Business Plan
Benefits
- Providing free medical consultations around the clock.
- A wide, distinguished medical network spread across the Kingdom (more than 4,100 providers).
- Cash claims settlement within a maximum of 7 working days from the date of receipt.
Coverage
| Item | First Class | Second Class |
|---|---|---|
| Accommodation Class | First Class | Second Class |
| Geographical Limits | Inside & Outside Jordan | |
| Maximum Annual Limit / Person (JOD) | 100,000 | |
| In-Hospital Coverage / Maximum Limit per Case Annually (JOD) | 10,000 | 5,000 |
| In-Hospital Coverage | ||
| Room & Intensive Care | Full Coverage 100% | |
| CT Scan & MRI | Full Coverage 100% | |
| Laboratory Tests, Medications & Diagnostic Procedures | Full Coverage 100% | |
| Companion for Children under 13 Years | Full Coverage 100% | |
| Ambulance | Full Coverage 100% | |
| General Practitioner & Specialist Fees | Full Coverage 100% | |
| Surgeon & Anesthesiologist Fees | Full Coverage 100% | |
| Medical Support Devices | Full Coverage 100% | |
| Maternity (Excluding Prenatal Visits and IVF) | ||
| Annual Limit (Normal Delivery, C-Section, or Legal Abortion) – JOD | 1,250 | 750 |
| Outpatient Coverage (Including Prenatal Visits) | ||
| Number of Outpatient Visits / Year | 10 E-Visits | 8 E-Visits |
| Medications | 80% | |
| Diagnostic Procedures | 80% | |
| Doctor Consultations | 100% | |
| Physiotherapy (80%) | 10 Sessions | |
| Approved Medical Network | Full Network | Full Network except: Abdali Hospital, The Specialty Hospital |
Normal Pregnancy & Delivery Coverage
- Covers normal pregnancy tests.
- Covers all pregnancy-related vitamins and minerals, whether registered or not.
- Covers calcium supplements for pregnant women.
- Provides 5 additional visits for normal pregnancy follow-up only.
Newborn Coverage (within 15 days from birth)
- Covers newborns from day one.
- Covers prematurity cases with an annual limit of 2,000 JOD per case.
- Coverage for newborn circumcision within maternity limits.
Hormones & Vitamins Coverage
- Covers hormones not related to fertility.
- Covers therapeutic vitamins not subject to 16% sales tax, as prescribed by the treating physician.
- Covers Vitamin B12 tests and treatments.
- Covers Vitamin D tests and treatments.
Chronic Diseases Coverage
- Covers chronic cases within the per-case limit when treated in hospital, depending on the medical need. (*Subject to GIG Jordan policies.)
Additional Benefits
- Covers osteoporosis tests & treatments (excluding medications subject to 16% tax).
- Covers cardiac & brain strokes and complications.
- Covers cardiac stents and vascular procedures within case limits.
- Covers back & spine pain after applying waiting periods.
- Covers sedatives for covered medical conditions.
- Covers laser lithotripsy.
- Covers mammogram tests related to covered cases.
- Covers benign tumors and treatments.
- Covers non-cosmetic dermatological diseases (excluding meds subject to 16% tax).
- Covers eye diseases not related to visual acuity, refractive error correction, keratoconus, or age-related conditions.
- Covers disclosed pre-existing conditions after review by GIG Jordan, which assigns a special annual sub-limit appropriate to the medical condition.
- Covers influenza vaccine by coordination.
- Covers up to 3 medication boxes per month based on prescription.
- Provides a free HR management system in partnership with MenaITech for the duration of the policy, per the attached circular, for employees covered under the insurance contract — available to companies with between 2 and 100 employees, provided they have no existing relationship with MenaItech (subject to GIG Jordan conditions).