New health insurance (New Health Standard) meets the needs of the insurance business sector.

Business

Get to know the new health insurance (New Health Standard) that the OIC office has collaborated with the insurance industry to meet the needs of the insurance industry and be the same standard for the entire insurance industry. It will be revised and enforced from July 1, 2022, opening up standards that anyone can access. 1. Improve clarity, comply with the law, add definitions by adding a flexible definition of Day Surgery. 2. Define 13 categories of coverage, separate the coverage clearly, make comparisons easy, reduce duplicate claims. Inpatients Category 1: Room and food fees Category 2: Medical service fees for diagnosis Category 3: Medical professional (doctor) fees for examination and treatment Category 4: Surgical treatment and nursing fees Category 5: Major surgery fees that do not require hospitalization (Day Surgery) Outpatient Category 6: Medical service fees for directly related diagnosis before and after inpatient treatment Category 7: Medical service fees for outpatient injuries wit hin 24 hours (illness from accidents) Category 8: Rehabilitation medical fees after inpatient treatment Category 9: Medical service fees for chronic kidney disease treatment Category 10: Medical service fees for cancer treatment - by radiation therapy Category 11: Medical service fees for cancer treatment by chemotherapy Category 12: Emergency ambulance service fees Category 13: Medical service fees for minor surgery 3. Renew the health insurance policy in all cases, except in cases of fraud ? Renew the health insurance policy in all cases ? Not reporting the truth according to the insurance policy ? Claiming excessive benefits 4. Specify the conditions clearly. Make it clear that the company will provide coverage ? Not sick in the period before taking out the insurance for 5 years ? Not sick in the period after taking out the insurance for 3 years 5. Adjusting insurance premiums to be appropriate, taking into account age and occupation. The company will notify at least 30 days in advance. The adjusted premium must be approved by the registrar. The Office of the Insurance Commission (OIC) takes into account the benefits of the insured and maintains the insurance business to be stable and sustainable Source: Thai News Agency