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BUPA CRYSTAL PLAN
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Low to medium coverage – Cover in Thailand only – Excludes Bumrungrad & Bangkok Group hospitals
  
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BENEFITS
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PLANS (BAHT)
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Plan 1
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Plan 2
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Plan 3
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| INPATIENT
AND DAY CASE BENEFITS |
| Overall
maximum per year |
200,000 |
400,000 |
600,000 |
| ROOM
AND BOARD |
| Room and
board including nursing charge (maximum payable per day in a standard single
room) |
2,000 |
3,000 |
4,000 |
| ICU room and board including nursing charge (maximum payable per
day) |
4,000 |
6,000 |
8,000 |
| HOSPITAL
GENERAL EXPENSES |
| Hospital
general expenses including drugs, dressings, x-ray, laboratory tests,
physical therapy and use of operating theatre and emergency treatment.
Overall maximum payable per year. |
Full Cover |
Full Cover |
Full Cover |
| Emergency treatment - first visit within 24 hours of emergency
and 15 days follow up. |
Full
Cover |
Full
Cover |
Full
Cover |
| Ambulance – maximum per disability. |
1,000 |
1,000 |
1,000 |
| Bone
Marrow Transplant, Organ Transplant
and Kidney Dialysis (lifetime limit) |
| Bone
Marrow Transplant, Organ Transplant
and Kidney Dialysis |
10,000 |
10,000 |
10,000 |
| SURGICAL
FEE |
| Surgical fee |
Full Cover |
Full Cover |
Full Cover |
| PHYSICIAN’S
FEES |
| Physician’s
fees for inpatient hospital visits (one visit per day). Specialists
consultation fee. |
Full Cover |
Full Cover |
Full Cover |
| PERSONAL
ACCIDENT |
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| Personal
accident |
10,000 |
10,000 |
10,000 |
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OPTIONAL
BENEFIT
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| OPTIONAL
OUTPATIENT BENEFIT |
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| Includes
doctor consultation, drugs , x-ray and laboratory tests (maximum benefit per
visit / 1 visit per day / 30 visits per year). |
700 |
800 |
1,000 |
| ADDITIONAL
PA COVER |
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| Personal
Accident – additional lump sum payment in the event of death or dismemberment |
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| PA 200 |
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200,000 |
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| PA 400 |
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400,000 |
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| PA 900
(Occupation Class 1 and 2 only) |
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900,000 |
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