The discussion around insurance for expats in Thailand reveals various perspectives. Many agree that purchasing insurance is essential, particularly health insurance, which varies based on individual circumstances such as age and pre-existing conditions. Some recommend reputable providers like AXA and Cigna, highlighting the benefits of obtaining insurance in Thailand due to potential tax deductions and local advantages. Others have shared experiences of the complexities and limitations of claims processes, often noting that those without insurance face significant financial risks. Overall, there is a consensus that while options for self-insuring exist, obtaining quality insurance remains prudent for long-term expats and those seeking medical care in Thailand.
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I'm 75 with pre-existing health conditions. So difficult to find a Company to provide cover and those that do are very, very expensive.
Tim ********
Difficult topic to get good advice for your scenario. I went thru cigna and have top inpatient coverage with private room, etc for $325/mo. Could have chosen $250/mo without all the extras. Also provides coverage for travel except the US. People from UK take very minimal coverage, if any, and will go back home if there's anything serious. No need for outpatient coverage.
yes, I would imagine. I'm 59 with no issues and don't drink or smoke. Medicare from the US does me no good in Thailand and I know my rates will rise as I get older. This is the dilemma, but can't pass up 15-20 good years of paradise.
they were asking one thousand a month with full of exit for them in the contract they don’t pay this they don’t pay that ,So I said to the women you are selling me a block of air for 1 thousand a month so I save 6 thousand because I left for 6 month .Iam not sick I do 2hours of exercise every day sometime more I do 200 killometer with my bike every week ,I am not going to stay home like all my friends of my age and watch TV I work 40 years so yesterday is gone and tomorrow is not here yet .so I live one day at the time and we are all going in the same direction anyway .So this year I will take the same insurance as last year it is call the FUCKIT .I keep some money available in case something happen and I don’t do no risxky activity
I didn’t took any last year I left for month without insurance I took chance I CALL THIS
Reply to
Claude **********
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Erik *******
Part time Safety Wing, Full time Pacific Cross
Philip ********
Try your Bank, if in the U.k. HSBC are very good!
John ****
They either get it or they don't
Alex **********
I got a great insurance. It's a must if you want good healthcare. Remember, they do do pre-existing condition exclusion so the faster you get on a plan the more it'll cover.
we insure new policies up to 75 on most cases, and a few of them have life time coverage
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AIA ******************************
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Peter *******
A friend age in Taco Bell in Bangkok and that night came down with a violent case of diarrhea and had to go to the hospital at 3 am. Testing showed it was norovirus and was defecating uncontrollably just about hourly for 3 days. Had to wear pampers and was on an IV. It was only on day 4 did he start to improve. Cost him 200,000+ baht. Luckily he had access to the cash to pay as he had no Thai insurance.
I think, repeat think, if you get a non-OA from a Thai embassy, insurance is mandatory. If you get a non-O after arriving in country, it is not. Others will help on that.
Unless you have a fairly large pension income, no insurance can be ruinous.
I have lots of health issues. So I think it would be better to get than to regret later. Just saying. 🤠
AIA ******************************
sounds about right… my friend fell and broke his arm and had to get pins put in. Complete bill was over 700,000 . I got it all paid for him and he got paid for laying in the hospital….It would have been disastrous for him if he didnt have insurance.
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AIA ******************************
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Mma *******
I don't have insurance, never have. I just go to government hospital and pay out of pocket.
Peter *******
You can not use medicare in Thailand, as I am sure many people have told you. You can not submit a claim from Thailand to Medicare for reimbursement of medical costs in Thailand.
If you do not buy insurance, you will pay all expenses out of pocket.
Mark ********
If I plan on getting Thai Retirement Visa OA, but will still keep my US Medicare, is there an in-Thailand “Catastrophic Only” Plan that’s will cover unexpected hospitalization like in case of injury due to injury from accident?
John *******
Thank you Umer! 🙏🤠🇨🇦
John *******
Thanks everyone. Has anyone heard of pacific?? Insurance company.
Pacific Cross? I have it because if was one of the few that took you at 75. I wouldn't sign up again because there were too many exclusions based on prior medical treatments and age.
… one of the top providers in Thailand. they dont take short term visa though only 1 year or longer. Never had a problem with any claims ,,my agent took care of me and all my claim, and brought me gifts in the hospital. and they actually pay me if i have to stay in the hospital…..
Robert **********
Post office
Tom **********
Research.
Ian **********
Have a look at Cigna’s “Close Care Policy”.
Contact Cigna in Dubai or UK.
Be advised that Cigna no longer have offices inside Thailand. You can however apply through any of their overseas offices.
If you are over 55 you can easily buy insurance but if you have a major expensive claim I can guaranty a you a 100% that they will find a loop hole not to pay .By verify your medical record and claiming that it is pre existing health problème .
Self insured, saved a bundle. Before you criticize me I have $98,000 available credit on cc. And plenty of cash in the investment accounts. 😀 Insurance companies laugh all the way to the bank. United healthcare two hundred and fifteen billion dollars in profits. Health insurance companies take your premiums and invest them in the stock market making a fortune. That's what you should be doing with your money. Investing it and making it grow so that when you have a health care emergency, you have money to pay.
Jay *******
Why doesn't everyone just tell Mr Williams what he wants to hear? "We all wish we were you, Dave. Always wanted to be supercilious pompous pricks".
I'm retired 11 years now. I've been self insured for 11 years now. Before I was retiredi was required to obtain health insurance by the usa government. My position on insurance, is its a scam. As a real estate investor for a decade I saved a fortune on not buying property damage insurance on my rental houses. Because the houses were paid for with cash. If you take out a mortgage , the banks require you to have Damage insurance.Over 30 years of experience, I found if you made a claim.The insurance companies found hundreds of reasons not to pay. And if you qualified for an insurance claim , they then on worked on denying you a policy. With a $1000 deductible, the lion's share of claims were moot. I understand that 50% of Americans have no money and they absolutely need insurance. Those of us that save and invest and have a net worth ,insuranc is not necessary. I did an audit on my Health Insurance. Home owners insurance, Business insurance, Is workers compensation insurance, And car insurance. Workers compensarants and car insurance were the only insurances where I found they were necessary. Even experiencing a heart attack and cardiac by pass surgery. My lifetime premiums for health insurance or greater than the costs. Once again, those of us that have available credit and a substantial net worth don't need Health Insurance.. And I certainly understand that fifty percent of americans absolutely need it. Your culture has embedded fear into your essence.And that's the position that your operating from...
it's a shame 🫠 some folks have to call you Derogatory names when you have a different view than them.
It's also a shame that a so-called financial advisor would not be aware that 1 out of 2 people in the U.S.A. have less than two thousand dollars to their name. Every financial advisor should be aware of these facts.
My culture is the same as yours. I’m retired almost 20 years and not scared just prudent. Thirty years as a professional financial advisor will teach you a thing or two. Medical expenses can bankrupt anybody given the right conditions.
Your fear mongering is not gonna work ,but you don't realize you are operating from fear. I left the usa eleven years ago because I don't agree with the culture. You're definitely welcome To your opinion. Over 50 years of investing taught me to think for myself. Obtw I left financial advisors decides ago. They didn't work for me. They on the other hand always made money, even when they lost mine. :( 😞 thanks but no thanks for your fear mongering.
I wasn’t a broker, more a financial consultant. I didn’t manage money just risk. I do have a good financial advisor who works with brokers and I’ve done well by them. I didn’t deal in fear just facts.
Congratulations. Facts, United health care group about two hundred billion dollars in profits. If you have available credit and substantial networth. Health care premiums are a detriment. Surely you realize that health care here in Thailand is superior to the American health care system ( which YOUR culture teaches you American health care is the best in the world but thats not FACTS )and is available to us at pinnies on the dollar.... thanks but, 😊 we self-insured here in Thailand 🇹🇭 are fine. I have well visits with my Dr. 3 times a year. My health is a primary concern.
No, been here 15 years and healthcare is very good but not superior to the US. Many Thai doctors go to the US for advance training I’m sure you know. I had to get a pacemaker last year while home. The bill was much higher but Medicare only paid almost $100k. My share was $300. Thailand could never beat that in service or cost.
I never said they were the best or number one, just from my experiences with both over many years I think the US is superior, especially considering I’m covered by Medicare. If you’re happy with your situation I’m happy for you. For others I’d recommend getting some insurance if you plan to live full time in Thailand.
My cardiologist received training at UCL. A. Not advice. My sister is a Nephrologist.. She assures me surgical.out comes in thailand are superior if not equal to u s a. Thailand's health care system ranks among the top.
35 in the world. USA is in the top 70. Americans love to repeat the misconception that you have just asserted. I understand facts that show that the USA is not number.One in the world are very unpopular especially with americans. Once again you're welcome to your opinion. But ideal in facts as well.
Good comment, Bangkok bank offers accident insurance for account holders .But it's just for motorcycle accidents. Unless you buy one of their other pricey policies. Which I don't do.
Reply to
Dave **********
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Corey *******
I use Safety Wing, but they sent me an email this morning, canceling my plan at the end of the month, and updated their policy which has a lot more exclusions. I read through it today. The price was raised to $
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weeks.
Jim ******
I found AXA sawadee to give me the best price. Depends on your age.
fully qualified financial advisor dealing with health insurance in Thailand.
Has access to 100's of providers so can compare all and find you the best cover and prices.
Totally free consultation
AJ ****
The ensure
Andrew *********
Self insure if you have the money...at the end of the day these insurance companies are there to make money....you could always just stay at home if it's free.
David *********
luckily i have a identical twin brother and only need one policy between us
I go to 7 11 and buy beer on the money I supposed to spend on it
Jay *******
Safewing. 60 bucks a month
Helen ********
It really depends on your circumstances and what you are wanting to insure. Is it long term or short term holiday? do you want local Thai company or one from your home? have an existing conditions? It all factors into the equation and is not a simple answer since no two people have the exact same circumstances.
Health/Medical insurance can be cost prohibitive if you over a certain age or have an already existing condition. If financially stable some people get a policy with a high deductible like $10,000 and keep it for a catastrophe medical event, like heart attck, cancer, kidney failure, etc. They self insure everything else... so your financial situation is a factor.
You should work out the cost of insurance, the deductible you have to pay and potential of payout in a claim vs the cost to pay out of pocket. Also read the wording to ensure it will actually cover what you want, read the exclusions.... you fall down and smack your head and are over the legal alcohol limit, your claim will be denied, can't go over a certain elevations, etc. Know what you are buying. And disclosure existing conditions... insurance companies can easily determine if you lied on the application, especially with medical conditions.
high deductable sounds the way to go ...self insure for minor issues
Reply to
Andrew *******
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David *******
Self insurance often cheaper. Put say $50k to one side for emergencies. No premium to pay. If nothing bad happens you saved money.
Many insurances policies don't pay out for immediate medical cover. You gotta find the money and pay upfront then see reimbursement under the policy so initially you're effectively self insured but trying to get your money repaid. Claims get denied all the time. I'd definitely prefer a policy underwritten in UK than from Bangkok firm.
That's a big question as there are many types of insurance. But I won't mind addressing a few.
Let's do health first as I have a few words to share. I went for health insurance from my home country, looking for quality. Didn't want to expose myself to the risk of having to put up a juridical fight here in Thailand. It was also convenient that some travel related items were covered under one and the same policy (think of a relative for whom you urgently need to get back, or you get an accident and need to get back yourself). What I overlooked is that Thai insurances have a few perks over foreign ones. My insurance premium was subject to 21% tax for instance, which would have looked better in Thailand. Also: insurance premium in Thailand is deductable from your income tax. I don't know why that's kept a secret; online sources all do mention that this holds for life insurance but to know it also holds for health you have to actually file a tax return once. The two are nicely listed below each other but websites stubbornly leave the health one out. Anyway. The deciding factor to go with a Dutch insurance is the structure of it. I didn't care if the insurance covers a few scratches or bandaids every now and then. What I do care about is if I turn out to have, you name something, jaw cancer or the like, that there would not be any ceiling to the coverage. Thai insurances pretty much all have that ceiling. So although my premium came out disproportionally high, the insurance structure would be a lot more suitable (and didn't end up getting something that serious, luckily).
Travel insurance. My expat insurance covered a few things that I found nice. Valuable items for instance (at an extra premium, but it turned out great to have with the various cameras that died in accidents). I've already mentioned flying to home country which was also nice coverage, but whether you need that also depends on e.g. how many relatives you have at high age or in bad health. If you don't have any of your grandparents still alive, and your parents aren't expected to leave yet, you may not need it. In the exceptional case that you still need that urgent flight home, it isn't gonna bankrupt you. Also factor in the premium. I've switched from having this covered (when the premium was fine) to excluding it (when there was no longer a choice to cover just myself and the threefold premium was not worth it as the coverage was only relevant for me).
Vehicle insurance is mandatory and I can't advice much. You obviously can only get that in Thailand. I'd prefer coverage over premium and would advice accordingly.
Property insurance: can maybe also be included in expat insurance if you go with that but if you don't, just leave it. Rental condos come with furniture, fire safety is on par with western standards, smoke detectors everywhere, risk of theft of stuff from your home is negligible.
Life insurance: I've always found this a stupid one unless your own a house, have a mortgage, and earn the family's income, and find that your family should stay in that house if you leave unexpectedly. In all other cases, don't get this nonsense.
Dental insurance used to be viable but today only people who are nearly certain that they claim the maximum amount buy it. It is thanks to a few ignorant donators that they still offer you a maximum coverage of about $500 at a premium of $450, so if you are indeed certain to spend the amount, you could grab the $50. If it's not be certain, don't buy. Dental accident insurance can be good though, that's a different thing.
Juridical insurance: I had it but to my discomfort it excluded labor conflicts. Now that would have been one of the major coverages for me. I'd try to get one covering that if it's relevant to you as it was for me.
Liability insurance: that's a do. Premium usually very low, and the type of thing they cover could get you bankrupt if you don't have it insured. Get this.
Excellent. I would just add if married, life insurance of some sort is usually very cheap if you are young and I've seen many a situation, where it was critical. Great overview, thanks, Bart.
She speaks great English and can help you out with various options
Damo ***********
if you stay in Asia WITHOUT insurance, please do not set up a Gofundme
Yorick ******
That is a great question. For general insurance advise, I recommend talking to an insurance broker. AA Insurance Brokers is a Thai licensed company offering local plans and we have many offices throughout the country. Reach out to us, and we will get back to you in a flash
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Chris *******
From my experience, I can tell you if you or we don’t start paying into the Thai system. You’re not gonna get insured they’re not gonna let you come over here get health insurance for cheap and they’re the ones out of pocket. You have to start with a good company stick with them and pay into the system to get good service. The comments about not paying, that could be for multiple reasons I can tell you I’ve been here for seven years pay into the system. I receive first class service.
Jo **********
I have insurance from my home country in the Netherlands that will cover me while I am in Thailand
your permanent visa here might affect that. Im Canadian and there is no Canadian insurer that would pay out if I’m not resident in Canada. But every country seems to have some differences
tax residency is one thing. But your insurance company will be interested in the amount of time you have spent outside of your home country. They will likely have very specific provisions about how long you can be outside for them to pay out
, they are the leading expat health insurance broker in Thailand
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Greta *****
They either have one of their don't. Like everything else in life
Goody ******
Depends how serious it is. If it's something small we go down to the local pharmacy or the public hospital and the bill is probably 100-200. If it's serious, we're going into a private hospital in Bangkok for sure!
Lincoln *******
Let work pay for the crappiest one they can find which makes me pay for everything up front and claim back over a 3-6 week period...
Bart **************
Lincoln Cross as long as you get the money back ...
If your over 55 don't get insurance I just lost 3000 to a company, either get the visa while holidaying no insurance needed. Or get travel insurance for your non o visa time then get retirement visa in thailand no insurance needed
What do you do if for many years you pay insurance only to find they won't pay. If you didn't spend the money in the first place paying for insurance, you might have that in the bank to pay the cost of your present illness.
You have no way of knowing if they will ever cover anything except to pick a good company.
The whole idea of saving money instead of buying insurance sounds good but if you don't have a large nest egg to fall back on you would be screwed if you had a major health event or accident especially if this happened in your first year or two here.
I just look at the odds /stats ... Insurance can give peace of mind but the chances of me actually using it as I don't have any physical /chronic conditions might only be about 10:1 . Take an accepted chance and save a lot ...or buy insurance and have peace of mind and pay extortionately for it . Until I'm 75 I'm not going to consider unless my current physical condition changes before then . In the meantime I'll spend the thousands of dollars I've saved on the things I want . Everyone is different ....some want security others can take a risk,👌
Yes I understand that. But if I paid for health insurance and they didn't pay out , I would be in a very bad situation personally, mentally.
I have been 5 years , retired. if I spent £2000 per year, it's £
*****
. So as long as today's accident doesn't cost more than £
*****
. I haven't lost out and I haven't allowed a company to take the piss out of me. In the 5 years I have only spent £320 and the majority of that was a dental emergency in Mexico, a very expensive dentist.
I spend my retired life, trying to keep fit and healthy. I rarely drink, which is probably the most life threatening past time.
I do want to take a accident insurance £200 per year to cover bicycle accidents. Every other expat seems to be selling Insurance, which is enough to make me dubious. I am a South Londoner, apparently famed for not trusting anyone lol. 🙏
I'm 65 ...never bothered with insurance ..probably saved about $150.000 over 50 years . So even if I have to cough up that amount for a serious accident /condition ive really lost nothing .
I had a bike accident last year went to hospital had X-rays and given pain pills I got a bill for 1000baht it's not expensive
Reply to
David **********
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Tom ************
Buying it is easy, getting them to pay out is another storey
Lynn *******
So true! When we traveled to Thailand last year, we bought IMG Patriot travel insurance and confirmed that Bangkok Hospital accepted it. Unfortunately, my daughter had an accident in Phuket, and we rushed her to Bangkok Hospital Phuket. To our surprise, they said they didn’t accept the insurance. We had to pay everything upfront and ended up claiming it back through our regular Kaiser insurance. IMG Patriot was no help at all—they just kept asking for documents instead of honoring the coverage.
I’ll get up with you when I get back do my wife can do her job
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Chris *******
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Michael *******
break the bank but for something serious it expensive to provides piece of mind, if you are coming here to live different discussion there a numerous policies avail for long term expats most of which can be tailored to your needs
Michael *******
If you are traveling on vacation it is sensible to take out travel insurance , a hospital visit won’t break the h
Yup don’t even get me started on that. It’s gotten way outta hand and US of going is a downward spiral rapidly.
I’m just trying to figure this out. I really want to live in Malaysia but the liquid assets needed are insane. I’m willing to be based in Thailand, possibly Bali or Philippines. Not sure I would care to live in Bali mainly but definitely love visiting. I’ve been retired 4 years now at 100% but the age thing is throwing me off. It’s only leaving me with Philippines on that SRRV with half the cost needed for Malaysia, and can be 35. I have 6 more years to go to hit that 50 year mark. I’ve been just island hoping since 2022 San Pedro Belize, Bali, Malaysia…I’m headed to Malaysia for 90 days, then Thailand then Philippine and then Bali again before heading back to the US to visit. I still have my townhouse and car in the US and just put my car on storage mode with usaa. I’m trying to make sense of this but it’s looking like I’ll have to hop around between the countries for 6 years.
Try looking into Nicaragua. Free health care to you. Cost of living is not really high and very close to America. Im already selling everything I own here in Michigan and moving to Thailand . I been retired now 2 years and have my Retirement visa in Thailand. I love the infrastructure, great hospitals, airports are close, cheap to live there. America has gone to SHIT and will never be the same I dont care even if Trump wins when he leaves whos next? It will be nothing but a Cat and Mouse game from here on out!
hmm never thought about Nicaragua. I’ll have to look into it. I’ll be visiting Thailand for first time this spring. And I just messaged an agent in Bali to get insight on a retirement visa there with a sponsor with my circumstances. So I’m looking into things. And for presidents I don’t care for any of em. It’s like pick your poison. They are doing more for immigrants than their own citizens and made it difficult for people to be families. My great grandmother never worked a job in her life and had a huge house, many acres with huge garden and wraparound porch and had 9 children. Things have gotten so bad it’s pitiful to say the least. I can’t even get fruits with seeds in the U.S. for crying out loud. But good for you glad you made it out.
I never took the vaccine so my friend who is a Doctor told me to check up Nicaragua because I could go there without 1 in 2022. After the American government lied to me about going there i still went anyways I do not regret it and I'm glad that I went I met other Americans who moved there and seen what the country had to offer. I went there to get away with all the crap going on due to COVID hair in America , Needless to say they did not have all that via's going on over there and hardly anybody was wearing masks or had covid.
Reply to
Mike **********
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Frank-Steven ***********
Smart people book it. Smarter people book it (reputable travel insurance) in their home country before departure.
depends. Getting insured in Thailand also has a few advantages, for instance that the premium is tax deductible. Even aside from the cost effectiveness if you don't owe tax.
But getting from home country also has advantages. You'd have to balance the two.
Reply to
Bart **************
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Graham ******
For what, a tourist or an expat?
Michael ********
Is your post fate
Danny *******
Those that don't buy it end up with GoFund Me accounts.
Mma *******
I've never had Insurance. Works fine for me. There is other options to Insurance.
you'd probably be better to get from a broker based in Thailand. I've only used travel insurance from money supermarket dot com. I've got pre-existing health issues.