
Good news for insured persons under Sections 33 and 39: Social Security has revised the criteria for treating chronic kidney failure to cover all stages, enabling faster and easier access to benefits based on eGFR values, with no upfront payments required at designated hospitals.
The Social Security Office welcomes 2026 with good news for insured persons under Sections 33 and 39 by overhauling the medical criteria for kidney replacement therapy. This aims to help chronic kidney failure patients access treatment rapidly, improve their quality of life, and reduce financial burdens. Patients can now receive services immediately at designated hospitals without upfront costs.
Previously, some benefits required conditions related to time periods. The new criteria eliminate the 180-day rule for hemodialysis access creation or catheter insertion for dialysis fluid delivery. Instead, kidney function measured by GFR (Glomerular Filtration Rate) now determines eligibility, allowing timely care as follows:
To provide a clear overview of funding and benefits, Thairath Online summarizes the details of medical support and treatment under the new criteria as follows:
| Treatment types | Details of benefits and funding limits |
| 1. Hemodialysis using a dialysis machine |
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| 2. End-stage kidney failure patients with HIV infection |
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| 3. Permanent peritoneal dialysis with dialysis fluid |
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| 4. Automated peritoneal dialysis (APD) |
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| 5. Kidney transplantation (kidney replacement) |
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Note: Latest update as of June 2026 from the Social Security Office.
If insured persons have questions about benefits or wish to check the list of participating hospitals, they can contact the Social Security Office 24/7 via the following channels: