|
AXA SMART CARE EXECUTIVE Hospital List Information in Thai
|
| Benefits |
Sum Insured
(Baht) |
| Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
Plan 5 |
| Hospitalization & Surgical
(Total Benefit Maximum
per = TBM) |
300,000 |
400,000 |
500,000 |
600,000 |
700,000 |
| Room & Board including nursing service
(per day) paid up to TBM limit. |
1,500 |
2,000 |
3,000 |
5,000 |
6,000 |
| Daily Charges for Intensive Care Unit (ICU)
paid up to TBM limit. |
3,000 |
4,000 |
6,000 |
10,000 |
12,000 |
| Hospital General Expenses.
(Max./Disability) |
20,000 |
30,000 |
40,000 |
60,000 |
70,000 |
| Major Medical
pays additional 90% to TBM limit. |
+90 %
|
+90 %
|
+90 %
|
+90 %
|
+90
% |
| In-Hospital Physician’s Visit (per
day). |
750 |
1,000 |
1,500 |
2,000 |
2,500 |
| Emergency OPD Treatment for accident and 30
days follow up. (for accidental treatment within 24 hours) |
5,000 |
6,000 |
7,000 |
8,000 |
10,000 |
| Surgeon's Fees per disability (No Surgical
Schedule) |
20,000 |
30,000 |
40,000 |
60,000 |
70,000 |
| Major Medical
pays additional 90% to TBM limit. |
+90 %
|
+90 %
|
+90 %
|
+90 %
|
+90
% |
| Miscarriage due accident (total limit/per
accident) |
5,000 |
6,000 |
7,000 |
8,000 |
10,000 |
|
|
|
|
|
|
|
Outpatient Dread Disease Treatment (lifetime limit).
|
| Outpatient Kidney Dialysis |
50,000 |
60,000 |
70,000 |
80,000 |
100,000 |
| Outpatient Cancer Treatment |
50,000 |
60,000 |
70,000 |
80,000 |
100,000 |
|
|
|
|
|
|
| Personal Accident Coverage (PA 2) one-time lump sum
payment. |
| For accidental death, dismemberment and permanent
disability. |
50,000 |
60,000 |
70,000 |
80,000 |
100,000 |
|
|
|
|
|
|
| Death Benefit |
| For death from any cause not excluded in the health
coverage. |
20,000 |
20,000 |
20,000 |
20,000 |
20,000 |
|
|
|
|
|
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| OPTIONAL
OUTPATIENT BENEFITS* |
Plan 1 |
Plan 2 |
Plan 3 |
Plan 4 |
Plan 5 |
| OPD 800 |
800 |
800 |
800 |
800 |
800 |
| OPD 1,000 |
1,000 |
1,000 |
1,000 |
1,000 |
1,000 |
| OPD 1,500 |
N/A |
N/A |
1,500 |
1,500 |
1,500 |
| OPD 2,000 |
N/A |
N/A |
N/A |
2,000 |
2,000 |
| OPD 2,500 |
N/A |
N/A |
N/A |
2,500 |
2,500 |
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