Worry free with the medical expense for any sickness and accidents.

Full coverage for actual medical expenses.
Inpatient coverage of up to THB 750,000.
Optional add-on coverage for outpatient benefits and personal accidents.

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Aetna Opal plan

Inpatient coverage of up to THB 750,000* per year

Optional add-on coverage for outpatient benefits and personal accidents

Room and Board including nursing charge maximum payable 4,000 THB per day*

Bone Marrow Transplant, Organ Transplant and Kidney Dialysis****

Personal accident-lump sum payment in the event of death or dismemberment up to 100,000 THB*****

Full coverage for actual medical expenses******

Complimentary vHealth application service (telemedicine) right from your phone!***.
Life-time renewal guarantee**
Standalone health insurance
Able to purchase from the age 15 days to 65 years old
*The buyer should understand the details of coverage and conditions before purchasing any insurance.
**Applicable to members who take out their Aetna policy before the age of 60 and are up-to-date with premium payments
***For the following eligible health insurance plans. Service available from 8am - 8pm, Mon-Fri (exept public holidays)
****The case when the insured person is treated in a hospital or medical center at any time, which include the treatment 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.
*****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).
******Full cover for hospital general expenses, surgeon’s fees, physician’s hospital visit fees and specialist’s consultation fees but not exceeding the maximum benefit specified in the policy schedule
Prepare and complete the following documents

Out-patient treatment

  • Claim reimbursement form
  • Doctor’s certificate stating the diagnosis of condition treated – For skin disease treatment, doctor is required to identify specific name of disease as well as prescribed medicine in order to ensure that your claims will be assessed in a timely manner
  • Original receipt with itemized medical expenses
  • Copy of membership card
  • Copy of ID card

In-patient treatment

  • Claim reimbursement form
  • Doctor’s certificate stating the diagnosis of condition treated
  • Attending Physician’s Report completed by your treating doctor
  • Original receipt with itemized medical expenses
  • Copy of membership card
  • Copy of ID card

Please note that Aetna cannot proceed with the claim settlement if we do not receive the original receipt


Submit the completed original forms and documents to Aetna

There are two ways to submit the documents to us

  • Bring in the documents to us in person at any Aetna office
  • Mail the documents to Claim Department, Aetna Health Insurance (Thailand) Public Company Limited 98 Sathorn Square Office Tower, 14th-15th Floor, North Sathorn Road, Silom, Bangrak, Bangkok 10500

Please note that the supporting documents for claim reimbursement must be submitted within 30 days after the treatment (outpatient treatment) or after discharge from the hospital (inpatient treatment) and it is highly recommended that the claims documents be sent to Aetna by registered mail to avoid the loss


Claims reimbursement

You may request the claim to be reimbursed by

  • Cheque
  • Electronic Money Transfer

Claims settlement period

For claims with completed documents and no further claims review required, the settlement shall be made within 15 days