Dear readers,

Two years ago I was on holiday in Thailand. At some point I had an infection and both the doctor in the hospital there and my GP in the Netherlands thought it was better that I was admitted to the hospital for treatment and check-ups. It was no problem: I was a patient on the go, almost everyone in the hospital spoke English and my Thai girlfriend was with me 24 hours a day.

This year I want to go to Thailand on holiday alone, but I have a problem. What to do if, in that case, you unexpectedly end up in a hospital, where hardly anyone speaks English (so that communication is difficult/impossible)? Where family/acquaintances are expected to help with care and your state of health is such that you cannot arrange anything yourself (perhaps even no contact with the home front).

Is it a matter of taking out good travel insurance and hoping that nothing serious happens, not going on holiday to Thailand, or …..?

With kind regards,

Aad

19 responses to “Reader question: What do you do if you are alone in Thailand and end up in a hospital?”

  1. Marcel says up

    Dear Adam,
    Contrary to what you write, you don't have a problem (you shouldn't bring that on yourself 😉 just a question. And as you wrote.... the doctor / in the hospital spoke English A good travel insurance is of course always useful and as soon as there is calamities occur, the insurance will (usually) arrange this.
    I wish you a good stay in good health!
    Marcel

  2. Edward Dancer says up

    dear aad,
    I was several times in hospitals in Thailand and I have the experience that in every good hospital there is someone who speaks a little English; I, as a 77-year-old, have no fear of this.

  3. Ad Koens says up

    Ahoi Aad, get yourself admitted to a hospital of the Bangkok-Hospital group. See for this: https://www.bangkokhospital.com/en/# . Here you will also find a list of locations. An additional advantage is that you will not have any problems with your insurance. This group is known to every Dutch insurer. Ad Koens. Bankok-Pattaya Hospital (NL).

    • it is says up

      They are indeed good hospitals, but terribly expensive. More expensive than in the Netherlands. Some insurance companies (including mine) therefore refuse to pay the costs. They want me to choose a cheaper hospital.
      A Thai acquaintance of mine spent 4 days in intensive care at the Bangkok Hospital in Koh Samui before he died. The bill was 250.000 baht. An insane amount, for which they could not even save him.

      • HansNL says up

        Indeed.
        The private hospitals are very expensive, and in terms of medical care doubtfully better than the care in the state hospitals.
        Mind you, if you unexpectedly die in a private hospital, you will be dragged to the forensic institute in Bangkok for an investigation into the cause of death.
        From your cut-cut and so on.
        This is not necessary if you die in a state hospital.

        Mind you, the doctors in Bangkok hospital usually do odd jobs.
        And normally just work in a government institution.

        I would quickly ignore the advice to go to the BKK hospital, especially for a year.
        Also applies to most otherwise private institutions.
        The Dutch insurance farmer pays close attention to the little ones.

        But take out more travel insurance from the Netherlands, or cancel government insurance at the airport upon arrival.

    • theos says up

      Bangkok-Pattaya Hospital is a money grabbing institution. I lay there with a lung infection, while I was insured, and every day a German who worked there was in my room, whining "Wo ist das geld, bezahlen" There are several figures working there as debt collection agents of all kinds nationalities that do nothing else when rooms with patients are overflowing and threaten to pay, while they are insured. I could not be admitted until an advance had been paid by Menzis. With checking out I was not allowed to leave the room until my insurance had paid in full, Hooray for the cell phone.
      It is better in Pattaya International Hospital. More customer-friendly and cheaper.
      I now use a Government Hospital and Thai Clinics, very good experiences and very cheap.

    • lap suit says up

      Dear Ad, was in a branch of the Bangkok group: Virajsilp Hospital in Chumphon for Rabies treatment after a dog bite. They tried to put me off by making me pay 30.000 baht in advance. Seemingly said goodbye there, what guts they have! The treatment at the Government Hospital in Chumphon with the same medicines (I knew over the phone from my insurance doctor) cost: 3450 baht. Asking it tenfold: gross scam… never again Bangkok hospital.

      lap suit

  4. Tino Kuis says up

    In every hospital, even in most of the larger state hospitals (I'm not sure about the smaller ones), there are social departments/workers (samnak ngaan sangkhom wi khro) who take care of these kinds of things: financial assistance/affairs, contacting family, embassy and /or friends (always happens), repatriation and assistance after death.

  5. Davis says up

    Dear Adam,

    Take out good travel insurance.
    And to study the conditions therein well.
    Consider, for example, pre-existing conditions.

    Wouldn't make me any trouble.
    However, know yourself and your state of health. You go on an excursion to the border with Burma, say, and you come across something. Well then you know that there are no top medical facilities in the area.
    Visit the developed parts of the country, where medical care is very adequate.

    Furthermore, was once admitted to a Lao government hospital. Doctors spoke exemplary English. From there repatriated to Thailand, Udon Thani. AEK Udon Hospital. Associated with BKK Hospital. Recommended. Story is on this blog under 'David Diamant'.

    In every hospital there are nurses who speak English, sometimes also French and other European languages ​​of the mainland.

    Success!
    Davis

  6. Peter@ says up

    Most doctors speak perfect English or Thai English, at least that is my experience in Udon Thani and Yasathon, the other medical staff and administration there usually do not. Do not try to get into a private hospital because I paid the main price in Udon Thani, a simple treatment and 2 nights there I paid € 1200 (according to my GP it would have cost € 50 in the Netherlands). Fortunately I got everything back from my standard health insurance, kudos to Achmea Zilveren Kruis for the quick payment after 10 days.

    In any case, take a credit card with you, I did this for the first time and make sure you pay it off as quickly as possible in the Netherlands and take a smartphone with you, but often one of the nurses does have one because you can use it to follow your treatment in Dutch.

    You should also call Eurocross or another exchange as soon as possible, but that is stated on the back of your card.

  7. FOBIAN TAMS says up

    Everyone in hospitals in Thailand in the bigger cities speaks English!!!

    • Chander says up

      Dear Phobian,

      Aren't you mistaken? I am registered in 7 major hospitals (including State Hospitals) in Thailand. That everyone in the hospitals speaks English???? Unfortunately not yet experienced. It will come…in about 20 years, I think.

  8. Bennie says up

    This is a nightmare for myself. Last week I commemorated the death of a friend who had a motorcycle accident in front of us last year in Kamphang Phet (which is about 250 km from Bangkok and about the same distance from Chiang Mai).
    When I was admitted to a very large hospital, there was a real communication problem, even though I managed to get hold of 2 English-speaking doctors.
    A pelvic fracture was diagnosed and this was also fixed 5 hours later via external fixators (metal rods that are sometimes still used for leg fractures). According to the doctors, no further problem during the intervention. About 18 hours later I was told that blood transfusion was needed but they did not mention that only one bag was available. Furthermore, they did not want to deviate from pain relief every 6 hours, so Roland has suffered like the animals. Because we did not find his private Buppa insurance card, the stakes were very limited. We had meanwhile found a helicopter available for repatriation to Chiang Mai, but the attending physician vetoed this transport.
    Anyway, not to let it become a book, Roland died 36 hours after the accident after I think he went into shock due to anemia because an injury was overlooked in his body. Furthermore, people were not convinced that the invoice (which eventually amounted to approx. 55000 THB) would be paid due to the absence of his insurance card.
    By the way, I myself work as a nurse in a university hospital in Brussels.

    Best regards,

    Bennie

  9. peter says up

    My experience with Thai hospitals and doctors is downright bad. Been living here for three years now and was hospitalized twice after a traffic accident. The first reputable hospital missed the diagnosis completely due to disinterest and the omission of an interview and a simple physical examination. After three weeks of struggling, the correct diagnosis was made within 5 minutes in another hospital and I was in the OR within an hour.
    During another incident I turned out to have a bladder infection. If I had followed the urologist's advice, I would have had a bladder scan and he would probably have removed my prostate. All that cost over 40.000 THB. I didn't do it and after a 5-day treatment I got rid of my complaints. I have plenty of examples of falang laymen in this area being financially stripped by the Thai medical mafia. The image that medical care for expats in Thailand is in order is completely incorrect.

  10. Alex says up

    I have excellent experiences in Thai hospitals, with excellent highly trained and good English speaking doctors, and extremely caring nurses. The Bangkok hospital group is an excellent choice. But there are several good hospitals in all major and tourist cities. English is never a problem. A good travel insurance is a requirement, as is a credit card, if a deposit has to be paid, because it sometimes takes some time to get permission from the Dutch insurance company.
    My experiences and those of many of my friends here: TOP! And 10x better than in NL and without waiting times!

  11. eduard says up

    I completely agree with Peter. It leaves much to be desired. The accommodation is 5 stars, but the treatment is far from that. Unfortunately, I have many disabilities and hospital visits are commonplace. I will only pick one. Was admitted with cardiac arrhythmias (I am heart patient). On a Tuesday the doctor said, we are going to operate on your heart on Friday. According to my cardiologist in Holland, I could never have the operation and have to make do with medication. I thought, they will be further along here than in Holland. A day later I called my cardiologist in Holland and he said definitely not to have it done. I felt OK again after 2 days (bill 220000 baht) and flew to Holland. I wanted to have surgery and some bypasses. I flew to San Francisco to be sure and asked if I could have surgery. After 2 days I received the answer that I would die on the table, because they cannot (yet) open a heart, because my blockage is in the middle of the heart. In other words, I had simply died. Boudhism says that one comes back, but I had simply been away, because I don't believe in coming back.

  12. greyfox says up

    There is a Book Reviews department on the Thailand Blog. In the descriptions given above, opinions about hospitals in Thailand differ quite a bit. Is it perhaps an idea to start a kind of hospital department on Thailandblog in which the experiences of various readers can be clearly stated? A kind of open rating system for the health problems of the farang in Thailand. Perhaps it will also become visible to the relevant hospitals and (hopefully) market forces will kick in.

  13. Rob says up

    Hi Adam
    Speaking English will not be a problem but good doctors will be a problem.
    My experience is bad and that it is always about getting as much money out of your pockets as possible.
    I was in it twice and the first time it was Samonella, they said I was better after a week.
    A hefty bill but I was satisfied .
    The second time I was a test rabbit, they didn't know what I had.
    And I had a fever of 40,5 degrees. They had tested my blood for all sorts of things and after a week they still didn't know.
    They gave me 9 different kinds of antibiotics, they kept pumping me full of everything.
    I swelled up from all the IVs and I looked like 9 months pregnant.
    Every 5 minutes to the toilet and sweating like crazy I had never felt so sick for 3 days.
    After a bit of arguing I stopped everything,
    I felt better and better and recovered fairly quickly.
    When I was allowed to leave after a week, the bill came at 10 in the morning.
    I wasn't allowed to leave until the bill was paid, okay I get that.
    After contacting Eurocross, who told me that the bill had already been paid.
    And that they also stood surety for me, that was already arranged on the first day.
    After she emailed the proof, I thought now I can leave.
    But no, she said that they had not received the money.
    I showed the evidence, they didn't even look.
    And then having contacted more than 10 times, I just let them talk to each other.
    Nothing helped, I thought check it out, but you'll figure it out.
    I left at 17,00 and in the parking lot I was stopped by 5 men and held hostage.
    I contacted Eurocross again, who told me that they had to pay the bill again, otherwise they would not release me, yes they did that.
    Yes live the thai hospitality.
    Now I went to bangkokhospital again 3 months ago.
    I fell 6 meters at my construction site, luckily I didn't have much, I thought.
    Everything hurt especially my shoulder.
    They tried everything, ultrasound pictures, injections in my shoulder, therapy at the last mri.
    And maybe they thought this or that, I really didn't trust it it was just gambling (I know thai like to gamble but not over my back)
    So I sent the mri to a doctor in aartselaar belgium.
    Message back within a few hours, act quickly to prevent further damage.
    What turned out to be bod damaged and tendons torn.
    After contacting the doctor, I took the first best plane, and he helped me right away, perfect no more pain.
    I have just returned from the Netherlands (I am a Dutchman) but we can still learn something from the Belgians.
    Where can you still have direct contact with a surgeon and make an appointment right away, hats off to the Belgian health care.
    And you know what he hasn't made a fuss about the bill yet, I emailed him if the insurance doesn't pay then I'll pay it myself.
    Now I had asked in advance what it costs in bangkok hospital, they said it will cost between 300.000 and 400.000 bath.
    What do you think it costs in Belgium € 2200, so you know who the scammers are, and then they guess what you have.
    The conclusion is to think for yourself, provide further information and not allow more than is necessary, and take out good travel insurance.
    Greetings Rob

  14. Show says up

    Not to be hoped, but it can happen: you are carried unconscious into a hospital.
    Make sure that the following information is immediately available to the practitioners, for example by putting a note in your wallet:
    – name, address, place of residence (copy of passport) and residence details (hotel ticket, etc.)
    - blood type
    – use of medicines
    – card or statement from your health insurance company; which is explained in English
    that you are insured with them worldwide, with a maximum validity date and a telephone number
    from their crisis center (hospital may then be able to contact them directly)
    – if possible the same of your travel insurance
    – contact details of a person in NL and/or TH

    Do not take too much cash with you, do not wear expensive jewelry; there are a lot of free-lance ambulances (pimped up pick-up trucks), which strip you of all valuables before you end up in the hospital. Have heard this several times from directly involved patients.
    In that context: laptop or something with you on a trip? Make a backup of your docs (memory stick) in advance and leave them somewhere in a location where no one can steal them from you on the way.

    If you are aware: try to check with your Dutch insurance company before a possible costly admission whether the proposed treatment is also the right treatment in their opinion and whether they will pay the bill. Additional health and/or travel insurance is very important: mioa covers the difference between the usual NL treatment price (covered by your basic health insurance) and a possible higher price abroad (covered by your additional insurance, for example). It is best to check this in advance with your health insurance company and travel insurer.
    Perhaps postpone non-emergency treatment until you are back in the Netherlands.

    Safety is sometimes also a matter of making choices; you can also do something about it yourself.
    Transport: rather take a large bus than a minivan.
    Hospital: check with your insurance company: some private hospitals in TH are money factories: they prescribe completely unnecessary, costly and sometimes even risky procedures.
    Jewelry: Don't hang gold around your neck.

    So take a few precautions. For the rest, a few kilos of not too expensive amulets around your neck, then you can go on your way to enjoy your holiday with peace of mind. Have fun.


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