Guide to buying Expat Medical Insurance in Thailand. Premiums start from 25,000 Baht per year.
Difference between travel insurance and expat insurance
If you are only going away for a little while and planning to travel around the world then buying normal travel insurance should be enough. Travel insurance covers you in case of accidents and emergencies, delayed flights, lost luggage, damages done to your property, or if you happen to damage other people’s possessions. This type of insurance is usually cheap. I use American Express and pay £40 a year. The reason why I have expat medical insurance and travel insurance is that I do travel to different countries once in a while and the travel insurance does come useful in case my flight is delayed or the airline loses my luggage.
If you decide to stay somewhere longer and get a job in a foreign country then buying full medical insurance is a good idea. These kinds of insurance, most of the time, cover you for hospital inpatient services, not only if you are in an accident, but also if you fall ill, get dengue fever, heart attack, or cancer and you need to stay in a hospital for a long time. Some of them also cover maternity leave and dental procedures. Outpatient services quite often are not included and you need to buy them as an extra, so if you have a rash and you want to see a dermatologist then your insurance might not cover that.
Insurance companies and costs of expat insurance
This varies from company to company, but it is usually quite expensive. The prices start at just under £1000 per year and that’s just a basic cover. Let’s look at some companies:
These companies probably have branches in your home country. They ensure expats living in Thailand and other countries worldwide. The advantage of using these companies is that you can extend the cover to other places you travel to. The big disadvantage is the cost. If you’re only staying in Thailand, you might want to consider going with a company that is more local.
It is one of the most popular choices among the expats, I think it’s mainly because people trust them as they are an international brand. They hold over 33% of the insurance market in Thailand. I contacted Bupa Thailand and asked them for a quote.
I waited around 2 weeks for someone to get back to me and they sent me a couple of documents, which included a table with some prices and another one with, what I assumed, was a list of exclusions, but it was all in Thai, so I can’t really confirm that.
The prices for people aged 30-35 start from $1,000 for the basic cover, that’s all I know. The good thing about Bupa Thailand is that it covers you from the day your payment reaches them, which is not the case with some of the other companies I looked at.
Website: Bupa Thailand
They offer lots of great benefits, whether it’s the second medical opinion from their in-house expat doctor or their member privileges. They also have a comprehensive cover that includes cancer care, inpatient care, and maternity care. The policy is valid worldwide provided you are within your initial coverage zone for at least 185 days a year and they have direct billing with hospitals within their network, meaning you can get cashless hospital visits.
Luma is also all about prevention. They educate their members on how to be healthy and look after yourself. On top of that, they provide you with an app, which helps you with your healthy lifestyle.
Premiums start from 25,000 Baht per year.
I received a quote from them through an insurance broker so this might be a little higher than what they offer directly. The premium costs £1900 per year and include outpatient services, prescribed medication (over £300) and semi-private room in a hospital.
AXA offers many options, including insurance for seniors, for company’s executives and insurance for a whole family. I looked at their prices and almost had a heart attack. The cost for insurance for a 35-year-old is around 150,000 Baht. However, it does include things like maternity cover, dental care and health screens. I still think that the price is too high.
They are quite popular here in Thailand, although not as well-known among the expat community. My quote from them was £1298 per year.
Website: Aetna International
Insurance available only in Thailand and Asia
This is a much more affordable option. The insurance companies below work in Asia or only in Thailand. They are reliable, so you don’t need to worry that something will go wrong. It’s worth considering these if you want to live in the Land of Smiles only.
They are extremely competitive and cover you for most things, including outpatient services. I heard a lot of good things about them. Premiums for 35-year-olds start from around 6000 Baht per year. A good thing is that you can buy the insurance online and don’t need to speak to an overly excited salesperson (my personal nightmare – don’t they talk too much?).
Website: Thai Health
Most of Thai banks offer medical insurance for expats. You need to have a work permit that is valid for at least a year as well as a valid visa. The insurance is usually valid after a month, so you need to wait 30 days before you visit a doctor. Thai banks usually offer cheaper insurance than any other companies. They also make it easier for their customers to claim the money. You receive an insurance card and give it to the cashier at the hospital.
They then call the insurance company and deal with everything for you – no hassle, no stress, easy-peasy. Before you buy insurance from a Thai bank you need to remember that it covers you only in Thailand, so you need to be sure that you will still live here in a year time. The prices start at around £200 a year.
If you work in Thailand, pay your taxes (which is usually between 500-750 Baht a month) and have a work permit then you can use government insurance. You need to talk to your employer first and see if there are any hospitals in your area you can go to. Once you choose it and see a doctor you will have to pay from your own pocket and claim the money later – your employer should be able to help you with this.
However, remember that government hospitals are overcrowded, the queues are long, the doctors and staff very often don’t speak English and the hospital might not have the medication you need – if you think about it, these are problems that many western countries struggle with, too.
What did I do?
After looking at many options and thinking this through for a couple of days I decided to buy insurance from Siam Commercial Bank. I paid 18,000 Baht for a whole year, which is around £330 – I think that is a fair price. The insurance covers me for inpatient and outpatient services, surgeries and disability. The process of buying it was pretty straightforward. I went to their branch in Chiang Mai (Kadsuan Kaew shopping mall), where I knew they spoke English. Most of the documents were in English and I had already read all the exclusions on the internet.
The form with personal details on had to be completed in Thai, so the lovely lady that served me did that all for me. I was asked for the work permit and visa and then pay with cash – the cards were not accepted. Siam Commercial Bank doesn’t require to go through any doctor’s examinations, which is a good thing in my case. The whole procedure took no more than 30 minutes and I am now fully insured – phew!
Do not make the same mistake…
…and wait with buying insurance. If you go away to travel, buy travel insurance. If you decide to stay in the Land of Smiles then get the expat medical insurance for Thailand.
Don’t be as stupid as me and think that you are immortal, or you don’t have money/time to shop for proper expat insurance. Anything can happen. You might get skin cancer and end up paying over £500 hospital expenses, just like me. Look after yourself. The most important thing you have is your health!
Travel insurance plans are designed to provide travellers and expats with short-term health coverage (usually one week to one year) while they are outside of their home country. If there is a medical emergency, the plan will cover medical care with the goal of seeing you repatriated to your home country.
It is important to note here that the vast majority of travel insurance plans need to be secured before you leave your home country. If you are currently living in Thailand, you will not be able to secure a travel insurance plan that covers care in Thailand.
Like many other countries in the region, Thailand has a worker and employer-funded social security system in place that offers a wide range of modest benefits, including health care coverage, to all residents in Thailand. By law, every person employed in the country, including expats, are required to contribute 5% of their monthly income to cover the social security system.
Of this 5%, 1.5% is directed to medical coverage, which is then matched by both employers and the government. This, in turn, allows all residents who have contributed for more than 3 out of 15 months access to free medical coverage at specific hospitals.
If you are employed and have met the contribution requirements, you will be issued a social insurance card that with an assigned hospital at which you can receive medical care – the procedure, prescribed medication, and care will be covered but extras like food, entertainment, etc. are not covered.
While this system is beneficial, it is not usually ideal for many expats, especially those who have recently moved to Thailand. The reason being that the majority of the hospitals in the social security network have few staff who can speak English at a high enough level to understand and deliver care. This makes receiving care at these locations incredibly tough for many expats.
Local private insurance
Local private insurance consists of plans that have been developed for the Thai market and are sold only in Thailand. When compared to the local plans available in many expats’ home countries, you will find that the coverage limits of local plans are usually considerably lower with strict exclusions. For example, it is not uncommon to see local insurance plans in Thailand offering inpatient coverage of THB 2,000 per day, or outpatient/doctor visit coverage of THB 1,500.
Luckily, Thailand does have a generally lower cost of health care, which means that these limits are often enough to cover care at local clinics and lower tier international hospitals. While the quality of care at these facilities is good, like the facilities that are part of the social security network, you will struggle to find staff who speak enough English to communicate effectively.
The biggest downside to these plans, language barrier aside, is that the vast majority of local plans do not offer international coverage. Meaning, if you plan to travel home or abroad for medical care, your local insurance plan will not cover any medical care. This can be especially costly for expats and their families who travel regularly.
One important thing to be aware of with many local health insurance plans in Thailand is that some insurers may refuse to renew your plan. Pacific Prime has seen cases in the past where a client had been diagnosed with a costly ongoing disease, and when the plan came up for renewal, the insurer refused to renew, citing the risk of the disease. This does not happen with every insurer, however.
Many expats in Thailand prefer to take out international health insurance plans. These plans, offered by international insurers based around the world, provide the highest level of coverage out of any type of plan available in Thailand.
If you plan on returning home for medical care or visiting the international/luxury hospitals in Bangkok, it would be beneficial to secure an international plan. Aside from medical coverage, many international medical insurance plans also offer the ability to cover dental and optical along with wellness benefits, including health checkups.
One of the most advantageous benefits of international health insurance plans is the fact that many providers have a large network of health care providers in almost every country. This means that you can easily find quality health care that will be covered by your plan regardless of your location.
We use local Government Hospitals The Army Hospitals are No1 in my opinion and Reasonably priced. Private hospitals look at you like an ATM everything costs big money
If you need help with a place to stay and Access to many Hospitals we can help