Family unlimited

 Family Unlimited

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)        385        350        330        315        385        350        330        315

18 Years – 40 Years (JOD)        565        515        495        470        590        545        515        490

41 Years – 45 Years (JOD)        645        590        565        535        680        620        585        560

46 Years – 50 Years (JOD)        890        810        775        735        940        855        815        775

51 Years – 55 Years (JOD)        1015        925        885        845        1060        975        925        885

56 Years – 60 Years (JOD)        1390        1265        1200        1140        1455        1325        1265        1195

61 Years – 65 Years (JOD)        1730        1570        1495        1415        1730        1570        1495        1415

•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.