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Copayment a game changer for health insurance industry, but what does it mean for policyholders?
AI In-brief 2 Oct 00:25

Copayment a game changer for health insurance industry, but what does it mean for policyholders?

  • The Thai health insurance industry is shifting to a copayment model to address rising costs, unsustainable claims, and policyholder behavior, moving away from traditional full-coverage plans.
  • Under the new system, policyholders will share 30-50% of medical expenses if they exceed specific claim thresholds, such as making three claims for simple diseases amounting to 200% of their annual premium, aiming to promote responsible healthcare usage.
  • While copayment is projected to lower annual premiums for new clients, potentially making insurance more affordable, it also introduces increased financial burdens for individuals with chronic illnesses and adds complexity to policy understanding.
  • These new regulations are set to be enforced in March for new clients only, prompting advice for those desiring full coverage to purchase traditional policies beforehand, amid ongoing discussions about high private hospital fees.
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