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PRIME Member Guide

Manage your PRIME Policy

Our mission is to ensure our members live healthier, longer lives by providing them brilliantly simple
health insurance plans.

The purpose of this member's guide is to guide you through your health insurance procedures including:
  • Arranging medical treatment
  • How to claim
  • Ways to contact us

 

 

 

Arranging Medical Treatment

 

 

PRIME: How to Claim

Required documents:

  • Original receipt
  • Original medical report / certificate
  • Detailed receipt (statement detail report including name of medicine and price of each items to be mentioned, if any)
  • Doctor’s prescription (with medical indications for prescription drugs, laboratory tests, physical therapy, eyeglasses and contact lenses)
  • For first time claims only: Signed first page of bank book + signed copy of Insured’s passport

PRIME members with Outpatient benefits can submit claims online for amounts up to 10,000 THB. Original documents are required for claims exceeding 10,000 THB.

Important Guidelines for Online Claim Submission:

  1. Please keep the original receipts for 12 months from the date of claim payment. The insurer reserves the right to request original documents for verification. If the insured fails to provide the original documents upon request, the insurer reserves the right to deny the claim and pursue recovery. 
  2. You can make an online submission for claims exceeding 10,000 THB to expedite the review process. After online submission, please send the documents by post to process the claims. 

If requested, please send original documents to this address:

LUMA, Claims Department
57 Park Ventures Ecoplex
9th Floor, Unit 912 Wireless Road,
Lumpini, Pathumwan, Bangkok 10330 Thailand

 

 

Mobile Application / Member Portal

 

 

Policy Management

 

Policy holders of PRIME policies have a 15 days free look period (from the day the policy is received) during which they have the right to cancel their policy, in accordance to the terms and conditions of their policy. The paid premium will be returned to the policy holder after deducting any claimed cost under the policy.

 

 

Contact Us