Sunday, 19 September 2021
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Crown Family (Unlimited)

Now you can obtain distinguished medical services with an access to the best hospitals without delays and in reasonable rates. Crown Family Unlimited Coverage offers unique in & out Hospital medical services accompanied with the highest standards of insurance services from the gig |  Arab Orient Insurance Company.

Crown Family Unlimited

Benefits:

  • In & out hospital medical insurance for all family members in & out of Jordan.
  • 24 hour medical consultation.
  • Direct access to  gig - Jordan ’s network through Crown Medical Card
  • Well distributed Medical Network inside Jordan (more than 3620 providers).
  • Ambulance Service coverage.
  • Reimbursement claims settlement within 7 working days.
  • Companion Coverage for patients up to 13 years old.
  • Coverage of home nursing visits for emergency cases in coordination with gig | Arab Orient Insurance"

Additional benefits

  • Coverage of newborn babies from day one excluding congenital & hereditary diseases.
  • Coverage of neonates’ incubator (excluding IVF).
  • Coverage of new born circumcision.
  • Coverage of hormones (tests & medications) not related to fertility.
  • Coverage of therapeutic vitamins (not subject to 16% tax).
  • Coverage of vitamin B12 (tests & medications).
  • Coverage of maternity related vitamins and minerals supplements.
  • Coverage of calcium supplements for maternity cases.
  • Coverage of osteoporosis cases.
  • Coverage of laser lithotripsy.
  • Coverage of mammogram test related to covered cases.
  • Coverage of tranquilizers related to covered cases.
  • Coverage of benign tumors and all related medications.
  • Coverage of flu vaccine.
  • Coverage of non-cosmetic dermatological diseases.
  • Coverage of cardio vascular diseases (cerebral vascular disease) cases & complications.
  • Coverage of eye diseases not related to acuteness of vision, optical refractory errors or not and age related visual disorders.
  • Converge of home nursing visits for emergency cases in co-ordination with gig | Arab Orient Insurance Company.
  • Ability to add domestic workers.
  • Coverage of clinical examination & basic medications within gig | Arab Orient Insurance Company's In house clinic.
  • Ability to add Cancer Coverage through Aman Plus Cancer Program with extra premium
  • Ability to add dental Coverage through our strategic partners (Palesta Dental Center and Al-Oun Dental Center) with extra premium.

Coverage

Class

Class (X)

Class (A)

Class (B)

Class (C)

Maximum annual limit / Member (JOD)

UNLIMITED

Inpatient Coverage

100%

Outpatient Coverage

80%

Doctor Visit

100%

Outpatient maximum annual limit / Member (JOD)

UNLIMITED

Maternity annual limits

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

 

 *All above benefits are subject to gig | Arab Orient Insurance Company's terms, conditions and exclusions. 

Annual Premium

 

Male

Female

Class

X

A

B

C

X

A

B

C

1Day-17 Years (JOD)

309

281

265

254

309

281

265

254

18 Years-40 Years (JOD)

436

397

380

358

458

419

397

375

41 Years-45 Years (JOD)

502

458

436

414

529

480

453

431

46 Years-50 Years (JOD)

700

634

607

573

739

673

639

607

51 Years-55 Years (JOD)

799

728

695

662

838

767

728

695

56 Years-60 Years (JOD)

1,103

1,004

948

904

1,158

1,053

1,004

948

61 Years-65 Years (JOD)

1,268

1,152

1,097

1,036

1,268

1,152

1,097

1,036

 

 

 

 

 

 

Providing insurance coverage for conditions arising from the new Coronavirus (Covid-19):

If you were diagnosed with the new Coronavirus (Covid-19) based on a positive PCR test result and confirmed by the attending physician’s case report, Insurance coverage will be provided for cases detected after the benefit comes into effect, excluding all cases arising before the effective date of insurance coverage in accordance with the limit and conditions specified for this additional benefit as follows:

  • Coverage of the cost of Covid-19 PCR test on cash basis by the beneficiary within gig -Jordan laboratories network provided that the test result is positive, no reimbursement will be paid by the insurance company in case the test result is negative.
  • Coverage of medical consultation, chest X-rays and CBC test prescribed by the attending physician.
  • Coverage of necessary antibiotics and vitamins prescribed by the attending physician.
  • Coverage of in hospital treatment if the patient health condition requires hospitalization for symptoms management and according to the evaluation of the specialist physician, provided that these symptoms cannot be treated on an outpatient basis and after agreement of appointed health care providers to admit Covid-19 cases to hospital. In case of inability to receive the service through our medical network, all costs and invoices will be covered by 100% on reimbursement basis for cases requiring admission based on the terms, conditions and exclusions of your medical insurance policy, noting that the insurance company is not responsible for assuring beds availability within hospitals and the company is solely responsible for paying the costs of treatment according to the terms of policy only.
  • Coverage of admission will be for medical treatment purposes only and not for the purposes of isolation or quarantine, knowing that no costs resulting from quarantine will be covered either in a hospital or any other facility.
  • This benefit does not cover vaccines related to Covid-19. 
  • Coverage of Covid-19 PCR re-test post exposure and after the end of treatment will be on direct billing basis, at the request of the attending physician.
  • This benefit covers all age groups up to the age of 65.
  • Coverage of this benefit begins after 30 consecutive days of waiting period from the date of this benefit addition.

• The insurance coverage of beneficiaries will be terminated in the following cases:

  • Reaching the maximum annual limit for the specified benefits in the schedule shown below.
  • Cancellation of the medical insurance policy.
  • The expiry of the medical insurance policy.

 

Premium and Scope of Coverage 

Annual Premium

Outpatient benefit Annual limit

Inpatient benefit Annual limit

50  (JOD)

200  (JOD)

5,000  (JOD)

 

For more information please call the Bancassurance unit at 06-5629400 Ext 5611/5612/5616