Thailand’s private hospitals to face modest impact from copayment scheme

It is estimated to have a 1-2% effect on net profit in FY25 and 2-3% in FY26.

Thailand will introduce a copayment scheme for private hospitals targeting insured patients with excessive claims in March. The initiative is expected to have a modest impact on sector revenues, said CGS International.

The scheme is estimated to have a 1-2% effect on net profit in FY25 and 2-3% in FY26.

“As the impact is not significant, we have not factored this into our forecasts yet,” the report said.

“Amongst the six hospitals under our coverage, BDMS has the highest contribution from local privately insured patients, which formed 31% of its patient revenues in 9M24,” it added.

Under the new policy, a 30-50% copayment will apply to insured persons who make three or more claims for outpatient services for simple diseases in a year, and where the aggregate claims exceed 200% of their annual insurance premiums.

Copayments will apply to those whose inpatient claims exceed 400% of their annual premiums, excluding claims for serious illnesses or major surgery.