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What are my options for living in Thailand on a retirement visa without high health insurance costs?

Jan 17, 2026
3 months ago
Jim *******
ORIGINAL POSTER
I really want to live in Thailand, and I’m willing to jump thru some hoops to make it happen. But with the retirement visa options I have a problem. I’ve gotten a few quotes for the required health insurance, but they eat up 40-45% of my pension income! I’m trying to live comfortably on my $2k/mo pension. Can anybody here guide me to a practical solution? Thanks
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TLDR : Answer Summary
The post discusses challenges faced by an expat looking to live in Thailand on a limited pension while navigating retirement visa options, particularly concerning the cost of health insurance. Commenters suggest that the NON-O visa does not require health insurance, contrasting with the NON-OA visa, which does. Recommendations focus on applying for a NON-O visa to avoid high insurance costs and exploring self-insurance or affordable local health insurance plans. There's also advice on meeting the financial requirements for visa extensions, including maintaining a Thai bank account with sufficient funds.
NON-O RETIREMENT VISA RESOURCES / SERVICES
  • Go to the Retirement Visa Section for information on requirements, including age restrictions, financial requirements, and necessary documentation.
  • For immediate assistance, contact Thai Visa Centre directly via LINE at @ThaiVisaCentre or Email them.
  • Explore recent discussions by using the Non-O Retirement Visa tag in the search box at the top of the page.
  • Join the Thai Visa Advice Facebook Group to ask your questions, and get advice from others.
John *******
I wish you the best whatever you decide.
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Glyn **********
Move to Vietnam or Cambodia, visit Thailand as a tourist.
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Heiko *********
I don't know your age, but for me at nearly 50 the premium plan at Allianz Ayudhya is less than $2k for one year.
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Nibor **********
AXA easy care insurance is specifically to satisfy retirement visa requirements. Costs about $600/yr. Company is good and policy okay.
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I’m on the OA visa, 70 yrs old, and it’s ok. Lock in the price as there are age cut off points.
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Jackie ************
Nibor TenfiftyThe Company will not pay benefits under this Policy for any Chronic Conditions or Pre-existing conditions, including any complications that are not yet fully cured before the date this Policy first comes into effect.
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Nibor **********
That is true. It's a "pay to play" kind of policy. Good if you have an accident or sudden illness unrelated to a pre-existing condition. Hiring an agent is also "pay to play" but won't help in case of an accident.
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Nibor **********
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Murray ********
Non-O, no insurance required but can only be applied for from outside of Thailand.
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Jim *******
ORIGINAL POSTER
Thank you everyone for the comments, except for the few jerks. If you can’t be sociable, please stay off social media.
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Joe ********
Your health insurance quote is $800-900??
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Dave *******
If you are retireing here you need medical insurance, msny risk not having it but you ever need it trust me its worth it.

I dont know your age, health condition however your quotes are high.

I use AXA, cover is for here, im 71, my cost per annum is
*****
baht, can be paid 6 monthly.so you should be looking around 300 us a month jf you were me.there are cheaper, depends on the amount of cover you want and luxury.
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Mark ********
I gunna move to Thailand in 2 months to retire can I do it all from a Thai agency retirement visa n everything else how much thanks
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Anita ********
Stay in the US. Much cheaper as a senior.
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SereneB********
For a married couple, is it 800K baht each, or 800K baht for them both total? Thanks in advance.
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Wim ************
SereneBison4647 if your wife is not thai, it is 800k each
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Wim ************
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Reginal *******
If I get $4000 a month is dollars could I live good in Thailand
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Janet **********
Reginal Smith yes
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Janet **********
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Roger *******
You don't need insurance
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Danny *************
Go to Cambodia instead. People counting pennies shouldn't retire in Thailand in 2026. Simple fact.
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Midiah ********
Don't get that... Get a dtv
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Stephen *********
Self insurance is an alternative. Put aside 2000bt p/m or what you can afford
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David *******
O Visa needs no insurance
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Mick *****
Sorry to ask but why are you premiums quoted so high, 45% of 24K is $10,800 (340,000 Baht) per year? Do you have existing conditions? Have you spoken to a broker? I'm paying far less than that for 1 year of top level cover. I am 58 with no health issues. If it was costing me that much I think I would pull out.
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Todd ********
Retired teacher in Broward county….pension and social security is only $2000? From miami have the retirement extension. But will opt out of Medicare part b. Pay the same yearly for healthcare ins in Thailand.
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Vinson *******
Sometimes you just can get what you want
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Juniper ***********
Look into AXA Thailands easy care / long stay visa health insc plans:
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Should be affordable

I’m assuming you’re applying with proof of regular income with your pension so don’t need the 800.000 k thb in your account & do need the affordable health insc. This plan should work for you 😊 good luck!
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Jackie ************
Juniper Page-RoseThe Company will not pay benefits under this Policy for any Chronic Conditions or Pre-existing conditions, including any complications that are not yet fully cured before the date this Policy first comes into effect.
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Jackie ************
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Michael *******
If you cant afford H/ins. Dont come!
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Leong ***********
Buy health insurance in Thailand and specifically exclude US coverage.
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John *******
Get axa thai insurance
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Andrew ********
Health insurance ive looked into for a year for myself is 800$ USD
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Gail **********
Can foreigners purchase Thai based health insurance and if so does it have good coverage
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James *********
Gail Saunders yes. mostly no
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Gail **********
Thank you..but is it possible to get good coverage in for surgery...and if so are you aware of who they are..
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James *********
Gail Saunders I only hear horrible stories. I'm sure there are decent plans available, but it might be expensive. I think if you ask your questions in your own New post, you might get better answers than I'm able to provide. Best of luck👍
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James *********
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Mike *************
Search on youtube for "let's live in thailand thai retirement visa in minutes". It walks you thru the process for Non-O. I did it on Jan 5th following the video and it took 9 days. No insurance requirement with Non-O, you decide if you want it or not.
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Anna *********
Look into the non o visa requirements
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Stephen **********
if people come to Thailand and have no insurance you are a mug?had a m8 who broke his arm and insurance covered it had 3 operations cost bht1.5mil another had heart problem needed 4 stents just to fly home fit when he got here cost even more insurance paid ,anyone who says you don't need insurance is a fool.
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Dave *******
Stephen Choudury agree see it all the time
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Ivan ************
Stephen private hospitals will max the bill particularly if they know insurance is paying for it. Not suggesting anyone forgo insurance but there are much cheaper options.
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Dave *******
Ivan McAvinchey not in my experience, a detailed invoice is sent to my insurance company, their own a Doctors analysis the breakdown before approving.This mis-conception that everybody here is out to rob you is false. We are talking in this instance about a international company not a market stall.
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Ivan ************
Dave Whatever they are doing the bills are a lot higher. I've had several operations in the public system here with really great results and more reasonable prices. In most cases the doctors and surgeons working in the public hospitals also work in the private ones, just your bill will be higher.
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Ivan ************
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Kim *******
You will need health insurance one way or another. If you can't afford it, best to stay in the US where you will qualify for assistance..
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Arvid ***********
You must calculate with around minimum 3000 baht each day or around 90 to 100 000 baht a month. And remember its not specially comfortable to stay in Thailand from April to end October, very hot and rainy. I recommend not stay permanently, only stay for around 5 months from around 1.november until 1.april.
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Todd ********
Arvid Bekjorden The poster is from southern Florida usa . It’s HOT HOTTER AND RAINY the same as Thailand. 🤣🤨
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Arvid ***********
Todd Capron ok I was thinking Europe.
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Alan **********
Todd Capron Almost exactly the same climate - a few degrees warmer in Thailand. Well, mid-Thailand anyway.
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Alan **********
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Nick ************
Arvid Bekjorden
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baht a month is plenty.
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Arvid ***********
Nick Cartwright Then you are very clever in use of money, my experience is for 2 persons(my Thai wife and me)

We also have a car, motorbike and a house and eat often in restaurants, if you drop the car and motorbike and the house and Insted rent a small condo and make your own food, 50 to 60 000 baht each month maybe enough.
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GreenPa*******
Must have expensive tastes at 90,00 ' 100,00] baht a month (hiso)
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GreenPa*******
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Alan **********
They not ask insurance I been here 15 years visa throw agent
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Jackie ************
Come over and apply for non O. I guess i am more or less self insured regarding my pre existing conditions such as high blood pressure and prostate issues. My normal medication are bought without ongoing prescriptions at about 1500 baht per month. Have labwork done every 6 months for 1900 baht and i know what to watch for, psa, ldl, glucose, etc. I pay approx $100 usd per month for a well regarded travel medical plan with high deductible . in case of accidents or anything not excluded as a pre existing condition. Even if you bought a $500 per month plan here they are not obliged to cover pre existing conditions. Do the research. Good luck.
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Mel ******
Get nonO before you come to Thailand. Immediately get residency form from local immigration office and open Thai bank account and deposit 800k Thb. Be sure to ask your local immigration office the exact date you can come back to do 1 year extension of stay permit and their rules
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Martyn *******
Try mr Prakan insurance for a quote?
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Nick ************
Martyn James it's now CheckDI.
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Nick ************
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CleverM********
Get health insurance, dont listen to these people
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Yo***
CleverMango5122 it is always upto personal condition. If you have enough budge that can be used at any time, at least, cash, one or two millions THB, you do not need any health insurance. But if you are short of budget cash, you better have health insurance.
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James ***************
CleverMango5122 I can’t get health insurance because of pre existing conditions, what do you suggest as an alternative ?
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Marty *********
James Reid Patrick You can get insurance but the pre-existing conditions are excluded. Depends on the pre-existing conditions.
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William ***********
James Reid Patrick you can get insurance it just won’t cover the pre existing conditions. But will cover your motorcycle accidents ( may need to get an adventure sport rider), getting beat up in a bar fight and street food poisoning.
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Tore *********
James Reid Patrick huh? I have lots of pre existing. Including serious spine I with surgery gone wrong. I had no problems getting health insurance. Obviously they wont cover the pre-existing. But zero problems signing 🤷🏻‍♂️
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CleverM********
James Reid Patrick see a broker. Otherwise put some money away for emergencies. Good luck
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CleverM********
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Mally *******
Try getting health insurance when your over 65,none of them want to know especially if you have previous health issues
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Lam ************
Mally Neale - You can not get medical 🏥 insurance if you have medical preconditions .
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Michael ***********
Lam Thu Chung You wont get medical insurance for the pre-existing conditions, but can get for non-pre-existing conditions
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Alan **********
Lam Thu Chung EVERYBODY, especially over the age of 50 HAS pre-existing conditions. 🤣
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Alan **********
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Chang ******
But America citizen . If you get involved in accidents or emergency surgery or sickness . How do you going to pay?

My American friends has accidents . Endup in the hospital for 3 weeks he's medical bill was
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0 thb

He did not have enough cash , so he couldn't pay the bill 🙄 .it's safe to have insurance . My opinion
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Yo***
Chang Wada got accident and for three weeks in hospital?? and only 300,000 Thb?? it is actually not expensive at all. However, an accident insurance is around 5000 THB a year. accident insurance is maybe worthy
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Kyle **********
Chang Wada the Belgian guy had insurance. He didnt have a motorcycle license so the claim was denied - prohibited act. Really stupid of him
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Peter ********
Chang Wada most American insurance will cover emergencies wherever you are. To be sure check with your insurance company. Thai insurance is also a pretty affordable option.
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Nick *******
Chang Wada just get Motorcycle Full Insurance which covers everything including medical bills upto 300,000b. Costs about 4,000b - 5,000b Year depending on what bike you have.
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Jacinthe ********
Chang Wada Yes got an accident, stayed 5 days in hospital + surgery and the cost was 300 000 TB. Insurance agree to it but was too slow to send money so i paid on my visa and insurance reemburse me.
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Sylvia ********
Chang Wada most people have savings over 1 million to self insure. Not pay insurance but keep savings for emergency
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Steve ***********
Chang Wada don't ride a motorcycle, don't use Mc taxi
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Chang ******
Steve Fortefyve : thank you i just sold my motorcycle a week a go .I'm so scared drive in Thailand not like USA or Japan. Most accidents occur in the world
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people lose their lives .every year .

Last month 3 touris hit by motorcycle die in CM .

By the way I see your baseball ⚾️player . I do coaching high school in CM
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Chang ******
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Art ************
I've been living here for 2 years and have no insurance

And never had a problem getting my retirement visa renewed
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Greg ***********
Art Pizzanello you never get your "retirement visa renewed". Once in a year, Immigration will extend your stay permit. The visa you originally entered Thailand on, has already expired. Just check your EOS stamp and look for the words "stay permit"
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Alan **********
Greg Alexander One has to wonder why someone in on a Non+O + retirement extensions doesn't NEED health insurance, but someone coming in with a Non O-A + extensions does.

Why ? Same person. Same problem - Thailand doesn't want to pay a retired ex-pat's health bills.
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Ivan ************
Alan you can wonder about the logic but it's how it is. There has been talk about them adding the requirement to non-O as well but so far they haven't. May change in the future but that's how it is now.
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Ivan ************
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CjandBrigitte **********
Would not advise to have no health insurance while living in Thailand.
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Brook ********
CjandBrigitte Hua Hin travel insurance. Good for up to one year term and not expensive. Allianz or WorldNomads.
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Andrea *******
CjandBrigitte Hua Hin right a exident can be happen every time
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Mike ******
Andrea Stark exident?
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Mike ******
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onestan*******
CjandBrigitte Hua Hin many many people don't get health insurance because they have pre existing conditions or they had example cancer etc. I'm 40 and I can't get health insurance because I had cancer couple years ago.
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Ant ***********
CjandBrigitte Hua Hin

Agree

But get the right Visa first

( Non-O )

And get insurance when you are in Thailand

The OA requirements are a stitch up
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Bradley ********
CjandBrigitte Hua Hin why. I've been here 27 years without health insurance. Never had a problem. Health care is very affordable out of pocket and medical emergencies are easily covered with a credit card.
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Stef ****
Bradley Gibson its never a problem, until its a problem.
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John ********
Stef JB The rich buy insurance to stay rich; the poor don't buy insurance because they think they're too poor to afford it.

Health insurance pays for itself the moment one major medical event costs more than the total premiums you’ve paid over a lifetime. The chances of that happening are 70%.

It’s the lucky 30% who make insurance companies their profits.

So in other words ⅔ of the people who aren’t insured will end up out of pocket. Many by a serious amount.
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Heiko *********
John Wenman Sources for these numbers other than the dark pits of your pants? Insurance is always -EV. If it wasn't insurers couldn't make any money.
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Stef ****
John Wenman I agree
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Stef ****
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Jacinthe ********
Bradley Gibson If you can afford it, it’s ok. My friend’s ohusband needed a surgery and it was 60 000 usd and too sick to travel to his country. I doubt if the author of the post has a 20k pension, he can affort it 🤷‍♀️
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Todd ********
Jacinthe Lavoie $2000
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Todd ********
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Mike ******
CjandBrigitte Hua Hin never had it, can’t get it. Self insured. Just fine.
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Mike ******
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Jay *******
Non O doesn't require insurance
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Paul ****
Apply for a Non-O in Thailand instead and no health insurance required.
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Nick ************
If he does that and has not already got a Thai bank account he us going to have a problem.
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Brook ********
Nick Cartwright false. No problem opening a bank account with a 90 day Non-O visa.
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Paul ****
Brook Powers true that, you can open a bank account on a 90-days non-o visa in order to fulfil requirements for a 12 months extension.
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Paul ****
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Brandon ************
@Paul ***
Or the non-O in your home country and no health insurance requirement. It's ALWAYS better to get from the Thai embassy in your home country. Most people don't have the Thai bank account to qualify to get it in Thailand.
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Paul ****
@Brandon ***********
that’s a confusing statement. I do’t think the post owner meant a visa for 90 days that you refer to. You can’t get a 12 months non-O in your home country, but you can get a 90-days and then 12 months extensions in Thailand without health insurance.
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Ally ************
I don't believe it was confusing at all.. very clear and specific in fact.. apply for non-o visa in home country.. they are always for 90-days.. the 12-month extension in Thailand is not a visa at all.. it is an 'extension of stay' permission.. as Brandon has explained to everyone on many occasions!
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Paul ****
Ally S Inglish that’s exactly what I said and Brandon was missing this detail, hence making the comment confusing for someone who doesn’t know the rules.

Many occasions doesn’t matter for a new post coming from a new post’s author.
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Greg ***********
Paul Wu your wires are crossed . . . . for the in-country Non-O you need an existing Thai bank account with 800,000 THB sitting in it. You however cannot get a bank account opened on a touristic entry - you would need to have entered on a 90-days Non-Imm-O to be able to do so. . . Unless he does not want to fork out between 60,000 and 90,000 THB for an agent to get around the rules, the best advice is to apply for the 90-days Non-O before he flies to Thailand
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Paul ****
Greg Alexander thank you for your input but you read it wrongly. Please read my initial comment and next ones as well. Yes you can get a Thai bank account when you come on a non-o 90 days, then extend your stay for a year. However, you can’t get a “non-o” in a home country to live here. You can get only 90 days, then extend within Thailand for a year. This is what I was saying, you read it wrong.
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Nick ************
That is exactly what Brandon advised and there is nothing confusing about it.
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Paul ****
Nick Cartwright it is confusing for people who do it first time. Brandon had good intensions, but forgot to add “apply in your home country for 90-days, come here to open a bank account and deposit 800k for 2 months, and then get annual extension within Thailand where health insurance isn’t required”. This is clear for people who don’t know. Saying “or apply for non-o in your home country” with intensions of saying “instead if Thailand” isn’t fully correct, because the post’s author wants to live here, not come for 90 days. It was confusing because it was lack of details.
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Paul ****
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Ant ***********
You don’t need health Insurance

Look at a Non-O
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Paul ********
Interested to know why you give this advice …
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Ant ***********
Paul Davies

I will rephrase it

Probably does sound odd

Non-O Visa when applying

Insurance not needed to fulfill the requirements.

Non-OA need Insurance from a list of insurers at the time of applying

Non-O is more commonly applied for

Then Arrive in Thailand organise Insurance then .
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Alan **********
Ant W Tailor And, when the OP can't afford the insurance, what then ? After all, that IS what the OP is about, yes ?
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Alan **********
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Brandon ************
Only the Non-OA visa has required health insurance. Get the non-O visa, which is what most people use, and there is no insurance requirement.

You're going to need to come up with a plan to qualify for the visa and extensions though, as to get the visa you need to show 800,000 baht or the embassy equivalent in USD or a pension, but to get annual extensions you'll need to show 800,000 baht in your Thai bank account.
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Gina *******
Which is fine I I’ll you get sick 2k won’t take you far in a hospital
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Thrilling*********
@Brandon ***********
not forgetting that the 800k must mature for 2 months, use Kasikorn bank, very good when it comes to verifying amount with dates.
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Heinz ***********
@Brandon ***********
showing proof of monthly pension income of at least ฿ 65.000 is as good as the 800k for yearly extensions.
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Wayne ********
Heinz Reuanezam not all immigrations Offices will accept the 65,000 per month option, and if you decide to do the monthly option, you can only do it starting with your second extension. When your first extension is approved, you immediately start putting 65,000฿ in your Thai bank account every month for 12 months. Then when your Ext renewal is due you can show the immigration officer that you made 12 consecutive monthly 65,000 deposits. But again for your first Ext, you must have the 800,000฿ in your Thai bank account for a minimum of two months prior to your application for your first extension of stay 
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Wayne ********
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Liam ***********
@Brandon ***********
if he’s Irish or has an Irish passport then there’s no need to have money in the bank account because the Irish embassy will give an affidavit of his pension, am I correct?
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Brandon ************
@Liam **********
If he's Irish then yes. I looked at his profile and saw Indianapolis, but I guess there is also some Ireland stuff as well
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Brandon ************
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Alan **********
@Brandon ***********
OK, since it came up.

Non O-A, gotten before coming to Thailand for a "retirement permission to stay", needs health insurance.

Why ? Because Thais don't want to pick up the tab. Makes sense to me.

Non-O gets you into Thailand, and from there you proceed to get a retirement "permission to stay", presumably exactly the same as the Non O-A gets you.

Why then would Thailand NOT require one to have health insurance for the Non-O retiree ? What's the difference ?

TIA
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Wayne ********
Alan Rothwell why would you doubt the moderator he is 1000% correct. Coming up In a following posts is also 1000% correct. The reason for the 800 K is in case you have a hospital stay you can pay your bill that’s why insurance is not required for a non-o Extension of stay based on retirement..
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Alan **********
@Wayne *******
C'mon dude. Does "Gotcha" REALLY sound like I am doubting him ? Or agreeing with him ?

Or is it wrong to ask for some clarification ?
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Alan **********
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Brandon ************
@Alan *********
Because the ongoing non-O requires that you have proof of 800,000 so you can pickup your own tab
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Alan **********
@Brandon ***********
Gotcha, but that 800K only needs to be there for 5 months (3+2 ?), yes ? So I withdraw the 800K. Now what ? Or do I have to leave a certain amount IN the account on an ongoing basis ? I seem to recall someone mentioning 400K ???

And then there's the alternative method - proving 65K Baht INCOME every month. Then there's very little in a Thai bank.
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Alan **********
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Nick *******
@Brandon ***********
He can use an agent like most people seem to do over here.
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Tony ********
@Brandon ***********
and it must now be in your account 4 month before you can receive it
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John **********
@Tony *******
not true. It's still 2 months at most immigration offices, a few require 3 months for 2nd and subsequent extensions
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Tony ********
@John *********
sorry its 2 months before and must stay in 3 months after you apply is the new rule thats 5 months thanks for the update
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Greg ***********
Tony Taylor those 4 months seasoning you brought up, is solely a new Bangkok Bank rule, it has nothing to do with Immigration. BB won't issue the "bank letter of guarantee" for the 2 months seasoning unless you sign an agreement with them to leave the funds untouched for 4 months
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Tony ********
Greg Alexander
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Ally ************
Greg Alexander Correct analysis imo 👍
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Ally ************
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