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Author Topic: Thai Ministry of Health brings in tiered pricing for medical services to foreign  (Read 409 times)

avvocato

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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/



avvocato

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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
List of prices including the tiered structure for foreigners: 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.

 

 
« Last Edit: September 15, 2019, 06:46:46 PM by avvocato »

Rex (Admin)

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Nasty, greasy foreigners are much harder to treat because cleaning them before hand is so much more labor intensive! roll
« Last Edit: September 16, 2019, 09:07:49 AM by Rex (Admin) »

TerryLH

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"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

Rex (Admin)

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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.

screamer

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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
« Last Edit: September 17, 2019, 05:29:49 PM by Rex (Admin) »

avvocato

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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.

Rex (Admin)

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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. 

martin

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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.


avvocato

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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.

fceligoj

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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

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.
« Last Edit: October 17, 2019, 01:42:00 PM by Rex (Admin) »

Rex (Admin)

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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!

Windy

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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.


Sunset from my bedroom window