Chivawattana Membership Cards

Chivawattana Prime Platinum Card

Price: 14,000* Baht Buy Online Now! Benefits with Chivawattana Prime Platinum Card Total Value 96,700 Baht Member Fee 14,000 Baht At the Prime Platinum level, we offer substantial savings in health care benefits, including cancer detection and diagnostic exams, medical fees, as well as

At the Prime Platinum level, we offer substantial savings in health care benefits, including cancer detection and diagnostic exams, medical fees, as well as:

• FREE annual health check-up package
• FREE and discounted dental treatments
• Discounts on PET/CT cancer detection scan
• Discounts on Lasik eye correction
• Up to 40% discount on room rate

All this and much more, our Prime Platinum members receive savings valued at over Baht 60,000!

Benefits of Chivawattana Prime Platinum Card:

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Terms and Conditions:

1. Members must present their Chivawattana card in order to redeem a discount.
2. Asterisked items (*) are transferable (transfers apply to immediate family members only); Junior Card benefits may only be transferred to immediate family members up to 15 years in age.
3. When a privilege is transferred, the recipient must provide the Chivawattana card of the transferor (or a copy), indicating the name of the recipient and the transferred item(s).
4. Per visit discounts cannot be combined for the same treatment, unless stated otherwise.
5. If for any reason any service specified is not available at one hospital, the privilege can be used at any other participating hospital within the Bangkok Hospital Group, unless the service is only available exclusively at a specific hospital.
6. Membership renewal must be made within 30 days after membership expiration date to be eligible for discount.
7. Members cannot use Chivawattana benefits for medical services covered (discounted or otherwise) by their employer's health policy with participating Bangkok Hospitals.
8. Members, however, are eligible to use Chivawattana cards in conjunction with an insurance policy that includes participating Bangkok Hospitals. The Chivawattana discount will apply first, and the member can then claim the balance from their insurance company.
9. In case of lost or damaged card, please inform your hospital for a new card. There will be a fee of 100 Baht.
10. The card cannot be transferred except in the case where the member is deceased. Only immediate family members have the right to the transfer, with a fee of 100 Baht.
11. If the member decides to cancel a card, there will be no refund.
12. The hospital reserves the right not to allow the use of any Chivawattana privileges with other promotional programs or employer benefits program; unless otherwise stated, Chivawattana discounts apply only to regular priced exams.
13. Chivawattana reserves the right to alter any privileges without prior notice.

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Buying Chivawattana Cards Online

Chivawattana Prime Platinum Card

Bangkok Hospital Phuket offers the convenience of on-line hospital payment. All payment transactions are secure by Verified by VISA and MasterCard SecureCode. Please take a few moments to fill in our form and provide essential information (*) as indicated below. We take the security of your data very seriously.

	Patient Contact Details Enter the code shown* Title* Please Select Mr. Mrs. Ms. Miss. First Name* Last Name* ID Card / Passport No. * Address* Country* Select Region Asia Africa Australia Europe Middle East Latin America North America South America <-------------------- Postcode* E-mail* Phone Number* Patient Information Title* Please Select Mr. Mrs. Ms. Miss. Master Girl First Name* Last Name* Nationality* HN. (Hospital Number) If you know Date of Birth (dd/mm/yy)* Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month - January February March April May June July August September October November December Year - 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Payment By CreditCard Payment Type Booking Prime Platinum Card Amount 14,000 . TH Baht Thai Bath Deposit or Others for* (Please Spectify You Treatment) Specify treatment and appointment date* Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month - January February March April May June July August September October November December Year - 2010 2011

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Chivawattana Customer Service:

Phone: +66(0) 7625 4425 ext. 1229/1674
Hotline: +66(0) 8 4848 3328
Fax: +66(0) 7635 4061
Email: info@phukethospital.com

Participating Hospitals:

• Bangkok Hospital
• Bangkok Heart Hospital
• Bangkok International Hospital
• Wattanosoth Hospital
• Bangkok Hospital Prapadang
• Samitivej Hospital Sukhumvit
• Samitivej Hospital Srinakarin
• BNH Hospital
• Bangkok Hospital Chantaburi
• Bangkok Hospital Hat Yai
• Bangkok Hospital Pattaya
• Bangkok Hospital Phuket
• Bangkok Hospital Rayong
• Bangkok Hospital Samui
• Bangkok Hospital Trat
• Koh-Chang International Clinic
• Bangkok Ratchasima Hospital
• Samitivej Hospital Sriracha

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