AXA SmartCare Optimum Plus
Comprehensive benefit with affordable price
Highlight
- Coverage for Inpatient hospital expenses, surgical fees, and doctor visit (IPD)
- Room and Board-including Nursing Services (per day) up to 18,000 THB
- Special Nursing service, coverage up to 1,500 THB/day
- Outpatient Kidney Dialysis and Cancer Treatment, coverage up to 1,500,000 THB
- Prosthesis Benefits & Organ Transplant Benefit
- Recuperation benefits for illnesses like Cancer, Myocardial Infraction, Stroke and Coronary Artery Disease
- Outpatient Medical Expenses (OPD), coverage up to 50,000 THB/year
- Medical expense occurring during the course of traveling outside Thailand, coverage up to 5,000,000 THB
- Emergency Outpatient Treatment due to accident, coverage up to 100,000 THB
- Emergency Assistance Service, coverage up to 2,500,00 THB/year
- Coverage for Loss of Life, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Permanent Disability up to 100,000 THB
- Outpatient Dental Treatment Due to accident, coverage up to 150,000 THB
- Accidental Miscarriage up to 15,000 THB
- Cremation or Funeral expenses in case loss of life due to injury or illness, coverage up to 30,000 THB
- You can get up to 25,000 THB tax deduction, depending rule on matters related to taxation upon the Revenue Department
We guarantee a higher coverage with AXA’s SmartCare Optimum Plus with an annual limit up to 20,000,000 THB. Remaining an as-charged plan which assures you will be covered for all medical expenses: inpatient care to ICU to surgeon fee, a doctor visit, including an organ transplant (bone marrow, heart, kidney, liver and lungs). This upgraded health insurance plan will protect you along your journey or business trip outside Thailand up to 90 days worldwide.
Self-belief drives every journey. We’re here to help you go further.
*AXA SmartCare Optimum Plus is the marketing name of SmartCare Optimum Individual Health and Accident Insurance Policy
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Coverage
| AXA SMARTCARE OPTIMUM PLUS | ||
|---|---|---|
| Table of Benefits | EXTRA DELUXE | PRIVILEGE |
| INPATIENT HOSPITALIZATION (IPD) | ||
| Maximum payable limit (per year)(1) |
10,000,000 |
20,000,000 |
|
1. Inpatient Hospitalization and Surgery(3) | ||
|
1.1 Daily Hospital Room and Board (per day) | ||
|
- Non-Intensive Care Unit |
15,000 |
18,000 |
|
- Intensive Care Unit |
As charged(6) |
|
|
1.2 Hospital Miscellaneous Expenses |
As charged(6) |
|
|
1.3 Special Nursing service (Max. 1,500.-/day) |
Max 75 days |
Max 90 days |
|
1.4 In-Hospital Physician’s Visit (Max. 1 visit/day) |
As charged(6) |
|
|
1.5 Emergency Out-patient Treatment (Accident Only) (per accident) |
80,000 |
100,000 |
|
1.6 Surgeon’s Fee (per visit) |
As charged(6) |
|
|
1.7 Prosthesis Benefit (heart valve, skull, hip joint and knee joints.) |
As charged(6) |
|
|
1.8 Organ Transplant Benefit (excluding costs of organ acquisition and all costs incurred by the donor) |
1,500,000 |
2,000,000 |
|
1.9 Accidental Miscarriage (per accident) |
15,000 |
15,000 |
|
2. Accidental Dental Treatment |
100,000 |
150,000 |
|
3. Cancer, Myocardial Infraction, Stroke and Coronary Artery Disease (lump-sum payment) |
100,000 |
100,000 |
| 4. Outpatient Kidney Dialysis and Cancer Treatment (Maximum payable limit for lifetime) | ||
|
- Kidney Dialysis |
1,000,000 |
1,500,000 |
|
- Cancer Treatment |
1,000,000 |
1,500,000 |
|
5. Loss of Life, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Permanent Disability (PA.2)(5) |
100,000 |
100,000 |
|
6. Cremation or Funeral expenses in case loss of life due to injury or illness |
30,000 |
30,000 |
|
7. Emergency Assistance Service |
2,500,000 |
2,500,000 |
|
8. Medical expense occuring during the course of traveling outside Thailand (Emergency)(2) |
5,000,000 |
5,000,000 |
| Table of Benefits | Plan 1 | Plan 2 | Plan 3 |
|---|---|---|---|
| OUTPATIENT HOSPITALIZATION (OPD) | |||
| Outpatient Medical Expenses within insuring period (per year) |
20,000 |
30,000 |
50,000 |
● Remarks
1. Maximum payable limit (per year) apply to all coverages except Emergency Assistant service in section 7.
2. Medical expense occurring during the course of traveling outside Thailand(Emergency) apply to all coverages, except Emergency Assistant service in section 7.
3. Minor surgery expense have to prior inform the company, this expense will be considered as in section 1 Inpatient Hospitalization and Surgery otherwise this expense will be considered as Max. payable limit for outpatient hospitalization.
4. Rate is applicable for occupation class 1-3 only.
5. Loss of Life, Dismemberment, Loss of Sight, Loss of Hearing, Loss of Speech or Permanent Disability (PA.2) Including Murder-Assault and driving or riding as passenger in a Motorcycle.
6. As charged means actual and reasonable expense.
7. 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.
