Extra Care PlanBoost your health cover with our affordable top-up plans

Aetna.co.th

Top-Uphealth insurance

S-MK-09E Rev. 06

Comprehensive health covers for all stages of life

Lifetime renewal guarantee*

Extensive cashless medical network of over 490 hospitals and clinics nationwide

Available for independently purchase without life insurance

Tax saving benefit on premium paid of up to THB 25,000

Remarks :* Lifetime renewal is applicable to members who purchase their policy before the age of

60 and continuously renew the policy. Or the members who purchase their policy when the age of 61-65, they will be eligible to renew up to the age of 70

Four levels of inpatient benefits to suit individual needs up to THB 600,000 aggregated limit for any injury or sickness per disability

Work together with other basic medical plans and pay 80% of all eligible medical expenses in excess of THB 20,000

Room and board benefits up to THB 4,000 per day (depending on the selected plan)

Extra Care PlanBoost your health cover with our affordable top-up plans.

Aetna Health Insurance (Thailand) Public Company Limited98, Sathorn Square Office Tower, 14th-15th Floor,North Sathorn Road, Silom, Bangrak, Bangkok 10500Tel. 0 2677 0000 Fax : 0 2230 6500Aetna Call Center 0 2232 8666 (Service 24/7 hours)

Aetna Health Insurance (Thailand) Public Company Limited98, Sathorn Square Office Tower, 14th-15th Floor,North Sathorn Road, Silom, Bangrak, Bangkok 10500Tel. 0 2677 0000 Fax : 0 2230 6500Aetna Call Center 0 2232 8666 (Service 24/7 hours)

©2020 Aetna Health Insurance (Thailand) Public Company Limited

For more details of our health insurance plans, please contact

The insured person is responsible for their premium payment. The collection of insurance premiums by non-life insurance agents or brokers will be treated as a service only.

Remarks• This document is not part of the insurance policy.• The buyer should study and understand coverage’s conditions, benefits and exclusions of the insurance policy.• The buyer should read general terms, conditions and exclusions in the insurance policy before purchasing every time.

Specific exclusions from the coverage are specified in the health insurance policy. Aetna Health Insurance reserves the right to deny claims resulting from any injury or sickness caused by:

Should coverage provided by any insurance policy be in violation of any United States (US), United Nations (UN) of European Union (EU) economic or trade sanctions, such coverage shall be null and void. For example, we cannot pay for healthcare services provided in a country under sanction by the United States unless permitted under a written Office of Foreign Asserts Control (OFAC) license. Learn more on the US Treasury’s website at: www.treasury.gov/resource-center/sanctions.

DescriptionBenefits (THB)

Plan 1 Plan 2 Plan 3 Plan 4

Inpatient hospitalization benefits*

Maximum aggregated benefit for an injury or sickness per disability** 300,000 400,000 500,000 600,000

Pay 80% of eligible medical expenses in excess of the deductible amount*** 20,000 20,000 20,000 20,000

Non-intensive care room, maximum payable per day**** 1,000 2,000 3,000 4,000

Personal accident

Personal accident (Or.bor.2)***** 1,000 1,000 1,000 1,000

Eligible for members aged from 15 days to 65 years

Member can purchase this plan at a maximum of one policy only

For members holding more than one insurance policy provided by Aetna Health Insurance, the highest benefit for medical treatment will be offered at a maximum of THB 30 million for any injury or sickness. In addition, the highest benefit for personal accident insurance will be offered at a maximum of THB 1 million, considered from all effective insurance policies possessed by each member

Remarks*Once the deductible amount has been reached.**Maximum benefit per disability includes inpatient hospitalization (room and board including fees for nursing services, hospital general expenses, surgeon’s fees and physi-cian’s hospital visit fee).***Cover for medical expenses includes surgeon’s fees, operating room fee, physician’s hospital visit fee, specialist’s consultation fees, but not exceeding the maximum benefit specified in the policy schedule.****Provides benefits and coverage of non-intensive care room in case of the deductible amount has been reached.*****Personal accident insurance (Or.bor.2) provides benefits in case of death, dismem-berment, 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).

Table of Benefits

Underwriting Conditions

Examples of exclusions

• Pre-existing conditions - any diseases (including complication), symptoms or disorders incurred before the policy start date

• Any medical expenses for any sickness that occurs within the first 30 days from the effective date of the insurance policy

• Treatment or corrective surgery for congenital anomalies or developmental disorders

• Medical expenses incurred for the treatment of attempted suicide or self-inflicted injury

• Acquired Immune Deficiency Syndrome (AIDS) including any related complications or sexually transmitted diseases.

• Any unconventional treatment, alternative medical treatment or experimental treatment

• Health check-ups, hospital confinement, requests for surgery, or convalescences that are not medically necessitated

• Pregnancy, childbirth, miscarriage (unless the insuring agreement for maternity is purchased), contraception, and sterilisation

• Visual acuity, laser eye treatment, LASIK, dental treatment and aesthetics treatment for issues such as acne and blemishes

• Sickness or diseases occurring within 180 days from the effective date of the insurance policy, including tumours or cancers, polyps or cysts, hemorrhoids, hernias, pterygium, pinguecula or cataracts, tonsillectomy or adenoidectomy, stones, endometriosis, varicose veins, hallux valgus, galglions