iHealthy Ultra Health Insurance

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Age

Gender

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Female

Coverage	BRONZE	SILVER	GOLD
Premium	19,475/yr	29,075/yr	37,075/yr
Max Overall Benefit (per policy year)	10M	15M	25M
In-patient Benefits
1Room & Board, Hospital Services (per day) Room & Board, Hospital Services in ICU	3,000 Baht	5,500 Baht	9,000 Baht
2Medical Services for Diagnosis or Treatment 2.1Medical services for diagnosis 2.2Medical services for treatment, blood and blood components, and nursing services 2.3Medicines, parenteral nutrition, and medical supplies 2.4Take-home medicines and medical supplies (Medical Supplies 1) (max 15 days per hospitalization)	As Incurred
3Physician (Doctor) Fees for Treatment
4Surgical and Procedure Expenses 4.1Operating room and procedure room fees 4.2Medicines, parenteral nutrition, medical supplies, and surgical/procedural equipment 4.3Fees for surgeon and assistant surgeon (Doctor fee) 4.4Anesthesiologist fees (Doctor fee) 4.5Organ transplant surgery expenses
5Day Surgery
Out-patient Benefits
6Medical Services for Diagnosis and Out-patient Treatment 6.1Directly related diagnostic services within 30 days before and after hospitalization 6.2OPD follow-up treatment within 30 days after hospitalization (max 2 times per hospitalization, excluding diagnostic services)	As Incurred
7Accident-related out-patient treatment within 24 hours per incident	As Incurred
8Rehabilitation after hospitalization	Not Covered
9Medical services for chronic kidney failure treatment by hemodialysis	As Incurred
10Medical services for tumor or cancer treatment by radiotherapy, brachytherapy, nuclear medicine
11Medical services for cancer treatment by chemotherapy
12Emergency ambulance service
13Minor surgery expenses
Other Benefits and Coverages (per policy year)
14Special nursing care in hospital and/or at home after hospitalization	Not Covered	As Incurred	As Incurred
15Dental treatment due to accident (within 7 days)
16Oral surgery
17Maternity complications before and after childbirth (12MWP)
18Doctor consultation and prescription drugs for out-patient		6,000 Baht	12,000 Baht
19Physiotherapy for out-patient		As Incurred	As Incurred
20Daily Hospital Cash	1,000 Baht / night	1,000 Baht / night	1,000 Baht / night