Personal Health Insurance

4

Perfect Health Solution

Krungthai-AXA Life has received numerous awards and recognitions nationally and internationally

such as. ; 2014- Asia Disability Matters honoree in workforce category by Springboard Consultant

LLC (USA) - Asia Responsible Entrepreneurship Award in Health Promotion category by

Enterprise Asia - The Annual Best Employer Award in Employee Skill Development, 2013 - The Best

Development Life Insurance company from Office of Insurance Commission, second place for

Corporate Responsibility for the AXA Group, 2011 - Social Contribution for People with

Disabilities Award and Diversity & Inclusiveness with regards to People with Disabilities. The AXA

Group works closely with the United Nations International Strategy for Disaster Reduction

(UNISDR) and the United Nations Environment Protection (UNEP) on the Principles for

Sustainable Insurance (PSI). Krungthai-AXA Life is also closely involved with these UN initiatives

and has taken the lead in Thailand on the PSI.

Krungthai-AXA Life Insurance Public Company Limited

2034/116-123, 136-143 Italthai Tower, Floor 27-28, 32-33

New Phetchaburi Road, Bangkapi, Huai Khwang, Bangkok 10310, Thailand

Tel. 0 2723 4000 Fax. 0 2723 4032

0 2689 4800www.krungthai-axa.co.th

Customer Call Center

Perfect Health Solution ...................................................................................

...................................................................................

...................................................................................

...................................................................................

...................................................................................

...................................................................................

...................................................................................

...................................................................................

Live a worry-free life from critical illness with Coverage for Radiotherapy, chemotherapy and Kidney dialysis

Welcome Mommy to-be with coverage for pregnancy, childbirth, pre and post natal complications and newborn accommodation

Support proactive healthcare with coverage for annualhealth screen, routine dental care, routine optical care and vaccination

Receive coverage in every perspective of your health with alternative therapies including acupuncture and chiropractics as per suggestion from quali�ed practitioner

Access to world-class healthcare treatment with worldwide coverage, as per coverage plan of choice

Medical second opinion to provide you free access to world-class medical practitionerFree

Provide lump-sum coverage for in-patient treatments of up to maximum Bt100 million per year

2

3

4

5

6

Because we are unique

1) In-patient and daycare treatment

2) Out-patient treatment

4) Physical �erapy

3) Radiotherapy, chemotherapy and Kidney dialysis

Maximum as per coverage plan

Maximum 180,000 Baht per year

8) Alternative therapies

9) Routine dental care

10) Routine optical care

11) Annual Health screen

12) Vaccination

13) Domestic Health treatment

14) International treatment (for in-patient treatment)

No pre-payment is required in case

early notice by insured with su�cient

coverage

Pre-payment is required and paid based on

bene�t table, mostly insu�cient coverage for international hospitals

15) 24-hour International Emergency Medical Assistance

16) Concierge service

17) Medical second opinion

Perfect Health Solution

Other health planBene�ts

Lump-sum payment

Based on bene�t table

Lump-sum payment

Maximum limit imposed

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

Covered Not coverage

7) Pregnancy and childbirth

5) Pre and post natal complications

6) Newborn accommodation

No pre-payment is required in case admitted to in network hospitals

Note : Benefit No.7 - No. 12 depend on chosen coverage plan

1

Worldwide Healthcare that meets all your needs

Worldwide Healthcare that meets all your needs

Bene�t Table ...................................................................................

...................................................................................

...................................................................................

...................................................................................

...................................................................................

Insured can choose ONE (1) Area of cover; however,

premium will vary for each Area of cover.

Death Benefit (Due to any cause)

Maturity Benefit (at 85 years of age)

Bene�ts Platinum Diamond Gold Silver Smart 50,000 THB or Return of total basic premium paid, whichever is higher

50,000 THB

1. In-patient and daycare treatment

2. Out-patient treatment

3. Other bene�ts

4. Maximum bene�t per year

5. Areas of Coverage

1.1 Daily accommodation charges including Room & Board and meals of

up to (per night)

1.2 Hospital General charges

1.3 Hospital Cash benefit (In-patient treatment only)

2.1 Radiotherapy and chemotherapy

2.2 Kidney dialysis

2.3 Surgical procedures

2.4 Consultation and prescription

2.5 Diagnostic scans

2.6 Lab investigations, X ray, Ultrasound

2.7 Phycial Therapy

3.1 Ambulance and Transport

3.2 Accidental damage to teeth

3.3 Oral and Maxillofacial Surgery

3.4 Pre and post natal complications (12 MWP) (*)

3.5 Newborn accommodation

3.6 Pregnancy & childbirth (12 MWP) up to (*)

3.7 Alternative Therapies up to

3.8 Psychiatric treatment up to

3.9 Routine Dental Care up to (**)

3.10 Routine Optical Care up to

3.11 Health Screen (12 MWP) up to

3.12 Vaccination up to

Maximum benefit per year up to

Worldwide Coverage

Level of cover

3.13 Hospice and Palliative Care (12 MWP) up to (***)

1. 100% of actual expenses when treatment is received at an in-network hospital 2. 100% of reasonable and customary (R&C) charges when treatment is received at hospitals outside of network

Standard Single Room

(Up to 21,000 THB per day in Thailand)(****)

Standard Single Room

(Up to 15,000 THB per day in Thailand)(****)

Standard Single Room

(Up to 9,000 THB per day in Thailand)(****)Standard Single Room (Up to 5,200 THB per day in Thailand)(****)

Full Cover (up to maximum benefit per plan, per year)

7,000 THB (No other benefit claimed) 4,500 THB (No other benefit claimed) 3,500 THB (No other benefit claimed)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit per plan, per year)

Full Cover (up to maximum benefit

per plan, per year)

Up to 100,000 THB per year

(****)

Up to 50,000 THB per year

(****)

Up to 35,000 THB per year

(****)

Up to 12,000 THB per year

(****)

Full Cover (up to maximum benefit per plan, per year)

400,000 THB per year(****)

35,000 THB per year(****) 5,000 THB per year(****)

5,000 THB per year(****)

7,500 THB per year(****) 4,000 THB per year(****)

200,000 THB per year(****)

36,000 THB per year(****)

25,000 THB per year(****)

30,000 THB per year(****)

45,000 THB per year(****)

1,000,000 THB per year(****)

100,000,000 THB 70,000,000 THB 10,000,000 THB 6,000,000 THB 3,000,000 THB

4 areas of cover to choose

1) Worldwide 2) Worldwide excluding USA 3) Asia 4) Thailand

2 areas of cover to choose

1) Asia 2) ThailandCover in Thailand Only Cover in Thailand Only

Emergency treatment only (maximum 45 days per single journey, including treatment days, for areas outside of cover)

(*) 12 MWP : 12-month waiting period. (**) Krungthai-AXA Life will pay eighty percent (80%) of all eligible treatment shown up to the limit specified in the table. (***) A lifetime limit applies to this benefit (****) Limited to maximum benefit per plan, per year.

Major ExclusionsInsured is not eligible to bene�t payment fromtreatments of injuries or medical conditions(including complications), symptoms or unusualconditions resulting from the following :

1. Any treatment within 30 days after rider commencement

date or reinstatement date, whichever is the latest.

2. Any treatment of the diseases or conditions listed below within

120 days after rider commencement date or reinstatement

date, whichever is the latest.

• Tumor, Cyst, or Cancer

• Hemorrhoids

• Hernia

• Glaucoma

• Tonsillitis

• Renal Calculi

• Varicose Vein

• Endometriosis

3. Any medical condition, chronic and for any associated

condition and complications thereof, that have not been fully

cured before the rider commencement date or reinstatement

date, whichever is the latest.

4. AIDS or venereal disease or sexually transmitted diseases.

Remark : Exclusions above are parts of all exclusions of the policy, please see all exclusions in the policy contract.