Family health insurance by European insurance company

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YOUR AREA OF EXPATRIATION

YOUR DATE OF BIRTHYears (Max Age 100)

ARE YOU INDIVIDUAL, COUPLE, ADULT & CHILD OR FAMILY

MEMBER 2 : WIFE, HUSBAND, PARTNER OR CHILD < 22Years (Max Age 100)

MEMBER 3 : CHILD < 22Years (Max Age 21)

MEMBER 4 : CHILD < 22 : YES ?

|Years (Max Age 21)
MEMBER 5 AND MORE : CHILD

INPATIENT
OUTPATIENT

ASSISTANCE EVACUATION REPATRIATION

DENTAL & OPTICAL

ADJUST GLOBAL LIMIT (FROM $ 20 000 UP TO $ 2 000 000)

CHOOSE YOUR CURRENCY
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LAST NAME OR MARRIED NAME:

FIRST NAME:

SEX:

DATE OF BIRTH:

NATIONALITY:

E-MAIL:

MOBILE PHONE:

OTHER PERSONAL INFO

ADDRESS OF EXPATRIATION:

PHONE:

CHILD, PARTNER, HUSBAND, SPOUSE

LAST NAME:

FIRST NAME:

SEX:

DATE OF BIRTH:

1 CHILD:

LAST NAME:

FIRST NAME:

SEX:

DATE OF BIRTH:

2 CHILD:

LAST NAME:

FIRST NAME:

SEX:

DATE OF BIRTH:

3 CHILD?

LAST NAME:
FIRST NAME:
SEX:
DATE OF BIRTH < 22Years (Max Age 21)

4 CHILD?

LAST NAME:
FIRST NAME:
SEX:
DATE OF BIRTH < 22Years (Max Age 21)

MEDICAL QUESTIONNAIRE

MAIN INSURED:

CHILD, PARTNER, HUSBAND, SPOUSE:

1 CHILD:

2 CHILD:

3 CHILD:

4 CHILD:

MEDICAL PREEXISTING CONDITIONS (IF ANY): PAST OR PRESENT SICKNESS, PAST SURGERY, MEDICINE TAKEN

MAIN INSURED:

CHILD, PARTNER, HUSBAND, SPOUSE:

1 CHILD:

2 CHILD:

3 CHILD:

4 CHILD:

STARTING DATE, CURRENCY

STARTING DATE OF COVER:

CHOOSE YOUR CURRENCY:

FREQUENCY OF PAYMENT:

What language do you prefer?

What is included in the insurance
(COVID-19 PROTECTION IS INCLUDED)

Economy Plan
International Plan

FOR ALL LIVING ABROAD AND LOCAL

Maximum limit/person/year	20 000 USD Outpatient: $ 1500 Dental: $ 200 / year Optical: $ 200 / year	80 000 USD Outpatient: $ 1700 Dental: $ 300 / year Optical: $ 400 / year
INPATIENT (by default)
Room and board semi- private room or private room per day	up to $ 120 (Max. of 180 days)	up to $ 300 (Max. of 180 days)
Intensive care or other specialty units per day	up to $ 220	up to $ 600
Hospitalization expenses ( per 1 case )	up to $ 2 000	up to $ 3 000
Surgery ( per 1 case )	$ 3 000	$ 4 000
Anesthesiologist	Included in hospitalization expenses	Included in hospitalization expenses
Inpatient physician’s visit	Included in hospitalization expenses	Included in hospitalization expenses
Emergency room	Included in hospitalization expenses	Included in hospitalization expenses
Second medical opinion	not covered	not covered
Accompanying bed for hospitalized child under 16	Full cover	Full cover
Emergency ground ambulance. Limited to one trip to the nearest hospital	$ 200	$ 300
Home health care services. Care must start upon discharge from the hospital and must be accompanied by attending Physician orders up to 30 days	100% up to $ 400 / year	100% up to $ 500 / year
Oncology in & outpatient	$ 2 000 / visit	$ 4 000 / visit
Organ transplant benefit	Included in hospitalization expenses	Included in hospitalization expenses
HIV	$ 300	$ 400
Kidney dialysis	$ 1 500	$ 2 000
MRI in case of inpatient	Included in hospitalization expenses	Included in hospitalization expenses
Extended care or outpatient rehabilitation connected to hospitalization	not covered	not covered
Maternity care (waiting period 10 months. This option for people who were ensured before a pregnancy)
Pregnancy and or any condition related to pregnancy that arises during the first ten (10) months of coverage under this policy are excluded. Any fertility or infertility services are excluded. Maternity care includes hospitalization, normal and Cesarean section delivery, prenatal and postnatal care and Complications of Pregnancy.	not covered	not covered
Congenital birth defects connected to Maternity Premature newborns, congenital conditions and birth anomalies for newborns enrolled within 31-days of the date of birth have a lifetime maximum.	not covered	not covered
New born cover connected to Maternity	not covered	not covered
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks	up to $120 /year	up to $200 /year
Extension of cover in the country of birth or origin except USA	$ 400 up to a period of maximum 3 months	$ 500 up to a period of maximum 3 months
Pre Existing condition	not covered	not covered
Dental & optical	optional	optional
ADD OUTPATIENT
ALL HOSPITALS WORLDWIDE (except USA)
Coverage for the selected plan	$ 1500	$ 1700
Outpatient per 1 visit. Physician office visits and treatment	$ 90 / visit	$ 100 / visit
Physiotherapy, chiropractor, osteopath, homeopath and acupuncturist (with prior consent)	$ 30 / visit and $ 400 / year	$ 40 / visit and $ 600 / year
Prescribed vaccines (hepatitis, covid, etc) (6 months waiting period)	90 USD / visit	100 USD / visit
Hospice care outpatient	not covered	not covered
Emergency ground ambulance (limited to one trip to the nearest hospital)	$ 200	$ 300
Diagnosis Services: Diagnostic laboratory test and x-rays MRI, CAT, PET scans and other diagnostic machine test Pathology Radiation therapy and chemotherapy Inhalation therapy	not covered	not covered
HIV	not covered	not covered
Prescribed durable medical equipment	not covered	not covered
Prescribed speech therapy and orthotics (with prior consent)	not covered	not covered
Prescribed medical prostheses (with prior consent)	not covered	not covered
Spa treatments (with prior consent) (waiting period 6 months)	not covered	not covered
Infusion therapy (Please refer to Comprehensive Medical Coverage section for details)	not covered	not covered
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks except USA	????	????
Extension of cover in the country of birth or origin except USA	????	????
Preventive Medical Check up	not covered	not covered
Gynecologist visit (check up)	not covered	not covered
Dental and optical	optional	optional
Waiting period	NO, except Covid: 14 days	NO, except Covid: 14 days
ADD DENTAL & OPTICAL
DENTAL
Coverage for the selected plan	$ 200 / year	$ 300 / year
Dental care	$ 90 / visit	$ 120 / visit
Orthodontics Child under 16 and with prior consent	not covered	not covered
Dental prostheses, inlays, on lays, implants With prior consent and 10 months waiting period	not covered	not covered
Extension of cover in the country of birth or origin except USA	not covered	not covered
Waiting period	10 months	10 months
OPTICAL
Coverage for the selected plan	$ 200 / year	$ 400 / year
Prescribed spectacle lenses, frames and contact lenses	$ 100 / visit	$ 130 / visit
Laser surgery or surgery for vision 10 months waiting period	not covered	not covered
Cataract and macular degeneration Inpatient or Outpatient	$ 200 / year	$ 300 / year
Waiting period	10 months	10 months

FOR ALL LIVING ABROAD, LOCAL PEOPLE AND TRAVELERS

Maximum limit/person/ year	Serenity Plan $ 100 000 – $ 1000 000 Outpatient: $ 6000 Dental: $ 1000 / year Optical: $ 1000 / year	ELITE Plan $ 2000 000 Outpatient: $ 1 000 000 Dental: $ 5000 / year Optical: $ 5000 / year
INPATIENT (by default)
Room and board semi- private room or private room per day	Full Cover (Max. of 180 days)	Full Cover
Intensive care or other specialty unit per day	Full Cover	Full Cover
Hospitalization expenses ( per 1 case )	Full Cover	Full Cover
Surgery ( per 1 case )	Full Cover	Full Cover
Anesthesiologist	Full Cover	Full Cover
Inpatient physician’s visit	Full Cover	Full Cover
Emergency room	Full Cover	Full Cover
Second medical opinion	Full Cover	Full Cover
Accompanying bed for hospitalized child under 16	Full Cover	Full Cover
Emergency ground ambulance Limited to one trip to the nearest hospital	Full Cover	Full Cover
Home health care services Care must start upon discharge from the hospital and must be accompanied by attending Physician orders up to 30 days	100% up to $ 1 000 / year	Full Cover
Oncology in & outpatient	Full Cover	Full Cover
Organ transplant benefit	Up to $ 100 000 / visit	Full Cover
HIV	Full Cover	Full Cover
Kidney dialysis	Full Cover	Full Cover
MRI in case of inpatient	Full Cover	Full Cover
Extended care or outpatient rehabilitation connected to hospitalization	Maximum of 30 days for each Medical Condition Maximum of $ 2500 per year Care must begin upon discharge from inpatient and within the last 14 days	Full Cover Care must begin upon discharge from inpatient
Maternity care (waiting period 10 months. This option for people who were ensured before a pregnancy)
Pregnancy and or any condition related to pregnancy that arises during the first ten (10) months of coverage under this policy are excluded. Any fertility or infertility services are excluded. Maternity care includes hospitalization, normal and Cesarean section delivery, prenatal and postnatal care and Complications of Pregnancy.	100% up to $ 8 000	Full cover
Congenital birth defects connected to Maternity Premature newborns, congenital conditions and birth anomalies for newborns enrolled within 31-days of the date of birth have a lifetime maximum.	100% $ 20 000 lifetime maximum	100% $ 50 000 lifetime maximum
New born cover connected to Maternity	Have to be enrolled same cover than parents within 1 month and premium paid but considered with no preexisting condition	Free the first 6 months and after have to enrolled same cover than parents within 1 month and premium paid but considered with no preexisting condition
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks	100% up to $ 15 000 / year	Full cover
Extension of cover in the country of birth or origin except USA	Up to a period of maximum 3 months	Up to a period of maximum 3 months
Pre Existing condition	To be considered	Possible full cover after 2 years moratorium in case there is no event (in or outpatient) connected to the preexisting condition
Dental & optical	not covered (optional)	not covered (optional)
OUTPATIENT
ALL HOSPITALS WORLDWIDE (except USA)
Coverage for the selected plan	$ 6000	$ 1 000 000
Outpatient per 1 visit. Physician office visits and treatment	Full Cover	Full Cover
Physiotherapy, chiropractor, osteopath, homeopath and acupuncturist (with prior consent)	100% up to $ 50 / session and $ 1 000 / year	Full Cover
Prescribed vaccines (hepatitis, covid, etc) (6 months waiting period)	Full cover	Full cover
Hospice care outpatient	$ 10 000 lifetime maximum	$ 20 000 lifetime maximum
Emergency ground ambulance (limited to one trip to the nearest hospital)	Full cover	Full cover
Diagnosis Services: Diagnostic laboratory test and x-rays MRI, CAT, PET scans and other diagnostic machine test Pathology Radiation therapy and chemotherapy Inhalation therapy	Full cover	Full cover
HIV	100% up to $10 000	Full cover
Prescribed durable medical equipment	Rental up to Purchase Price	Rental up to Purchase Price
Prescribed speech therapy and orthotics (with prior consent)	100% up to $ 50 / session and $ 1000 / year	Full cover
Prescribed medical prostheses (with prior consent)	100% up to $ 2000 / year	Full cover
Spa treatments (with prior consent) (waiting period 6 months)	Up to 20 days & $ 25 / day	Full cover
Infusion therapy (Please refer to Comprehensive Medical Coverage section for details)	100% up to $ 50 / session and $ 1000 / year	Full cover
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks except USA	Full cover	Full cover
Extension of cover in the country of birth or origin except USA	100% up to a period of max. 3 months	100% up to a period of max. 3 months
Preventive Medical Check up	100% up to $ 300 (after 3 years and every 3 years)	100% up to $ 2000 (after 3 years and every 3 years)
Gynecologist visit (check up)	100% (after 3 years and every 3 years)	100% (after 3 years and every 3 years)
Dental and optical	optional	optional
Waiting period	NO, except: Maternity: 10 months; Covid: 14 days	NO, except: Maternity: 10 months; Covid: 14 days
ADD DENTAL & OPTICAL
DENTAL
Coverage for the selected plan	$ 1000 / year	$ 5000 / year
Dental care	Full cover	Full cover
Orthodontics Child under 16 and with prior consent	not covered	Full Cover up to $ 200
Dental prostheses, inlays, on lays, implants With prior consent and 10 months waiting period	100% up to $ 150 / tooth (max. 4 teeth)	Full Cover once a year up to $ 500 / tooth
Extension of cover in the country of birth or origin except USA	Same condition than previously	Same condition than previously
Waiting period	10 months	10 months
OPTICAL
Coverage for the selected plan	$ 1000 / year	$ 5000 / year
Prescribed spectacle lenses, frames and contact lenses	100% up to $ 150 / year	100% up to $ 1 000 / year
Laser surgery or surgery for vision 10 months waiting period	not covered	Full cover
Cataract and macular degeneration Inpatient or Outpatient	$ 1 000 / year	$ 5 000 / year
Waiting period	10 months	10 months

Maximum limit/person/year	Economy plan	Economy plan	International Serenity Plan	International ELITE Plan
INPATIENT (by default)
Room and board semi- private room or private room per day	up to $ 120 (Max. of 180 days)	up to $ 300 (Max. of 180 days)	Full Cover (Max. of 180 days)	Full Cover
Intensive care or other specialty units per day	up to $ 220	up to $ 600	Full Cover	Full Cover
Hospitalization expenses ( per 1 case )	up to $ 2 000	up to $ 3 000	Full Cover	Full Cover
Surgery ( per 1 case )	$ 3 000	$ 4 000	Full Cover	Full Cover
Anesthesiologist	Included in hospitalization expenses	Included in hospitalization expenses	Full Cover	Full Cover
Inpatient physician’s visit	Included in hospitalization expenses	Included in hospitalization expenses	Full Cover	Full Cover
Emergency room	Included in hospitalization expenses	Included in hospitalization expenses	Full Cover	Full Cover
Second medical opinion	not covered	not covered	Full Cover	Full Cover
Accompanying bed for hospitalized child under 16	Full cover	Full cover	Full Cover	Full Cover
Emergency ground ambulance. Limited to one trip to the nearest hospital	$ 200	$ 300	Full Cover	Full Cover
Home health care services. Care must start upon discharge from the hospital and must be accompanied by attending Physician orders up to 30 days	100% up to $ 400 / year	100% up to $ 500 / year	100% up to $ 1 000 / year	Full Cover
Oncology in & outpatient	$ 2 000 / visit	$ 4 000 / visit	Full Cover	Full Cover
Organ transplant benefit	Included in hospitalization expenses	Included in hospitalization expenses	Up to $ 100,000 / visit	Full Cover
HIV	$ 300	$ 400	Full Cover	Full Cover
Kidney dialysis	$ 1 500	$ 2 000	Full Cover	Full Cover
MRI in case of inpatient	not covered	not covered	Full Cover	Full Cover
Extended care or outpatient rehabilitation connected to hospitalization	not covered	not covered	Maximum of 30 days for each Medical Condition Maximum of $ 2,500 per year Care must begin upon discharge from inpatient and within the last 14 days	Full Cover Care must begin upon discharge from inpatient
Maternity care (waiting period 10 months. This option for people who were ensured before a pregnancy)
Pregnancy and or any condition related to pregnancy that arises during the first ten (10) months of coverage under this policy are excluded. Any fertility or infertility services are excluded. Maternity care includes hospitalization, normal and Cesarean section delivery, prenatal and postnatal care and Complications of Pregnancy.	not covered	not covered	100% up to $ 8 000	Full cover
Congenital birth defects connected to Maternity Premature newborns, congenital conditions and birth anomalies for newborns enrolled within 31-days of the date of birth have a lifetime maximum.	not covered	not covered	100% $ 20 000 lifetime maximum	100% $ 50 000 lifetime maximum
New born cover connected to Maternity	not covered	not covered	Have to be enrolled same cover than parents within 1 month and premium paid but considered with no preexisting condition	Free the first 6 months and after have to enrolled same cover than parents within 1 month and premium paid but considered with no preexisting condition
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks	up to $120 /year	up to $200 /year	100% up to 15,000 USD/year	Full cover
Extension of cover in the country of birth or origin except USA	$ 400 up to a period of maximum 3 months	$ 500 up to a period of maximum 3 months	Up to a period of maximum 3 months	Up to a period of maximum 3 months
Pre Existing condition	not covered	not covered	To be considered	Possible full cover after 2 years moratorium in case there is no event (in or outpatient) connected to the preexisting condition
Dental & optical	not covered (optional)	not covered (optional)	not covered (optional)	not covered (optional)
ADD OUTPATIENT
ALL HOSPITALS WORLDWIDE (except USA)
Coverage for the selected plan	$ 1500	$ 1700	$ 6000	$ 1 000 000
Outpatient per 1 visit. Physician office visits and treatment	$ 90 / visit	$ 100 / visit	Full Cover	Full Cover
Physiotherapy, chiropractor, osteopath, homeopath and acupuncturist (with prior consent)	$ 30 / visit and $ 400 / year	$ 40 / visit and $ 600 / year	100% up to $ 50 / session and $ 1 000 / year	Full Cover
Prescribed vaccines (hepatitis, covid, etc) (6 months waiting period)	90 USD / visit	100 USD / visit	Full cover	Full cover
Hospice care outpatient	not covered	not covered	$ 10 000 lifetime maximum	$ 20 000 lifetime maximum
Emergency ground ambulance (limited to one trip to the nearest hospital)	$ 200	$ 300	Full cover	Full cover
Diagnosis Services: Diagnostic laboratory test and x-rays MRI, CAT, PET scans and other diagnostic machine test Pathology Radiation therapy and chemotherapy Inhalation therapy	????	????	Full cover	Full cover
HIV	not covered	not covered	100% up to $10 000	Full cover
Prescribed durable medical equipment	not covered	not covered	Rental up to Purchase Price	Rental up to Purchase Price
Prescribed speech therapy and orthotics (with prior consent)	not covered	not covered	100% up to $ 50 / session and $ 1000 / year	Full cover
Prescribed medical prostheses (with prior consent)	not covered	not covered	100% up to $ 2000 / year	Full cover
Spa treatments (with prior consent) (waiting period 6 months)	not covered	not covered	Up to 20 days & $ 25 / day	Full cover
Infusion therapy (Please refer to Comprehensive Medical Coverage section for details)	not covered	not covered	100% up to $ 50 / session and $ 1000 / year	Full cover
Extension of worldwide cover in case of an accident or accidental sickness during a trip of maximum 6 weeks except USA	????	????	Full cover	Full cover
Extension of cover in the country of birth or origin except USA	????	????	100% up to a period of max. 3 months	100% up to a period of max. 3 months
Preventive Medical Check up	not covered	not covered	100% up to $ 300 (after 3 years and every 3 years)	100% up to $ 2000 (after 3 years and every 3 years)
Gynecologist visit (check up)	not covered	not covered	100% (after 3 years and every 3 years)	100% (after 3 years and every 3 years)
Dental and optical	optional	optional	optional	optional
Waiting period	NO, except Covid: 14 days	NO, except Covid: 14 days	NO, except: Maternity: 10 months; Covid: 14 days	NO, except: Maternity: 10 months; Covid: 14 days
ADD DENTAL & OPTICAL
DENTAL
Coverage for the selected plan	$ 200 / year	$ 300 / year	$ 1000 / year	$ 5000 / year
Dental care	$ 90 / visit	$ 120 / visit	Full cover	Full cover
Orthodontics Child under 16 and with prior consent	not covered	not covered	not covered	Full Cover up to $ 200
Dental prostheses, inlays, on lays, implants With prior consent and 10 months waiting period	not covered	not covered	100% up to $ 150 / tooth (max. 4 teeth)	Full Cover once a year up to $ 500 / tooth
Extension of cover in the country of birth or origin except USA	not covered	not covered	Same condition than previously	Same condition than previously
Waiting period	10 months	10 months	10 months	10 months
OPTICAL
Coverage for the selected plan	$ 200 / year	$ 400 / year	$ 1000 / year	$ 5000 / year
Prescribed spectacle lenses, frames and contact lenses	$ 100 / visit	$ 130 / visit	100% up to $ 150 / year	100% up to $ 1 000 / year
Laser surgery or surgery for vision 10 months waiting period	not covered	not covered	not covered	Full cover
Cataract and macular degeneration Inpatient or Outpatient	$ 200 / year	$ 300 / year	$ 1 000 / year	$ 5 000 / year
Waiting period	10 months	10 months	10 months	10 months

office@sbc-insurance.live

+66 81 756 2392

Full life medical Insurance for family Worldwide

Your insurance online calculator

What is included in the insurance
(COVID-19 PROTECTION IS INCLUDED)

What our beloved clients say

WE ARE AGENCY: SBC Insurance

Assistance company worldwide:

Assistance company worldwide

ASSISTANCE COMPANY: AIS - Bangkok

MEDICAL INSURANCE SOLUTIONS FOR ALL ABROAD:

APPLY FOR A POLICY:

CONSULTATION:

DOCUMENTS (DOWNLOAD PDF)

Document

CALCULATOR

CONTACT US:

office@sbc-insurance.live

+66 81 756 2392

Full life medical Insurance for family Worldwide

Your insurance online calculator

What is included in the insurance (COVID-19 PROTECTION IS INCLUDED)

What our beloved clients say

WE ARE AGENCY: SBC Insurance

Assistance company worldwide:

Assistance company worldwide

ASSISTANCE COMPANY: AIS - Bangkok

MEDICAL INSURANCE SOLUTIONS FOR ALL ABROAD:

APPLY FOR A POLICY:

CONSULTATION:​

DOCUMENTS (DOWNLOAD PDF)​

Document

CALCULATOR

CONTACT US:

What is included in the insurance
(COVID-19 PROTECTION IS INCLUDED)

CONSULTATION:

DOCUMENTS (DOWNLOAD PDF)