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  1. #1
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    Smile Health Card for Foreigners.

    A friend kindly copied info about a new scheme allowing foreigners to participate in the Thai government 30 baht health project. It started in 2556.
    It turns out it costs 2,200 Baht to join with an additional 600 Baht health check required at the same time. This gives one access to the Government hospital where you join the scheme, for 1 year.
    My wife and I went to the Khon Kaen Central hospital, Sri Chant road, yesterday, and were guided through the process relatively painlessly.
    We needed my Passport, 2 passport photos, my yellow book (Tabien bahn), and, of course, 2,800 Baht.
    The initial health check went through, Height, Weight, Blood pressure, followed by Urine and Blood samples and a chest Xray.
    As we went in the afternoon we had to return the next day to get the results and the card. Had we been earlier it could have been completed same day. All was well and so I am now in possession of the "Open Sesame" to the Khon khen Hospital in case of emergencies.
    If you are young and well off you do not need this help, however I believe that the majority of "Farangs" are, like me, too old to get good health insurance at affordable prices, so will be very glad to have the card as a cushion against the uncertainties of old age and dry rot.
    Good luck.

  2. #2
    I am in Jail

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    Never even heard of it before, thanks for posting.

  3. #3
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Farangbaba
    As we went in the afternoon we had to return the next day to get the results and the card.
    I didn't get mine in Khon Kaen but it took over a month before I received my card

  4. #4
    Thailand Expat Bobcock's Avatar
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    I used to be in the scheme as an employee with my previous company in 2005.

    Never used it, but got a to carry a nice card that was valid for several years.

    Could only use one hospital and I wouldn't have been seen dead in it....

  5. #5
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    is the card/service linked to one specific hospital?

  6. #6
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    Quote Originally Posted by Bobcock
    I used to be in the scheme as an employee with my previous company in 2005. Never used it, but got a to carry a nice card thas valid for several years. Could only use one hospital and I wouldn't have been seen dead in it....
    IMO the local health care I have received at the equivalent of a cottage hospital has been excellent and I am not even a member of the scheme. It sounds vry interesting and a green for the OP for bringing it to our attention.
    Old farts like us need all the help we can get.
    Ihave had one visit for a wound (accidental) that needed stitches and follow up and have been at the hypertension clinic every 2 months for 3 years. Despite the fact that they have many newly qualified doctors on short learning attachments, I have no complaints about the service at all. Cost has never exceeded Bt1k so I'm not sure what the card would do unless it was something serious.

    The cost of membership is damned good value when you look at what private hospitals charge just for a health check. Even if they find you alreafy have a disqualifying condition or illness you will be better for knowing.
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  7. #7
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    I have heard of the scheme but have never applied mainly because I have used the state hospital system here without paying an upfront membership fee by merely flashing a Thai driving license.

    2 state hospitals in Khon Kaen have accepted me with no problems (along with other farangs I have met there). The downside is that we have needed to join the queue of several hundred other patients waiting to see the doc so expect to lose a day out of your life when visiting.

    The scheme may be worth contemplating if it doesn't restrict one to a single hospital and one receives preferential treatment upon arrival.

  8. #8
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    Marmite the Dog's Avatar
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    Udon has stopped issuing and honouring it.

  9. #9
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Mr Lick
    The scheme may be worth contemplating if it doesn't restrict one to a single hospital and one receives preferential treatment upon arrival.
    You are restricted to the hospital named on your card which should be the hospital in your Amphur. The same one your wife uses. If the said hospital cannot treat you they will pass you on to the nearest government hospital that can.
    So 2,200 Baht for a years cover, including meds. One heart attack and a stent fitted, free. Pay for procedure at a goverment hospital without the card is 160,000 Baht or there abouts.

  10. #10
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    I am glad to see some positive replies to my post. I wrote it purely to try to help farangs, like myself, who would struggle if the problem was big and or sudden.
    If it proves a white elephant I am sorry, but TIT.

  11. #11
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    Don't like to be the bearer of (p'raps) bad news - but word is out that the scheme is being discontinued - for whiteys. The cards were actually meant for foreign workers (Cams, Burmese and the like) - not for rich old farangs. I'm told that up our way, only 2 workers actually applied for the card - maybe the rest thought it was ferkin' expensive - seeing as they only earn 2-300B a day...

    Some areas will "honour" the whitey card until it expires, while others have simply stopped accepting the already issued cards.

    A few areas are apparently still issuing cards (good for them!), mainly as there's no proper government (yet) to officially stop all the confusion.

    I do have such a card and have used it a few times (small stuff) and the idea is great. It's said that the government is considering issuing cards again to whiteys, at a price niveau of "about 15K".

    Don't hold yer breath, though.....
    I've learned that pleasing everyone is impossible, but pissing everyone off is a piece of cake.

  12. #12
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    Quote Originally Posted by Pragmatic View Post
    Quote Originally Posted by Mr Lick
    The scheme may be worth contemplating if it doesn't restrict one to a single hospital and one receives preferential treatment upon arrival.
    You are restricted to the hospital named on your card which should be the hospital in your Amphur. The same one your wife uses. If the said hospital cannot treat you they will pass you on to the nearest government hospital that can.
    So 2,200 Baht for a years cover, including meds. One heart attack and a stent fitted, free. Pay for procedure at a goverment hospital without the card is 160,000 Baht or there abouts.

    To be honest I wouldn't trust my local Amphur hospital with anything more than a annual health check.

    Any surgery I have required has been carried out at Khon Kaen University Hospital

    :: Faculty of Medicine :: Khon Kaen University

    which also contains the Queen Sirikit Heart Center for the Northeast, in it's grounds.


    I underwent a 3.5 hrs operation for skin cancer there a couple of years back and the total cost including attending a clinic the day prior to the operation was 7,500 baht.

    If one could nominate a reputable state hospital as an alternative to their own in the sticks then I suspect the cost of a purchasing a health card might seem worthwhile.

  13. #13
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    Marmite the Dog's Avatar
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    Quote Originally Posted by Thaimato
    The cards were actually meant for foreign workers
    That is a false rumour.

    There are videos of the meetings between the Thai insurance company and the chiefs of medicine in the Thai provinces where it is clearly explained by the insurance company that the scheme is for ANY foreigner including westerners.

  14. #14
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    Quote Originally Posted by Mr Lick
    To be honest I wouldn't trust my local Amphur hospital with anything more than a annual health check.

    Any surgery I have required has been carried out at Khon Kaen University Hospital
    Our child was born in the local hospital. I've spent three weeks there in ICU after a motorbike crash. I've had surgery there for a hernia and for a slipped disk. All this included in my social security from work. The healthcare was excellent (they gave me morphine on demand!) and the only extra expense was B500 a day so I could have a private room. Far, far better than anything I've ever experienced in a a public hospital in the west. The hospital I chose, I had a choice of three, I think, was Lanna Hospital in Chiang Mai. Many social security hospitals are also private hospitals and the treatment you receive will be the same as private patients receive.
    The Above Post May Contain Strong Language, Flashing Lights, or Violent Scenes.

  15. #15
    Thailand Expat Pragmatic's Avatar
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    ^^ I think that to be true. When I first applied it was "no no no farang cannot have. For foreign worker only". It was the hospital that phoned me 2 months, or so, later to say "can have". What happened inbetween?

  16. #16
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    Quote Originally Posted by Pragmatic
    What happened inbetween?
    Most hospitals are run by racist Thais so they assumed that it was too cheap for rich farangs. It was only after the insurance company batted them round the head a few times that they wised up.

  17. #17
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    I'm covered by the thai civil service health scheme... which is provided via government hospitals.

    I would say the primary differences between government and private hospitals is in the quality of the intior decoration. most private hospitals seem to think they are in the business of providing serviced apartments and hotel rooms..... whilst government hospitals vary between tired and grim places from the 70/80's and very reasonable modern hospital buildings over the last few years, which would not look out of place in the west if it were not for the multi story paintings of you know who.

    As for the medical care I don't think there's a massive amount. its exstreamly hit or miss and you are lucky or not. This applies to both the private and government hospitals.

    My personal experience is with the university teaching hospitals attached to chula, tammasat and Mahidol university hospitals. Its been as good as the care I've had from the private hospitals, the decor's not as good and sometimes there's more waiting at A&E. No hint of discrimination or racism beyond one doctor 15 years ago complaining about be stealing talented thai's from the country... and is bitching about a perceived brain drain really racism?

    Depending upon what was wrong with me I would not be too concerned being treated in any of them, though I would not really like to be on a ward as well thai's don't seem to take privacy as seriously as I do.... or they accept their loss of it more easily than I do. for example if I needed a gamma scan I would choose Mahidol as they are one of three hospitals who have the scanner. the others being a government hospital and a private hospital I would not want to set foot in for various reasons.
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  18. #18
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    Quote Originally Posted by DrB0b View Post
    Quote Originally Posted by Mr Lick
    To be honest I wouldn't trust my local Amphur hospital with anything more than a annual health check.

    Any surgery I have required has been carried out at Khon Kaen University Hospital
    Our child was born in the local hospital. I've spent three weeks there in ICU after a motorbike crash. I've had surgery there for a hernia and for a slipped disk. All this included in my social security from work. The healthcare was excellent (they gave me morphine on demand!) and the only extra expense was B500 a day so I could have a private room. Far, far better than anything I've ever experienced in a a public hospital in the west. The hospital I chose, I had a choice of three, I think, was Lanna Hospital in Chiang Mai. Many social security hospitals are also private hospitals and the treatment you receive will be the same as private patients receive.
    It's pleasing to read some positive comments of somebody's personal experiences at a local hospital. Ours is 100 kms from Khon Kaen.

    Although suffering a long standing back problem (disks) myself our local hospital has no orthopaedic specialist.

    I was also suffering from suspected gallstones which the doc failed to pick up during an ultrasound scan. Either the machine was malfunctioning or the doc had no idea how to operate it. (a couple of months later it was diagnosed following a scan in the UK.)

    Yes, not a great deal of confidence with that hospital i'm afraid.

  19. #19
    Thailand Expat Pragmatic's Avatar
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    ^^ Great post Haz. I can't understand people that use private hospitals because of a better quality of doctor. A family friend booked herself into the Bangkok Hospital. She had all her test done and tthey gave her the results 2 days later. Cost 110,000 Baht. She could afford no more so she booked herself out and went off to the government hospital. Her care would be free. And on top of that her doctor was the same one that she was under at the Bangkok Hospital. Nothing changed other than the decor and the cost.

  20. #20
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    its been well publicized for a couple of years, i first saw it on udon-news/german news site

    http://udon-news.com/en

  21. #21
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    Quote Originally Posted by Marmite the Dog View Post
    Quote Originally Posted by Thaimato
    The cards were actually meant for foreign workers
    That is a false rumour.

    There are videos of the meetings between the Thai insurance company and the chiefs of medicine in the Thai provinces where it is clearly explained by the insurance company that the scheme is for ANY foreigner including westerners.

    Yep - and I ain't really going to disagree (or agree) with anyone on this one. Personally, I hope the scheme continues "as is", but on other forums you can already read of whitey farangs with cards being bummed off by the hospitals. Hopefully, it's just very few places taking that attitude and that the majority of areas are still treating whiteys the same as Thais.

    Anyway, wait until the new government is in place - then maybe things will become clearer. In the meantime - good 'ealth to all!


  22. #22
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    Quote Originally Posted by peterpan
    its been well publicized for a couple of years
    7 or 8 months isn't a couple of years. Get back in your coffin.

  23. #23
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    Health card for foreigners

    I Have been going to Thai Hospitals for 10 years, but at the beginning of the year, I heard about the scheme and registered, it worked out great for me, as the 2,200 baht covers cost for a year.
    My med that cost me a little over 1000 baht a month, now all my medication under the scheme is free, as I see it I will save money in the long run.

    My wife was in a motorbike accident and all cost was free except the 600 baht per day cost of a private room.
    Medical care is the same as I have been receiving for the last decade, I hope the new government does not stop the scheme as it was PTP idea.

    I can not complain, Oh yes I can only go to the Amphur hospital.

    Cheers

  24. #24
    Thailand Expat Pragmatic's Avatar
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    I've no proof but things may be changing, or have changed? 30 Bht health scheme for Farangs, to finalize. - Health, Body and Medicine - Thailand Forum

  25. #25
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    Quote Originally Posted by Kikoman
    My wife was in a motorbike accident and all cost was free except the 600 baht per day cost of a private room.
    I was in a couple of motorbike accidents and all my medical bills were paid, without a medical card!

    Including the overnight stays.

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