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"Cheat Sheet" for Longstay Insurance Policies

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So maybe the rep had it confused with other plans...

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2 minutes ago, Sheryl said:

So maybe the rep had it confused with other plans...

 

I'll ask again and try to confirm, next time I'm in touch with them.... Unless someone else beats me to it!  :smile:

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3 hours ago, Sheryl said:

 

This is what I was told in writing (email) from a rep there:

 

" Dear Sheryl,
 
In the insurance certificate there will be no mention of deductibles. This is one of our strong points, no other company that is approved by immigration has deductibles in their plans."
 
and
 
" *2. For the Platinum Plan that can enrol up to age 75, is therean option
  for taking a deductible to reduce premium?  *

 " Yes, we have 40,000, 100,000, 200,000 and 300,000 deductibles"

 

Out of curiosity, who have you and @TallGuyJohninBKK been liaising with at Pacific Cross? I have been dealing with a lady called Tuenjai Vinunt in their Sales Department, and below is a suitably-edited extract from the email she sent me this morning on the Platinum/deductibles issue:-

 

"Dear OJAS,

Thank you for your reply.

For Long Stay Visa Plan we do not have the option of deductibles."

 

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1 hour ago, OJAS said:

Out of curiosity, who have you and @TallGuyJohninBKK been liaising with at Pacific Cross? I have been dealing with a lady called Tuenjai Vinunt in their Sales Department, and below is a suitably-edited extract from the email she sent me this morning on the Platinum/deductibles issue:-

 

 

Yes, I've been talking with a couple of different farang guys in their international sales dept. in BKK -- one guy who's been there a while by the name of Stephen at ext. 247, and another guy who's relatively new by the name of Clark at x254. But I don't know if they're the best people to talk to specifically about O-A related issues vs. general Pacific Cross policy issues.

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And I was communicating with a different foreigner.

 

Perhaps @PacificCrossInsurance

could clarify this issue?

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Unless I'm reading their websites wrong (their links on longstay.tgia.org), ThaiVivat currently offers their lowest coverage plan (HNIV01) up to age 100 (renewal only 76-100), and Navakij offers their lowest coverage plan up to age 80.

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On 10/22/2019 at 2:36 PM, Sheryl said:

 

It is good news re the deductibles. But why on earth is he saying Standard Plus is not compliant. It is 450/45 so should be. Regular standard of course not, but plus should be. (Though I would advise people to go for a higher level of cover if this will be their only policy and if they can afford to).

 

On 10/22/2019 at 2:45 PM, TallGuyJohninBKK said:

 

I asked that exact same question, Sheryl, since as you noted, the limits of the Standard Plus policy DO fit within the 400/40K limits. The guy's answer was, the Standard Plus policy hadn't been certified by the government...

 

And it presumably isn't because of its XXXX baht X 30 OPD visits provisions, since the Standard Extra has similar OPD language but with a higher per visit limit. And that kind of OPD language apparently isn't a problem. So where's the logic in it?  I have no clue.

 

But might this have something to do with the fact that hospital choices for this particular policy are restricted? According to the Pacific Cross brochure, neither this nor the Standard policy can be used at a number of hospitals in the BDMS Group listed in Remark #8.
 

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On 11/2/2019 at 11:40 AM, Sheryl said:

And I was communicating with a different foreigner.

 

Perhaps @PacificCrossInsurance

could clarify this issue?

Sheryl -- Greetings from another of your many fans (I'm a longtime follower but first-time commenter). US citizen now living mostly in Bangkok. Turned 65 last July and, following your advice, promptly enrolled in Medicare Plans A & B. My current medical insurance policy, good worldwide, expires in May 2020; and since I rarely travel anywhere apart from Thailand and the US, am looking into changing to a Thailand medical insurance policy (which is far cheaper). Again following your advice, recently contacted AA Insurance Brokers, who sent me info for Pacific Cross and April Health Essential Thailand Plan. I remember you saying April Health's internationally based Thailand plan was better, and was wondering if you could elaborate. Also, your opinion of Pacific Cross vs April (or any other policy you might recommend). 

 

One specific question: from what I read, it seems April's Thailand plan isn't renewable after age 90. Is this actually the case and, if so, is there any way around it (well, apart from dying before 90)?

 

Thanks!

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The guaranteed renewal only up to 90 is one of the reasons I prefer the international plan. The other is that the international plan comes under French insurance regs which are much stricter than Thailand's. The April-Thailand policy contains the standard language of all Thai insurers saving that premiums can be adjusted based on claims history. Supposedly they do not actually do this, at least not to date, but they can if they want to.

 

However if your concern is to meet the new immigration insurance requirement then the April inetrantional poilicy, as it now stands, would not be accepted. April Thailand would because ti is underwritten by oen of the 13 companies specified by immigration. Pacific cross would as well.

 

Note that the Immigration requirement pertains only to people who entered on an OA visa and it is at this point unclear if Imm offices will apply it to extensions of stay by people  who enterrd on an OA visa (1) never (2) always or (3) only if their OA was issued after the effective date of 31 October.  People who have asked at their local Imm office have been given conflicting information (soemtimes from the same place on different days). This will likely all become clearer in the coming months.

 

 

 

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13 minutes ago, Sheryl said:

The guaranteed renewal only up to 90 is one of the reasons I prefer the international plan. The other is that the international plan comes under French insurance regs which are much stricter than Thailand's. The April-Thailand policy contains the standard language of all Thai insurers saving that premiums can be adjusted based on claims history. Supposedly they do not actually do this, at least not to date, but they can if they want to.

 

However if your concern is to meet the new immigration insurance requirement then the April inetrantional poilicy, as it now stands, would not be accepted. April Thailand would because ti is underwritten by oen of the 13 companies specified by immigration. Pacific cross would as well.

 

Note that the Immigration requirement pertains only to people who entered on an OA visa and it is at this point unclear if Imm offices will apply it to extensions of stay by people  who enterrd on an OA visa (1) never (2) always or (3) only if their OA was issued after the effective date of 31 October.  People who have asked at their local Imm office have been given conflicting information (soemtimes from the same place on different days). This will likely all become clearer in the coming months.

 

 

 

Thanks so much, Sheryl. So far, I've no need to meet the new immigration insurance requirement, so it looks like April's international plan might be worth the extra expense (approx 12,000 baht more, if I calculate correctly). I'm thinking of the Essential policy without Outpatient, and maybe a deductible. Do you think that's adequate?

 

I noticed Pacific Cross requires applicants of my age to submit a physical exam. Is the same also required of April Health? (Fortunately, I have no pre-existing conditions...well, that I know of.)

 

Thanks again. Your advice is extremely helpful.

 

 

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I have received clarification from the Pacific cross rep who originally told me deductibles could be used, that thsi is nto the case for ths

ose seeking certification of OA insurance. Updating the chart attachment accordingly.

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1 hour ago, Sheryl said:

I have received clarification from the Pacific cross rep who originally told me deductibles could be used, that thsi is nto the case for ths

ose seeking certification of OA insurance. Updating the chart attachment accordingly.

 

That conflicts with what Pacific Cross reps have told me directly... that deductibles are perfectly fine, even for O-A certified policies. And that the insurance certificates they'll issue for O-A purposes will only mention the IPD/OPD coverage amounts, and nothing about deductibles one way or the other.

 

 

Edited by TallGuyJohninBKK

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11 minutes ago, TallGuyJohninBKK said:

 

That conflicts with what Pacific Cross reps have told me directly... that deductibles are perfectly fine, even for O-A certified policies. And that the insurance certificates they'll issue for O-A purposes will only mention the IPD/OPD coverage amounts, and nothing about deductibles one way or the other.

 

 

thanks for that information....  I'm considering Pacific Cross at the moment!

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