<%@LANGUAGE="JAVASCRIPT" CODEPAGE="65001"%> Chivawattana MyHealth Membership
 
 
 
 
 
 
 
samui
   

  Value Gold

 
 

Receive Benefits with values totaling over 55,000 baht with the Chivawattana Value Gold.

 
Terms and Conditions
Membership Comparison
Check-up Programs
 
 
Description Privilege(s)    
Quantity
Transferable
Note
Discount on in-patient room rates
30%
Valid 7 days after card issued; Does not include meals, nursing service, labor or nursery rooms and other charges.
Discount on in-patient medical expenses
10%
Valid 7 days after card is issued; does not include fees for doctors, special medications, special equipment, special supplies, special lab tests and other expenses.
Discount on out-patient medical expenses
10%
Valid immediately after card is issued; does not include fees for doctors, special medications, special equipment, special supplies, special lab tests and other expenses.
Complimentary "Value Gold" Health Check-up Program (value THB 5,000) or select your own check-up at the regular cost (please consult your physician before examination)
Value THB 5,000
1 program
If the value of the personally selected check-up is less than THB 5,000, the hospital reserves the right not to refund the difference.
Discount on additional check-ups performed on the same day as the Chivawattana Health Check-up Program
10%
Discount applies to:
  1. Lab tests (except special lab tests).
  2. Additional fees apply for: Digital Mammogram or Mammogram with Ultrasound, Upper GI, Ultrasound of the Upper or Lower Abdomen, Ultrasound of the Whole Abdomen, Bone Densitometry, Echocardiogram, EST, Calcium Score, Thin Prep Pap Test, and others.
Discount on special equipment that may be required for regularly priced check-ups
Savings THB 500
1 time
Discount applies to:
  1. Digital Mammogram or Mammogram with Ultrasound, Upper GI, Ultrasound of the Upper or Lower Abdomen, Ultrasound of the Whole Abdomen, Bone Densitometry, Echocardiogram, EST, Calcium Score, Thin Prep Pap Test, and others.
  2. Discounts cannot be combined.
Out-patient discounts on doctor fees
THB 200/visit Savings THB 600
 
3 visits
Discounts cannot be combined.
Special discounts on In-Patient Department room rates for check-ups and in-patient admissions
THB 1,000/day Savings THB 2,000
2 days
  1. Deduction method: The cardholder is entitled to both a flat rate discount and a percentage discount (see item 1). The flat rate discount is applied first, and the percentage discount is applied to the balance.
  2. Does not include meals, nursing service, labor or nursery rooms and other charges.
Special discount on PET/CT Scan for early cancer detection
Value THB 30,000
1 time
  1. Please arrange appointment in advance.
  2. only at Wattanosoth Hospital - located at Bangkok Hospital Medical Center (referrals may be made from participating hospitals).
Discounts on Ambulance, Mobile CCU or Mobile ICU services throughout Thailand
Value THB 1,000
2 credits
  1. THB 500 discount credits may be combined up to THB 1,000 and the cardholder pays the balance; if the actual cost is less than the cost after discounts, the hospital reserves the right not to refund the difference.
  2. Does not include doctor, equipment or nursing fees or other service charges.
  3. Service available throughout Thailand - charges are calculated according to distance.
Complimentary dental examination
Savings THB 400
1 visit
Please arrange appointment in advance.
Discounts on dental fees:
Prosthodontic, Esthetic dentistry, Dental implants (5%) Scaling and Periodontics, Pedodontics, Operative dentistry, TMJ and Craniofacial pain, Endodontics (10%) Other procedures
5%-10%
  1. Does not include special equipment fee, special supply fee, special dental lab test fee, special medication fee or other dental fees at Bangkok Hospital Medical Center and Samitivej.
  2. Not available at Bangkok Hospital Phuket.
Discount on Orthodontics
Savings THB 2,000
1 visit
  1. Please arrange appointment in advance.
  2. Available only for orthodontic braces treatment at Bangkok Hospital Medical Center and Samitivej.
Discount on Lasik procedures
THB 5,000/eye Savings THB 10,000
2 eyes
  1. Please arrange appointment in advance.
  2. Available only at Bangkok Hospital Medical Center and Samitivej.
Discount on diagnostic exam for heart disease with 64-slice CT scan (examines coronary arteries and calcium score)
Savings THB 3,500
1 visit
  1. Please arrange appointment in advance.
  2. only at Bangkok Hospital Medical Center and Samitivej.
Health Bulletin throughout membership   
Complimentary  
Available exclusively to Chivawattana Bangkok Hospital Medical Center, Samitivej, and BNH cardholders in Thailand.
Total Value :
Membership Fee :
Membership Renewal Fee :
Membership Term :



     
 
 
 
 

Card Renewal

 
  You may renew your card before the expiration date in the following ways:
  1. In person at Chivawattana Counters.
  2. Facsimile renewal
    • • Contact Chivawattana for a renewal form and one will be faxed to you;
    • • Fill out the form, and indicate your method of payment;
    • • If money has been transferred to the hospital account, please include your pay-in slip with the form when sending by fax;
    • • If paying with a credit card, please include credit card details and your signature when sending the renewal form.
  3. For renewal by mail, follow the same steps as fax renewal.
 
 

Additional Information

 
 
  1. You must renew your card within 1 month from the date of expiration in order to receive the discount.
  2. After the one month period, members are treated as new members and will have a waiting period of 7 days before some benefits can take effect.
 
 
 
     
For more information, please contact     
Tel. +66 (0) 7742 9500     
Email :chivawattana@samuihospital.com     
     
 
Bangkok Hospital Samui © 2009
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Bangkok Hospital Samui 57 Moo 3, Thaweerat Phakdee Road, Bophut, Koh Samui , Suratthani 84320
Tel:+66 7742 9500  Fax. +66 7742 9540