystistic,
Cholelithiasis and Calculi of the Urinary organs.
3. Other standard exclusions of accident & health insurance; e.g.congenital condition, suicide, pregnancy,
health check up and dangerous sports.
Table of Benefits
1. INPATIENT HOSPITALISATION AND SURGERY CARE
Benefits |
Max. Limit (Baht/Person/Year) |
|
Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
Plan 5 |
1. INPATIENT HOSPITALISATION
AND SURGERY
1.1 Room & Board-Including Nursing
Services (per day)
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Intensive Care unit (per day)
1.2 Hospital Miscellaneous
Expenses (per disability)
including:
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Emergency Ambulance Charges
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Pre-Hospitalisation Specialist's
Consultation & Diagnostic
Services
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Post-Hospitalisation Treatment
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Anesthetist's Fee (per disability)
1.3 In-Hospital Physician's Visit (per
day)
1.4 Emergency Outpatient Treatment-Accident only within 24hours per accident & including in 1.2 for continuing case)
1.5 Surgeon's Fee without Surgical
Schedule (per disability)
1.6 Miscarriage due to accident (total
limit payable per accident)
Max. Payable for Section 1 ( per
illness /per disability) *
|
1,500
3,000
20,000
As Charged
750
5,000
20,000
5,000
300,000
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2,000
4,000
30,000
As Charged
1,000
6,000
30,000
6,000
400,000
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3,000
6,000
40,000
As Charged
1,500
7,000
40,000
7,000
500,000
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5,000
10,000
60,000
As Charged
2,000
8,000
60,000
8,000
600,000
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6,000
12,000
70,000
As Charged
2,500
10,000
70,000
10,000
700,000
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2. Outpatient Kidney Dialysis and
Outpatient Cancer Treatment
(Lifetime Limit)**
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Outpatient Kidney Dialysis
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Outpatient Cancer Treatment
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50,000
50,000
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60,000
60,000
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70,000
70,000
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80,000
80,000
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100,000
100,000
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3. Accidental Death, Dismemberment and Total Permanent Disability (PA 2) |
50,000 |
60,000 |
70,000 |
80,000 |
100,000 |
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4. Special Grant (Death Benefit) |
20,000
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20,000 |
20,000 |
20,000 |
20,000 |
2. OUTPATIENT CARE
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Max.Limit/ Visit |
Max.1 visit/ day, and 30 visits/ year |
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OPD: 800
OPD: 1,000
OPD: 1,500
OPD: 2,000
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800
1,000
-
-
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800
1,000
-
-
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800
1,000
1,500
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800
1,000
1,500
2,000
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800
1,000
1,500
2,000
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Note:
* Major medical pays 90% in excess of table limit item1.2 (Miscellaneous Expenses), and 1.5 (Surgeon's Fee) up to the Max.Payable of Section 1.
** Lifetime Limit: means the maximum payable limit for the whole period that the covered person has been covering by the company and up to the limit stated on the policy schedule of the first claimant.
*** Murder Assault and Motorcyling-100%
Table of Annual Premium
Hospitalisation, Surgery and Other Benefits. (Excluding: Out-Patient Benefit)
(Baht/Person/Year)
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No.of Employees |
Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
Plan 5 |
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5-10 |
4,470 |
5,913 |
8,334 |
12,675 |
15,239 |
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11-15 |
4,236 |
5,606 |
7,900 |
12,016 |
14,445 |
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16-20 |
4,116 |
5,446 |
7,674 |
11,672 |
14,032 |
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21-50 |
3,995 |
5,286 |
7,448 |
11,540 |
13,620 |
Additional Premium for Outpatient Benefits (Optional Benefit - as per Schedule of Benefits)
(Baht/Person/Year)
|
No. of Employees |
Benefits |
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800 |
1,000 |
1,500 |
2,000 |
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5-10 |
4,643 |
5,803 |
8,704 |
11,605 |
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11-15 |
4,318 |
5,397 |
8,905 |
10,793 |
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16-20 |
4,179 |
5,223 |
7,834 |
10,445 |
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21-50 |
4,086 |
5,107 |
7,660 |
10,213 |
Note:
1) For the group with more than 50 members, please contact our staff for the independent quotation.
2) Premium for dependents, please contact our staff for the independent quotation.
3) For the children aged under 6 months and the applicant aged more than 59 years, please contact our
staff for special consideration.
4) The above premium is applicable for occupation class 1-3 only.
5) The company has the right to consider the insurance coverage, or insurance premium subject to the
applicant's occupation, illness, and other medical information/record.
For a free quotation or enroll SmartCare Executive Group, please contact your agent, broker or AXA Insurance PCL at 0-2679-7600 ext. 2171-2174
Download application form
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+66 2679 7600
+66 2285 6383
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