Bupa Private and Confidential Date if required1 Bupa Health Insurance (Thailand) Public Company Limited Present to : Khon Kaen University By : Ms.Chanapat.

Slides:



Advertisements
Similar presentations
Hadi Gholipour : Provider Tabriz University Of Medical Sciences_Paramedical faculty(Feb 2010)
Advertisements

Corporate Employee Benefits: Medical Insurance Programme
Chapter 11: Health Care Planning. Objectives Identify the major sources of health care plans. Describe the major types of coverage provided by health.
Corporate Employee Benefits: Medical Insurance Programme SmartCare Optimum Provided by AXA SingaporeAdministered by Expat Insurance Pte Ltd.
Corporate Employee Benefits: Medical Insurance Programme Tailored Benefits Programme Provided by AXAAdministered by Expat Insurance Pte Ltd.
Americas Europe Middle East AsiaPAC 1 Medical Benefits Abroad German American Chamber of Commerce (GACC ) Policy # 05958A INTERN HEALTH INSURANCE PLAN.
Health Savings Accounts (HSAs) Everything You Need to Know.
© 2011 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Government Involvement in Health Care - Medicare and Medicaid Craig A. Pedersen, R.Ph., Ph.D. School of Pharmacy Ohio State University and Mary Haven.
Click here to advance to the next slide.. Chapter 35 Life and Health Insurance Section 35.2 Health Insurance.
Health Insurance Chapter 41.
 Protects the standard of living of the survivors  At the policy holder’s death, the insurance company pays survivors the face value of a life insurance.
Health Insurance Law and You Mr. Blais. Managed Care Plans These involve arrangements between the insurance companies and a certain network of health-care.
Hospital Deductible Insurance (HDI) Supplementary “Gap” Coverage Complementing High Deductible Health Plans (“HDHPs”)
 Life insurance is a contract specifying a sum to be paid to a beneficiary upon the insured’s death  Beneficiary- the recipient of any policy proceeds.
8/15/20151 Tuberculosis (TB) Testing and Health Insurance New International Student Orientation – Fall 2013.
Star Health and Allied Insurance Co. Ltd. Presentation on Micro Health Insurance Presentation on MICRO HEALTH INSURANCE.
Star Health and Allied Insurance Co. Ltd. Presentation on Star Super Surplus Presentation On Star Super Surplus.
Corporate Employee Benefits: Medical Insurance Programme MyGlobalBenefits Provided by Aviva Ltd, SingaporeAdministered by Expat Insurance Pte Ltd.
Standard 7.01 Classify types of health insurance and features of types of coverage.
Lecture 11 Medical Benefits: Traditional Plans (Indemnity Plans) Providers of Traditional Coverage –Blue Cross-Blue Shield –Insurance Companies Basic Medical.
© 2012 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
2005 Heath Savings Account (HSA) Overview COPYRIGHT © 2005 AGILE SOFTWARE CORPORATION. COMPANY CONFIDENTIAL Slide 1 Health Savings Account A New Medical.
CHAPTER 10 GROUP MEDICAL EXPENSE BENEFITS: TRADITIONAL PLANS.
Medical Insurance. Overview  Many people in the US are uninsured – they assume all responsibility for health care costs.  The number of uninsured is.
Health Insurance designed for the International Students of the THE TEXAS A&M UNIVERSITY SYSTEM Underwritten By: Companion Life Insurance Company.
20 - 1Copyright 2008, The National Underwriter Company Types of Individual Health Insurance Coverage  What is it?  Provides reimbursement for certain.
Open Enrollment Benefits August 1 _ 31, 2014 Wylie ISD.
The content of this Power Point is designed only for communication purposes and is not to be considered a contract, nor does it guarantee or imply coverage.
Star Health and Allied Insurance Co. Ltd. Presentation on Star Super Surplus Presentation On Star Super Surplus.
How Available is Healthcare Principles of Health Science.
Presentation on True Value Presentation on TRUE VALUE.
STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED PERSONAL & CARING STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED PERSONAL & CARING Senior Citizens Senior.
Overview of CISI Benefits & Procedures For the Participants of Rotary International 2012.
Ivy Tech Community College Limited Medical Insurance Plans.
For Agent Use Only Use Only For Presentation Purposes. Do Not Forward. Confidential and Proprietary Information.
Mediclaim Insurance. What is Mediclaim Policy? The MediClaim insurance policy aims to provide reimbursement of hospitalisation expenses incurred as a.
Health Insurance Mr. Peterson.  st=PLAEF1F13C29ACCC01&index=1&feature=plpp_vide o
Short-term Medical Insurance AN AFFORDABLE APPROACH TO HEALTHCARE FOR UNEXPECTED ILLNESS OR INJURY For Agent Training Use Only and Not For General Distribution.
Tutorial: Group 5 Prepared by: Chay Pui Yinn( ) Soh Wei Yen( ) Teo Ai Lee( )
Chola MS HELP – Health Claims Presentation M/s VA Tech Wabag Group Health Cover
Corporate Employee Benefits: Medical Insurance Programme
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 16 TRICARE.
HEALTH CARE SYSTEMS. Health care systems include many agencies, facilities, and people involved in the delivery of health care. Private facilities: Require.
STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED PERSONAL & CARING STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED PERSONAL & CARING.
Overview of CISI Benefits & Procedures For the Participants of Rotary International 2011.
Health insurance coverage 1. Health Insurance Coverage Hospital insurance  Classified as medical insurance.  Covers for most or all of the charges during.
Hospital Deductible Insurance (HDI) Supplementary Group Coverage Complementing High Deductible Health Plans (“HDHPs”)
Ivy Tech Community College Limited Medical Insurance Plans.
9-1 CHAPTER 9: INSURING YOUR HEALTH 9-2 Importance of Health Insurance  Protect against economic loss in the event of serious accidents or illnesses.
INSURER : ICICI LOMBARD INSURANCE COMPANY LIMITED.
Al Rajhi company for cooperative Insurance Majed Al- Rasheedi Turkey Alotibe.
15-16 International Student Health Insurance Overview.
Health Insurance Question: Why should I have health insurance? The cost of health care has risen drastically over the past few decades. If you do not have.
Vary in size and type of service Can be private (profit), religious, voluntary (non-profit) and government General or specialty Government hospitals around.
Health, Disability, and Life Insurance Chapter 14.
Health Insurance. Purpose of Health Insurance  To aid individuals and families in living healthier lives, provide basic medical services and protect.
Personal Finance. 2 What is risk? Uncertain and unpredictable factors, some of which can be controlled to a certain extent, that can lead to loss or injury.
LIFE & HEALTH INSURANCE INSURANCE FTZ Coca Cola Industries.
Ivy Tech Community College Limited Medical Insurance Plans
Health Insurance Key Definitions & Frequently Asked Questions
Who pays for today’s healthcare?
Health Insurance in Saudi Arabia
Ivy Tech Community College Limited Medical Insurance Plans
2019 Health Plan ASU is a self-insured health plan. Employees and ASU pay premiums into the plan, and those premiums are used to pay claims, administrative.
Ivy Tech Community College Limited Medical Insurance Plans
Ivy Tech Community College Limited Medical Insurance Plans
Cashless Process Planned Hospitalization Emergency Hospitalization
ConsoliCare Underwritten by:
Group Mediclaim Policy
Presentation transcript:

Bupa Private and Confidential Date if required1 Bupa Health Insurance (Thailand) Public Company Limited Present to : Khon Kaen University By : Ms.Chanapat / Bupa Khon Kaen Date :18/08/2014

About Bupa

Bupa’s purpose is ‘to help people live longer, healthier, happier lives’  As a leading international healthcare group, we offer health insurance and medical subscription products, run care homes, retirement villages, hospitals, primary care centres and dental clinics. We also provide workplace health services, home healthcare, health assessments and long-term condition management services.  We have over 26m customers in 195 countries. With no shareholders, we invest our profits to provide more and better healthcare and fulfil our purpose. We employ more than 70,000 people, principally in the UK, Australia, Spain, Poland, New Zealand and Chile, as well as Saudi Arabia, Hong Kong, India, Thailand, China and the USA. For more information, visit

Bupa Private and Confidential Date if required4  We have been established for over 35 years. Formerly known as Blue Cross Health Insurance, Bupa is the leading health insurance specialist in Thailand.  We now have over 250,000 members and more than 2,000 organizations. With our local knowledge and Bupa's world-wide presence, we ensure that our members have access to some of the best ideas and innovations in the world as well as global health care expertise.  To make quality healthcare accessible, we guarantee lifetime renewal (as per Bupa policy), enable cashless treatment with our medical card and have the medical network more than 350 in Thailand. Bupa Thailand

Service of Bupa

6 What Is Covered Covers expenses arising from medical treatment that caused from “INJURY” or “SICKNESS” INJURY means bodily injury which is caused directly and solely from an accident. SICKNESS means that you have illness or disease.

Benefits Plan

8 Benefit Structure GETTING TREATED In-Patient Benefit Out-Patient Benefit Personal Accident You can choose to buy IPD only. Or both IPD and OPD.

9 DEFINITIONS INPATIENT / Hospitalization means you have a condition which justified the occupation of a bed for 6 hours or more. OUTPATIENT means you require a treatment for a condition which does not require you to occupy a hospital bed. In some circumstances you may have a surgical procedure which can be performed on an outpatient basis of which is called “Day Case” i.e. mole excision, cauterization, upper GI endoscopy pterygium excision, breast mass excision. In these cases the actual surgery and its associated costs will be paid out of your hospitalization benefits. Per disability (Inpatient) means expenses relating to the continuous treatment in connection with or in relation to one previous injury or sickness arising from other causes occurred at the same time of one hospitalization, those treatment will be counted as the same disability.

Benefits Description Sapphire Plan A) Room an board including nursing charge (Max. payable per day) ICU room and board including nursing charge 1,400 Baht/day 2,800 Baht/day B) Hospital General Expenses Hospital general expenses including drugs, dressing, x-ray, lab test, physical therapy and use of operating theatre and emergency treatment & 30 days of follow up ER Accident - first visit within 24 hrs. of emergency & 15 days follow up (including in hospital general expenses) Ambulance – maximum per disability 16,000 Baht/disability 2,200 Baht/accident C) Surgical Fee - pay percentage of benefit in accordance with complexity of procedure as per policy schedule 22,000 Baht/disability D) Physician ‘s Fee - inpatient physician’s fee for doctor visits (1 visit/day) 300 Baht/day * MAJOR MEDICAL - pay 80% of benefit in excess of basic in-patient benefits (excluding room, board, nursing service) up to the maximum shown below Maximum Payable of In-Patient Benefit Overall maximum inpatient benefit payable under the plan 300,000 Baht/ disability E) Personal Accident - lump sump payment in the event of death or dismemberment cause of accident 20,000 Baht IN-PATIENT Benefits

SAPPHIRE Outpatient - Including doctor consultation, drugs, X-ray and laboratory tests (maximum benefit per visit) CLASSIC PLUS DELUXE 400 Baht/day 500 Baht/day 600 Baht/day OUT-PATIENT Benefits Allows 1 visit per day. Maximum 30 visits per year.

To Use Benefits

1. Using your membership card at our network hospitals Check the list of hospitals which are in Bupa network Show your membership card along with your passport Be covered under the benefit plan you bought Room& Board 1,400 / Day Hos.Service 16,000 Surgery 22,000 (Per Schedule) Doctor’s Visit 300 / Day ER Accident 2,200 OPD 500 Contract no: Period of cover : 20/08/ /08/2015 Mark Zuckerburg * Membership Card

Bupa Network in Khon Kaen No. Hospital Name Direct Settlement (not to pay first) In-patientOut-patient 1.Srinakarin Hospital (KKU) Government  2.Khon Kaen Hospital Government  3.Ratchapruek Hospital Private Hospital 4.Khonkaenram Hospital Private Hospital If you are admitted to a hospital which is on our hospital list, tell them that you are a Bupa member and show them your membership card, The hospital will contact us to recheck your cover and eligible for benefit. When eligible, hospital will send your bill directly to us for settlement.

15 After the treatment, please pay the bill yourself To obtain reimbursement, you will need to obtain a Doctor’s certificate showing diagnosis, Original receipt and Attending physician’s report. Submit to Bupa’s Claim Department within 90 days after the treatment. 2. If you attend a hospital or clinic which is not on our list For claim with no further investigation required will take not more than 10 working days. Bupa pays your claim by cheque or money transfer.

Bupa16 What Is Not Covered General Exclusions :  Pre-existing conditions.  Treatment for congenital abnormalities.  The following disease or conditions are not covered during the first 6 months of cover in the first policy year – tumors or cancers, polyps, cysts or benign tumors, hemorrhoids, hernia, pterygium pinguecula and cataract, tonsillectomy or adenoidectomy, stones, varicose veins, hallux valgus, ganglion and endometriosis.  Pregnancy delivery and Miscarriage. Birth control and treatment infertility.  Annual health checks, eye sight examination, eye sight laser treatment, dental and cosmetic treatment (acne, melasma etc.)  HIV / AIDS and HIV related diseases.  Appliances such as spectacle, lens, hearing aids or wheelchair.  Treatment arising from a self-inflicted injury, suicide attempt, alcoholism, drug abuse or sexually transmitted diseases.  Mental illness or stress related conditions.

17Bupa Cromwell Hospital – Business Update Customers Service Center Tel Our Service includes Medical consultation. Medical consultation. Check your benefit entitlement and eligibility. Check your benefit entitlement and eligibility. How to maximize your health benefit comparing to the expected expense of your treatment. How to maximize your health benefit comparing to the expected expense of your treatment. Pre-arrangement the treatment at your choice of hospital or specialist ensuring it is suitable to your entitled benefit. Pre-arrangement the treatment at your choice of hospital or specialist ensuring it is suitable to your entitled benefit.

18 Thank you. Any questions?

Bupa Khon Kaen Branch Ms.Chanapat Panyachatphol (Branch Manager) Office : ext.103 Mobile :