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Answered5 months ago

Can I extend my O-A retirement visa while in Thailand and what are the health insurance requirements?

Bigd **********
asked May 13, 2026
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I'm here in Thailand on O-A retirement visa. I've seen people state: 1. the O-A cannot be extended/Renewed while in Thailand, that it must be done back in one's home country, and 2. Even if you have the best US health insurance that covers you here, after year one you must switch to Thai health insurance for the O-A. I see nothing in writing on this. Has anyone on here done the extension/renewal? (Im not sure which term to use). TIA
Answer summary
The O-A retirement visa can be extended within Thailand, contrary to some beliefs that it must be renewed in your home country. However, for the extension to be approved, Thai immigration requires holders to switch from foreign health insurance to a Thai-approved health insurance after the first year. This means that if you plan to extend your O-A visa, you must comply with health insurance requirements, as well as complete the mandatory 90-day reporting, particularly in places like Bangkok. For those wishing to avoid these requirements, some opt to let the O-A visa expire and instead apply for a non-O visa, which does not have such insurance requirements.
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Jeffery *************
Jeffery *************
you can renew your OA here without leaving thailand. the insurance part is a bit trickier, how did you get Immigration to accept it initially?
Brandon ************
Brandon ************
@Jeffery ************
you don't get immigration to accept it. The embassy does. And they are 2 completely different government agencies with different rules.

Also you don't renew a visa. You apply for extensions. And each extension is a brand new application, not a renewal of anything.
James ******
James ******
I’ve renewed an OA 19  times already and I haven’t left Thailand
Bigd **********
Bigd **********
OP
James Sing you have thai insurance?
Mary ******************
Mary ******************
I did a quick google search & the rules specially say that the O-A requires mandatory health insurance. From what source, I can’t say- best to contact a health on agent on this. That way you can learn what options you have. The difference with a an O visa is there is no mandatory health insurance - I had a regular O retirement visa for 3 years & I was never asked to show any proof of health insurance. I applied for this visa after living in Thailand for 7
***
years on a spousal visa tied to my husband’s work permit. The OA retirement visa has different rules, as this one is applied for in your home country. You might want to reapply for the O-visa, if the health insurance cost is a concern- as it is still a 1-year, annual renewal visa. This part is the same.
Jump****
Jump****
Hey Bigd, I entered Thailand this year on an OA visa and like you, I had many questions. I went to Bangkok immigration to learn about the renewal process and can confirm a few things written here, at least according to them.

Yes, you can extend the OA within the country. And contrary to what some people on this board say, IT IS an immigration requirement that you complete your 90 day reporting. Perhaps there are some other provinces where they don’t look at this as much, but certainly in Bangkok they made a point of telling me that it is a legal requirement, if you are in Thailand for 90 consecutive days. If you go traveling outside of Thailand before the 90 days are concluded, then the clock on the next 90-day reporting starts the minute you return from your travel, and you must complete your reporting at the next 90-day interval. Also note, that the first time you do 90-day reporting, you must do it in person at Thai immigration. After that, you can do it online. 

Also, I confirmed that I must change my excellent international insurance to one of the approved Thai insurances at the one year extension or they won’t approve me. You’re right, that it is not clear on the Embassy websites and in fact the Thai Embassy in my country told me she believed I would be able to continue on my international insurance at the first year extension if they filled out the foreign certificate again. However, she told me to double check at Bangkok immigration, which is what I did. They told me in no uncertain terms that the rep at the Thai Embassy was incorrect. I must choose one of the approved Thai insurances to extend the OA, OR I have the option of leaving to a neighboring country and starting the process over for the non-immigrant O, which does not carry a health insurance requirement.

There are different options regarding the financial requirements, depending on what your long-term plans are. Since I don’t wanna go home every two years to reapply, which seems unnecessary, my plan is to deposit 800 K into a Thai bank and just let it stay there. I understand this is not everyone’s choice, but it will allow me the most latitude whether I extend the OA or begin the process again with the O. So ultimately you have to decide. I hope this helps.

As you can see a lot of people have different experiences, but these boards have been very helpful to me. However, I encourage you to go to Bangkok immigration and ask questions there, as I did, because some of the opinions on this board are just not accurate from the current legal policy, and if you’re doing this yourself, as I am, it’s better to do it with information directly from Thai immigration, especially on points where you can see some people disagree. Also, be aware that rules seem to change frequently, which is why it helps to do things directly at immigration, even if it’s a bit of a pain in the ass🙏 We are foreign guests here, and it helps to learn the system, even if it frequently changes.
Jeffery *************
Jeffery *************
Jumper25 well and clearly stated, thanks
Kool *******
Kool *******
If you extend your type OA visa inside Thailand then it is no longer a multi entry visa, and requires a re-entry permit if you leave and return during that year.
Marty *********
Marty *********
I had an OA for 6 years. Yes you can extend an OA inside Thailand 1 year at a time (same as the O) and you have to have Thai insurance. To get your home country health insurance to qualify you have to have them sign a form available from Immigration. A lot of people will say that most insurance companies won’t sign it. All you can do is give it a try.

Yes you have to meet the 1 year extension financial requirements of money in a Thai bank.
Brandon ************
Brandon ************
There are 2 ways of using the OA visa.

The only way that really makes sense is entering Thailand with it and getting a 1 year entry stamp. Just before the visa ends (not your entry stamp), make sure you have another year of insurance and then leave and re-enter Thailand to get another year entry stamp. After that go back home and get another non-OA visa. This means you never need to deposit money in a Thai bank and never really have to deal with Thai immigration.

The other thing you can do is to apply for an extension at immigration. The reason this isn't a good option is because you require Thai insurance, and this must be from a specific list of Thai insurance companies. Whatever insurance you have on your own is irrelevant. You must also meet every other extension requirement, which means you have the worst of both worlds. You to have this mandatory insurance AND have to put 800,000 in a Thai bank account. So if you plan to do extensions in Thailand, you should get a non-O instead of non-OA.
John ********
John ********
@Brandon ***********
In your first scenario you say, "go back home and get another non-OA visa." Are you suggesting letting it expire and then starting new again and applying for an OA visa on the digital site? Not sure I understand.
Nongnuch ********
Nongnuch ********
John Tidona at the end of the "second year" you need to exit Thailand before your last stamped 1-year stay permit expires. Fly back home and apply for the next 1-year Non-Imm-O/A Longstay Visa. By this way you can keep your money in your home bank account, and most important, you can get the O/A visa issued on a worthy foreign insurance (that's worth the paper it is written on). Andyou never have to visit Immigration to applyfor an extension. Well it needs to be done every two years and you need to fulfill all requirements needed for a new 365-days Non-O/A visa over again, strangely for some people it is worth the effort
Stephen ********
Stephen ********
@John *********
"IF"? The only time you need leave is to go get another OA visa!
John **********
John **********
@Bigd *********
in the 2nd year you need a re-entry permit to keep your stamp alive if you want to exit and return
Bigd **********
Bigd **********
OP
Nongnuch Kamdee My visa expires 14 August, 2026, I'm stamped in on my passport until 23 Oct, 2026. to Malaysia and come back in before August 14, and get stamped in for another year. If I'm stamped in for another year, can I leave country and come back in without a new visa? If not, I fly home in September, apply for the new OA visa. Hopefully the approval is as fast as the first time, 6 hours! I was in shock!
Stephen ********
Stephen ********
John Tidona Correct. The OA means you can skip the ridiculous 800k lump sum deposit. Have a trip home every two years and get a new visa. The best thing of all - no visits to immigration, no 90-day reports and no TM30. It's a dream
Nongnuch ********
Nongnuch ********
Stephen Howell WHAT are you fantasizing about??? As soon as you have gone from the second year to the 1-year extension of stay out of a former O/A visa, you indeed have to visit Immigration EVERY year in order to apply for the next 1-year extension. Only if you fly back to your home country before the most recent stay permit stamp of the "second year" expires, you can apply for a new 1-year Non-Imm-O/A Visa by fulfilling all requirements, again, and avoid having to visit Immigration.
Nongnuch ********
Nongnuch ********
Stephen Howell I didn't say the airport Immigration will check. My Bangkok Buddy lived in Thailand for 24 years, worked and had his own company . . . NEVER did one lonely 90-days report. It happens, some Immigrations don't care about it. Seemingly your Immigration also doesn't give a royal f..t. But I would not advice an novice aspirant to a 365-days Non-Imm-O/A visa that he can ignore the 90-days report, that's what you suggested 😎 And we all know that the airport exit Immigration does not care if you have reported or not, this has never been their job to check.
Stephen ********
Stephen ********
Marty Pollard You don't know how the OA works! You bounce at the end of the first year, and get another 12-month stamp. There is NO NEED to visit immigration!! Hence no need to do 90-dayer or TM30!
Marty *********
Marty *********
Stephen Howell Airport immigration doesn’t check 90 day reports. When you extend your OA for 1 year inside Thailand they will check. There is a 2,000 baht fine for not doing the reports. You won’t get the 1 year extension without a report receipt. Maybe you used an immigration office that didn’t care about 90 day reports.

I also had an OA for 6 years. I extended 5x at the Bangkok immigration office and they required 90 day reports and a TM30
Stephen ********
Stephen ********
Nongnuch Kamdee I was on OA for six years, never did a 90-day report. You're probably not aware but airport immigration don't give a shit about 90-day reports!
Nongnuch ********
Nongnuch ********
Stephen Howell of course you need to do 90-days reports while you are on the one-year O/A stay permit and also during the second year of the O/A stay permit. Or do you plan to do a border bounce every 90 days?
Jan ******************
Jan ******************
There are normally no issues obtaining yearly extensions based on a Non O-A visa as long as you maintain health insurance approved by Thai immigration. The Non O-A visa itself can only be issued through a Thai embassy or consulate in your country of citizenship or legal permanent residence.

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