Thanyarak Foundation

Health Coverages and Medical Fees

• Thanyarak Breast Center, Siriraj Hospital
  Civil Servant Medical Benefits Scheme (CSMBS) by the Comptroller General’s Department

  1. Obtain a diagnostic request form from the doctor.
  2. On the day of the exam, insert Thai National ID card into the verification machine at service points on the 1st floor of the OPD Building or the 1st floor of 100th Year Somdech Phra Srinagarindra Building, or near elevators on the 7th floor of 100th Year Somdech Phra Srinagarindra to verify eligibility.

  Examination Fee Additional charge at THB 200 – 600 for official working hours.
  Additional charge at THB 500 – 900 for after-hour clinic.
  Other Government Coverage

  1. Obtain a diagnostic request form from the doctor.
  2. On the day of the examination, please bring the diagnostic request form to Thanyarak Breast Center.

  Examination Fee Official working hours at THB 2,400 – 3,100
  After-hour Clinic at THB 2,700 – 3,400
  Social Security Scheme (Siriraj Hospital)

  1. Obtain a diagnostic request form from the doctor.
  2. On the day of the examination, proceed to Medical Records Unit on the 1st floor of the OPD building (Room 100) or Social Security Unit on the 3rd Floor of Navamindrapobitr 84th Anniversary Building with the diagnostic request form to verify the eligibility.

  The diagnosis request form without the “Special After Hour Clinic” stamp will not be eligible for any appointment at outside official working hours, in regards to the Social Security Scheme.
  Social Security Scheme. (Other hospitals)

  1. Obtain a diagnostic request form from the doctor.
  2. Contact your registered Social Security Hospital with the diagnostic request form to obtain a referral letter.
  3. On the day of the exam, go to Medical Records Unit on the 1st Floor of the OPD building (Room 100) or Social Security Unit on the 3rd Floor of Navamindrapobitr 84th Anniversary Building with the diagnostic request form and referral letter to verify the eligibility.

  The diagnosis request form without the “Special After Hour Clinic” stamp will not be eligible for any appointment at outside official working hours, in regards to the Social Security Scheme.
  Universal Coverage Scheme or Gold Card (Siriraj Hospital)

  1. Obtain a diagnostic request form from the doctor.
  2. Contact Siriraj Primary Care Unit, Faculty of Medicine Siriraj Hospital with the diagnostic request form to obtain a referral form.
  3. On the day of the exam, bring the diagnostic request form and referral form to the registration unit, Health Benefit Division on the 1st floor of the OPD building (Room 101) to verify your eligibility. Then, insert your Thai National ID card into the verification machine located at service points on the 1st floor of the OPD Building, the 1st floor of the 100th Year Somdech Phra Srinagarindra Building, or near elevators on the 7th floor of the 100th Year Somdech Phra Srinagarindra Building to receive a confirmed verification slip.

  Remark: The referral form must specify “breast disease” to obtain this coverage scheme. The diagnosis request form without the “Special After Hour Clinic” stamp will not be eligible for any appointment at outside official working hours, in regards to the Universal Coverage Scheme.
  Universal Coverage Scheme or Gold Card (Other Hospitals)

  1. Obtain a diagnostic request form from the doctor.
  2. Contact your registered Hospital with the diagnostic request form to obtain a referral letter.
  3. On the day of the exam, bring the diagnostic request form and referral form to the registration unit, Health Benefit Division on the 1st floor of the OPD building (Room 101) to verify your eligibility. Then, insert your Thai National ID card into the verification machine located at service points on the 1st floor of the OPD Building, the 1st floor of the 100th Year Somdech Phra Srinagarindra Building, or near elevators on the 7th floor of the 100th Year Somdech Phra Srinagarindra Building to receive a confirmed verification slip.

  Remark: The referral form must specify “breast disease” to obtain this coverage scheme. The diagnosis request form without the “Special After Hour Clinic” stamp will not be eligible for any appointment at outside official working hours, in regards to the Universal Coverage Scheme.
  The Universal Coverage Scheme or Gold Card (Inactive Status)

  If the National Health Security Office (NHSO) terminates a hospital's contract, making it inactive, the patient can still receive free care at the primary care unit of another hospital. This will continue until the National Health Security Office (NHSO) assigns a new contracted hospital to the system for patient registration.

  On the day of the exam, the patient needs to bring the diagnostic request form and referral form to the registration unit, Health Benefit Division on the 1st floor of the OPD building (Room 101) to verify your eligibility. Then, insert your Thai National ID card into the verification machine located at service points on the 1st floor of the OPD Building, the 1st floor of the 100th Year Somdech Phra Srinagarindra Building, or near elevators on the 7th floor of the 100th Year Somdech Phra Srinagarindra Building to receive a confirmed verification slip.

  Non-reimbursable Payment

  1. Obtain a diagnostic request form from your doctor and schedule an appointment at the center.
  2. Come in person at your scheduled appointment date and time.

  Examination Fee Official working hours at THB 2,400 – 3,100
  After-hour Clinic at THB 2,700 – 3,400

  Remark • A THB 100 charge for OPD service will apply for all coverage types. • For after-hours procedures, an additional THB 400 charge per visit at Thanyarak Breast Center will apply, as determined by Siriraj Hospital.

• Thanyarak Breast Center, Siriraj H Solutions at ICS Building
  Civil Servant Medical Benefits Scheme (CSMBS) by the Comptroller General’s Department

  • Obtain a diagnostic request form from the doctor.
  • Siriraj H Solutions will charge THB 800 - 1,000 fee for the diagnostic request form.

  Examination Fee THB 2,900 - 3,700
  Additional fee at THB 500 – 1,300
  Other Government Coverages

  • Obtain a diagnostic request form from the doctor.
  • Siriraj H Solutions will charge THB 800 - 1,000 fee for the diagnostic request form.

  Examination Fee THB 2,900 - 3,700
  Non-reimbursable Payment Examination Fee THB 2,900 - 3,700