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Posted

Hospital List

The pdf here shows the hospitals approved by the plans, other hospitals may be used but the patient is required to pay first then claim back later.

Download the hospital list here: hospital_list.pdf (113k)

If you attend a hospital on this list for treatment and they insist on only accepting cash, please call the hotline on Tel: 038 415 795 - 6, and the claim process will be started with the insurance company, who will contact the hospital about your claim. Any claims exceeding the policy benefit will have to be settled by the client in cash on discharge from the hospital.

  • 1 year later...
Posted

Other than Thai government hospitals, it is possible to use private hospitals that are not on the list of providers.

The main thing to understand is the contracted hospitals are only contracted to follow a set procedure on claims.

The contract between the hospitals and insurance companies are not contract guarantees for payment of all claims.

Follow this procedure when you need to use a hospital that is not on the list of providers:

1. Call the insurance company as soon as reasonable; or at least 24 hours before admission to the medical center. Some companies require 72 hours notice.

2. Provide your name, policy number, telephone number, and location of planned treatment, dates of treatment and the name of the Specialist / Doctor treating you.

3. When the insurance company has sufficient information to appraise the claim, written confirmation will be dispatched to you and the medical center will be paid directly.

4. If you should undergo treatment before obtaining confirmation from the insurance company, you may not receive a full refund for all expenses.

5. If the hospital fails to supply all required information and documents to the insurance company, you may have to pay first and claim back the medical costs later. Original documents must be sent to the insurance company to pay the claim.

6. Claims are processed faster if you call the insurance company prior to a claim.

Government hospitals, in some cases, have better facilities.

If you have to use a government hospital, do so without fear that your claim will not be paid.

All insurance companies will pay bona fide claims after they are supplied with all supporting documents.

Remember that only original documents and receipts must be sent to the insurance companies.

Copies cannot be used and will only slow down the claims process.

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