FAQ

General

Q1).	Life insurance of the association In what cases will illness or injury not be covered?
A1).	1. Service fees of nursing staff or special nursing fees Treatment of all dental diseases and inflamed gums caused by root canal Annual physical examination or general health check including a woman's internal examination Pregnancy or childbirth All miscarriages, including direct treatment Or is it caused by all these aspects of the above. 2. Cost of prostheses including equipment Every method of contraception Immunization or injection for epidemic prevention Treatment or surgery for congenital or congenital symptoms. Cosmetic surgery And reconstructive plastic surgery, correcting any traits preceding the date are eligible for insurance plans. 3. Injury / Sickness that is received or contacted while performing full-time duty in all Division Whether it is normal time or war. 4. Non-Legitimate Commercial Airline Aviation Injuries Trauma due to insanity Treating symptoms of psychosis or anxiety or neurosis Or the inability of the normal mental or cognitive systems Treatment for drug addiction or alcoholism. Injury arising from the act of self-determination. 5. Treatments aimed at rest or recovery Having a communicable disease which must be excluded or in quarantine by law Or X-ray diagnostic or any method for the sole purpose of diagnosis, any process involving the diagnosis of optical pathology defects and correction. How to use eyeglasses or wearing a dress? 6. Expenses and services that are not therapeutic Such as using the radio or the use of the telephone or bette Personal and others of similar characteristics. 7. Any injury / illness that happened before. According to the disease specified in the health inquiry form with the specified period.

Life insurance of the association In what cases will illness or injury not be covered?

1. Service fees of nursing staff or special nursing fees Treatment of all dental diseases and inflamed gums caused by root canal Annual physical examination or general health check including a woman's internal examination Pregnancy or childbirth All miscarriages, including direct treatment Or is it caused by all these aspects of the above.
2. Cost of prostheses including equipment Every method of contraception Immunization or injection for epidemic prevention Treatment or surgery for congenital or congenital symptoms. Cosmetic surgery And reconstructive plastic surgery, correcting any traits preceding the date are eligible for insurance plans.
3. Injury / Sickness that is received or contacted while performing full-time duty in all Division Whether it is normal time or war.
4. Non-Legitimate Commercial Airline Aviation Injuries Trauma due to insanity Treating symptoms of psychosis or anxiety or neurosis Or the inability of the normal mental or cognitive systems Treatment for drug addiction or alcoholism. Injury arising from the act of self-determination.
5. Treatments aimed at rest or recovery Having a communicable disease which must be excluded or in quarantine by law Or X-ray diagnostic or any method for the sole purpose of diagnosis, any process involving the diagnosis of optical pathology defects and correction. How to use eyeglasses or wearing a dress?
6. Expenses and services that are not therapeutic Such as using the radio or the use of the telephone or bette Personal and others of similar characteristics.
7. Any injury / illness that happened before. According to the disease specified in the health inquiry form with the specified period.

Q2).	I am a general member; would you please issue a mutual aid association fee receipt?
A2).	Official receipts cannot be issued for non-corporate members. If you are a regular member We will send you a receipt via Email. Please use the money transfer slip as evidence. If there is no bank copy We will send you an email. (Temporary receipt) In this case, please always request a temporary receipt.

Q3).	Life insurance cards received by new members of the association Is it correct to specify the expiration date to 31 January?
A3).	The association has an insurance contract renewal every February 1 of every year, every member who receives the insurance card will specify the end date of January 31, but the monthly subscription will be different every February of every year. Within the 7th day, a new membership card will be sent to the member. After receiving the membership card, please check the name, insurance plan, and etc.

Q4).	If received a new passport. How do I change my passport?
A4).	Require passport copy on photo page that has been newly accepted and certified true copy with attachments and email to info@jp-assn.com.

Q5).	I'm an insurance subscriber for a mutual aid association. Can I get an income tax credit? (PP91)
A5).	As it is group insurance, you cannot receive tax deductions.

Q6).	If I want to participate but I want to request a detailed document such as pamphlets?
A6).	TJMA is a non-profit organization. Besides on the website There are no sales documents, advertising, etc.

Q7).	Can the TJMA insurance cover Coronary or Covid-19 virus?
A7).	Insurance of the association provides coverage for COVID-19, but there are many changes. conditionally The patient must have a fever of 39 degrees or more, and the breathing rate is faster than normal. low blood oxygen levels and has been certified as infected with COVID-19 will be covered under the insurance as before However, the mild cases are not severe. will not be covered by insurance Please check the link below for more details.

Q7).

Can the TJMA insurance cover Coronary or Covid-19 virus?

A7).

Insurance of the association provides coverage for COVID-19, but there are many changes. conditionally The patient must have a fever of 39 degrees or more, and the breathing rate is faster than normal. low blood oxygen levels and has been certified as infected with COVID-19 will be covered under the insurance as before However, the mild cases are not severe. will not be covered by insurance Please check the link below for more details.

Q8).	Is it possible to change the plan?
A8).	You can submit documents to change the plan you want with the same conditions as new subscriptions. Cut off time is every 15th of the month. Membership fee must be paid. and monthly membership fee for a period of 6 months, but you will benefit from the new plan you switch to starting on the 1st of the next 2 months. After you submit the documents Please understand before making any changes.

Q9).	Can I apply for membership in many plans?
A9).	Only one plan per person can be subscribed.

Q10).	Does TJMA mutual assistance insurance cover childbirth?
A10).	In case, natural birth and cesarean section, Will not cover this case.

Q11).	If there is a change in residence, workplace, or phone number, where should I contact?
A11).	Please notify the change of address, workplace, or new phone number to TJMA's email. info@jp-assn.com

Q12).	There seems to be a mutual aid system among other companies, what is the difference from other companies?
A12).	TJMA system is mean helping each other, The Thai Mutual Aid is TJMA Mutual Aid.

Q13).	In the case of lost membership card What action must be taken?
A13).	Report a lost card to the association by phone or mail. Preparation and delivery of a new card takes approximately 3 weeks. In the period where there is no membership card Need to reserve money to pay All members, please understand and take good care of your membership card. Applying for a new card requires submitting documents. Along with attaching a copy of your passport with the photo page certified true.

Q13).

In the case of lost membership card What action must be taken?

A13).

Report a lost card to the association by phone or mail. Preparation and delivery of a new card takes approximately 3 weeks. In the period where there is no membership card Need to reserve money to pay All members, please understand and take good care of your membership card. Applying for a new card requires submitting documents. Along with attaching a copy of your passport with the photo page certified true.

Q14).	If I commit suicide after joining TJMA Insurance, Do I get the benefits?
A14).	TJMA Insurance does not provide death benefits for suicide.

Q15).	How many types of TJMA insurance are there?
A15).	There are 8 types of plans: SOGO Pla, Anshin Plan, Standard Plan, Plus Standard, Healty Plan, M-I Plan M-O Plan, and Staff Plan.

Q16).	What is TJMA membership card?
A16).	The insurance card is a TJMA membership card, it can used together.

Q17).	Can I join the TJMA after retirement?
A17).	Each type of insurance has different coverage conditions and check the details. Additional age restrictions can be found on the association's website.

Q18).	How do we pay for the premium (insurance premium)?
A18).	You may choose one of the payment options such as Bank Transfer, Rabbit Line Pay, SCB Easy Pay.

Q19).	In case if I am sick in abroad the TJMA insurance will cover that?
A19).	In the case of being sick and living abroad It is necessary for members to reserve money for medical expenses first. If traveling back to Thailand You can report the matter to TJMA to request a refund of the reserved money. What you need to prepare is medical certificate and receipts from foreign hospitals Documents must be in English only. In case the document is in another language must be translated into Thai Translated documents must be certified by a licensed institution.

Q19).

In case if I am sick in abroad the TJMA insurance will cover that?

A19).

In the case of being sick and living abroad It is necessary for members to reserve money for medical expenses first. If traveling back to Thailand You can report the matter to TJMA to request a refund of the reserved money. What you need to prepare is medical certificate and receipts from foreign hospitals Documents must be in English only. In case the document is in another language must be translated into Thai Translated documents must be certified by a licensed institution.

Q20).	What’s going on with a medical fee if I sudden illness during the traveling also I did not carry a membership card?
A20).	You will need to pay for treatment in advance. and bring the receipt and medical certificate and a certified copy of the passport with photo page to submit at TJMA, doing the same as in foreign cases.

Q21).	Could I use the TJMA insurance for cosmetic surgery?
A21).	It Cannot be used the insurance for cosmetic surgery.

Q22).	Could we use TJMA insurance for dental treatment?
A22).	It Cannot be used the insurance for dental treatment.

Q23).	In the case of going to a orthopedic massage shop (Chinese massage, acupuncture, places that without a medical certificate, etc.) or a non-clinic due to pain or illness. Will insurance be Protection for this case?
A23).	In this case, TJMA insurance cannot be used.

Q24).	If I get a traffic accident or a dog bites that gets injured. Will we be treated with a membership card?
A24).	TJMA insurance can be used in traffic accidents and other disasters, and injuries (such as quarrels) except that the fight cannot be used for TJMA insurance.

Q25).	In the case of taking leave from work due to illness or injury What will be the outcome? From the TJMA insurance of the association or not?
A25).	There will be no compensation in case of leave.

Q26).	In case of death What will we get from TJMA insurance?
A26).	There is a death fee and depends on the cause of death and insurance plan.

Q27).	What documents are required to request a burial fee or family burial fee?
A27).	Documents that required to be used are a death certificate.

Q28).	In case that the child was born and died during labor. Will the family burial cost be paid?
A28).	In this case, TJMA will not be any payment.

Q29).	During use the government’s public service then got injured include traveling to home?
A29).	In this case, insurance will cover it. by hospitals that are in the network.

Q30).	Do I have to pay tax for TJMA insurance?
A30).	You don't need to pay tax fee.

Q31).	After applying for membership, when will the insurance coverage start?
A31).	The cycle will be closed on the 15th of each month. In the event that the application is completed before the 15th of the month, life insurance coverage will be received on the 1st of the following month.

Q32).	In the case of having had the disease before applying for membership Is it covered by insurance?
A32).	In this case, it is necessary to filter the data realistically. Some cases may be covered depending on the disease.

Q33).	Do you have a refund? It is discarded over?
A33).	There will be no refund at all.

Q34).	Can I get insurance at 65 years old?
A34).	You cannot join. New members must apply until they are under 65 years old. Depending on the plan, compensation will continue until 70〜80 years old.

Q35).	Can I still receive benefits even if I'm hospitalized for a day?
A35).	If you are hospitalized for more than 6 hours, it will be considered covered by insurance as a one-day hospitalization.

Q36).	I have a cold and I'm sick Will insurance cover outpatients?
A36).	In addition to accidental injuries, the Outpatient Protection Plan (OPD) has the following plans (the word OPD will be clearly stated): SOGO Plan, Anshin Plan, PLUS Standard Plan, Healthy Plan, and M-O Plan. However, in the case Receive injuries from accidents with every protection plan

Q37).	In case, we get injured. Does TJMA insurance cover hospitalization?
A37).	TJMA insurance can be used, but the insured must be admitted to the hospital within 24 hours of the injury.

Q38).	Does TJMA's insurance offer cashless service (using insurance cards instead of cash) like other insurance companies?
A38).	Insurance cards can be used for affiliated hospitals. List of Affiliated Hospitals You can check it on TJMA's website on the left hand side. Click on the "contact us" section. and on the right There will be a list of hospitals. As for hospitals other than those listed in the list, please pay in full. And after that, please send a medical certificate. The original receipt and a copy of the passport photo page with a certified copy of it. Then send the documents via EMS to the TJMA.

Q38).

Does TJMA's insurance offer cashless service (using insurance cards instead of cash) like other insurance companies?

A38).

Insurance cards can be used for affiliated hospitals. List of Affiliated Hospitals You can check it on TJMA's website on the left hand side. Click on the "contact us" section. and on the right There will be a list of hospitals. As for hospitals other than those listed in the list, please pay in full. And after that, please send a medical certificate. The original receipt and a copy of the passport photo page with a certified copy of it. Then send the documents via EMS to the TJMA.

Q39).	In the case that we are not registered but want to have a girlfriend or a girlfriend to receive benefits?
A39).	It possible. An application is necessary separately.

Q40).	How do I change the recipient of the TJMA insurance?
A40).	It Possible. A resubmission of the application is necessary.

Q41).	Once you've used the service to the hospital due to illness and use insurance. If in the next year we become ill with the same disease, Does the insurance still cover us?
A41).	TJMA insurance is applied for the usual diseases.

Q42).	He was hospitalized on his way back to Japan. Will the insurance cover it?
A42).	It will definitely be covered by insurance. Please request a medical certificate and a receipt from the hospital. and a copy of the passport photo page with certified true copy and send the documents to TJMA as soon as possible after returning to Thailand which will receive insurance claim money About a month after receiving the documents.

Q43).	If you want to opt out of membership, please complete the declaration form and send it by email. (info@jp-assn.com)
A43).	Each month will be closed on the 15th of every month. Membership will be issued on the last day of the month. The shortest period for notification of resignation is 15 days. It is necessary for you to pay another month's membership fee. Thank you in advance for your understanding and acknowledgement. at the same time. Please return the life insurance card and medical fee discount card from affiliated hospitals. (This can be sent via EMS.) Members who have been issued a membership notice are asked to strictly follow the rules and regulations above. If you want to continue using the affiliated hospital discount card, You can become a member by paying a membership fee (without life insurance) and will be charged an annual membership fee of 1,500 baht.

Q43).

If you want to opt out of membership, please complete the declaration form and send it by email. (info@jp-assn.com)

A43).

Each month will be closed on the 15th of every month. Membership will be issued on the last day of the month. The shortest period for notification of resignation is 15 days. It is necessary for you to pay another month's membership fee. Thank you in advance for your understanding and acknowledgement. at the same time. Please return the life insurance card and medical fee discount card from affiliated hospitals. (This can be sent via EMS.) Members who have been issued a membership notice are asked to strictly follow the rules and regulations above. If you want to continue using the affiliated hospital discount card, You can become a member by paying a membership fee (without life insurance) and will be charged an annual membership fee of 1,500 baht.

Q44).	I have to leave Thailand to work abroad for about half a year In this case, please notify the association.
A44).	According to TJMA's insurance regulations, people must live in Thailand. If you leave Thailand for more than 3 months due to business travel, etc., you must cancel your membership first. and after returning to Thailand, you can apply for membership again.

Q45).	I am a TJMA member and I have to leave Japan suddenly for personal business. Is it possible to get a refund for the remaining 7 months of paid union dues?
A45).	Please complete the withdrawal form and procedures as usual. No refunds of union dues will be made for personal or company use. We deal with "insurance". In Thailand, insurance is paid annually in a lump sum. TJMA Mutual Insurance offers the option of paying every three months or annually. For the above reasons, we recommend that you pay TJMA Mutual Aid Insurance every three months. Thank you in advance for your understanding.

Q45).

I am a TJMA member and I have to leave Japan suddenly for personal business. Is it possible to get a refund for the remaining 7 months of paid union dues?

A45).

Please complete the withdrawal form and procedures as usual. No refunds of union dues will be made for personal or company use. We deal with "insurance". In Thailand, insurance is paid annually in a lump sum. TJMA Mutual Insurance offers the option of paying every three months or annually. For the above reasons, we recommend that you pay TJMA Mutual Aid Insurance every three months. Thank you in advance for your understanding.

Q46).	Thank you for every email requesting union dues. Could you please attach the invoice to the email?
A46).	TJMA is a non-profit organization. We do not have any forms for general companies, such as quotations, invoices, taxinvoices etc. Therefore, there is no VAT. Thank you for your understanding.

Q47).	65 years of age or older (continues to 80 years under certain conditions) What are some of these conditions?
A47).	The reasons for refusing extensions under certain conditions are as follows: 1. Regularly late membership payments and not by the payment deadline on the 26th. 2. Members with an indifferent attitude and criticize the activities of TJMA. 3. There are unusually high claims that can have a negative impact on the overall membership. The above is the main reason. But there will be a short description as follows: Cases where extensions are not possible will be decided by the TJMA Board of Directors.

Q47).

65 years of age or older (continues to 80 years under certain conditions)
What are some of these conditions?

A47).

The reasons for refusing extensions under certain conditions are as follows:
1. Regularly late membership payments and not by the payment deadline on the 26th.
2. Members with an indifferent attitude and criticize the activities of TJMA.
3. There are unusually high claims that can have a negative impact on the overall membership.

The above is the main reason. But there will be a short description as follows: Cases where extensions are not possible will be decided by the TJMA Board of Directors.

Q48).	From 2023, some affiliated hospitals will stop issuing special discount cards for medical expenses. Do members need to return the existing discount card?
A48).	TJMA is a non-profit organization. We do not have any forms for general companies, such as quotations, invoices, taxinvoices etc. Therefore, there is no VAT. Thank you for your understanding.

Q49).	From 2023, some affiliated hospitals will stop issuing special discount cards for medical expenses. Do members need to return the existing discount card?
A49).	From February 2023, it will be combined with the association's insurance card. Special discount card on medical expenses that members currently have. Members can still use their existing cards as usual. Please return the card together when notifying members.

Q50).	I am currently a hospital patient and am considering switching from the standard plan to the SOGO plan. In such a case, can I change my plan?
A50).	Whether IPD or OPD, we are currently refusing to change plans to reduce co-payments for the continuation of treatment. Insurance is something that is purchased to cover an accident or illness.As stated in the Philosophy of the Mutual Aid Association. All members are requested to strictly follow the rules and morals of the association.

Q51).	I recently moved to a new address, how should I proceed?
A51).	TJMA Mutual Aid receives several mails every year. . The Mutual Aid Insurance Card is also renewed and mailed every February. If you move, please notify the TJMA Headquarters of your new address by email as soon as possible. info@jp-assn.com

Q52).	Become a member of the association I have a friend who wants to apply for travel insurance. In which case can I apply?
A52).	Travel insurance is only available to members of the association. Friends of the member cannot apply for such services with the association. Travel insurance is required to be paid in advance. All members please understand.

General