1. For all hospital, admission, surgical and other costs associated with the corrective surgery.

2. In the case of Meditravel Agency referred clients only, for the return airfares from the nearest capital city or international airport in economy class and original booking code. Travel should be in the same season of travel (low season, low shoulder, shoulder, high shoulder, high season). Any additional airfare costs must be paid by the client.

3. In the case of Meditravel Agency referred clients only, for hotel accommodation for the time required to be in Phuket for corrective surgery. The hotel will be selected by Hospital. Any additional hotel costs, including upgrades to a higher standard or class or hotel, including room upgrades must be paid by the client.
4. Hospital or Meditravel will not be responsible for any expenses for the patient's companion or family.

Review Process

If a client has a complication then PIAC should be immediately advised including full details of that complication along with any evidence such as photos, medical reports or statements.

A review committee consisting of the attending Plastic Surgeon, PIAC Senior Plastic Surgeon and the Medical Director of Phuket International Hospital will review the complication.

The review committee will review the evidence and make a determination. This determination will essentially be

1. That the complication is related to surgery, hospital treatment or admission
2. That the complication is related to unrealistic expectations of the client, previous medical or pre existing conditions, the client not fully following post operative or surgeons instructions
3. That the complication is not related to surgery, hospital treatment or admission

After a determination of the above, the amount and extent of responsibility between PIAC and the client will be allocated. In some cases, responsibility will be 100% allocated to PIAC, in others, 50% to PIAC and 50% to the client, and in others 100% responsibility to the client. Allocation of responsibility will be made on a case-by-case basis.

PIAC will notify the client of the determination in writing.

If a client disagrees with the determination, they should immediately notify PIAC, in writing, providing the reasons why they disagree with the determination.

• All post-operative advice provided by surgeons, including medication recommendations, restricted activities, follow up care must be followed
• Compression garments where recommended must be worn according to the surgeons instructions
• Post operative stays in hotels must be in an approved PIAC hotel
• In cases that a client considers to be an emergency, such as acute pain, acute swelling or infection, the client should seek immediate medical assistance from a licensed medical practitioner. The client should obtain a medical report or statement detailing the diagnosis, treatment provided and cost of treatment and forward this information to PIAC.
• PIAC will not reimburse treatment costs that have not been pre approved in writing by PIAC.
• Generally, except in the cases of emergency or acute complications, no determination will be made by PIAC for 6 months following surgery. This is to allow ample time for the minimisation of any swelling and to allow normal healing, scar minimisation etc.
• No procedures, except in emergencies or acute complications, may be performed by another surgeon without the consent of PIAC

Significant risk factors that maybe taking into account when making a determination on high risk surgery cases 

Patients with any of the following risk factors should ensure that this information has been provided to their surgeon before undertaking any surgical procedure and declared fully and truthfully on the pre admission form, including but not limited to:

Patients with any of the following risk factors should ensure that this information has been provided to their surgeon before undertaking any surgical procedure and declared fully and truthfully on the pre admission form, including but not limited to:

• Patients who smoke or are alcohol or drug dependent
• Patients outside a healthy BMI range
• Patients with diabetes or thyroid disease
• Patients with blood pressure disorders including hypertension, limb ischemia, varicose vein or hemorrhoids
• Patients with heart conditions including valvular disease or ischemia
• Patients with renal conditions including chronic renal failure or stone
• Patients with urinary conditions including benign prostatic hypertrophy, stricture of the urethra
• Patients with liver conditions including cirrhosis or hepatitis
• Patients with lung conditions including COPD, asthma or TB
• Patients with gastrointestinal conditions including peptic ulcer
• Patients with marrow conditions including dysplastic marrow
• Patients with nerve conditions including sensory, motor or autonomic disturbance
• Patients with muscle conditions including weakness, myasthenia-Gravis or Guilain-barre syndrome
• Patients with uterine conditions including dysmenorrhea and endometriosis
• Patients with joint conditions including arthritis
• Patients with eye conditions including glaucoma
• Patients with psychiatric conditions depression, schizophrenia or anxiety
• Patients with systemic conditions including autoimmune disease allergy or cancer
• Patients with degenerative conditions to the spine, bone, joints, eye or brain
• Patients with keloid scarring problems
• Patients with vascular or heart problems
• Patients who take medications which could interfere with recovery
• Patients who are allergic to medications or other non disclosed allergies
• Patients who are HIV positive, or have hepatitis or syphilis=

• All conditions were declared fully and truthfully on the original medical form.
• Not applicable for non-surgical procedures or dental only surgical.
• Not applicable to 'inherent risks' associated with surgery which are not a result of surgery error, including but not limited to: capsular contracture and skin rippling (in the case of breast implants), numbness and changes in sensation, asymmetry.
• Not applicable to changes associated with weight gain/loss or pregnancy since the surgery.
• Only applicable to patients who have stayed the recommended amount of nights recommended to recovery of the named procedure.
• Only applicable to patients who has surgery treatments in Phuket from the 1st April 2008.
• Any corrective surgery if needed can only be done from April to Nov of each year or, at additional cost to patient as agreed by Hospital.
• Travel cost should not exceed those originally paid if so the difference must be paid by patient.

Exclusions 

Clients should be aware that the following exclusions will not be covered by this guarantee

1. Non-surgical procedures, laser or dental procedures
2. Inherent risks associated with surgery which are not a result of surgery error, including but not limited to: capsular contracture and skin rippling (in the case of breast implants), numbness and changes in sensation, asymmetry
3. Changes associated with weight gain/loss or pregnancy since the surgery
4. Applicable only to patients who have stayed the minimum recommended amount of nights recommended to recovery of the named procedure
5. Case where patients who have been identified and advised that
6. They are high risk
7. Surgical outcomes may not be fully attained as expected by the patient
8. Prior to surgery, the surgery technique used, or any other factor provided to the patient which may result in a complication. This particularly applies to patients who insist on having a procedure, when they have been informed by the surgeon that the results may not be optimal