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Long-stay visa and private health insurance in Thailand

With the trend of globalization, ‘international retirement migration’ has become a growing phenomenon. Meanwhile, thanks to its pristine beaches, delectable cuisines, friendly people, relatively low cost of living, and vibrant culture, Thailand has become of the most popular retirement choices among expatriates around the world. Previously, expats looking to stay in the Land of Smiles could only apply for the “O-A” long-stay visa, which allowed applicants to stay for one year only. However, in 2016 the Thai government launched the “O-X” long-stay visa, which extended the duration of stay for senior tourists from one year to ten years.

Today, Pacific Prime Thailand will look at the details of this new type of long-stay visa, the major differences between the “O-X” and the “O-A” long-stay visa, and its insurance requirements.

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What is the new “O-X” long-stay visa?

As the Thai government aims to cement the country’s position as a long-stay destination among foreigners, the Cabinet has officially launched the new “O-X” long-stay visa on 22 November 2016. This visa is for applicants aged 50 years old or over and wish to stay in Thailand for a period not exceeding 10 years without the intention of working. Holders of this type of visa are allowed to stay in Thailand for five years each time, for a total of ten years, during which time employment of any kind is strictly prohibited.

To be eligible for this visa, applicants must meet the following requirements:

  • They must be nationals and passport holders of 14 countries, namely Japan, Australia, Denmark, Finland, France, Germany, Italy, the Netherlands, Norway, Sweden, Switzerland, the United Kingdom of Great Britain and Northern Ireland, Canada, and the United States of America.
  • They must have a bank deposit of no less than THB ฿3 million in Thailand or a bank deposit of no less than THB ฿1.8 million and an annual income of no less than THB ฿1.2 million. Such amount must be maintained in a bank deposit in full for at least one year, and keep at no less than THB ฿1.5 million thereafter.
  • Applicants, as well as their spouses and children, are recommended to have their own health insurance coverage throughout the granted period of the long-stay visa. Applicants, after being granted the visa, must report to the Immigration Bureau once every 90 days.
  • Other requirements include having no prior history of rejected entry into Thailand, no criminal record in Thailand and the country of the applicant’s nationality and residence, and not having prohibitive diseases such as Leprosy, Tuberculosis, Elephantiasis, or the third phase of Syphilis.

Applicants are allowed to bring over their spouses and children. If the spouse is 50 years of age, they are also able to apply for an “O-A” visa and have to submit a bank statement. If the spouse is younger than 50 years old, they will receive an “O” visa. Children under the age of 21 are able to accompany their family to Thailand for education and will receive a non-immigrant visa type (ED).

What are the major differences between the “O-X” and the “O-A” long-stay visa?

The new “O-X” long-stay visa allows expats to stay for up to five years each time before extending the visa, whilst “O-A” visa holders have to submit a request for extension of stay at the Office of the Immigration Bureau with a deposit account plus a monthly income totaling not less than THB ฿800,000 Baht in Thailand every single year.

“O-X” visa holders are free to leave and re-enter at any time within the 5-year period. On the other hand, if “O-A” visa holders plan to exit and re-enter Thailand they must apply at the Immigration office for a multiple re-entry permit before departure. In the case of leaving the country without a re-entry permit, the permit to stay for one year will become void.

“O-X” visa is open to nationals and passport holders of 14 countries only while the “O-A” visa does not have such limitations.

As mentioned above, “O-X” visa holders must maintain the balance of THB ฿3 million, or a bank deposit of no less than THB ฿1.8 million and an annual income of no less than THB ฿1.2 million within the first year of the 5 year period. “O-A” visa holders only have to keep THB ฿800,000 in the bank or have an income certificate or property deed with an equivalent amount.

Both “O-X” and “O-A” visa holders are required to report to immigration every 90 days. Anyone in violation of this rule will be subject to a fine of THB ฿2,000. However, online reporting service is now available for applicants to submit applications within 15 days but not less than 7 days before the due date, which makes the process less cumbersome.

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What are the insurance requirements for “O-X” and “O-A” visa applicants?

All applicants must secure Thai health insurance policies sold by authorized insurance companies only. These policies must have coverage no less than THB ฿400,000 per policy year for inpatient, and no less than THB ฿40,000per policy year for outpatient.

When securing health insurance for the visa, there are a few things that applicants should take note of.

  • First, there is a waiting period of 30 days for most policies. Policyholders have to wait until the time has elapsed before they can lodge a claim.
  • Second, pre-existing conditions, which are the health conditions policyholders have before applying for the plan, will usually be automatically excluded.
  • Third, pay special attention to whether the plan is renewable for life or not. Being dropped out of a plan at an old age means that you will have to switch to another insurer. Any conditions you have developed during the previous policy term may be deemed as pre-existing conditions by the new insurer and thus excluded from coverage.

Get professional advice from an established insurance broker

We understand it is not easy to get your head around obscure insurance terms and conditions, which is why our motto is to simplify insurance. With over 19 years of experience and nine offices across the world, our team of experts at Pacific Prime Thailand is on hand to guide you through every step of your insurance journey. Contact us today for impartial insurance advice, an obligation-free quote, and a plan comparison.


Content Creator at Pacific Prime Thailand
Anthony Chan is a content writer at Pacific Prime. He’s responsible for writing, translating, and editing articles, guides, infographics, leaflets, as well as other resources for Pacific Prime and Kwiksure.

When he’s not working, he’s usually on the hunt for great restaurants, playing badminton, and writing screenplays.