Key Features of This Plan
Pacific Cross Maxima offers flexible coverage
Up to 10,000,000
Maximum Benefit per Admission
2 plans to choose from
Pick the plan that fits your budget and needs
From ฿36,627/year
Real starting premium for the plan you pick
OIC regulated
The insurer is licensed and supervised by the Office of Insurance Commission
Tax deductible
Premiums qualify for a personal income tax deduction
Apply in minutes
Apply through CheckDi in 5 minutes and get the policy by email
Expert Review
CheckDi Editorial
Health insurance analysis team · Compared 200+ plans from 30+ insurers
After comparing 200+ health plans in the market, Pacific Cross Maxima stands out for its comprehensive coverage with 2 plan levels, affordable starting premium, actual-cost IPD and ICU, and cashless hospital network.
✅ Why CheckDi Recommends
- Comprehensive coverage, no per-visit limit
- Nationwide hospital network, cashless
- Starting premium below market average
⚠️ Things to Know Before Deciding
- Declare your health and occupation truthfully — missing details can affect a claim
- OPD may require add-on purchase
- Read policy details before deciding
Who Is This For
Pacific Cross Maxima is designed for multiple lifestyles
Office Workers / Freelancers
No company benefits or insufficient coverage
Families
Want peace of mind that medical costs won't impact savings
Frequent Travelers
Need coverage both domestic and international
Young Professionals Starting to Plan
Low premiums at young age, upgrade as income grows
Coverage Comparison
Compare plans from Pacific Cross Maxima to find the best fit
| Coverage | Maxima | Plus |
|---|---|---|
| Main Coverage | ||
| Maximum Benefit per Admission | 5,000,000 | 10,000,000 |
| Deductible | None (choose a deductible of 20,000 / 40,000 / 100,000 / 200,000 / 300,000 THB per policy year for a 15% / 25% / 32.5% / 40% / 50% premium discount) | None (choose a deductible of 20,000 / 40,000 / 100,000 / 200,000 / 300,000 THB per policy year for a 15% / 25% / 32.5% / 40% / 50% premium discount) |
| Room & Board per day | 8,000/day | 10,000/day |
| ICU | Paid in full | Paid in full |
| Emergency accident care (24 hrs, no admission) | Paid in full (includes follow-up treatment within 15 days) | Paid in full (includes follow-up treatment within 15 days) |
| PA - Death/Dismemberment | 200,000 (PA1; extended to riding or riding pillion on a motorcycle and to murder or assault; extra cover at 145 THB per 100,000, up to 5,000,000) | 400,000 (PA1; extended to riding or riding pillion on a motorcycle and to murder or assault; extra cover at 145 THB per 100,000, up to 5,000,000) |
| Emergency Evacuation | Paid in full (worldwide 24-hour service; when more than 150 km from home or across a border, max 90 consecutive days) | Paid in full (worldwide 24-hour service; when more than 150 km from home or across a border, max 90 consecutive days) |
| General OPD Coverage | Paid in full (included under the inpatient benefit; 20% premium discount without the outpatient benefit) | Paid in full (included under the inpatient benefit; 20% premium discount without the outpatient benefit) |
| Coverage Area | Thailand (worldwide 24-hour emergency cover (max 90 consecutive days per trip); elective treatment outside Thailand is considered case by case, approval not guaranteed) | Thailand (worldwide 24-hour emergency cover (max 90 consecutive days per trip); elective treatment outside Thailand is considered case by case, approval not guaranteed) |
| Additional Coverage | ||
| OPD - Prescribed Medicine | Included in outpatient benefit | Included in outpatient benefit |
| OPD - Lab/X-ray/Diagnostic | Included in outpatient benefit | Included in outpatient benefit |
| Co-payment | 35% | 35% |
| Hospital General Expenses | Paid in full | Paid in full |
| Medical Diagnostic Services | Paid in full | Paid in full |
| Nursing Services | Paid in full (includes therapeutic medical services, blood and blood components) | Paid in full (includes therapeutic medical services, blood and blood components) |
| Medications & Medical Supplies | Paid in full (includes IV nutrition) | Paid in full (includes IV nutrition) |
| Take-home medication & supplies (per admission, max 30 days) | 8,000 (max 14 days) | 10,000 (max 14 days) |
| Physician Hospital Visit Fee per day | Paid in full | Paid in full |
| Operating Room & Equipment | Paid in full | Paid in full |
| Anesthesiology Fees | Paid in full | Paid in full |
| Surgeon's fee incl. assistant (OIC 4.3) | Paid in full | Paid in full |
| Organ Transplant | Paid in full | Paid in full |
| Surgical medical implants or prosthetic implants | 300,000 (5 year waiting period) | 300,000 (5 year waiting period) |
| Day Surgery | Paid in full | Paid in full |
| Pre-Hospitalization | Paid in full (directly related diagnostics within 30 days before and after the hospital stay) | Paid in full (directly related diagnostics within 30 days before and after the hospital stay) |
| Post-Hospitalization | Paid in full (within 90 days of discharge, excl. diagnostic services) | Paid in full (within 90 days of discharge, excl. diagnostic services) |
| Post-Hospitalization Rehabilitation | Paid in full (follow-up within 90 days of discharge) | Paid in full (follow-up within 90 days of discharge) |
| Dialysis | 1,000,000 (per policy year) | 1,500,000 (per policy year) |
| Cancer Radiation Therapy | Paid in full (per policy year) | Paid in full (per policy year) |
| Cancer Chemotherapy | Paid in full (per policy year) | Paid in full (per policy year) |
| Ambulance | Paid in full | Paid in full |
| Minor Surgery | Paid in full (per time) | Paid in full (per time) |
| Dental Coverage | Not included (optional 20,000, pays 80%) (optional add-on, 20,000 THB limit, pays 80% (20% co-payment)) | - |
| Vision Coverage | Not included (optional 6,000, pays 80%) (optional add-on, 6,000 THB limit, pays 80% (20% co-payment)) | 20,000 (pays 80% (20% co-payment)) |
| Pre-insurance Checkup | Required for age 65+ | Required for age 65+ |
| Alternative Medicine (TCM/Acupuncture/Chiro) | 5 visits/year (outpatient physiotherapy, acupuncture and chiropractic are included in the outpatient benefit) | 7 visits/year (outpatient physiotherapy, acupuncture and chiropractic are included in the outpatient benefit) |
| Mental Health Coverage | 50,000/time (max 200,000 lifetime) | 75,000/time (max 300,000 lifetime) |
| Maternity - Routine | 100,000 (includes caesarean delivery (same line in the benefit table)) | 120,000 (includes caesarean delivery (same line in the benefit table)) |
| Miscarriage | 40,000 (includes dilation & curettage and ectopic pregnancy) | 50,000 (includes dilation & curettage and ectopic pregnancy) |
| Nursing at Home | Paid in full (max 30 days, as ordered by a doctor) | Paid in full (max 30 days, as ordered by a doctor) |
| Surgical medicines, parenteral nutrition, supplies and equipment (OIC 4.2) | Paid in full | Paid in full |
| Surgical Fees | Paid in full | Paid in full |
| Starting Premium | ≈ 36,627* /yr | ≈ 40,940* /yr |
* Starting price for the lowest-risk profile. Actual price varies by age, gender, and insurer conditions.
Comparison: Private Health Insurance vs Social Security
Why is comprehensive health insurance essential, even with social security?
| Social Security | Pacific Cross Maxima | |
|---|---|---|
| Coverage Amount | Per entitlement (limited) | Up to 30M THB/year |
| Choose Hospital | ❌ Must use assigned hospital | ✅ Choose from 1,000+ |
| Private Room | ❌ Shared ward | ✅ Private room available |
| Advance Payment | Not needed (but limited hospitals) | ✅ Cashless at network hospitals |
| Outpatient (OPD) | ✅ Per entitlement | ✅ Add-on available |
| Critical Illness | Limited by criteria | ✅ Pay as actual |
| Tax Deduction | ❌ | ✅ Up to 25,000 THB |
Compare with other insurers
Similar plans from other insurers (prices for age 30)
Terms & Conditions
Claims Process
Usually cashless at the hospital with your card
Policy or medical card
Once approved, your policy arrives by email. Some plans also issue a medical card.
Show it at the hospital
Go for treatment and show the medical card or your policy together with your ID.
The hospital files the claim
The hospital sends the claim to the insurer directly — usually nothing to pay up front.
If more documents are needed
If the insurer needs more information, you may be asked to pay first and claim it back later. They will contact you about the documents.
What this plan pays
Real figures from the lowest-priced plan in this family
Pacific Cross Maxima
Premium 36,627 THB/year (age 30)
An illness that needs a hospital stay
These figures come from this plan's own data. What is actually paid depends on the policy conditions and exclusions.
Free help choosing a plan - and when you need to claim, the CheckDi team works with the insurer for you.
Frequently Asked Questions
About Pacific Cross
Pacific Cross
Pacific Cross is a leading insurer in Thailand offering comprehensive health and non-life insurance products.
Legal & Consumer Protection
OIC Regulated
This plan is approved by the Office of Insurance Commission (OIC). Policyholders are protected by law.
File Complaint with OIC
If you have issues with claims or service, call OIC hotline 1186 or visit oic.or.th
CheckDi is a Licensed Non-Life Insurance Broker
CheckDi Co., Ltd. acts as an intermediary to compare and present insurance plans from leading insurers.
