I paid for my insurance with a credit card at Tan Med rather than exchange money and then pay in cash.
It is all very simple at Tan Med, Just be patient with the border guards, polite and helpful and you will be away with no problems.
Make sure you get a ferry that arrives at a reasonable time time though. I doubt that the money changers or the insurance booths are open at 1am.
No harm in comparing the rates that the 3 money changing booths will offer you, don't neccesarilty go for the chap who shouts the loudest!
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