Khon Kaen Forum

HEALTH & WELLNESS => Doctors, Clinics, Hospitals => Topic started by: avvocato on September 05, 2019, 09:45:34 AM

Title: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: avvocato on September 05, 2019, 09:45:34 AM
Reporter puts a positive spin on this. I'm not too sure. As a spouse I am covered by my wife's teacher association medical. Perhaps no longer. I guess the onslaught versus farangs and retirees will never end.
https://www.thaiexaminer.com/thai-news-foreigners/2019/09/04/foreigners-tiered-medical-health-service-charges-thai-public-hospitals-new-law/
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: avvocato on September 15, 2019, 06:42:11 PM
Just as a follow up to this post, the Public Health Ministry has published the list of prices to be charged by Thailand"s Public Hosptals after September 30 ...       as issued the Public Hospital Pricing for year starting 1 October 2019.
announcement:https://www.matichon.co.th/news-monitor/news_1649256
 (https://www.matichon.co.th/news-monitor/news_1649256)List of prices including the tiered structure for foreigners: http://www.ratchakitcha.soc.go.th/DATA/PDF/2562/E/218/T_0004.PDF (http://www.ratchakitcha.soc.go.th/DATA/PDF/2562/E/218/T_0004.PDF)
It looks like retirement / marriage visa extension holders (Type O visa). will pay up to double for tests and procedures, but not all procedures/tests.
For example (because of my health situation), the cost to me for a chest CT will be 12,000 baht, whereas Thais pay 6,000 baht (see page 145 of the PDF).  100% higher.
Also a Laparoscopic cholecystectomy  (removal of gallbladder) would cost me 15,750 baht compared to Thais who would be charged 10,500 baht  50% higher.

 

 
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on September 15, 2019, 09:59:30 PM
Nasty, greasy foreigners are much harder to treat because cleaning them before hand is so much more labor intensive! roll
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: TerryLH on September 16, 2019, 12:13:46 AM
"For example (because of my health situation), the cost to me for a chest CT will be 12,000 baht..."

This seems to be a non issue for you if you are covered by your wife's insurance.

Terry
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on September 16, 2019, 09:24:48 AM

As an aggregate, wifey's health insurance premiums will increase if the insurance company has to pay out double to treat nasty, greasy falang to the extent that it affects their bottom line.  Just because insurance picks up the tab, treatment is not "free."  Nothing is "free."  Somebody or somebodies somewhere along the line are paying the tab.

Personally, I don't care very much. I am OK with paying a reasonable surcharge for being a nasty, greasy falang. It is not unprecedented. In the U.S., university tuition is more expensive for those who are not residents of the state where the university is located, and even more costly for greasy, nasty foreigners.

If that neutralizes one avenue of accusations toward the nasty, greasy falang, it will be worth it. The culture often seems not to value expertise, efficiency, rationality, logic or elementary safety. But money does seem to garner some modicum of respect.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: screamer on September 17, 2019, 01:15:53 PM
Compulsory insurance shelved: Ministry don't t want to spook tourists at sensitive time

A representative of the Thai Ministry for Tourism and Sports has told the Thai media that plans to make visitors to Thailand take out insurance have been put on the back burner.

Chote Trachu told Bangkok Biz News that ministerial proposals made in May of this year would have to wait until 2020 or at a "more appropriate time in the future".

Read more on ThaiVisa.com => http://bit.ly/34RQqFU
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: avvocato on September 18, 2019, 09:05:37 AM
Exactly Rex. We'll be checking with the teacher's association to see what is covered - everything or up to the Thai price (farang responsible for balance) or Worst Case, no coverage.
I know there are some others in this same boat.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on September 18, 2019, 09:45:45 AM
I hope it does not affect your coverage. I hope "they" it is quite a trick to try to have it both ways; demand that falang have coverage and then make it more difficult to get or pay for that coverage. 
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: martin on September 19, 2019, 07:54:33 AM
Exactly Rex. We'll be checking with the teacher's association to see what is covered - everything or up to the Thai price (farang responsible for balance) or Worst Case, no coverage.
I know there are some others in this same boat.


Thanks for this, avvocato.


I'm one of those in the same boat (albeit my wife's now retired) and was considering asking exactly the same question of the Teachers' Association. However, I'll look out for your future reports on this matter instead.


I hope that, at the very least "up to Thai price" would be covered but it often doesn't pay to get your hopes up here.

Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: avvocato on September 28, 2019, 08:14:49 AM
To all who may be in this same boat:
I was at the Queen Sirikit Heart Center on Thursday. Asked the nurses / medical assistants about dual pricing. According to their rumor mill, Srinigrarind will not be going to a multi-tiered pricing system. The new rules essentially allow public hospitals to charge more of foreigners. However, the new rates were set as "maximums", leaving hospital directors the choice of charging less.Haven't checked with the Teacher's Group yet (still planning to stop in there soon) - so if anyone beats me to the "punch". Please post.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: fceligoj on October 17, 2019, 01:33:20 PM
You have to wonder if all the public hospitals will follow the same practice of multi-tiered pricing as is now being established in Phuket.

http://bit.ly/2VQeLIs (http://bit.ly/2VQeLIs)

Multi-tier prices at state hospitals now in effect in Phuket

PHUKET: The multi-tier prices for government hospitals to charge foreigners higher fees are now in effect in Phuket, the Chief of the Phuket Provincial Health Office (PPHO) has confirmed.[/size][/font]“The new pricing regulation came into effect on Sept 29 at all three government hospitals in Phuket – Vachira, Thalang and Patong,” PPHO Chief Thanit Sermkaew told The Phuket News. “They can now charge different fees for the three groups of foreigners – migrant labourers (from Laos, Myanmar, Cambodia, and Vietnam), foreigners staying on non-immigrant visas, and tourists,” he added.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on October 17, 2019, 01:57:19 PM
It really is like living in a real-life version of the Mad Hatter's tea party in Alice in Wonderland. 

First they decide that the greasy, nasty foreigner must have health insurance.  Fair enough. Then the raise the price of delivering medical services!


I say "fair enough," but what I mean is provisionally fair enough. As long as access to health insurance remains difficult, conditional and expensive, it is not really addressing the problem they claim they are trying to solve; the greasy, nasty foreigner skipping out on hospital bills (if that were even possible n most cases). But if the insurers will not cover pre-existing conditions and routinely exclude common issues for older people such as hypertension, it has made money for the insurance companies, but has done nothing to solve the problem. You can have insurance up the wazoo, end up in the hospital, and have treatment for anything renal, or cardio vascular rejected because they claim it was the result of  hypertension. You are still stuck and unable to pay the bill. If you have hypertension, as many of us do, you had better pray for cancer or getting hit by a bus, and not heart or renal disease!
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Windy on October 18, 2019, 07:43:40 PM
I've got my 3 monthly visit to Queen Sirikit Heart Center on Monday. I will see if I get charged any more than I normally do for the visit and medication.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: TerryLH on October 23, 2019, 02:08:28 AM
Windy, any update after your doctor appointment?
Terry
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Windy on October 23, 2019, 01:57:11 PM
Sorry Terry I had to put my appointment back a couple of weeks.
Will report back after I have been.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: TerryLH on October 23, 2019, 02:41:28 PM
Thanks.
Terry
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: kkbill on October 26, 2019, 07:26:52 AM
I went to Srinagarind on Fri 25 Oct for my 90  check up post hip replacement. 1st I went to X-ray for four shots ( 1106thb incl 50 baht for the nurse). This was just about the same price as the last time I had X-rays done. After finally seeing the Dr I was off to the main cashier who looked at the slip I gave her and told me there was no charge (last visit 8wks ago it was 50 baht).
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on October 26, 2019, 01:41:15 PM
How is the hip doing, Bill?
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: kkbill on October 26, 2019, 02:03:52 PM
Hip1 (right) now at 10 months feels natural. Hip2 (left) at 4 months - no pain, can walk up to 2km but still not completly settled in - feels like there is something foreign in my body - this sensation mostly in the morning. Hip 2 recovery is going faster than Hip1 but it has been a long year. Between the hip replacements there was also a spinal op on L4-L5. All done as self insured i.e. my cash.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: screamer on October 26, 2019, 09:28:21 PM
Kkbill
Can I ask what you had done to L4/5 and how the post-op has been?
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: kkbill on October 27, 2019, 07:20:10 AM
Screamer - From what I understood from the Dr he moved/manipulated.adjusted tendons in that area of the spine. The Op was under general antithesis and took around 2 hrs. Frankly I cannot recall the pain I was having in that area but it is gone now. Later today I'll post the Dr's name. Cost was around $US 3,700 for the Fast Track service. Had I chosen to wait/get in line for the regular surgery schedule it would have been much less but the wait would be several months.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: screamer on October 27, 2019, 11:49:41 AM
Screamer - From what I understood from the Dr he moved/manipulated.adjusted tendons in that area of the spine. The Op was under general antithesis and took around 2 hrs. Frankly I cannot recall the pain I was having in that area but it is gone now. Later today I'll post the Dr's name. Cost was around $US 3,700 for the Fast Track service. Had I chosen to wait/get in line for the regular surgery schedule it would have been much less but the wait would be several months.



Thanks KKB,


Never heard of tendons being moved. One to look into!
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: kkbill on November 05, 2019, 08:52:47 PM
Further follow up on Srnagarind pricing - went today ( 5 Nov) for a 90 day followup on another ailment,
Fee was the same as before:Nurse 50Doctor 300Meds 1207  (3 mo supply of 2 meds  - a bit lower in price than buying them at my fav discount pharmacy .
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Rex (Admin) on November 06, 2019, 11:46:51 AM
Thanks for the update,Bill.  Hasn't one of the gov horsepitals in KKC been imposing tiered pricing for the greasy, nasty falang (So hard to clean!) for several years now?  Terry?
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: TerryLH on November 08, 2019, 12:19:58 AM
In late 07 or early 08 I checked at Srinagarinds after hours clinic about getting surgery on my knee.
A young doctor gleefully told me that they could do the surgery, but it would be 50% (I think 50) more for a foreigner to have the surgery done at that clinic.


The waiting time was very short compared the the wait at the regular hospital clinic.


I opted to have the surgery at another government hospital.


Since then I've been using Srinagarind for almost everything with no problems.


Terry


Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Realist on November 22, 2019, 10:10:09 AM
Khon Kaen General Hospital, Srichan Road, charged me the same price as last year for an x-ray last Friday (220 baht) and doctors fee (50 baht).
I then had to book a CAT scan for next year, and price was also the same as last year (6,500 baht, inclusive).
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: Windy on November 23, 2019, 06:58:22 PM
I went to Queen Sirikit Heart center Thursday for my 3 monthly check and the cost for blood tests and medication was the same as it has been for the last 2 years.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: russell17au on November 24, 2019, 02:36:25 PM
I think the actual notice from the Ministry of Public Health was that the individual government hospitals were allowed to charge the tiered prices if they wanted to but they were not forced to charge them, it was the hospitals choice.
Title: Re: Thai Ministry of Health brings in tiered pricing for medical services to foreign
Post by: avvocato on November 24, 2019, 08:17:51 PM
Exactly Rex. We'll be checking with the teacher's association to see what is covered - everything or up to the Thai price (farang responsible for balance) or Worst Case, no coverage.
I know there are some others in this same boat.
Thanks for this, avvocato.
I'm one of those in the same boat (albeit my wife's now retired) and was considering asking exactly the same question of the Teachers' Association. However, I'll look out for your future reports on this matter instead.
I hope that, at the very least "up to Thai price" would be covered but it often doesn't pay to get your hopes up here.
Martin, I had a surgery done at Srinagarind last week. The cost was picked up by the Teacher's Group as per usual. Nothing changed from the prior years. Obviously Srinigarind is not charging tiered pricing. Costs they do not pick up are items like premium room surcharge or the "western" food option costs, some (optional) equipments, that kind of stuff.