working woman having a coffee and looking at her phone

Thailand Specialised Health Plan Optional Benefits

We recognise that every individual’s healthcare needs are different, so we know the important of flexibility and choice when selecting the right health insurance plan. Once you have selected your core medical cover, you can customise your plan further by adding additional benefits.

Additional modules to choose from:

This covers you more comprehensively for outpatient care that may arise where a hospital admission as an Inpatient or Daypatient is not required. It includes consultations with medical practitioners and specialists, prescribed outpatient drugs and dressings, physiotherapy treatment, adult vaccinations and child immunisations.

Annual Outpatient benefit maximum per covered person per period of cover.Silver HealthGold HealthPlatinum Health

This includes claims paid across all sections of the Outpatient Medical Treatment option.

฿350,000

฿850,000

฿2,500,000

Consultation with medical practitioners and specialistsSilver HealthGold HealthPlatinum Health

฿3,500 limit per visit
Up to 15 visits per year

฿8,000 limit per visit
Up to 30 visits per year

Paid in full

Prescribed drugs and dressings Silver HealthGold HealthPlatinum Health

฿16,500

฿65,000

Paid in full

Pathology, radiology and diagnostic tests (excluding advanced medical imaging) Silver HealthGold HealthPlatinum Health

฿65,000

฿165,000

Paid in full

Physiotherapy treatmentSilver HealthGold HealthPlatinum Health

฿65,000

฿165,000

Paid in full

Restorative speech therapy Silver HealthGold HealthPlatinum Health

฿65,000

฿165,000

Paid in full

Alternative medicines, osteopathy and chiropractic treatmentsSilver HealthGold HealthPlatinum Health

Paid in full
Up to 15 visits

Paid in full
Up to 15 visits

Paid in full
Up to 30 visits

Rental of durable equipmentSilver HealthGold HealthPlatinum Health

Up to a maximum of 45 days per period of cover

฿65,000

Paid in full

Paid in full

Adult vaccinations Silver HealthGold HealthPlatinum Health

฿8,000

Paid in full

Paid in full

Well child testsSilver HealthGold HealthPlatinum Health

Payable for children at appropriate age intervals up to age of 6

Paid in full

Paid in full

Paid in full

Annual routine tests Silver HealthGold HealthPlatinum Health

Payable for children aged 15 or younger

Paid in full

Paid in full

Paid in full

Child immunisations Silver HealthGold HealthPlatinum Health

Payable for children aged 17 and younger

Paid in full

Paid in full

Paid in full

60+ CareSilver HealthGold HealthPlatinum Health

Not Covered

฿33,000

฿66,000

Dental accidentsSilver HealthGold HealthPlatinum Health

฿16,500

Paid in full

Paid in full

Deductible and Cost Share options for Outpatient Medical TreatmentSilver HealthGold HealthPlatinum Health

Deductibles:
฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

Cost share:
0% / 10% / 20% / 30%

Out of Pocket Maximum:
฿100,000

Deductibles:
฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

Cost share:
0% / 10% / 20% / 30%

Out of Pocket Maximum:
฿100,000

Deductibles:
฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

Cost share:
0% / 10% / 20% / 30%

Out of Pocket Maximum:
฿100,000

    This covers you more comprehensively for outpatient care that may arise where a hospital admission as an Inpatient or Daypatient is not required. It includes consultations with medical practitioners and specialists, prescribed outpatient drugs and dressings, physiotherapy treatment, adult vaccinations and child immunisations.

Annual Outpatient benefit maximum per covered person per period of cover.

    This includes claims paid across all sections of the Outpatient Medical Treatment option.

Silver Health
  • ฿350,000

Gold Health
  • ฿850,000

Platinum Health
  • ฿2,500,000

Consultation with medical practitioners and specialists
    Silver Health
    • ฿3,500 limit per visit
      Up to 15 visits per year

    Gold Health
    • ฿8,000 limit per visit
      Up to 30 visits per year

    Platinum Health
    • Paid in full

    Prescribed drugs and dressings
      Silver Health
      • ฿16,500

      Gold Health
      • ฿65,000

      Platinum Health
      • Paid in full

      Pathology, radiology and diagnostic tests (excluding advanced medical imaging)
        Silver Health
        • ฿65,000

        Gold Health
        • ฿165,000

        Platinum Health
        • Paid in full

        Physiotherapy treatment
          Silver Health
          • ฿65,000

          Gold Health
          • ฿165,000

          Platinum Health
          • Paid in full

          Restorative speech therapy
            Silver Health
            • ฿65,000

            Gold Health
            • ฿165,000

            Platinum Health
            • Paid in full

            Alternative medicines, osteopathy and chiropractic treatments
              Silver Health
              • Paid in full
                Up to 15 visits

              Gold Health
              • Paid in full
                Up to 15 visits

              Platinum Health
              • Paid in full
                Up to 30 visits

              Rental of durable equipment

                Up to a maximum of 45 days per period of cover

              Silver Health
              • ฿65,000

              Gold Health
              • Paid in full

              Platinum Health
              • Paid in full

              Adult vaccinations
                Silver Health
                • ฿8,000

                Gold Health
                • Paid in full

                Platinum Health
                • Paid in full

                Well child tests

                  Payable for children at appropriate age intervals up to age of 6

                Silver Health
                • Paid in full

                Gold Health
                • Paid in full

                Platinum Health
                • Paid in full

                Annual routine tests

                  Payable for children aged 15 or younger

                Silver Health
                • Paid in full

                Gold Health
                • Paid in full

                Platinum Health
                • Paid in full

                Child immunisations

                  Payable for children aged 17 and younger

                Silver Health
                • Paid in full

                Gold Health
                • Paid in full

                Platinum Health
                • Paid in full

                60+ Care
                  Silver Health
                  • Not Covered

                  Gold Health
                  • ฿33,000

                  Platinum Health
                  • ฿66,000

                  Dental accidents
                    Silver Health
                    • ฿16,500

                    Gold Health
                    • Paid in full

                    Platinum Health
                    • Paid in full

                    Deductible and Cost Share options for Outpatient Medical Treatment
                      Silver Health
                      • Deductibles:
                        ฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

                        Cost share:
                        0% / 10% / 20% / 30%

                        Out of Pocket Maximum:
                        ฿100,000

                      Gold Health
                      • Deductibles:
                        ฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

                        Cost share:
                        0% / 10% / 20% / 30%

                        Out of Pocket Maximum:
                        ฿100,000

                      Platinum Health
                      • Deductibles:
                        ฿0 / ฿5,000 / ฿16,500 / ฿33,000 / ฿50,000

                        Cost share:
                        0% / 10% / 20% / 30%

                        Out of Pocket Maximum:
                        ฿100,000

                      In case of an emergency, this provides coverage for reasonable transportation costs to the nearest medical facility if the treatment is not available locally. It includes emergency transport to a centre of medical excellence, repatriation home following a serious medical incident and costs for compassionate visits.

                      Medical evacuationSilver HealthGold HealthPlatinum Health

                      Paid in full

                      Paid in full

                      Paid in full

                      Medical repatriationSilver HealthGold HealthPlatinum Health

                      Paid in full

                      Paid in full

                      Paid in full

                      Repatriation of mortal remainsSilver HealthGold HealthPlatinum Health

                      Paid in full

                      Paid in full

                      Paid in full

                      Travel cost for an accompanying personSilver HealthGold HealthPlatinum Health

                      Paid in full

                      Paid in full

                      Paid in full

                      Compassionate visits - travel costs Silver HealthGold HealthPlatinum Health

                      Up to a maximum of 5 trips per lifetime.

                      ฿40,000

                      ฿40,000

                      ฿40,000

                      Compassionate visits - living allowance costsSilver HealthGold HealthPlatinum Health

                      Up to a maximum of 10 days per visit.
                      Up to the total limit shown per covered person per day.

                      ฿5,000

                      ฿5,000

                      ฿5,000

                        In case of an emergency, this provides coverage for reasonable transportation costs to the nearest medical facility if the treatment is not available locally. It includes emergency transport to a centre of medical excellence, repatriation home following a serious medical incident and costs for compassionate visits.

                      Medical evacuation
                        Silver Health
                        • Paid in full

                        Gold Health
                        • Paid in full

                        Platinum Health
                        • Paid in full

                        Medical repatriation
                          Silver Health
                          • Paid in full

                          Gold Health
                          • Paid in full

                          Platinum Health
                          • Paid in full

                          Repatriation of mortal remains
                            Silver Health
                            • Paid in full

                            Gold Health
                            • Paid in full

                            Platinum Health
                            • Paid in full

                            Travel cost for an accompanying person
                              Silver Health
                              • Paid in full

                              Gold Health
                              • Paid in full

                              Platinum Health
                              • Paid in full

                              Compassionate visits - travel costs

                                Up to a maximum of 5 trips per lifetime.

                              Silver Health
                              • ฿40,000

                              Gold Health
                              • ฿40,000

                              Platinum Health
                              • ฿40,000

                              Compassionate visits - living allowance costs

                                Up to a maximum of 10 days per visit.
                                Up to the total limit shown per covered person per day.

                              Silver Health
                              • ฿5,000

                              Gold Health
                              • ฿5,000

                              Platinum Health
                              • ฿5,000

                              Take control of your overall health and well-being with routine adult physical examinations and preventative cancer screenings. We can also provide you with the tools to help you manage your own day-to-day well-being, with confidential counselling sessions, access to an online CBT programme, and resources to assist with your daily demands such as childcare arrangements or relocation logistics.

                              Routine adult physical examinationsSilver HealthGold HealthPlatinum Health

                              Payable for covered persons aged 18 and older

                              ฿7,500

                              ฿15,000

                              ฿20,000

                              Pap smearSilver HealthGold HealthPlatinum Health

                              ฿7,500

                              ฿15,000

                              Paid in full

                              Prostate cancer screeningSilver HealthGold HealthPlatinum Health

                              Payable for males aged 50 years old or over.

                              ฿7,500

                              ฿15,000

                              Paid in full

                              Mammograms for breast cancer screeningSilver HealthGold HealthPlatinum Health
                              • Women aged 35-39: one baseline mammogram for asymptomatic women;
                              • Women aged 40-49: one mammogram for asymptomatic women every two years;
                              • Women aged 50 or older: one mammogram each year for asymptomatic women.

                              ฿7,500

                              ฿15,000

                              Paid in full

                              Bowel cancer screening Silver HealthGold HealthPlatinum Health

                              Payable for covered person(s) aged 50 years old or over.

                              ฿7,500

                              ฿15,000

                              Paid in full

                              Bone densitometrySilver HealthGold HealthPlatinum Health

                              ฿7,500

                              ฿15,000

                              Paid in full

                              Dietetic consultationsSilver HealthGold HealthPlatinum Health

                              Up to 4 consultations with a dietician per period of cover.

                              Not covered

                              Not covered

                              Paid in full

                              Life Management Assistance ProgrammeSilver HealthGold HealthPlatinum Health

                              This programme is available 24 hours a day and gives you access to free, confidential assistance with any work, life, personal or family issue that matters to you.

                              Paid in full

                              Paid in full

                              Paid in full

                                Take control of your overall health and well-being with routine adult physical examinations and preventative cancer screenings. We can also provide you with the tools to help you manage your own day-to-day well-being, with confidential counselling sessions, access to an online CBT programme, and resources to assist with your daily demands such as childcare arrangements or relocation logistics.

                              Routine adult physical examinations

                                Payable for covered persons aged 18 and older

                              Silver Health
                              • ฿7,500

                              Gold Health
                              • ฿15,000

                              Platinum Health
                              • ฿20,000

                              Pap smear
                                Silver Health
                                • ฿7,500

                                Gold Health
                                • ฿15,000

                                Platinum Health
                                • Paid in full

                                Prostate cancer screening

                                  Payable for males aged 50 years old or over.

                                Silver Health
                                • ฿7,500

                                Gold Health
                                • ฿15,000

                                Platinum Health
                                • Paid in full

                                Mammograms for breast cancer screening

                                  • Women aged 35-39: one baseline mammogram for asymptomatic women;
                                  • Women aged 40-49: one mammogram for asymptomatic women every two years;
                                  • Women aged 50 or older: one mammogram each year for asymptomatic women.

                                Silver Health
                                • ฿7,500

                                Gold Health
                                • ฿15,000

                                Platinum Health
                                • Paid in full

                                Bowel cancer screening

                                  Payable for covered person(s) aged 50 years old or over.

                                Silver Health
                                • ฿7,500

                                Gold Health
                                • ฿15,000

                                Platinum Health
                                • Paid in full

                                Bone densitometry
                                  Silver Health
                                  • ฿7,500

                                  Gold Health
                                  • ฿15,000

                                  Platinum Health
                                  • Paid in full

                                  Dietetic consultations

                                    Up to 4 consultations with a dietician per period of cover.

                                  Silver Health
                                  • Not covered

                                  Gold Health
                                  • Not covered

                                  Platinum Health
                                  • Paid in full

                                  Life Management Assistance Programme

                                    This programme is available 24 hours a day and gives you access to free, confidential assistance with any work, life, personal or family issue that matters to you.

                                  Silver Health
                                  • Paid in full

                                  Gold Health
                                  • Paid in full

                                  Platinum Health
                                  • Paid in full

                                  Vision CareSilver HealthGoldHealthPlatinum Health

                                  Eye examination

                                  ฿3,500

                                  ฿7,000

                                  Paid in full

                                  Expenses for:Silver HealthGold HealthPlatinum Health

                                  • Spectacle lenses;
                                  • Contact lenses;
                                  • Spectacle frames;
                                  • Prescription sunglasses.

                                  ฿5,000 

                                  ฿5,000 

                                  ฿10,000 

                                  Dental Treatment
                                  Annual dental benefit maximum per Covered Person per Period of CoverSilver HealthGold HealthPlatinum Health

                                  This includes claims paid across all sections of the Dental Treatment option.

                                  ฿40,000 

                                  ฿80,000 

                                  ฿180,000 

                                  Preventative Silver HealthGold HealthPlatinum Health

                                  3 month waiting period

                                  Paid in full

                                  Paid in full

                                  Paid in full

                                  Routine Silver HealthGold HealthPlatinum Health

                                  3 month waiting period

                                  80% refund

                                  90% refund

                                  Paid in full

                                  Major restorativeSilver HealthGold HealthPlatinum Health

                                  12 month waiting period

                                  70% refund

                                  80% refund

                                  Paid in full

                                  Orthodontic treatmentSilver HealthGold HealthPlatinum Health

                                  Available for covered person aged 18 or younger
                                  18 month waiting period

                                  40% refund 

                                  50% refund

                                  50% refund

                                  Vision Care

                                    Eye examination

                                  Silver Health
                                  • ฿3,500

                                  GoldHealth
                                  • ฿7,000

                                  Platinum Health
                                  • Paid in full

                                  Expenses for:

                                    • Spectacle lenses;
                                    • Contact lenses;
                                    • Spectacle frames;
                                    • Prescription sunglasses.

                                  Silver Health
                                  • ฿5,000 

                                  Gold Health
                                  • ฿5,000 

                                  Platinum Health
                                  • ฿10,000 

                                  Dental Treatment
                                    Annual dental benefit maximum per Covered Person per Period of Cover

                                      This includes claims paid across all sections of the Dental Treatment option.

                                    Silver Health
                                    • ฿40,000 

                                    Gold Health
                                    • ฿80,000 

                                    Platinum Health
                                    • ฿180,000 

                                    Preventative

                                      3 month waiting period

                                    Silver Health
                                    • Paid in full

                                    Gold Health
                                    • Paid in full

                                    Platinum Health
                                    • Paid in full

                                    Routine

                                      3 month waiting period

                                    Silver Health
                                    • 80% refund

                                    Gold Health
                                    • 90% refund

                                    Platinum Health
                                    • Paid in full

                                    Major restorative

                                      12 month waiting period

                                    Silver Health
                                    • 70% refund

                                    Gold Health
                                    • 80% refund

                                    Platinum Health
                                    • Paid in full

                                    Orthodontic treatment

                                      Available for covered person aged 18 or younger
                                      18 month waiting period

                                    Silver Health
                                    • 40% refund 

                                    Gold Health
                                    • 50% refund

                                    Platinum Health
                                    • 50% refund

                                    This provides cover for the expectant mother during and after, ensuring both mother and baby remain healthy. This includes pre-natal and post-natal care, routine maternity care, and routine and premature new born care.

                                    Only applicable for eligible females aged between 18 and 43 years old who have been continuously insured under the Mother and Baby Care option for 12 months.

                                    Hospital charges for nursing and accommodation for Mother and Baby Care treatmentSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    Up to ฿8,000 per day
                                    Private standard single room

                                    Paid in full
                                    Private standard single room

                                    Paid in full
                                    Private standard single room

                                    Routine maternity careSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿150,000

                                    ฿230,000

                                    ฿460,000

                                    Medically necessary caesareanSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿180,000

                                    ฿330,000

                                    ฿660,000

                                    Home childbirthsSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿10,000

                                    ฿16,500

                                    ฿36,000

                                    Complications arising from maternity (excluding complications from childbirth)Silver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿82,500

                                    ฿165,000

                                    ฿330,000

                                    Pre-natal and post-natal careSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿40,000

                                    ฿115,000

                                    ฿230,000

                                    Routine newborn careSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿16,500

                                    ฿33,000

                                    ฿66,000

                                    Premature newborn careSilver HealthGold HealthPlatinum Health

                                    12 month waiting period

                                    ฿825,000

                                    ฿2,500,000

                                    ฿5,000,000

                                    Cost Share options for Mother and Baby CareSilver HealthGold HealthPlatinum Health

                                    Applies to routine maternity, medically necessary caesarean and pre-natal and post-natal care.

                                    Cost Share:
                                    0% / 10% / 20% / 30%

                                    Cost Share:
                                    0% / 10% / 20% / 30%

                                    Cost Share:
                                    0% / 10% / 20% / 30%

                                      This provides cover for the expectant mother during and after, ensuring both mother and baby remain healthy. This includes pre-natal and post-natal care, routine maternity care, and routine and premature new born care.

                                      Only applicable for eligible females aged between 18 and 43 years old who have been continuously insured under the Mother and Baby Care option for 12 months.

                                    Hospital charges for nursing and accommodation for Mother and Baby Care treatment

                                      12 month waiting period

                                    Silver Health
                                    • Up to ฿8,000 per day
                                      Private standard single room

                                    Gold Health
                                    • Paid in full
                                      Private standard single room

                                    Platinum Health
                                    • Paid in full
                                      Private standard single room

                                    Routine maternity care

                                      12 month waiting period

                                    Silver Health
                                    • ฿150,000

                                    Gold Health
                                    • ฿230,000

                                    Platinum Health
                                    • ฿460,000

                                    Medically necessary caesarean

                                      12 month waiting period

                                    Silver Health
                                    • ฿180,000

                                    Gold Health
                                    • ฿330,000

                                    Platinum Health
                                    • ฿660,000

                                    Home childbirths

                                      12 month waiting period

                                    Silver Health
                                    • ฿10,000

                                    Gold Health
                                    • ฿16,500

                                    Platinum Health
                                    • ฿36,000

                                    Complications arising from maternity (excluding complications from childbirth)

                                      12 month waiting period

                                    Silver Health
                                    • ฿82,500

                                    Gold Health
                                    • ฿165,000

                                    Platinum Health
                                    • ฿330,000

                                    Pre-natal and post-natal care

                                      12 month waiting period

                                    Silver Health
                                    • ฿40,000

                                    Gold Health
                                    • ฿115,000

                                    Platinum Health
                                    • ฿230,000

                                    Routine newborn care

                                      12 month waiting period

                                    Silver Health
                                    • ฿16,500

                                    Gold Health
                                    • ฿33,000

                                    Platinum Health
                                    • ฿66,000

                                    Premature newborn care

                                      12 month waiting period

                                    Silver Health
                                    • ฿825,000

                                    Gold Health
                                    • ฿2,500,000

                                    Platinum Health
                                    • ฿5,000,000

                                    Cost Share options for Mother and Baby Care

                                      Applies to routine maternity, medically necessary caesarean and pre-natal and post-natal care.

                                    Silver Health
                                    • Cost Share:
                                      0% / 10% / 20% / 30%

                                    Gold Health
                                    • Cost Share:
                                      0% / 10% / 20% / 30%

                                    Platinum Health
                                    • Cost Share:
                                      0% / 10% / 20% / 30%

                                    So what are you waiting for? Get a quote today!

                                    Answer a few questions, it shouldn't take longer than 2 minutes.

                                    Or contact Cigna Thailand at: 02 430 4780 and Outside Thailand at: +66 (0)2 430 4780