Insurance Guide · 2026

Retirement Visa Thailand Health Insurance 2026

The USD 100,000 minimum explained, qualifying insurers, and the exact proof letter immigration wants no ambiguity.

Written by Jon · movetothai.land founder
Verified May 2026
2026 Accurate
Note: Insurance requirements can change. Verify with your specific consulate or immigration office before purchasing a policy. Last verified May 2026.

Health insurance for the Non-OA retirement visa is mandatory and non-negotiable. The rules around which policies qualify and how to prove your coverage are not always clearly explained and getting it wrong costs you an extension.

OverviewRequirementsCostsHealth Insurance

Which Visas Require Health Insurance?

Visa typeInsurance required?Standard
Non-OA retirement visaYes every year at renewalUSD 100,000 / 3,000,000 THB
Non-OX long-stayNo higher financial threshold insteadN/A
LTR visa (all categories)Yes BOI standardUSD 50,000

The Minimum Coverage Requirements

StandardAmount
Current enforced minimum (most consulates and immigration offices)USD 100,000 / approx. 3,000,000 THB total
Older figures (still accepted at some provincial offices)40,000 THB outpatient + 400,000 THB inpatient
Plan to the higher standard. Even if a provincial office currently accepts the older figures, consulates abroad apply the USD 100,000 standard. A policy meeting the 3,000,000 THB threshold satisfies both wherever you use it.

What Makes a Policy Accepted?

What the Proof Letter Must Say

Request a specific Non-OA visa letter. Ask your insurer for a letter stating: your full name (matching passport), policy number and period, insurer name, and explicit confirmation of total coverage at USD 100,000 / 3,000,000 THB. Ask them to state the THB figure specifically. An ambiguous letter can be rejected even if your actual coverage far exceeds the minimum.

Thai Domestic vs International Plans

Thai Domestic Insurance

Thai-issued OIC-regulated policies are accepted at immigration offices without question. Major providers offering Non-OA-compatible plans: Bangkok Insurance, Muang Thai Life Assurance, Allianz Ayudhya (Allianz Ayudhya), AXA Thailand. Advantages: widely accepted, competitive premiums for younger retirees, familiar with the Thai hospital system. Disadvantage: coverage limited to Thailand.

International Plans

Cigna Global, BUPA International, AXA Global Healthcare, Pacific Cross worldwide coverage, higher limits, accepted by Thai immigration when proof letter states THB amounts. Higher premiums especially over 65. Best for those who travel frequently between Thailand and their home country.

Practical Steps for Your Insurance Documentation

  1. Contact your insurer at least 6 weeks before your extension appointment.
  2. Request a letter specifically for Thai Non-OA immigration purposes.
  3. Specify: you need outpatient and inpatient coverage stated explicitly, with the total in THB.
  4. Review the letter carefully before your appointment check your name matches your passport.
  5. Bring the letter plus your full policy documents. Officers occasionally request the full policy schedule.

Frequently Asked Questions

What health insurance meets Thailand retirement visa requirements?
Any plan with total coverage of at least USD 100,000 / 3,000,000 THB from a Thai OIC-licensed or recognised international insurer. The proof letter must state this amount clearly in THB. Thai providers include Allianz Ayudhya, AXA Thailand, Bangkok Insurance. International providers include Cigna Global, BUPA International, and Pacific Cross.
Can I use a foreign health insurance policy for my Non-OA visa?
Yes in most cases, provided coverage includes Thailand and the proof letter states the THB amounts. Some offices are stricter than others about international policies. If in doubt, a Thai domestic policy avoids any ambiguity.
Does Medicare count toward the Non-OA requirement?
No. Medicare does not cover costs outside the United States and cannot satisfy the Thai Non-OA requirement. US retirees in Thailand need a separate international or Thai domestic health insurance policy.