Be very wary and avoid this slickly advertised 'too good to be true' company! Am an 'merican Expat living a long time in Thailand, where there are not strict rules or oversite on company's like these. Obviously there are here, obviously to a discerning eye and mind, mostly fake, empty illiterate 5 star ratings, to boost their averages. Reading carefully, almost all of those so called positive reviews, have no details and only say they are so kind and do whatever they are supposed to. This is called 'Astroturfing'! Look it up. Means planting fake positive reviews online, as they certainly pay people to do on this site and on other legit review websites as well! After a few years with them, I can attest to the fact that they denied claims that the other legit companies all do cover, in my final case with them, an inguinal hernia, with no history or record of 'pre-existing'. They also denied payment for a kidney stone, also a first time with no history or reason, besides saying some med I might have taken 15 years ago, might have caused it.. Again several hospital's insurance departments told me that other companies generally always pay for this procedure! To mention also, the 'small print' that they will not cover any hospital inpatient stay and will reduce the total of all surgical and medical expenses by 20% if staying in a Private room, which many hospitals here only offer! After consulting Insurance departments of several major hospitals here, was told by several of them, that these people have a history of not paying, which is why they do not get pre approved. They do not get back to you, as they advertise, in a 'timely manor' as they claim, unless it is to get more money from you! Had to wait 3 days in expensive hospital waiting to hear back from their so called in house 'expert', for their refusal to pay for kidney stone treatment. Was told they have an office here, but false. Was told they are backed by a known Brit and Hong Kong Re-assurance company, but also false! As mentioned many times here, they are only registered on Nevis, a small tax haven Caribbean Island. Very suspicious obviously. So that is where one must go to or complain to (try and find that phone number!)!? I also was shunted off to the infamous "Maria" in HK, who was very good at delaying and giving false hope of resolution, but just great at putting us off.. The original price was suspiciously inexpensive, but the annual fees jumped surprisingly fast once signed up, once i passed the 70 year old barrier to get any other company to provide cover! Shopping around for a real reputable company, have spoken with several agents who have inevitably heard and it is becoming more known in that industry, at least here, that these guys are complete phoney rip offs! Hopefully a Class Action Suit, as many here have suggested will happen and I will happily join and contribute to that, to get these con artists out of this business! There will always be ignorant fools and suckers who will empty their pockets and fall for these guys, enough to keep them in business. Further more, there is no objective comparative website (that doesn't sell and get commissions for selling this fake product) that ranks or reviews insurance company's with this group included, favorably. Please do careful diligent research before committing money in a once in a lifetime decision!