ปีกรมธรรม์ที่ | ผลประโยชน์และความคุ้มครอง |
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1 - อายุ 64 ปี | 1.ผลประโยชน์กรณีเสียชีวิต 100% ของจำนวนเงินเอาประกันภัย ณ วันเริ่มมีผลคุ้มครองตามกรมธรรม์ประกันภัยหรือเงินค่าบางคืนกรมธรรม์ประกันภัยในขณะนั้น (แล้วแต่จำนวนใดจะมากกว่า) |
อายุ 65 ปี - อายุ 98 ปี | 2) ผลประโยชน์ค่ารักษาพยาบาล ทั้งผู้ป่วยใน (IPD) และ/หรือ ผู้ป่วยนอก (OPD) หากผู้เอาประกันภัยได้รับการบาดเจ็บ หรือการเจ็บป่วย เป็นเหตุให้ต้องเข้ารับการรักษาพยาบาล บริษัทจะจ่ายผลประโยชน์ค่ารักษาพยาบาลที่จ่ายจริง แต่ไม่เกิน 100% ของจำนวนเงินเอาประกันภัย ณ วันเริ่มมีผลคุ้มครองตามกรมธรรม์ประกันภัย หักด้วยผลประโยชน์การรักษาพยาบาลในโรงพยาบาลและ/หรือผลประโยชน์ค่ารักษาพยาบาลผู้ป่วยนอก ทั้งหมดที่บริษัทได้จ่ายไปแล้ว (ถ้ามี) 3)ผลประโยชน์กรณีเสียชีวิต 100% ของจำนวนเงินเอาประกันภัย ณ วันเริ่มมีผลคุ้มครองตามกรมธรรม์ประกันภัย หักด้วย ผลประโยชน์การรักษาพยาบาลในโรงพยาบาลและ/หรือผลประโยชน์ค่ารักษาพยาบาลผู้ป่วยนอกทั้งหมดที่บริษัทได้จ่ายไปแล้ว (ถ้ามี) หรือเงินค่าบางคืนกรมธรรม์ประกันภัยในขณะนั้น (แล้วแต่จำนวนใดจะมากกว่า) |
อายุ 99 ปี (ครบสัญญา) |
4) ผลประโยชน์กรณีมีชีวิตอยู่ครบสัญญา 100% ของจำนวนเงินเอาประกันภัย ณ วันเริ่มมีผลคุ้มครองตามกรมธรรม์ประกันภัย หักด้วย ผลประโยชน์การรักษาพยาบาลในโรงพยาบาลและ/หรือผลประโยชน์ค่ารักษาพยาบาลผู้ป่วยนอกทั้งหมดที่บริษัทได้จ่ายไปแล้ว (ถ้ามี) |
Muang Thai Flexi Protection 99/20 is a life insurance plan that allows the coverage to be converted into medical expenses for both inpatient and outpatient treatment from age 65 up to age 99. It provides a lump sum coverage based on the sum insured. Additionally, in the event of death or survival to contract maturity, a lump sum benefit will be paid, calculated as the sum insured minus any medical expenses (if any).
Buy 1, Get 2 !!
- Comprehensive Life and Health Protection in One Policy
- Convert life coverage into medical coverage when you retire
Muang Thai Flexi Protection 99/20 Insurance conditions
- Insurable age 30 days - 45 years
- Premium payment period 20 years
- Coverage period Attaining the age of 99
- Minimum sum insured 500,000 Baht
- Able to purchase riders to attach to the insurance policy.
- Health Checkup Subject to the Company's underwriting criteria.
Muang Thai Flexi Protection 99/20 Highlight Benefit
- Retirement-ready Medical expense benefits available from age 65, covering both IPD and OPD with lump sum coverage
- Flexible coverage Convert life coverage into medical coverage when you retire
- Short-term payment, long-tern coverage Receive the coverage until the age of 99 while paying premium for only 20 years
- Fixed premium No premium increases with age
- Tax benefit Enjoy up to 100,000 Baht in annual tax deductions
Benefits and Coverage
1. Life coverage is 100% of the initial sum insured, deducting the inpatient hospitalization benefit and/or the outpatient medical benefit that the Company already paid (if any), or cash surrender value at that time (whichever is higher).
2. In case the insured is alive upon the contract maturity, the insured shall receive 100% of the initial sum insured, deducting the inpatient hospitalization benefit and/ or the outpatient medical benefit that the Company already paid (if any).
- The insured can receive OPD medical treatment up to 2 times/day. This benefit includes physical therapy, occupational therapy, diagnosis, laboratory examination, x-ray, ultrasound and medication prescribed by a physician or Telemedicine's physician of a hospital or a medical center specified by the Company for the treatment. The medication expense must not exceed 30 days after OPD treatment date.
- The Company shall pay the IPD and/ or OPD benefit after the policy anniversary date that the insured attains the age of 65 and the Company receives complete premium payment according to the premium payment period.
- Once the initial sum insured amount after deducting the inpatient hospitalization benefit and/or outpatient medical benefit that the Company already paid (if any) and liabilities under this insurance policy (if any) is equivalent to or lower than 0 Baht, this insurance policy shall be terminated immediately and the Company shall not pay any policy benefits afterwards, including the inpatient hospitalization benefit and/ or outpatient medical benefit for the treatment that causes the policy termination.
Q: What is the insurable age for Muang Thai Flexi Protection 99/20?
A: The insurable age is 30 days - 45 years.
Q: What is the minimum sum insured for Muang Thai Flexi Protection 99/20?
A: 500,000 Baht
Q: Is health checkup required?
A: Subject to the Company's underwriting criteria.
Q: Can other riders be attached to this insurance plan?
A: They can be attached to the policy; however, it is in accordance with underwriting criteria of each rider.
Q: Upon the successful application of this insurance plan, will the premium increase in accordance with the increasing age of the insured?
A: The premium in each policy year remains unchanged (not varying in accordance with increasing age); customers need to make renewal payment before or within 31 days after the premium payment due date.
Q: Is premium of this insurance plan entitled to tax deduction?
A: Yes, it is entitled to tax deduction according to the Notification of the Director-General of the Revenue Department on Income Tax No. 172.
Q: Benefit
A: Policy year 1 - Attaining the age of 64
1) Death benefit 100% of the initial sum insured or cash surrender value at that time (whichever is higher)
Attaining the age of 65 – Attaining the age of 98
2) IPD and/or OPD benefit
In case the insured receives injury or illness which requires medical treatment, the Company shall pay the benefit according to actual expense amount but not exceeding 100% of the initial sum insured, deducting the inpatient hospitalization benefit and/ or the outpatient medical benefit that the Company already paid (if any).
3) Death benefit 100% of the initial sum insured after deducting the inpatient hospitalization benefit and/or the outpatient medical benefit that the Company already paid in No. 2 (if any) or cash surrender value at that time (whichever is higher)
Age 99 (Maturity)
4) Maturity benefit 100% of the initial sum insured after deducting the inpatient hospitalization benefit and/ or the outpatient medical benefit that the Company already paid in No. 2.
Q: Can the insured surrender the policy?
A: The insured can surrender the policy and receive the surrender value as specified in the policy value schedule. The cash surrender value may vary if the inpatient hospitalization benefit and/or the outpatient medical benefit is claimed. As a result, the cash surrender value will be equivalent to the sum insured amount deducting the inpatient hospitalization benefit and/or the outpatient medical benefit that the Company already paid, multiplying the cash surrender value stated in the schedule, and dividing by 1,000.
If the insured exercises the right to cancel the policy by surrendering it and receiving the cash surrender value from the Company, the Company shall not pay inpatient hospitalization benefits or benefits from the extension of coverage for outpatient medical expenses for any treatment received before the policy surrender.
In this regard, the insured may need to pay taxes to the Revenue Department retroactively after surrendering the policy.
Q: What are the exclusions of the coverage?
A: 1. In case the insured voluntarily commits suicide within one year from the effective date of the insurance policy or the date that the Company approves to increase the sum insured amount which shall apply to the increasing sum insured amount only.>
2. In case the insured is murdered intentionally by the beneficiary.>
3. In case the insured declares an incorrect age and the Company can prove that at the time of insurance contract formation, the actual age is outside the premium rate limit according to the normal business practice of the Company."
Q: Can Muang Thai Flexi Protection 99/20 insurance plan be used jointly with a health rider, and can I choose which coverage to use?
A: You may choose to use either the coverage provided by an existing rider or by the Flexi Protection insurance plan.
Q: Does the Muang Thai Flexi Protection insurance plan have any copay conditions?
A: No, because this insurance plan has a fixed premium and the medical benefit can be used only after the full premium payment has been completed.
Q: Is the medical benefit provided as a lump sum or is it limited by treatment category?
A: It is provided as a lump sum and is not limited by treatment category, but the maximum benefit will not exceed the sum insured.
In case that the insured knowingly makes false statement or knowingly omits to disclose any fact to the Company for acknowledgement while applying for the insurance, where if the Company had known of such fact, the Company may be induced to charge higher premium or refuse to enter into the insurance contract, then this insurance contract will be voidable according to Section 865 of the Civil and Commercial Code which the Company has the right to void the insurance contract and not to make any policy payment. The Company's liability will be limited to returning all premium paid to the Company.
1. In case the insured voluntarily commits suicide within one year from the effective date or the latest date of renewal or
reinstatement of the insurance policy or the date that the Company approves to increase the sum insured amount which
shall apply to the increasing sum insured amount only.
2. In case the insured is murdered intentionally by the beneficiary.
3. In case the insured declares an incorrect age and the Company can prove that at the time of insurance contract formation, the actual age is outside the premium rate limit according to the normal business practice of the Company.
Buyers should understand details of coverage and conditions before making a decision to purchase insurance every time.
This English translation is intended for references only.The Thai version shall be the only legally binding version.In the event of discrepancy between the Thai version and the English translation , the Thai version shall always prevail.
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