In-Hospital Only Insurance Program

In-Hospital Only Insurance Program

Offering the highest levels of medical services wherever your destination may be.

Program Benefits:  

- Medical insurance for all family members inside the hospital, inside and outside Jordan, in accordance with the terms stated in the medical contract regarding medical coverage inside and outside Jordan.

- Direct access to GIG - Jordan ’s medical network through the accredited medical card.

- Direct coverage through accredited medical providers using the electronic medical card.

- Well distributed medical network inside Jordan (more than 4100 providers).

- Reimbursement claims settlement within 7 working days.

Coverage (In-Hospital Benefits Table)

In Hospital Coverage (Table)

Maternity (does not include prenatal visits or IVF treatment)  (Table)

Reimbursement claims 

Coverage: 70% of the total amount of each claim related to treatment inside and outside the hospital, within and outside the accredited medical network, arising from a covered condition. This is subject to the minimum rates set by the Medical Association and the locally approved prices by the Ministry of Health, with a deduction of JOD 5 per invoice per beneficiary, provided that a medical form is attached to each submitted claim.

Maximum Compensation: For treatment inside and outside the hospital outside Jordan, arising from a covered condition, compensation will be based on the minimum rates set by the Medical Association and the locally approved prices by the Ministry of Health.

Newborn Coverage (Valid only if the newborn is added to the health insurance policy within 15 days from the date of birth, if the delivery is insured):

Coverage for newborns from day one of birth, valid only if they are free from congenital and hereditary diseases.

Coverage for premature infants from normal pregnancies.

Coverage for circumcision of male infants, within the delivery limit.

Coverage for children’s vaccinations according to the Ministry of Health national program.

Coverage for Hormones and Vitamins:

Covers hormones except those related to fertility.

Other Coverages:

Hormone coverage, except those related to fertility.

Coverage for strokes and their complications.

Coverage for osteoporosis.

Coverage for benign tumors and related treatments.

Option to add household staff (maids, drivers, etc.).

Additional Coverage:

Dental Benefits:

Dental coverage is provided exclusively through Al-Hammal New Dental and Oral Surgery Center (formerly Balsta Center) via the “Ibtisamti” program, or through Al-Awn and Smile Avenue centers.

*If the above dental benefit is selected, coverage will be mandatory for all beneficiaries under the policy.

“Aman” Benefit for Cancer Coverage:

Covers the treatment of cancer for cases diagnosed after the insurance becomes effective, through the Aman program, as follows: (2 tables -The premiums details tables)

*A 5% fee will be added for the issuance of the insurance policy and a 1% stamp duty payable to the government.

*An additional 0.5% (five per thousand) of the basic premium will be added as the policyholders’ contribution to the Policyholders’ and Beneficiaries’ Guarantee Fund.