AXA Sawasdee Thailand

Welcome to AXA Thailand

Given Names Please provide the name as stated in passport.

Surname

Country of Departure

Date of Birth

Please fill in Date of Birth between 6 months - 79 years.

Arrival Date

Period(Single Trip)

End Date

Your coverage starts after clearing immigration complete

Have you travelled to other country in the past 30 days prior to the policy effective date(including transit)?

Yes

Country is required

This field is required

Promotion Code(Optional)

Sorry, Promotion Code is not Valid.

I confirm that :

I understand that :

My coverage shall start after I clear immigration in Thailand and that my policy shall end as soon as I leave Thailand. The coverage will NOT resume upon re-entry to Thailand.
Only one policy can be purchased per person

For insurance meeting visa requirements such as O-A, O-X, STV. Please visit AXA Health insurance webpage https://www.axa.co.th/en/axa-Long-Stay-Visa

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