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Why is health insurance in Thailand so much more expensive than in Australia?

Jan 26, 2026
3 months ago
Shaun ******
ORIGINAL POSTER
Guys busy organising health Insurance quotes.In Australia we full comp health insurance for around $450 p/month.Similiar insurance in Thailand is around US$1350 p/month.Am I reading this correctly ?
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TLDR : Answer Summary
A user expressed concern about the high cost of health insurance quotes in Thailand compared to Australia, reporting a monthly premium of around US$1350. Various commenters confirmed similar experiences, highlighting significant price differences between health insurance in Thailand and Australia, often attributed to varying coverage levels and the impact of age. Some users suggested that local insurance may indeed be lower than quoted, and emphasized the importance of age and pre-existing conditions in determining insurance costs. A few recommended consulting with insurance brokers in Thailand for more tailored quotes.
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Dennis *********
Your Australian insurance is very heavily subsidized by your federal government, as Thailand also does for their citizens, but why would you think Thailand would want to subsidize your insurance?
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Jenny ******
Ours is less than that - about $7K for the year for two of us
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Michael *********
If you are over 60 with prior conditions, if you find it there will be too many restrictions & too high of a price. Healthcare is much cheaper here so I just elected to build a fund for any future surgeries I may need.
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Deslea ********
Yes, it’s correct. Australian private cover is designed to stay affordable (relatively) for life by incentivizing you going in by 30. Most other systems the premiums rise steeply with age. You can make it more affordable by choosing a high deductive, that is, you bear say the first $5K (if you can afford it). You may also be able to get away with a more modest level of cover as long as it includes repatriation cover, ie they will send you home for something requiring long term care. Chat with a broker about different ways things could play out.
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Shaun ******
ORIGINAL POSTER
Deslea Selmes Thank you.
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Shaun ******
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Gayaanan ************
the thai insurance is around 30,000 to 50,000 baht a year NOT month...which is around 1000-1700 USD / year. Travel insurance from the likes of digital nomad and such should be around 100 dollars max per month. Are you sure your quote isn't per year??
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Dennis *********
Gayaanan Jeyanathan heavily depends on your age. I'm old enough that my cost estimate is well over $1k usd/month
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Gayaanan ************
Dennis Starkey oh damnnn that’s expensive
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Gayaanan ************
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Shaun ******
ORIGINAL POSTER
Gayaanan Jeyanathan no its definately monthly
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Gayaanan ************
Shaun Gous yikes, I'm not sure which companies you're looking at. Just to give an idea, as a 40 year old male, my premium for two of the best insurance companies are as follows: AIA - 30k for 5 million baht coverage, 40k for 15 and 50k for 25 million (per year)

AXA- 30k for 5 million and 32k for 20 million

baht (per year) + 10k/year if you want better out patient coverage
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Gayaanan ************
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Mike *********
I don’t think you are getting that right, no. 1350 a quarter maybe
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Julie ********
That's why I only visit for 120 days now. Thanks to Nationwide changing from UK Travel to Aviva. And it's nearly twice the price it was.
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John ********
Do you have to pay extra. I thought it was still limited to a month with nationwide.
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Julie ********
I pay £18 a month for the Flex Plus account.
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Adrian ******
John Wenman I use Rock insurance/there tesco insurance I get an annual with pre med conditions and there good used a while now.
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Adrian ******
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Ant ***********
Are you already in Thailand & have a retirement Visa ?
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Shaun ******
ORIGINAL POSTER
Ant W Tailor no still in Aussy hoping to get there in July.
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Ant ***********
Shaun Gous

I’m 58 and in Thailand full time

I have AXA Thailand

Inpatient only

2 million baht cover

50,000 baht a year

Which is slightly more than my Bupa cover in Oz
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Ant ***********
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Jeffrey *********
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Paul *********
My quote for insurance is not much more than what I was paying for HCF private + Medicare levy.

And I don't have to sit in emergency for 7 hours for a minor procedure after being referred by a GP.

Worth every cent imo.
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John ********
Unfortunately you are correct - health insurance in Thailand is, sadly, a complete rip off. As a 70 year old UK citizen, I have lived in Spain since retiring 10 years ago and have had excellent comprehensive health cover each year for less than €100 per month. I have no pre-existing conditions (non-smoker and healthy) but the quotes I have received since moving to Thailand in November have been at least double or triple what I was paying in Spain - a similar experience to yours. Clearly the costs of providing health care in Thailand are much less than in Spain or Australia. The only conclusion one can come to is that the insurance companies realise that our American friends here (of which there are many) are accustomed to paying exorbitant amounts for their health cover and therefore consider the high premiums in Thailand acceptable. This is how insurance companies work unfortunately.
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Wayne *******
John Patino Unfortunately the hospitals work in the same way! Thai price, farang price, so its a flip of a coin whether to get insurance (and risk them not paying out) or pay when you get sick

May I ask what prompted you to leave Spain? Im the other way around, had enough of Thailand (for now) and looking at Europe so obvioulsy Spain & Portugal, but also looking at Poland.
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John ********
Wayne North Hi Wayne. I spent 10 fantastic years in Spain. The climate, lifestyle, cost of living are superb and I would definitely recommend it. I guess after 10 years I am a bit like you and fancy a change although having travelled extensively and visited Thailand many times it is the only place I considered suitable. To be totally honest, I think 6 months per year in each country would be my ideal scenario but I am still considering the viability of this.
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Wayne *******
John Patino Hi John thanks for sharing. Was the fallout from Brexit a big issue to navigate or was it pretty much as you were? Obviously the media love to blow everything out of proportion so to hear from one who has been there the entire time post brexit would be informative

Any pitfalls Id need to look out for? I guess moving every 6 months avoids the legalities of becoming a 'resident'

Any further info regarding earning a modest income via online teaching or something would help as well.

May I ask what part of Spain you would recommend for a peaceful but not isolated existence?
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John ********
Wayne North Hi again. I was there in 2016 and as such gained my 'residencia' pre Brexit. However, I have friends who arrived post-Brexit and it is now much more difficult for Brits to retire and live there (or in any EU country, including Portugal and Poland I believe). It is still possible but you will need a visa and there are requirements regarding income etc (a bit like Thailand I guess). You would need to check the requirements carefully as it may prove to be difficult thanks to Farage and Co, but if you get that far it will be definitely be worth it. I would definitely recommend the Alicante area, specifically around Elche, Aspe and Santa Pola for the kind of life you are looking for and can probably give some advice on teaching opportunities as I was a teacher and headteacher in the UK and Spain for nearly 30 years before retiring. However if you are interested it is probably best to DM me rather than discuss your personal requirements in a forum like this.
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John ********
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Ron ******
Who gave you the U$1350/month quote?
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Shaun ******
ORIGINAL POSTER
Ron Duke It was from AXA.
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Shaun ******
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Mark ************
Direct to Wrlife ..
***************
094 583 4305 (Bangkok)
****************************
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Mark ************
Hello Shaun Gous from
***************
... OFFER of Health & Life insurance premiums fixed 5

years… Please check messages from
**************
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Peter ********
1) Are you organising International comprehensive health insurance while in Australia, or are you organising local Australian coverage through one of the private insurers, that works in conjunction with Medicare. None of the Australian private insurers (NIB, Medibank, HCF, BUPA etc.) offer a product that covers you outside Australia the way a true international health insurance policy does.

2) Age will make a huge difference. When in your late 40s or

early 50s international health insurance is quite reasonable, however each year your premium will increase due to age and cost of living increases.

3) Many international insurers (not Thai) have no age limit for continuing insurance once it’s taken out, but the reality is it will become unaffordable once you hit your late 70s.

For someone in their late 70s, expect to be paying USD 8k-10k per year (as a minimum) for international health insurance that covers you outside Australia.

Some international health insurance policies will also cover you in your home country, which is reassuring to know if you happen to get sick during a trip home and you’re no longer eligible for Medicare.
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Tammy **********
Not quite that much, insurance here is more than in Australia (and I had top Medibank!), but it's not horses for courses here. You will probably find that you opt for way less coverage benifits than you are used to, find a policy that you're happy with to cover you for the big ticket items and bank the rest to self insure for all the little things. I personally would get the visa here and skip the need for insurance tied to your visa
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CleverM********
Good luck if you got pre existing conditions
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Kevin ************
Check insurance brokers in Thailand for quotes
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John **********
I doubt very much that health insurance in Thailand is more expensive than Australia. Are you comparing like with like?
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Deslea ********
@John *********
The Australian private health system is a regulated model with some unusual features. People are pushed in early, by age 30, with a system of incentives and penalties to create a sustainable pool, but premiums don’t rise with age and pre existing conditions are not excluded. It’s a whole of life model, and yes, it is cheaper than Thailand for older people.
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Nancy ******
@John *********
you are wrong.
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Shaun ******
ORIGINAL POSTER
@John *********
we are getting less coverage and paying nearly three times the premium
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John **********
@Shaun *****
what coverage, how old you are and any pre existing conditions can all affect it. I'm 68, pay 65k baht per annum for 1m baht of coverage inpatient only. That seems reasonable enough to me, but I'm from the UK so only ever had health insurance since moving to Thailand
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John **********
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Atrustwor*********
Could be why people go for non o visa as insurance is not required
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Atrustwor*********
Check out axa Thailand easy care policy
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Atrustwor*********
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