Over the past decade, the number of private hospitals affiliated with the Social Security Fund (SSF) has plummeted from 123 to just 93. This decline is attributed to inadequate payments for treating patients with serious health conditions.  In this article, the experts at Pacific Prime Thailand explore what’s behind this trend, and how expats can make sure they have sufficient health coverage while in the Land of Smiles.

Thailand’s Social Security Fund Explained

In Thailand, the SSF is a national health scheme providing healthcare coverage for private sector employees. It operates alongside other systems, such as the civil servant insurance and universal coverage schemes.

Under the SSF, employees contribute a portion of their monthly salary, which is matched by employers and supplemented by government funds. The SSF allows members to access free healthcare services at registered facilities, including both public and private hospitals.

However, the number of participating private hospitals has declined significantly. Currently, approximately 25 million individuals are enrolled in the SSF, but financial strains are prompting hospitals to reconsider their involvement in the program.

Why Private Hospitals are Leaving the Social Security Fund

A common and growing concern among private hospitals is the decreasing reimbursement rates from the SSF, which have led to substantial financial losses. 

The reimbursement for basic medical services was recently adjusted to THB 1,808 Baht (USD $53) per patient, but payments for chronic or severe cases have been slashed significantly. For instance, the reimbursement for severe cases dropped from THB 12,000 Baht (USD $350) in 2020 to just THB 7,200 Baht (USD $210) in recent months.

With the aging population in Thailand and fewer new workers entering the system, the fund’s income is diminishing. Expenditures are expected to exceed revenues in the coming years, further straining the SSF’s financial viability.

As a result, many private hospitals are contemplating withdrawal from the scheme, which could lead to a further increase in demand for services at public hospitals.

Health Insurance Options for Expats in Thailand

While the SSF provides a foundation for health coverage, it may not be the best option for expats due to its limitations and the current instability within the system.

Expats typically rely on two main types of health insurance: international health insurance and expat health insurance.

• International Health Insurance: This option offers comprehensive coverage that extends beyond Thailand, making it ideal for those who travel frequently or plan to return to their home countries. However, these plans can be more expensive, which may not fit everyone’s budget. International health insurance plans usually cover a wide range of medical services, often with higher reimbursement limits and fewer restrictions on hospital choice.
• Expat Health Insurance: These plans provide more affordable coverage tailored specifically for expats in Thailand.

Although expat health insurance plans may not offer the extensive global coverage of international plans, they are designed to meet the healthcare needs of foreigners residing in the country, ensuring access to quality medical care at a lower price point.

Let Pacific Prime Thailand Be Your Partner

With the potential exit of more private hospitals from the SSF, expats should explore alternative insurance plans to ensure that they receive the necessary medical care without the burden of excessive costs or long wait times.

With 20+ years of experience in insurance, Pacific Prime Thailand is your trusted partner. They understand the needs and concerns of expats, and can tailor a solution that meets your needs while not exceeding your budget.

So contact them and start your insurance journey today!