Platinum+ plan

Aetna Platinum+
Light on premium, great on coverage
The health insurance that looks after you

- Inpatient hospitalisation cover from THB 1 to 30 million per disability
- Extensive medical network of over 490 hospitals and clinics nationwide
Aetna Platinum+
Light on premium, great on coverage
The health insurance that looks after you

- Inpatient hospitalisation cover from THB 1 to 30 million per disability
- Extensive medical network of over 490 hospitals and clinics nationwide

Aetna Platinum+
Light on premium, great on coverage
The health insurance that looks after you

- Inpatient hospitalisation cover from THB 1 to 30 million per disability
- Extensive medical network of over 490 hospitals and clinics nationwide

*The buyer should understand the details of coverage and conditions before purchasing any insurance.

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Get up to 15%* discount on an individual plan and exclusively get 25%* off when purchase a family plan.


*The buyer should understand the details of coverage and conditions before purchasing any insurance.

 

Highlights

Customer Service
Inpatient hospitalisation cover from THB 1 to 30 million per disability, with no limits on the number of confinements per year
Clipboard with checkmark
Four optional, inpatient deductibles (THB 30k, 50k, 100k, or 200k) that will lower the cost of insurance premiums by up to 60%
Hospital Network
Extensive medical network of over 490 hospitals and clinics nationwide
Customer Service TH
vHealth telemedicine consultations with free nationwide prescription delivery**
Remark:
*vHealth Telemedicine Service is provided by Aetna Services (Thailand) Limited

Please see plan documents for full details of coverage. Before purchasing a plan, you should consider the terms and conditions of the plan carefully.

Paying your premium

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UOB
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ชำระผ่านช่องทางออนไลน์, ตู้ ATM

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KBank
SCB
Krungsri
BBL
TTB
UOB
ชำระด้วยตนเอง ณ สำนักงานใหญ่กรุงเทพฯ และสาขา

ชำระด้วยตนเอง ณ สำนักงานใหญ่กรุงเทพฯ และสาขา

Description Benefits (THB)
Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
Inpatient hospitalization benefits
Maximum benefit for an injury or sickness per disability* 1,000,000 2,000,000 3,000,000 5,000,000 10,000,000 30,000,000
Standard deductible Nil
Deductible options THB 30,000
THB 50,000
THB 100,000
THB 200,000
Room and board including fees for nursing services
Non-intensive care room, maximum payable per day 8,000 10,000 11,000 12,000 15,000 20,000
Intensive Care Unit (ICU), maximum payable per day (with a maximum limit of 15 days per disability) 16,000 16,000 16,000 16,000 30,000 40,000
Hospital general expenses
Hospital general expenses Paid in full**
Emergency accidental outpatient treatment (first visit within 24 hours
after the accident and follow-up treatment within 15 days)
10,000 15,000 18,000 20,000 30,000 50,000
Ambulance, maximum per disability 2,000 2,000 2,000 2,000 2,000 2,000
Fee for special nurse care, maximum payable per day (limited to 15 days) 500 500 500 500 500 500
Surgeon’s fees
Surgeon’s fees Paid in full**
Physician’s hospital visit fee
Physician’s hospital visit fee, maximum payable per day Paid in full**
Specialist’s consultation fees 10,000 10,000 10,000 10,000 15,000 20,000
Emergency medical assistance
Emergency medical evacution, repatriation and repatriation of mortal remains USD 1,000,000
Annual health check-up***
Annual health check-up one visit per year on reimbursement basis 500 700 800 1,000 5,000 10,000
Personal Accident
Personal Accident (Or.bor.2)**** 100,000 100,000 100,000 100,000 100,000 100,000

* Per Disability or Single Confinement means the case when the Covered Person is confined to a Hospital or Medical Center as an Inpatient at any time, which include the confinements for 2 times or more due to the same causes, disease, or complication, with intervals of not more than 90 days from the most recent discharge from a Hospital or Medical Center. Outpatient treatment for no more than 30 days from the most recent treatment due to the same cause, disease or complication shall also be deemed a Single Confinement.
** Full cover for hospital general expenses, surgeon's fees and physician's hospital visit fee, but not exceeding the maximum benefit specified in the policy schedule.
*** For annual health check-up and maternity benefits, policyholders must make an advance payment for medical services.
**** Personal Accident insurance (Or.bor.2) provides benefits in case of death, dismemberment, loss of sight, loss of hearing, loss of speech, and total permanent disability (50% of the sum assured for personal accident coverage while riding a motorcycle whether as a rider or passenger).

Remarks:
- Cost associated with tests such as PET scan, MRI, CT scan, Echocardiogram or Exercise stress test will normally be paid under outpatient benefits. If those tests have been approved in advance by Aetna, they will be paid under hospital general expenses benefits.
- Worldwide coverage for medical treatment in case of sickness or accident (excluding the United States of America where the benefits will be paid for the injury from an accident only).
- For maternity benefits, policyholders will only be covered if they have been insured for at least 280 consecutive days before childbirth and at least 90 consecutive days before a miscarriage.
Outpatient benefits Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
Outpatient benefits, maximum benefit 1 visit per day, 30 visits per year 1,500
Outpatient benefits, maximum payable per year
- OPD 28 plan 28,000
- OPD 40 plan 40,000
- OPD 60 plan 60,000
Maternity (policyholders is able to purchase one of any maternity benefit plans) Plan 1 Plan 2 Plan 3 Plan 4
Eligible for expenses related to pregnancy and childbirth (regardless the expenses related to a child).
- Normal delivery, assisted delivery or intentional cesarean delivery 40,000 60,000 90,000 120,000
- Ectopic pregnancy or emergency cesarean section 80,000 120,000 180,000 240,000
- Miscarriage 20,000 30,000 45,000 60,000
Additional Personal Accident Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
Personal Accident (Or.bor.2)****
- PA 200 plan 200,000
- PA 400 plan 400,000
- PA 900 plan (for occupation class 1 and 2 only) 900,000

* Per Disability or Single Confinement means the case when the Covered Person is confined to a Hospital or Medical Center as an Inpatient at any time, which include the confinements for 2 times or more due to the same causes, disease, or complication, with intervals of not more than 90 days from the most recent discharge from a Hospital or Medical Center. Outpatient treatment for no more than 30 days from the most recent treatment due to the same cause, disease or complication shall also be deemed a Single Confinement.
** Full cover for hospital general expenses, surgeon's fees and physician's hospital visit fee, but not exceeding the maximum benefit specified in the policy schedule.
*** For annual health check-up and maternity benefits, policyholders must make an advance payment for medical services.
**** Personal Accident insurance (Or.bor.2) provides benefits in case of death, dismemberment, loss of sight, loss of hearing, loss of speech, and total permanent disability (50% of the sum assured for personal accident coverage while riding a motorcycle whether as a rider or passenger).

Remarks:
- Cost associated with tests such as PET scan, MRI, CT scan, Echocardiogram or Exercise stress test will normally be paid under outpatient benefits. If those tests have been approved in advance by Aetna, they will be paid under hospital general expenses benefits.
- Worldwide coverage for medical treatment in case of sickness or accident (excluding the United States of America where the benefits will be paid for the injury from an accident only).
- For maternity benefits, policyholders will only be covered if they have been insured for at least 280 consecutive days before childbirth and at least 90 consecutive days before a miscarriage.

Health insurance

  • Eligible for persons aged 15 days to 65 years
  • For members with more than one policy with Aetna, we will pay up to THB 30m per injury or illness depending on eligible plan limits.
  • Costs associated with diagnostic tests such as PET scans, MRI, CT scans, Echocardiogram or Exercise Stress Test (EST) will typically be paid under outpatient benefits, unless such tests have been pre-approved by us. If pre-approved, they will be paid under inpatient hospitalisation benefits.
  • Worldwide coverage excluding the U.S., where cover is only available for injuries caused by accidents.
  • Members who purchase their plan before 60 years old and continuously renew the plan will be eligible for lifetime renewal. Members who purchase their plan after 60 years old will be eligible to renew the policy until they are 70 years old.
  • For maternity benefits, members must have had this cover for at least 280 consecutive days before childbirth claims are eligible, and at least 90 consecutive days before claims for miscarriage are eligible.

Personal Accident

  • For members with more than one policy with Aetna, we will pay up to THB 1m per member, depending on eligilbe plan limits.
  • For the Personal Accident limit option of THB 900,000, we will only cover members who are in class 1 and 2 occupations. Please contact your Aetna representative for more details.

Please see your plan documents for a full list of exclusions. Examples of our typical exclusions are as follow:

Health insurance  

  • Pre-existing conditions or medical expenses for an illness that occurs within 30 days of policy inception
  • Treatment for congenital anomalies or developmental disorders
  • Medical expenses incurred from the treatment of attempted suicide or self-inflicted injury
  • Acquired Immune Deficiency Syndrome (AIDS), including related complications or sexually transmitted diseases
  • Any medical treatment that is experimental, including alternative treatments
  • Treatment that is not medically necessary
  • Pregnancy, childbirth, miscarriage (unless the maternity option is purchased), contraception, sterilisation
  • Visual acuity, laser eye treatment, LASIK, dental treatment and cosmetic treatments such as for acne or blemishes
  • Specific illnesses that occur within 6 months of policy inception, such as tumors or cancers, polyps or cysts, hemorrhoids, hernias, pterygium, pinguecula or cataracts, tonsillectomy or adenoidectomy, kidney stones, endometriosis, varicose veins, hallux valgus, ganglions


Personal accident  

  • We will cover you for death, dismemberment, loss of sight, loss of hearing, loss of speech, or permanent disability arising from injury due to accident. 
  • We may not cover injuries resulting from:
    • Dangerous sports.
    • Flying in a non-commercial aircraft or whilst serving as a crew member in any aircraft
    • Being under the influence of drugs or alcohol
    • Suicide or self inflicted injury
    • Driving or riding as a passenger on a motorcycle - only 50% of the benefit will be paid and not more than THB 200,000
    • Bacterial infections
    • Miscarriage resulting from an accident
    • Taking part in a fight
    • Criminal acts
    • War
    • Radioactivity
  • Personal accident cover is not available to children under 18 years

Terms and Conditions

- The buyer should understand the details of coverage and conditions before purchasing any insurance.
- Medical consultations via the vHealth app is provided by Aetna Services (Thailand) Limited are available for Aetna Thailand customers with UltraCare, Platinum, Platinum+, vHealth vCare, Opal, Pearl, Beyond Personal Care, Personal Care, Employee We Care and Group Tailor Made policies (excluding some select 3rd party administration – ASO Groups). Appointments are available 8am - 8pm, Monday to Friday (except public holidays). Medicine delivery within 4 hours of prescription (in many provinces) and within 3 days for other locations (Free nationwide shipping for medicines only. Some plans may not cover the cost of drugs prescribed by the doctor).

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