You can access this information through the HR department or health insurance specialists at your organization, or by contacting our customer service. We will provide you with a list of exclusions specific to your insured policy.
The approved medical network consists of contracted healthcare providers, including medical centers, laboratories, and optical centers, that offer medical services to our members according to agreed-upon conditions.
The accommodation class refers to the category of benefits agreed upon with the organization during contract signing. We offer different classes (VIP, First Class, Second Class, and Third Class), which vary in terms of hospital accommodation limits, room type, and medical benefit limits.
In case of a lost insurance card, please reach out to us to deactivate it and inform your employer to send an official request for a replacement card.
- "You can reach us through our emergency hotlines 777211171, 733211171, and 711711171, or send an email to [email protected]."
If you lose your insurance card, please notify our customer service to block your insurance number. Additionally, please inform your HR or relevant department to request a replacement card from us.
The health insurance card is a crucial document for accessing medical services within our network. To prevent any potential abuse, it's mandatory to present the card when receiving services.
To add your newborn, please submit a request to the relevant department on your company to complete the necessary procedures as per our policy .
The term 'inpatient' refers to coverage for hospitalization costs, surgeries, intensive care, and related services. Visits to doctor's clinics, diagnostic tests, procedures, and medications are covered under the outpatient limit
- Inpatient services include hospital stays, surgeries, and intensive care, while outpatient services cover doctor visits, tests, medications, and other diagnostic and therapeutic procedures."
- "The terms inpatient and outpatient refer to different types of medical services: inpatient covers hospital-based care, such as surgeries and hospital stays, while outpatient covers services provided outside the hospital, like doctor visits and diagnostic tests."
Reimbursements is determined by the policy terms for each Contract, and coverage can differ significantly. Before submitting a claim, it's crucial to verify the policy details with the relevant specialists to ensure coverage and understand the compensation process
If you are receiving treatment from your doctor, you can visit them for consultations, tests, and medication within the approved network providers, if your policy allows it. You must comply with the insurance regulations, including documenting the date, diagnosis, and stamping the prescription.
Chronic condition medications that are used for more than a month are approved once for the period specified by the treating physician. This is done by filling out the chronic medication form, which is placed with the service providers and signed by the treating physician and the hospital's accounts department. The form is then taken to the pharmacy where the member wishes to receive the medication. The approval will be sent to the pharmacy automatically at the beginning of each month, without the need for further contact with the company
