Additional Contract for Happy Care Health Insurance
Additional contract for Happy Care health insurance that cares for you and your family and is eligible for tax deduction.
Coverage
Covering medical expenses with participant payments. The company is responsible for 95% of the expenses covered.
Additional protection
Increase OPD outpatient treatment (no participant pay) to the maximum per policy year From 2,000 baht - 6,000 baht
Tax deduction
Tax deduction up to 25,000 baht
Age’s acceptance
11 - 70 years old
Coverage period
1 year (renewable until age of 89 years old or until the end of the primary insurance policy)
Premium payment period
1 year (insurance premium
adjust with increasing age)
Insurance premium adjustment
The company may adjust the insurance premium on the anniversary of the policy year due to the following factors.
1.Age and occupation level of the individual.
- Higher medical expenses or from the overall claim settlement experience of the contract portfolio.
However, the company will notify the insured in writing at least 30 days in advance
at the rate already approved by the registrar
Remark
- This additional contract provides coverage for medical treatment incurred in Thailand for injury or illness.
- In the event of medical treatment occurring outside the territory of Thailand, coverage will be provided only for bodily injury from accidents and illness for emergencies abroad as stated in the endorsement record.
- Terms for condition adjustment of the insurance agreement for the renewal of additional contracts in the event of the anniversary of the insurance policy are as follows:
The company reserves the right to change the terms of the insuring agreement by adding conditions for the insured to have copayments not exceeding 10%of the covered expenses. For additional contracts for health insurance of Happy Care, there is a 3% reduction in insurance premiums in the renewal year when
1.) All-cause claim rate are exempted of claims from accidents in the insurance policy year from 401%, and
2.) 3 or more hospital stays in the insurance policy year.
In considering claims from additional contracts for health insurance of Happy Care and endorsement records, coverage for medical care that is not hospitalized (OPD) in the first policy year will be considered during the first 10 months. Also, for the next policy year, it will be considered during the last 2 months of the previous policy year. and during the first 10 months of the policy year.
If the claim in the next policy year is reduced that is not in accordance with the above criteria, the added joint expenses and premium discount will be canceled on the next policy anniversary date.
In the event that the company adds conditions for the insurer to have copayments, the company will withdraw the evidence to the insured at least 15 days before the anniversary of the policy year.