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AIA HEALTH HAPPY | สัญญาเพิ่มเติมกลุ่มค่ารักษาพยาบาล

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Published by aiaconsultant.th, 2021-05-17 05:15:03

AIA Health Happy ประกันสุขภาพเหมาจ่าย เหมา เบิ้ล คุ้ม

AIA HEALTH HAPPY | สัญญาเพิ่มเติมกลุ่มค่ารักษาพยาบาล

AIA HEALTH HAPPY





















    

   ­

AIA HEALTH HAPPY 3




AIA HEALTH HAPPY


„ … †   ‡ˆ  ‰  ‹    ­ ­ Œ Ž
‘ †  ­    ­
’
 ‹ ‰ ­  „  ­†


Ž   † 
’
­   ­ ­ ‰ ‹† 
’ ‡”  ‡ƒ 
 ­ ‡  
­ ‰



† ­
’ ‡ 
’...‰  ­  ‡†‰


‘ Œ Ž   25   
‘ Œ Ž ‰ 1




’­ Œ
  2
‘ Œ Ž    2  3 ‰‹     ‡
4
— 
†
 ƒ 
 „•    4


 


  ˜ ­
 — ‘   
  ‚ƒ 365   5 ( š ‘ 25   )



   6 – 75
 ‚ƒ 84


‚ƒ 85




 

         1-13
1
   
­  € ‚ ƒ  (
 ) 
  ƒ
     
2
  ­

†
  ­
‡ ˆ
  ­
  €    
‰  € † € €
   
Š   ­
3
 ƒ
   2  ˆ
‡ 
€ ‰€      ­
 €Œ
­ ‡  ‡  
4
€ ‚  €Œ
 €Œ
†
‡ € ‡  €
­ † ‚ ­    365 €
­ ‡ € € ‚ ƒ   
‰ 30 € ƒ
  2  €Œ
5
 
­  
( ƒ  ) ­  
ICU  € ­   365 €
• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€
  €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€ 
€”” € ‰€
­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

4 AIA HEALTH HAPPY

’­    1
• 
 Š €    €    ‡

 Š €   : 35  
­    €Œ
†

€  € ‚
‘  ƒ­  ’   —
“ 

   ’ 





•      
AIA Health Happy   2  5,000,000
Ž­ :    €  ­  18,900  
ˆ  ­ : €    €ˆ
ƒ 
€ 3 ˆ € ‰  €Œ
 ‰ ƒ  •   Š €    ˆ  
5  Ž‚
      € ˆ
 ˆ†Œ € ˆ ’
  : ‡ €
­
    ˆ € ’   
  
’    :
 Š € ˆ € € ‚   ’
‡  ”   9 € ( 
8 € ­ 
ICU 1 € )
 :  Š € €  € ‚ 50,000    š†

 € ‚
 :   Š € ‡ € AIA Health Happy š†

 ­ 
‰    €
€ 
 Œ


   ƒ‰ ‰ ‘ Œ Ž — : 
 ­ 1 1  
­  
( ƒ  ) 141,795 ICU ‰ ‰  31,855   8  

   3,000   
+
133,940
2.1  
­      ˜€ 66,732 66,732   ICU 1  
7,855
 
­    ‡ € € ‚ ‰ ‰ 
2.2  
41,170 41,170
 ­ 2 2.3   
 ­   ‰€Š™ 289,881.60 289,881.60   8  
3,000 x 8
= 24,000
 ­   ‰€Š™ Œ 
(  ‰€Š™ 1) +
2.4 27 20,000 
 27   ICU 1  
‡ € €  ( ‡ € Š  7 € ) ‰ ‰ 
 ­ 3 3  ƒ   (­  )  € ‚ 21,100 2,000    18,000 = 7,855
4.1  
 € ­  
‡ €
9,225 9,225
  
   ‰€Š™ 70,770 70,770
 ­ 4 4.2 ­    Š  € ­ €
‰ ‰  AIA Health
Happy
 ƒ   ­ €

4.3
(  ­   ƒ   € ) (Doctor Fee) 180,000 180,000  86%
4.4  ƒ    €”” ­   (Doctor Fee) 40,000 40,000 ‡   
x  ‰€Š™ 2  ’ ’ ­  Ž‚ 3,675 

 


 864,375.60 747,660.60


• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€   €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€

€”” € ‰€ ­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

AIA HEALTH HAPPY 5

’­    2 •  Š   ‡
€   ­
­
   €

 ƒ 
 ˆ
 Š   : 33 
   ˆ†Œ ­ Ÿ  ‡
   
 Š †
“ ƒ  „

…†  ƒ  ƒ
‰

 ‹ ”‰† ­ š 

 ­ ƒ ”
„• † 
’ 
’ 
ˆ  †‰
•      
AIA Health Happy   4  25,000,000
Ž­ : € ­
 ­  42,300  
ˆ  ­ : € ƒ­
   €
• 
€  ‡  Š €   Š   Š­ ˆ

  : 
 ‡ ­     ˆ
  
†
  €Œ


  
Ž
’    :
•  €  10 ›‚‰  2564  Š ’  
  ­
†
ˆ € € ‚
 
  “ 
• 5 €  ­   ƒ‡  ˜€  €   Š    ’
   š†
  ˜€ ­
 € ­     €Œ
­
‚€ †
 ƒ
    2  ˆ
‡ 
€    €Œ   Š ˆ € € ‚ 
 ’
   ­  
 3    Œ €”” AIA Health Happy
­ 4    
25,000,000  €
 €  Ž‚ “ € ƒ­ ƒ    ” Medix* š†
 ‡ † ‚  € € ‚  ­  ­ ƒ  ”€ 
“ Š †

  € € ‚  ­    


‘ Œ Ž   

‘ 4
50

­ 1
­ 2
­ 3



25 25   
  

1 .
. 2564 1 .
. 2565 1 .
. 2566 1 .
. 2567 1 .
. 2568
10 .
. 2564 15 .
. 2564
‡ —    ‰š
„    €    
Œ
”  
* ­
 ˆ ‡ € Š     
“   ˆ
Medix š†
Medix  ‚€   ‚€
­ ƒ 
ˆ

 €  ‰€Š™ ­ ˆ “  ‡ Medix
• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€   €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€

€”” € ‰€ ­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

“ ‰”  ­     
 — ‰  

„ ‘ ­ †Ž ‹ 
’”

AIA HEALTH HAPPY 7
‘ Œ ŽŒ  ‘ 1    ‘ 5    ‘ 15    ‘ 25   
1. ‘ Œ Ž ’­‘   †

 
­  
( ƒ  ) 1,500  3,000  6,000  9,000 
 ˆ € € ‚  ƒ   €Œ
 €Œ
†
 €  €  €  €
 1 
ƒ   › (ICU)   
­ 

†

( ƒ  )  ‡  
 
ƒ
   365 €   
€Œ
 1 ­   365 €
 
­      ˜€  ‡ € € ‚  ­  ˆ
 2
 
  
 ­   ‰€Š™    
2.1  
­      ˜€
 
­    ‡ € € ‚ 
2.2 
­  ˆ
­  
2.3   
 ­   ‰€Š™
 ­   ‰€Š™ Œ 
(  ‰€Š™ 1) ‡ € 
2.4 20,000    €Œ
€  ( ‡ € Š  7 € )
 ƒ   (­  )  € ‚
 3  ˆ € € ‚  ƒ   €Œ
 €Œ
†
1,000  2,000  4,000  6,000 
ƒ
   365 €  €  €  €  €
 4  € ‚  € (Ž€ ) ­ €
   
4.1  
 € ­  
‡ €
  
   ‰€Š™
4.2
­    Š  € ­ €
 ƒ   ‡Ž€ ­ €
4.3 ‡ € ­  ‡Ž€ ­ €
(  ­  
ƒ   € ) (Doctor fee) 
4.4  ƒ    €”” ­   (Doctor fee)
4.5  € ‚  € € 
 € ”  
ˆ € € ‚ €  ƒ 
 5
1
(Day Surgery )
2. ‘ Œ Ž ’­    ‡ —  ‘   †
 
­      ˜€  ˆ

 ­ €
ˆ € € ‚ €  ƒ    € ‚
 6
ƒ    
ˆ

€
ˆ € € ‚ €  ƒ     
 
­      ˜€  ˆ
6.1
­ ˆ†Œ ‰ 30 €  ­ €

ˆ € € ‚ €  ƒ 
 € ‚ ƒ  €
ˆ € € ‚ €  
ƒ    €Œ
‡ € € ‚  
‰
6.2 ‡ € 2  €Œ
30 € €
ˆ € € ‚  ƒ   ˆ € € ‚  ƒ   €Œ
 €Œ
†
 €Œ
€Œ (    
­      ˜€ )
• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€   €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€

€”” € ‰€ ­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

8 AIA HEALTH HAPPY

‘ Œ ŽŒ  ‘ 1    ‘ 5    ‘ 15    ‘ 25   

 € ‚ ’ Š ƒ 
 7
‰ 24 € 
ˆ
  €     €Œ
  Ž Ÿ Ÿƒ €
ˆ € € ‚ €  ƒ 
 8
­   €Œ
    (  2  €Œ
)
 
­    ‡ € € ‚   Œ €
 9

 
     
 
­    ‡ € € ‚  ’

 10
€
€ ‚ €
 € ‚  Ž     € ‚
   
 
­    ‡ € € ‚  ’
 11
 ‡ €    
 12 
˜  ˜
 13  € ‚  € ’ (Minor Surgery )
2
 
 ‡  
2,000 
  €Œ
3. ‘ Œ Ž
 — ‘      
ƒ
  30  €Œ
 
 
‚€  ƒ
        2 
4. ‘ Œ Ž


 ’­Œ
  3 ˆ
‡ 
€ ‰€ ˆ
€”” Œ   
 ƒ € ‰€ ˆ € € ‚ €    ­
­  
 3   
5. ‘ Œ Ž  Ž „ ’­ ­ Ž­ 10,000 
1,000,000 5,000,000 15,000,000 25,000,000
 
 ‡   ‰    Š     
    1-13 ­  € ‚ ƒ  (
 ) 
  ƒ
     
1 Day Surgery
†
 € ”  ‡ €
 ­  € ”    
 ‡ € € ‚ Ž‚
 ­  € ”   
ˆ € € ‚ €  ƒ 
2 Minor Surgery
†
 € €  €
 €Œ   €
 €Œ     ˜  (Local / Topical Anaesthesia)  ˜ Š
3    
Š   ­
ˆŠ  €””   
ƒ € ‰€  €  ˜€ ­  €      ­
 €Œ
­
‡ ˆ
  ­
  €    
      
(Waiting Period) ˆ
€”” Œ ‚€ 
ƒ
        2  ˆ
‡ 
€ ‰€ €”” Œ    ƒ € ‰€ ˆ € € ‚ €    ­
­  
 3      ­  ‚€  ƒ
      
1.    ƒ € ‰€  ˆ € € ‚ €  ƒ   €Œ
­ 
  ­

2.    ‡  € ”  
€ € ‚ €  ƒ  (Day Surgery)  €Œ
­ 
  ­

3.    ‡  €   Œ Œ  €Œ
­ š†
     ­
­ ­    Š ˆ†Œ 

• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€
  €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€ 
€”” € ‰€
­ –      ­ €”” € ‰€
XX/XX/2020
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
   XX/XX/2020

AIA HEALTH HAPPY 9


­ ­
 
 ‡    ‹ ‡  ‰  1 ­  1 ‡ 
 ‡    ‡ ‡     ­
1.  Œ € ˜ € ˆ  (Acute Heart Attack)
2.  
­    € (Major Stroke)
3.  €   Œ
 Œ € (Coronary Artery By-Pass Surgery)
4.  ’
  (Invasive Cancer)
5.  € €   ƒ
 ˆ ƒ (Major Organs Transplantation
or Bone Marrow Transplantation)
6.  €   ­
”   (Surgery to Aorta)

 ­ 

 (Waiting Period) ‡  


1.   ˆ†Œ  30 € € ­ €   
€””
Œ  €  ‚€   €  ˆ
€”” Œ
­ ­  Š ˆ†Œ ‰ €
2.  €
 Œ  ˆ†Œ  120 € € ­ €   
€”” Œ  €  ‚€   €  ˆ
€””
Œ ­ ­  Š ˆ†Œ ‰ €
•    
•  Œ  
• €  š  
•   
ƒ ” 

‡    ‡  


1. ‰      ˆ†Œ ­  ‡  
€  ˆ

 ƒ Š­  ‡  
€   
 €¥ ˆ

2.  € ‚   €    ­  ˆ ”  Š
3. €Œ
 ‰ ­
  ‡­
   ­ š
€Œ
 ‰ ­  ˆ ”   ( 
†
   ­ € ‚ ) ‡ €
   ‡





• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€
  €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€ 
€”” € ‰€
­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

10 AIA HEALTH HAPPY


­  … 
— : 
Ž 

(
) ‘ 1 ‘ 2 ‘ 3 ‘ 4 ‘ 1 ‘ 2 ‘ 3 ‘ 4
500
1    5    15    25    1    5    15    25   
6 - 10 29,700 36,400 45,000 53,900 26,800 33,600 41,400 51,200

11 - 15 16,400 20,200 25,500 33,400 14,400 18,200 21,600 27,900
16 - 20 13,500 16,500 20,100 26,200 15,200 19,100 23,100 30,300
21 - 25 13,700 16,900 21,600 28,000 17,200 21,500 27,000 35,300

26 - 30 14,700 18,300 26,100 33,800 17,500 21,800 30,600 38,000
31 - 35 15,100 18,900 29,400 37,800 18,400 22,700 34,200 42,300

36 - 40 17,000 20,800 31,800 40,900 20,400 25,100 37,200 46,000
41 - 45 19,200 23,800 36,000 47,300 22,300 27,800 42,900 53,600
46 - 50 21,600 26,700 40,200 52,400 24,500 30,400 46,500 60,700

51 - 55 28,300 35,000 50,100 65,300 28,500 35,200 50,700 65,500
56 - 59 34,100 42,300 63,900 83,000 34,400 42,500 65,100 84,600
60 - 65 40,900 50,600 72,300 94,100 41,500 50,800 73,500 95,700

66 - 70 59,400 72,100 105,000 136,700 60,800 74,000 107,100 139,300
71 - 75 85,400 104,000 152,100 197,800 88,200 107,500 155,700 202,000
76 - 80* 122,900 150,000 219,900 286,300 126,300 154,400 224,700 291,800

81 - 84* 177,800 217,100 318,300 414,700 182,700 223,400 325,500 422,700

*    
€””  €”” € ‰€   € ‰€ 1  š†
   
€Œ
Œ ‚€
  § € Œ € ‰€    € 
 € 
“
   ˆ€Œ Š   ­ ˆ
‚€  
‡ € €””    € ‚  €  “  €
Ÿ

­  ­  € ‚    €  ’ 




• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€
  €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€ 
€”” € ‰€
­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
  

AIA HEALTH HAPPY 11









„•  ‡ Œ 


AIA Health Happy €”” ¨  ­¨ 

­    € € €Œ
­  6 – 75    
†
84 




†
  85   €
­ € € Œ €
€

ˆ†Œ ƒ € ª Š™ Š ˆ
‚€  
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‰ ’  
‡€ ‡ €  ƒ
   
9,000  ­ ­  ƒ
  €””  € ‚
 “

‰ ‡ˆ ˆ†Œ ƒ € ª Š™ Š ˆ
‚€


 †  ˆ —­ Œ €  ˆ‰ (
 ) ˜   ˆ
 ˆ
€ 
‰ ‚
    € Š™ ‡

€”” ¨  ­¨   ­ €  ˆ 
 Œ Ž 
AIA Vitality ­  €  Œ €
 ˆˆ

AIA Vitality
 Œ Ž‰ ‡ €    
­ 15   ­ ­ 25  


















• ƒˆ € ‰€  ކ ‚ ­ ‡ ˆ ˆ  € ‡ € ‰€
  €  ­  ކ ‚ ˆ ‡ ­
 ˆ  
• ƒˆ € ‰€   ­

ˆ 
ˆ € ‰€  ˆ 
 ­

ˆ   ’ “     ‚€ ƒ € € ‰€ 
€”” € ‰€
­ –      ­ €”” € ‰€
• ˆ ‡ ­
 ˆˆ
   
     € ‰€   € ƒ
   XX/XX/2020

‡ Œ €    ˆ
ƒˆ €  €­
€  ’ Œ €    €Œ

‡ €    ¬
­ ˆ ‡ €  
  š†
    ‡  ƒ € ‰€
 €
  Œ € ‰€  ‡ ­ 










 € Ž 
Ž  ‡   €  €Œ
­ €  1    2481 ­  †
ˆ
  ‚€ 
   
 €  
­
 € ‚ Š € ‰€   €  ­  ˆ‰ ­ € 
­ 
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 ­  ƒ 
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 
‡
Œ





Ž 
181
  
Ž ˆ
€  
 « 10500

aia.co.th SU0215390 - 01/03/2021


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