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Personal Care Plan

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Personal Care Plan

Personal Care Plan… Live a worry-free life with our 24-hour worldwide coverage

O Provide various plans with the coverage ranging from THB 300,000 – 600,000
o Offer the coverage for an injury or sickness per disability,
with no limit to number of confinements per yearO Provide coverage of hospital general expenses up to THB
50,000 for an injury or sickness per disability (depending on selected plans) Provide major medical treatment benefit up to THB
600,000 (depending on selected plans)O 24-hour worldwide coverage for medical treatment in case of sickness or accident (excluding the United States of America where the benefits will be paid for the injury from an accident only) Be able to purchase additional coverage for outpatient treatment (OPD), maternity, and personal accident insurance Worry free with Aetna extensive medical network of over 450 hospitals and clinics nationwide O No need to purchase with life insurance.
Remark: subject to the insurance policy’s terms and conditions

Underwriting Conditions
*Eligible for persons aged 15 days to 65 years
*For the customers holding more than one insurance policy provided by Aetna Health Insurance, the highest benefit for medical treatment will be offered at the maximum of THB 5 million for an injury or sicknessper disability, considered from all effective insurance policies possessed by each customer,
*For the customers holding more than one insurance policy provided by Aetna Health Insurance, the highest benefit for personal accident insurance will be offered at the maximum of THB 1 million, considered from all effective insurance policies possessed by each customer.

Examples of Exclusions
Specific exclusions from the coverage are specified in the health insurance policy
. Examples of exclusions, which Aetna Health Insurance shall reserve its right not to pay our benefits, are described below,
o Pre-existing condition or any medical expenses for a sickness that happens in the course of 30 days from the initial effective date of the insurance policy
O Treatment or correction of surgery for congenital anomalies or development disorders o Medical expenses incurred from the treatment for
 attempted suicide or self-inflicted injury o Acquired Immune Deficiency Syndrome (AIDS) including a complication or sexually transmitted diseases
O Any medical treatment that is not conventional treatment, including alternative treatments
O Health check-up or a hospital confinement or a request for surgery, convalescence which is not under medical necessity or medical standard Pregnancy, childbirth, miscarriage (unless the insuring agreement for maternity is purchased), contraception. sterilization.
o Visual acuity, laser eye treatment, LASIK, dental treatment
and aesthetics treatment such as acne, blemish
o Sickness or diseases which happens within 6 months from the first day the Insurance Policy becomes effective including Tumors or Cancers, Polyps or Cysts, Hemorrhoids, Hernias, Pterygium, Pinguecula or Cataract. Tonsillectomy or Adenoidectomy, Stones, Endometriosis, Varicose Veins, Hallux Valgus, Ganglions.
Remarks
This document is not part of any insurance policy. Please refer to the general terms, conditions and exclusions in the health insurance policy. – Policyholders could read general terms, conditions and exclusions in the health insurance policy. – Policyholders should understand general terms and conditions before purchasing

Health Insurance: Changing Healthcare with Aetna (CXOTalk #317)