Guidelines on the Reimbursement of Medical Expenses

  1. Entitlement

The staff members of the Secretariat or spouse/dependents may claim for the reimbursement of medical expenses for the amount over and above the health insurance coverage.

  1. Benefits
2.1 Out-patient Services (for staff members or spouse/dependents)

expenses incurred from hospital/clinical visits such as consultation fee, cost of injections or medicine, x-ray examination, laboratory test, dental treatment, eye examination and any other expenses directly related to treatment of sickness/injury.

2.2 In-patient Services (for staff members or spouse/dependents)

Expenses relating to hospital confinement such as room and board, ambulance service, medical supplies, laboratory test, medicine, charge for use of operating room, surgical charge, specialist consultation fee etc.

2.3 Appratus Expenses (for staff members or spouse/dependents)

The reimbursement of apparatus expenses such as optical lenses (excluding spectacle frames), contact lenses, hearing aid, dental apparatus, crutches and wheel chair etc. may be made subject to prior approval from the director.

2.4 Additional Medical Expenses due to hospitalization or treatment of sickness related to the in-patient treatment (for staff members only)

expenses related to hospital confinement such as room and board, ambulance service, medical supplies, laboratory test, medicine, charge for use of operating room, surgical charge, specialist consultation fee, non-medical expense as part of in-room service etc. Charge for long distance call is reimbursable up to Baht 500 for each confinement, charge of special nurse due to hospitalization over and above 2 days (if the period of confinement is less than 7 days) and 3 days (if the period of confinement is more than 7 days) up to a limit of Baht 1,000 per day.

Expenses incurred from hospital/clinical visits as required by the medical doctor for follow-up or treatment of sickness related to the in-patient treatment will be reimbursable.

In case of the disagreement on the eligibility of claim, the matter shall be referred to the Director for decision.

 

  1. Reimbursement
Out-patient, In-patient Services and Appratus Expenses

The reimbursable amount of staff members or spouse/dependents for the medical expenses in each fiscal year shall be confirmed by the Finance Division and approved by the director. The Administrative Division will inform the staff members of the reimbursable amount.

The individual saving from staff member can not be used to support the reimbursement for spouse or dependents that reaches the maximum limit.

Hospitalization and treatment of sickness related to the in-patient treatment

The maximum amount that each member of the Secretariat may claim within one term of service is as follows:

  1. Professional Staff €“ Full reimbursement up to Baht 300,000 or 80% of the expenses whichever is higher, but not beyond the limit of Baht 400,000.
  2. General Service Staff €“ Full reimbursement up to Baht 200,000 or 80% of the expenses whichever is higher, but not beyond the limit of Baht 300,000.
  1. Exclusion
The reimbursement shall exclude the following expenses:

4.1 treatment of self inflicted injury.

4.2 treatment of nervous or mental disorder, alcoholism, drug addiction, venereal disease or congenital anomaly.

4.3 hospital confinement or surgical operation which is not recommended by the physician.

4.4 hospital confinement beyond the period recommended by the physician.

4.5 rest cure or sanitarium care.

4.6 cosmetic surgery or plastic surgery except in case of injury arising from accident.

4.7 prescription unauthorized by the physician 

  1. Submission of claim
5.1 The completed claim form must be submitted to the Deputy Director (Administration and Communication) through the Head of Division.
5.2 All claim forms must be accompanied by the invoice or the official receipt(s) indicating the name and address of the hospital/clinic together with the signature of cashier and the medical certificate.
5.3 After verifying the eligibility of the claim and the supporting documents, the Finance Division will arrange for the reimbursement of medical expenses to be paid to the staff members or the hospital/clinic within 7 days of submission date.