Family +
Individual medical insurance — In and Out of hospital product offering you high-quality medical services wherever you go.
Benefits
- Medical insurance for all family members, covering inpatient and outpatient services, inside and outside Jordan, in accordance with the conditions stipulated in the medical insurance policy regarding coverage outside Jordan.
- Direct coverage is provided through accredited medical providers using an electronic medical card.
- Well distributed medical network inside Jordan (more than 4,100 providers).
- Reimbursement claims settlement within 7 working days.
- Companion coverage for patients up to 13 years old.
| Benefits & Coverage | Class X | Class A |
|---|---|---|
| Region | Inside & Outside Jordan | |
| Maximum Annual Limit / Person (JOD) | 150,000 | 100,000 |
| Maximum Limit per Case Annually / Person (JOD) | 20,000 | 10,000 |
| In-Hospital Coverage | ||
| Room & Board, ICU/CCU | Full Coverage 100% | |
| MRI, CT scan | Full Coverage 100% | |
| Lab tests, medications & diagnostic procedures | Full Coverage 100% | |
| Accompanied parent coverage (for children below 13 years of age) | Full Coverage 100% | |
| Ambulance once | Full Coverage 100% | |
| Doctor & consultant physician fees | Full Coverage 100% | |
| Surgeon & anesthesiologist fees | Full Coverage 100% | |
| Stent | Full Coverage 100% | |
| Maternity (Does Not Include Prenatal Visits or IVF) | ||
| Annual Limit (Normal Delivery, C-Section or Legal Abortion) – JOD | 2000 | 1500 |
| Outpatient Coverage (Including Maternity Visits) | ||
| Number of Outpatient Visits per Year / Person | 12 E-Forms | 10 E-Forms |
| Specialized Doctor | Full Coverage 100% | |
| Medications, Laboratory Test, Diagnostic Test, X Rays, Radiology | 80% | |
| Physiotherapy | 20 Sessions | 10 Sessions |
| Approved Medical Network | ||
| Medical Network | Full Network | |
Normal Maternity and Delivery Coverage:
- Coverage of pregnancy (excluding IVF) tests.
- Coverage of all maternity related vitamins and mineral supplements (including medications subject to 16% sales tax).
- Coverage of calcium supplements for maternity cases.
- Grant of 4 extra forms for pregnant women for maternity visits (excluding IVF) only.
Newborn Babies Coverage
- Coverage from day one, excluding congenital and hereditary diseases.
- Coverage of neonatal incubator for maternity cases (excluding IVF), with an annual limit of JOD 2,000 per case.
- Coverage of newborn circumcision within the maternity limits.
- Coverage of children's vaccines according to the Ministry of Health's 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, pacemaker, 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 based on doctor's prescription (max 1 month).
In & Out of Hospital Insurance Pricing
| Age Band | Class X | Class A |
|---|---|---|
| Individual from Day 1 – 17 Years | 376 | 333 |
| Individual from 18 – 40 Years | 568 | 518 |
| Individual from 41 – 45 Years | 698 | 613 |
| Individual from 46 – 50 Years | 827 | 737 |
| Individual from 51 – 55 Years | 1091 | 968 |
| Individual from 56 – 60 Years | 1350 | 1226 |
| Individual from 61 – 65 Years | 1778 | 1592 |
