
Choosing the right Aia health insurance policy can be a daunting task, but it doesn't have to be. With Aia's wide range of plans, you can select one that suits your needs and budget.
Aia offers several types of health insurance plans, including individual, family, and group plans. These plans cater to different age groups and health requirements, so you can pick the one that best suits you.
To get started, consider your health needs and lifestyle. For example, if you have a pre-existing medical condition, you may want to opt for a plan with a lower deductible or a higher coverage limit.
Aia's plans also vary in terms of premium costs, so be sure to factor that into your decision.
Policy Details
AIA health insurance offers a range of hospital and combined cover policies to suit a variety of customer needs.
You can find policies that match your needs by comparing different options, such as finding out about private health insurance.
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AIA health insurance covers a range of things, including hospital stays, but it's worth noting that some policies may offer more comprehensive coverage.
Private health insurance can be a good option if you're looking for extra peace of mind, but it's essential to find a policy that meets your specific needs.
AIA health insurance has policies that cover pregnancy and birth, so if you're planning to start a family, you can find a policy that suits your needs.
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Coverage and Benefits
AIA HealthShield Gold Max offers a 13-month pre- and post-hospitalisation benefit, but only if your hospital stay was at one of their preferred hospitals listed in the AIA Quality Healthcare Partners (AQHP) list.
You can access this list via your AIA account online or mobile app. This benefit ensures you receive coverage for a longer period than a standard policy.
The plan covers 30 out of 37 critical illnesses listed in the Life Insurance Association Singapore's standard framework published in 2019. This means there are seven critical illnesses not covered under this plan, including Major Head Trauma and Poliomyelitis.
AIA hospital cover provides inpatient hospital treatment as a private patient for services included under your policy, with a range of Basic, Bronze, Silver, and Plus policies available.
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Critical Illness Benefits
AIA HealthShield Gold Max covers 30 critical illnesses, but leaves out 7 serious conditions, including Major Head Trauma and Systemic Lupus Erythematosus with Lupus Nephritis.
You can expect a higher payout for certain critical illnesses with Health Happy, which doubles the insured amount for conditions like cancer.
AIA CI SuperCare covers both early-stage and severe diseases, including major causes of death in Thailand.
The applicant's duty is to provide true information when applying for insurance, and any concealment of truth may cause the insurance company to cancel the contract.
Health Happy's pricing tables can be found in the policy brochure, which also includes the annual premium for each age bracket and gender.
Hospital room fees in Thailand vary greatly in type, quality, and price, so it's essential to understand the terms and conditions of coverage before making a decision.
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13-Month Hospitalisation Benefit
The 13-month pre- and post-hospitalisation benefit is a fantastic feature offered by AIA. You're eligible for this benefit if your actual hospitalisation stay was in one of AIA's preferred hospitals, which you can find on the AIA Quality Healthcare Partners (AQHP) list.
To access this list, simply log in to your AIA account online or download the AIA mobile app. It's a quick and easy way to see if you're covered under this benefit.
This benefit is designed to provide you with financial support before and after a hospital stay, giving you peace of mind during a challenging time.
Pregnancy Complications
Pregnancy Complications are a significant concern for many expectant mothers. Only 26 pregnancy complications are covered by this plan.
Ectopic pregnancy, a condition where the fertilized egg implants outside the uterus, is one of the complications included. Ectopic pregnancy can be life-threatening if left untreated.
Eclampsia, a severe complication of preeclampsia, is also covered. Eclampsia can cause seizures and even death if not properly managed.
Miscarriage, a loss of the pregnancy before the 20th week, is another complication included in the plan. Miscarriage can be emotionally and physically challenging for many women.
Haemorrhage, or excessive bleeding during pregnancy, is a serious complication that requires immediate medical attention. Haemorrhage can lead to severe anemia and even death if not treated promptly.
Still birth, the birth of a baby who has died in the womb, is also covered by this plan. Still birth can be a devastating experience for parents.
Gestational diabetes, a type of diabetes that develops during pregnancy, is another complication included. Gestational diabetes requires careful management to prevent complications for both mother and baby.
Hospital and Medical
You can choose from a range of hospital policies with AIA, including Basic, Bronze, Silver, and Plus options, which cover a broad selection of clinical categories.
AIA has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs, known as Agreement Hospitals.
If you're admitted to one of AIA's preferred hospitals, you might be eligible for a 13-month pre- and post-hospitalisation benefit, but you'll need to check the AIA Quality Healthcare Partners (AQHP) list to see if your hospital is on it.
AIA limits the hospital room benefit to prevent policyholders from claiming unnecessary expenses, either by a specific amount or by specifying the room type, depending on your chosen policy plan.
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Waiting Periods
Waiting periods are a common aspect of health insurance policies. They're essentially a time frame before certain policy benefits become available.
AIA Health Happy policies have a waiting period of at least 30 days for most benefits. For specific illnesses like hernias, cataracts, tonsillectomy, and endometriosis, the waiting period is 120 days.
AIA hospital insurance policies typically have a 12-month waiting period for pre-existing conditions. However, for other services, the waiting period is 2 months.
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Hospital Agreements
You can access a list of Agreement Hospitals for your insurer, which have agreements to provide services at low or no out-of-pocket costs.
AIA has agreements with some private hospitals or day surgeries, and you can view the list for your specific insurer.
AIA hospital agreements cover 7 day hospital admissions out of a maximum of 9, and 2 day hospital admissions out of a maximum of 2.
This means that AIA has some flexibility in their hospital agreements, but it's still important to review the specifics of your policy.
AIA has a range of hospital cover policies, including Basic, Bronze, Silver, and Plus, which cover inpatient hospital treatment as a private patient for services included under your policy.
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Insurance Options
If you're considering AIA health insurance, it's worth looking into their various policy options to find the one that suits you best. You can compare policies that match your needs, and even find out about private health insurance.
One of the benefits of choosing AIA health insurance is the ability to engage with AIA Vitality, which can unlock more health insurance benefits. These benefits include 100% Excess Refund, 10% Extras Boost, an ongoing 5% discount off your health premiums, and more.
You can earn a great range of rewards every membership year, such as hundreds of dollars in e-gift cards or cashback. Plus, enjoy discounted gym memberships, cashback on eligible Virgin Australia Flights, and more!
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Compare Policies
To find the right insurance policy, you need to compare different options. This involves researching and analyzing various policies to determine which one matches your needs.
Start by identifying your priorities, such as coverage for specific health conditions or affordable premiums. Private Health Insurance is an option to consider, but it's essential to understand what it entails.
Researching online can be a great way to compare policies, but don't rely solely on online reviews. Find out about the policy's terms, conditions, and exclusions to make an informed decision.
Private Health Insurance can offer flexibility and choice, but it's crucial to understand the costs involved. You may need to consider additional expenses, such as deductibles and out-of-pocket payments.
What Types of
AIA offers a wide range of insurance options to suit different needs.
You can choose from 11 types of insurance, including life, medical, hospitalisation, personal accident, and critical illness insurance. These options are designed to provide comprehensive coverage for individuals and businesses.
If you're looking for family coverage, AIA offers family policies that cover adult children for free until they turn 18 or 24 if they're full-time students. After that, you can opt for extended family policies for an extra cost.
AIA's health insurance plans also come with exciting benefits, such as AIA Vitality, which unlocks rewards like 100% Excess Refund, 10% Extras Boost, and a 5% discount off your health premiums.
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Here's a breakdown of the different types of insurance AIA offers:
AIA's Integrated Shield Plans, like the AIA HealthShield Gold Max, offer additional coverage above what MediShield Life provides, giving you more peace of mind and financial protection in case of an urgent medical need.
In NSW
In NSW, AIA has a strong presence in the private hospital space. It has 83 private hospital agreements in place.
This is a significant number, considering the industry maximum is 92. It shows AIA is committed to providing its customers with a wide range of options.
AIA also has a substantial number of day hospital agreements in NSW, totaling 84. This is impressive, given the industry maximum is 105.
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Insurance Plans and Tiers
AIA offers four insurance plan tiers to cater to different needs and budgets. Plan A covers private hospitals, while Plan B and Plan B Lite cover public hospitals. The Standard plan is also available for those who want a more affordable option.
The annual coverage limit for Plan A varies depending on the hospital type, with S$2,000,000 for AIA preferred hospitals and S$600,000 for non-AIA preferred hospitals. Plan B has an annual coverage limit of S$450,000, Plan B Lite has a limit of S$300,000, and the Standard plan has a limit of S$150,000.
Here's a comparison of the plan tiers:
Critical Illness Double Plan
The Health Happy Plan 2 doubles the insured amount for certain critical illnesses, providing an additional layer of protection for policyholders.
If you get cancer, for instance, you'll be covered for 10 million baht instead of the usual 5 million baht.
Hospital room fees in Thailand vary greatly in type, quality, and price, so this double coverage can make a significant difference in your medical expenses.
AIA CI SuperCare covers both early-stage and severe diseases and treatments that are currently a major cause of death in Thailand.
It's essential to study the terms and conditions of the policy contract to understand what's covered and what's not.
The policyholder should also be aware that the insurance company may cancel the contract or refuse to pay claims if false information is provided in the application.
Gold Plan Tiers
The AIA HealthShield Gold Max Insurance Plan has four tiers - A, B, B Lite, and Standard. Each tier offers different benefits and coverage limits.
Plan A covers private hospitals with standard rooms and below, and has an annual coverage limit of S$2,000,000 at AIA preferred hospitals, or S$600,000 at non-AIA preferred hospitals.
Plan B covers public hospitals with Class A wards and below, with an annual coverage limit of S$450,000. Plan B Lite covers public hospitals with Class B wards and below, with a coverage limit of S$300,000. The Standard plan covers public hospitals with Class B1 wards and below, with a coverage limit of S$150,000.
Here's a summary of the different tiers:
Insurance Claims and Excess
If you're a private patient in hospital for a service covered by your AIA health insurance policy, you'll typically need to pay an excess. You can pay this excess directly to the hospital, or they may request it prior to admission.
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The good news is that you can potentially get some of this excess back through the AIA Vitality program, if you've held an AIA health insurance policy for at least six months prior to admission and your AIA Vitality status is Silver or above. This means you could be refunded 100% of your hospital excess.
To make a claim on your extras policy, you can simply scan your AIA membership card at your healthcare provider's HICAPS machine, or complete an online claims form through AIA's member portal.
Making a Claim
You can make a claim on your AIA extras policy by scanning your AIA membership card at your healthcare provider’s HICAPS machine.
Alternatively, you can complete an online claims form through AIA’s member portal or download the claim form from their website and email it to them.
The hospital will typically reach out to you to pay any excess or patient co-payment, or request payment prior to admission.
AIA will pay your hospital bills directly, so you won't need to pay them yourself.
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Do I Have to Pay Excess
You'll typically need to pay an excess when you're treated as a private patient in hospital for a service covered by your policy.
Paying excess can be a hassle, especially if you're not expecting it. However, some insurance providers offer ways to refund or reduce excess payments.
You could be refunded 100% of your hospital excess if you've held a policy for at least six months prior and your AIA Vitality status is Silver or above.
Cancellation and Subscription
If you need to cancel your Aia health insurance policy, you can do so by submitting a written request to Aia's customer service team.
Aia's customer service team is available to assist you with the cancellation process and answer any questions you may have.
You can expect the cancellation process to take around 5-7 business days to complete.
Aia will refund any unused premium paid by you, minus a 10% administrative fee.
You can continue to use your Aia health insurance policy until the end of the month in which you submit your cancellation request.
Aia's subscription plans offer flexible payment options, including monthly, quarterly, and annually.
You can choose from a range of subscription plans to suit your needs and budget.
Aia's subscription plans can be changed or cancelled at any time, subject to the terms and conditions of your policy.
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Insurance Exclusions and Limitations
Insurance companies limit hospital room benefits to prevent unnecessary expenses, either by a specific amount or by specifying the room type.
The AIA Health Happy insurance has as-charged ICU room coverage, depending on the chosen policy plan.
It's essential to consult with your agent before applying for any insurance to understand the specific limitations of your policy.
Partial exclusions of the AIA Health Happy rider include congenital abnormalities, cosmetic surgery, and pregnancy-related complications.
These exclusions may have additional exclusions on a case-to-case basis, so it's crucial to read through the brochure and policy contract for the full terms and conditions.
Insurance companies may refuse to pay claims or cancel the insurance contract if the applicant provides false information or conceals the truth.
Policy Exclusions
Policy Exclusions can be a real challenge when it comes to insurance. The good news is that AIA Health Happy rider has some clear exclusions listed, including congenital abnormalities, cosmetic surgery, and pregnancy-related complications.
These exclusions are partial, meaning there might be others on a case-by-case basis, so it's essential to read through the brochure and policy contract for the full terms and conditions.
If you require a specific benefit that's excluded, I recommend considering an additional policy to provide the cover you need. Some health insurance policies may cover pregnancy at an additional cost to the premium, but be aware of extended waiting periods and exclusions.
For example, separate pregnancy insurance may cover consultations before and after the birth, doctors and medical fees, and offer better overall cover. In Thailand, one policy rarely covers every benefit a person needs, so it's advisable to think about which benefits you care about most and get a few policies to cover those needs.
Here are some possible outcomes when applying for AIA with pre-existing health conditions:
- Approve the application
- Approve application after a check-up
- Approve application, but exclude pre-existing conditions
- Approve application, but at a higher premium
- or deny your application altogether
Why Insurers Limit Hospital Room Benefits
Insurers limit hospital room benefits to prevent policyholders from claiming unnecessary expenses.
This is done by either specifying a daily benefit amount or the type of room that's covered.
For example, the AIA Health Happy insurance plan has a daily hospital room benefit that varies depending on the chosen policy plan.
If you're concerned about the specifics of your policy, it's best to consult with your agent before applying.
Insurance for Specific Groups
If you're an expat living in Thailand, you might be interested in Personal Accident Insurance from AIA Thailand, which can help cover your accidental medical expenses without you having to pay first.
This type of insurance is specifically designed for expats in Thailand, providing them with financial protection in case of an accident.
You can learn more about this insurance option by visiting the AIA Thailand website, where you can find out more about the coverage and benefits it offers.
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Frequently Asked Questions
Who is the parent company of AIA Health?
AIA Health's parent company is AIA Group, a global insurance organization with a strong financial backing. AIA Group provides AIA Health with the security and resources to deliver reliable insurance solutions.
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