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 Family in & out of Hospital

Individual Medical insurance – In & out of hospital product

GIG - Jordan ensures offering you the best quality of medical services wherever you go

Coverage & Benefits :
  • First class first and special class medical insurance for all family members In and out of hospital/inside and outside Jordan Taking into consideration the conditions as stipulated in the medical insurance policy pertaining to medical coverage outside Jordan .
  • Direct access to Arab Company’s medical network through Medical Card
  • Well distributed medical network inside Jordan (more than 3900 providers)
  • Reimbursement claims settlement within 7 working days.
  • Companion coverage for patients up to 13 years old
  • Ambulance service coverage

Coverage:

Class Class X Class A
Region In & Outside Jordan
Maximum annual limit/person JOD 150,0000 JOD 100,000

In-Hospital Coverage

Maximum annual case limit /Person JOD 20,000 JOD 10,000
Room & Board Full coverage
ICU; CCU Full coverage
Surgery & Surgeon Fees and Anastasia Full coverage
MRI, CT scan and other Diagnostic tests Full coverage
Accompanied parent coverage (for children below 13 years of age) Full coverage
Doctor fees & Consultation Full coverage
Ambulance once/annum Full coverage
Stent Full coverage
Maximum cost per each stent Full coverage

Outpatient Coverage

Max no. of outpatient forms /person 12 Forms 10 Forms
Specialized Doctor Full coverage
General Practitioner Full coverage
Laboratory Tests & Diagnostic Test %80
X Rays and Radiology %80
Prescribed medications %80
Outpatient Clinic -Emergency %80
Physiotherapy 20 sessions 10 sessions

Additional Benefits which characterizes the Crown Medical Program:

Normal Maternity and Delivery Coverage:
  • Coverage of pregnancy (excluding IVF) test.
  • Coverage of all maternity related vitamins & mineral supplements (including medications subject to 16% sales tax).
  • Coverage of calcium supplements for maternity cases.
  • Grant 4 extra forms for pregnant females for maternity (excluding IVF) visits only.
New born 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 babies from day one excluding congenital & hereditary diseases.
  • Coverage of neonates' incubator for maternity (excluding IVF) cases with an annual limit JOD 2,000 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)

16 - 60 years

5,000

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

Annual Premium (In & Out - Hospital):

Prices include the coverage of death 
3
Class X A
14 Days – 17 Years (JOD) 350 310
18 Years – 40 Years (JOD) 505 460
41 Years – 45 Years (JOD) 620 545
46 Years – 50 Years (JOD) 735 655
51 Years – 55 Years (JOD) 970 860
56 Years – 60 Years (JOD) 1200 1090
61 Years – 65 Years (JOD) 1580 1415

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

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