Insurances Flashcards

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1
Q

Methods of remuneration

A
  1. fee for service
  2. fixed salary - lumpsum working hours per week
  3. Capitation - based on number and type
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2
Q

Who gets civil services medical benefit scheme

A

Civil servant worker

Including parents, married partner and child (above than 20 y.o. Less than 3)

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3
Q

Who gets social security scheme

A

Business with more than 20 people

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4
Q

Type of social security scheme and price

A

70 bath 3 covered - accident, handicap and feath

100 bath 4 covered + old

300 bath 5 covered + children

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5
Q

Who gets universal coverage

A

Thai nationale, 13 digit code, no other scehem

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6
Q

Source of finance for csmbs and ucs

A

Taxed-based, non contributory

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7
Q

Source of finance for SHS

A

Tripartite contribution by employer, employee, and government

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8
Q

CSMBS place provider

A

Government issues

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9
Q

SSS provider

A

Government and private

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10
Q

UCS provider

A

Registered provider

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11
Q

What does CSMbs covered

A

Everything except CD which only 1.500 bath per unit

No fluoride coverage

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12
Q

What does SSS covered

A

Cavities, extraction and Scaling - not more than 900 bath a year
CD- not more than 1,500

No others

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13
Q

What does ucs covered

A

Everything except CD which only 640 per unit

And root treatment only in primary teeth

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14
Q

Who gets foreigner/expat sSscheme

A

Legally enter or illegally enter but has proven nationale

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15
Q

Foreigner/expat schem what is covered and who

A

Laos cambodia viatnam and mianmar
Purchasable insurances
Cover only extract, filling and scaling

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16
Q

Required documents for SSS foreigner scheme

A

บัตรประกันสังคม and passport

17
Q

ผ่อนผัน ต่างด้าว needed documents

A

ID no thai nationale or id no สถานะทางทะเบียน

18
Q

Accident coverage. Who is covered, what js needed and how much

A

Person who was involved in accidents

Needed MC confiming accident

Covered: 30,000 bath in 180 days of accidents

19
Q

กองทุนกลักประกันสุขภาพระดับท้องถิ่น calculations and who provided

A

45 B x population of ผู้มีสิทธิ3หลัก

องค์กรปกครองส่วนท้องถิ่น สมทบเงิน