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Dual-pricing for foreigners now legal at Thai public hospitals

Dual-pricing for foreigners now legal at Thai public hospitals

BANKGOK: State-endorsed dual-pricing in Thailand isn’t just for national parks, museums and amusement parks anymore, reports Coconuts Bangkok.

healthtourismeconomics
By The Phuket News

Thursday 5 September 2019, 01:24PM


Thai public hospitals can now legally charge foreign nationals higher rates for services under new regulations published last Friday (Aug 30), the news website posted earlier this week. (See report here.)

The new regulations allow four tiers of rates that can be charged, depending on a patient’s nationality and visa status. Treatment costs are set at four levels: Thai nationals, foreigners from neighboring countries and working foreigners on non-immigrant visas. The fourth group consists of tourists and retirees.

“While foreigners from other Asean nations appear to pay the same rates as Thai patients, they increase significantly for the third group – which includes most expats – while retirees and tourists really get the shaft,” Coconuts Bangkok noted.

Highlighting the disparity in rates charged, a simple antibody screening costs Thais and Asean nationals B130. Most expats will pay B190 while retirees and tourists pay double – B260, the report explained.

Similarly, a HIV test will cost Thais and Asean nationals B160, working expats up to B240 and B320 for retirees/tourists.

Thailand’s medical tourism brought in an estimated B18.4 billion baht in 2018, but most seek treatment at private hospitals, the report added.

“On the higher end, a spinal MRI that costs Thais and their neighbors B18,700 jumps up to B23,375 for working expats and B28,050 for retirees/tourists,” the report noted.

Under the new regulations, published in the Government Gazette last Friday, are set to come into effect on Sept 29.

Popular expat website ThaiVisa yesterday (Sept 4) published several pages of the order translated into English. (See here.)

The new rules essentially make it legal for public hospitals to charge more of foreign nationals, something that has been a source of complaints over the years when it happened illicitly, Coconuts Bangkok noted.

However, the ThaiVisa noted that the new rates allowed were set as "maximums", leaving hospital directors the choice of charging less.

Coconuts Bangkok also pointed out that, according to some reports in the media, the Public Health Department and Hua Hin Hospital late last year agreed to refund over B20,000 to a Dutchman following years of complaints he’d been made to pay hundreds of baht in extra charges every time he traveled from Prachuab Khiri Khan for cancer treatment.

It was unclear whether the man was ever refunded the difference, the website added.

The Bangkok Post reported early last month that a disciplinary inquiry was to be conducted against two former directors of Hua Hin Hospital after the National Anti-Corruption Commission (NACC) found there were grounds for the Dutchman's complaint that he was overcharged for medical services at the hospital.

The complaint was filed against the former directors by Erwin Robert Bucher, 50, four years ago. Mr Bucher reportedly claimed he was made to pay a service fee of 300 baht per treatment for colon cancer. He has received treatment 14 times since 2015.

Prachuap Khiri Khan provincial public health officer Dr Samat Thirasak said that the issue reached the NACC, which had ruled the complaint against the two former directors was valid. (See Bangkok Post story here.)

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Pascale | 10 September 2019 - 17:02:04

Mr.Kurt should get the facts right before posting more nonsense.Korea,Japan and Taiwan etc. are not in the same rate group as Thai's! 

Kurt | 10 September 2019 - 09:52:57

Emat not made clear why asian foreigners ( like from first world countries Singapore, Korea, Japan, Taiwan) are in the same rate group as Thai. And why the difference between expats and retirees? Not that expats and most retiree are going to government hospitals, but that is not the issue.

ematt | 09 September 2019 - 18:42:03

And of course, this how it should be. The government subsidizes public hospitals to take care of it’s citizens that cannot afford private care - not dirt bag foreigners trying to live here and mooch off public services. If you can’t afford private health care in this country, you shouldn’t be living here, full stop. 

Pascale | 09 September 2019 - 18:00:16

Government hospitals are subsidized.Why should they give the same prices for foreigners?

Kurt | 09 September 2019 - 15:39:17

Now, at Sept 29, not only dual pricing, but quattro pricing!!! Four discriminatory  groups sett. Shame full business setting. Labeling people on skin colour  or position, in a medical context. Heartless and complete insular setting.

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