Medical Individuals & Family Insurance

0.000 د.ك

Policy Description below.

Category: Tags: , , ,
View cart

Description

If you can’t see the complete table, move it sideways to see the rest of the table.

Programs Program 1 Program  2 Program  3 Program  4 Program  5 Program  6 Program  7 Program  8
Area of coverage Kuwait & Lebanon Kuwait only Kuwait only Kuwait only Kuwait only  Kuwait only  Kuwait only Kuwait & Lebanon
Annual Financial Limit Unlimited KWD 3,000 KWD 5,000 KWD 10,000 KWD 7,500 KWD 15,000 KWD 100,000 KWD 200,000
Chronic  Covered
 (24 Months waiting period)
200 KD
Starting after joining the insurnce
300 KD
Starting after joining the insurnce
400 KD
Starting after joining the insurnce
250 KD
Starting after joining the insurnce
300 KD
Starting after joining the insurnce
Covered
 (12 Months waiting period)
Covered
 (12 Months waiting period)
Pre-Existing
Any symptoms whether known or not that started before joining the insurance
Covered
(12 Months waiting period)
Guaranteed Renewal ( GR ) Covered
( after 24 Months)
IN-PATIENT Unlimited KWD 3,000 KWD 5,000 KWD 10,000 KWD 7,500 KWD 15,000 KWD 100,000 KWD 200,000
Accommodation Type
Private Standard Room

55 KD 80 KD 100 KD 120 KD 70 KD 80 KD Covered Covered
Hospital Services
Treating doctor, consultant,anesthetist and surgeon fees,OT charges and Nursing fees
Covered Covered Covered Covered Covered Covered Covered Covered
Labtests, X-RAYS,MRI,CT scan & prescribed medications Covered Covered Covered Covered Covered Covered Covered Covered
Intensive care unit Covered 160 KD 200 KD 240 KD Covered Covered Covered Covered
Hospital Cash Benefit
Per night for In-Patient covered treatments at a Government Hospital
10 KD per day
Max. 15 days
15 KD per day
Max. 15 days
20 KD per day
Max. 15 days
10 KD 10 KD 50 KD 50 KD
Parent Accommodation
with Child 
Covered 10 KD per day
Max. 15 days
15 KD per day
Max. 15 days
20 KD per day
Max. 15 days
10 KD 10 KD Covered Covered
Physiotherapy
Due to the accident 
Covered Covered Covered Covered Covered Covered Covered Covered
Home Nursing 10 KD per day
Max. 30 days
15 KD per day
Max. 30 days
20 KD per day
Max. 30 days
Deductible NIL 10% 10% 10% 10% 10% NIL NIL
Out Patient  Open limit up to the limit up to the limit up to the limit 1500 2500 UP tp the limit UP tp the limit
Consultations 20 KD per visit 20 KD per visit 25 KD per visit 30 KD per visit 25 KD per visit 30 KD per visit Covered Covered
Number of visits per person per year 10 visits 12 visits 15 visits 15 visits 15 visits 16 visits 16 visits 16 visits in kuwait & open in lebanon
Lab , Diagnostic Tests … 10 visits Covered Covered Covered 300 KD 500 KD Covered Covered
Medicines 10 visits Covered Covered Covered 300 KD 500 KD Covered Covered
Day care cases Covered Coverd Covered Covered 400 KD 700 KD Covered Covered
Physiotherapy Covered 5 sessions 7 sessions 9 sessions 50 KD 60 KD Covered Covered
MRI , CTSCAN Covered (under LAB Limit) Covered Covered Covered 50% 50% Covered Covered
 Deductible                
Consultations NIL 5 KD 5 KD 5 KD 5 KD 5 KG 5 KD 5 KD in Kuwait & 20% in Lebanon
Lab , Diagnostic Tests & Physiotherapy 15% 15% 15% 15% 15% 15% 20% 20%
Medicines 15% 15% 15% 15% 15% 15% 20% 20%
MRI , CTSCAN 15% 50% 50% 50% 50% 50% 20% 20%
PREGNANCY &  MATERNITY
(Hasband & wife must be enrolled)
Open limit 600 KWD 750 KWD 1500 KWD 800 KWD 1600 KWD 1200 KWD 1500 KWD
Normal,Complicated & Cesarean delivery Covered Covered Covered Covered Covered Covered Covered Covered
Natural and legal abortion Covered Covered Covered Covered Covered Covered Covered Covered
Room & Board 55 KD Covered Covered Covered 55 KD 65 KD Covered  Covered 
Consultations Covered ( under outpatient sector) 10 visits 10 visits 10 visits 10 visits (15 KD per visit) 10 visits (20 KD per visit) Covered Covered
Sonar Covered 3 Sonars 3 Sonars 3 Sonars 3 Sonars 3 Sonars Covered Covered
Lab ,Tests, Medicines…  Covered ( under outpatient sector) Covered Covered Covered Covered Covered Covered Covered
New Baby Born cover First 7 Days Covered first 14 Days Covered first 14 Days Covered first 14 Days untill 150 KD untill 200 KD Covered Covered
Waiting Period  12 months  12 months 12 months 12 months 12 Months 12 Months 12 months 12 months
Deductible NIL 10% 10% 10% 10% 10% NIL NIL
DENTAL Not Covered Not Covered Not Covered 300 kd 300 KD 500 KD 300 KD 400 KD
Consultations, X-ray, Extractions, Amalgam/Composite, Glass lonomer filling, Root canal, Local anesthesia, Prescribed drugs Covered Covered Covered Covered Covered
Waiting period X X X 3 Months 12 Months 12 Months 3 Months 3 Months
Deductible X X X 20% 20% 20% 20% 20%
Addional Coverage                
Visiting Doctors
Covered upto the usual & customary charges of in house doctors
Covered Covered Covered Covered Covered Covered Covered Covered
Treatment Outside Network (Reimbursement) 80%
Covered in urgent cases only
75%
Covered in urgent cases only
75%
Covered in urgent cases only
75%
Covered in urgent cases only
75%
Covered in urgent cases only
75%
Covered in urgent cases only
70%
Covered in urgent cases only
70%
Covered in urgent cases only
Global Emergency Services
Emergency Medical Evacuation, Repatriation, Hospital Admission Assistance, Compassionate Visit…etc
unlimited
Territorial Cover
Countries where medical evacuation & assistance are covered
Worldwide except country of residence

*Terms and Conditions apply.

Medical insurance is a type of insurance coverage that pays for medical, surgical, and sometimes dental and Maternity expenses incurred by the insured.
Health insurance can reimburse the insured or pay the care provider directly.

There are several types of health insurance plans available, and they vary on many levels like:
1-Limit of covered per case and per year.
2-Geographical scope of covered.
3-Covered of dental and Maternity.
4-Covered of Chronic diseases.
5-Covered of Pre-Existing cases.
6- Policy exclusions.
6- Deductibles.
7-Renewal Guaranty.
8-Providers Network.
9-TPA /Program Management.
10-Policy Cost.
11-Payment procedures.
We will provide you by many Medical options and the comparison sheet.