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 Family Unlimted

Insurance coverage without limits – individual medical insurance
Benefits:
  • In & out hospital medical insurance for all family members in & out of Jordan Taking into consideration the conditions as stipulated in the medical insurance policy pertaining to medical coverage outside Jordan.
  • Well distributed medical network inside Jordan (more than 3620 providers).
  • Reimbursement claims settlement within 7 working days.
  • Companion coverage for patients up to 13 years old.

Coverage:

Class Class
(X) 		Class
(A) 		Class
(B) 		Class
(C)
Region Inside & Outside Jordan
Maximum annual limit/member
UNLIMITED Coverage

In-Hospital Coverage

Maximum annual case limit /member UNLIMITED Coverage
Room & Board




Full Coverage 100%
ICU ;CCU
Surgery , Surgeon Fees & Anesthesia
MRI, CT Scan & other diagnostic tests
Accompanied parent coverage (for children less than 13 years old )
Doctor fees & Consultation
Ambulance once/annum
Stent

Maternity Coverage (NOT Including Maternity Visits, IVF)

Annual Limits UNLIMITED Coverage
Full Coverage 100%

Out-Hospital Coverage (Including Maternity Visits)

Annual Limit / member / year UNLIMITED
Number of Out-Hospital forms/member/ year 16 Forms 14 Forms 12 Forms 10 Forms
Physiotherapy 30 Sessions 20 Sessions 14 Sessions 10 Sessions
Specialized Dr. & G. P. Full coverage
Laboratory Tests & Diagnostic Tests 80%
X Rays & Radiology
Medicine
Normal Maternity and Delivery Coverage:
  • Coverage of all maternity related vitamins & mineral supplements (including medications subject to 16% sales tax).
  • Coverage of calcium supplements for maternity cases.
Newborn babies coverage subject to adding them to the medical insurance policy within a maximum period of 15 days from birth date (In case the delivery case is covered) as follows:
  • Coverage of newborn baby from day one.
  • Coverage of neonates' incubator for maternity (excluding IVF) cases with an annual limit JOD 7,500 per case.
  • Coverage of newborn circumcision within the maternity limits.
  • Coverage of children vaccines according to Ministry of Health National Program.
Hormones and Vitamins Coverage:
  • Coverage of Hormones (tests & medications) not related to fertility.
  • Coverage of vitamins (tests & medications) not subject to 16% sales tax.
  • Coverage of vitamin B12 (tests & medications).
  • Coverage of vitamin D (tests & medications).
Additional Benefits:
  • Coverage of osteoporosis cases (tests and treatments excluding medications subject to 16% sales tax).
  • Coverage of Cerebrovascular accidents (CVA) cases & complications.
  • Coverage of medical devices (e.g.: Stent, heart valves, pace maker, artificial knee).
  • Coverage of spinal & back pain after applying waiting periods.
  • Coverage of tranquilizers related to covered cases.
  • Coverage of laser lithotripsy.
  • Coverage of mammogram test related to covered cases.
  • Coverage of benign tumor cases and the related treatments.
  • Coverage of non-cosmetic dermatological diseases (excluding medications subject to 16% sales tax).
  • Coverage of eye diseases not related to acuteness of vision, optical refractory errors, keratoconus and age related visual disorders.
  • Ability to add Domestic Workers.
  • Coverage of more than 1 box of medications subject to doctor’s prescription and for a maximum period of 1 month.
Life Insurance Benefit:
 
Coverage of death due to any cause, in accordance with the terms, conditions and exclusions described below. The insurance amount mentioned in the table below will be paid in case the policyholder and/or spouse who are covered under the policy dies during the insurance validity (*this benefit is subject to clean applications with no chronic pre-existing cases):

Age Band

Sum Insured (JOD)

18-60 years

5,000

  • Insurance period: One year starting from policy inception date.

Annual Premium: (In & Outpatient):

Prices include the coverage of death. 
Gender Male Female
Class X A B C X A B C
1 Day – 17 Years (JOD) 340 309 292 279 340 309 292 279
18 Years – 40 Years (JOD) 500 458 439 415 525 482 458 434
41 Years – 45 Years (JOD) 573 525 501 476 603 549 519 495
46 Years – 50 Years (JOD) 791 718 689 651 834 761 724 689
51 Years – 55 Years (JOD) 900 822 786 749 943 865 822 786
56 Years – 60 Years (JOD) 1233 1124 1063 1014 1294 1178 1124 1063
61 Years – 65 Years (JOD) 1535 1394 1328 1254 1535 1394 1328 1254

•Upgrading the out of hospital Co-payment (inside network only) with an extra premium per member as follows:

Class Class
(X) 		Class
(A) 		Class
(B) 		Class
(C)
Out of Hospital Co-Payment 10% 60 55 50 45
Out of Hospital Co-Payment 0% 85 80 75 70
Note: the above rates are subject to 5% policy issuance fees and 1% stamp fees.
This program is subject to GIG- Jordan ’s standard policy terms, exclusions and conditions.
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