Crown Family

Individual Medical insurance – In & out of hospital product

The best quality of medical services for individuals wherever you go.

 Coverage & Benefits:

• First class first and special class medical insurance for all family members In and out of hospital/inside and outside Jordan Taking into consideration the conditions as stipulated in the medical insurance policy pertaining to medical coverage outside Jordan.
• Direct access to Arab Company’s medical network through Medical Card
• Well distributed medical network inside Jordan (more than 4100 providers)
• Reimbursement claims settlement within 7 working days.
• Companion coverage for patients up to 13 years old
• Ambulance service coverage.

Coverage:

In-Hospital Coverage

Outpatient Coverage (Including Maternity Visits)

Additional Benefits which characterizes the Crown Medical Program:

 Normal Maternity and Delivery Coverage:

• Coverage of pregnancy (excluding IVF) test.
• Coverage of all maternity related vitamins & mineral supplements (including medications subject to 16% sales tax).
• Coverage of calcium supplements for maternity cases.
• Grant 4 extra forms for pregnant females for maternity (excluding IVF) visits only.

 New born 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 babies from day one excluding congenital & hereditary diseases.
• Coverage of neonates' incubator for maternity (excluding IVF) cases with an annual limit JOD 2,000 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, pacemaker, 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.

Insurance period: One year starting from policy inception date.

Annual Premium (In & Out - Hospital):

Prices:

• Upgrading the out of hospital Co-payment (inside network only) with an extra premium per member as follows:

 
Note: the above rates are subject to 5% policy issuance fees and 1% stamp fees.

A 0.5% (five per thousand) charge will be added to the base premium as a contribution by the insured to the "Guarantee Fund for the Insured and Beneficiaries of Insurance Contracts."