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Bancassurance

CROWN FAMILY: IN & OUT HOSPITAL PRODUCT

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:

Class

Class X

Class A

Region

In & Outside Jordan

Maximum annual limit/person

JOD 150,0000

JOD 100,000

Maximum annual case limit /Person

JOD 20,000

JOD 10,000

In-Hospital Coverage

ICU; CCU

Full coverage

Surgery & Surgeon Fees and Anastasia

Full coverage

MRI, CT scan

Full coverage

Accompanied parent coverage (for children below 13 years of age)

Full coverage

Doctor fees & Consultation

Full coverage

Ambulance once/annum

Full coverage

Laboratory tests, medications, and diagnostic procedures

Full coverage

Stent

Full coverage

 

 

 

 

 

 

 Maternity Coverage (NOT Including Maternity Visits, IVF)

 

Annual (Normal Delivery, Caesarean Delivery, and Legal Abortion)

2000

1500

 

 

Outpatient Coverage (Including Maternity Visits)

Max no. of outpatient forms /person

12 Forms

10 Forms

Doctor

100% Full coverage

Prescribed medications

80%

Diagnostic procedures

80%

Physiotherapy

20 sessions

10 sessions

 

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:

Class

X

A

14 Days – 17 Years (JOD)

280

250

18 Years – 40 Years (JOD)

405

365

41 Years – 45 Years (JOD)

495

435

46 Years – 50 Years (JOD)

590

525

51 Years – 55 Years (JOD)

780

690

56 Years – 60 Years (JOD)

950

860

61 Years – 65 Years (JOD)

1275

1140


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

 

Class (X)

Class (A)

Out of Hospital Co-Payment 10%

60

55

Out of Hospital Co-Payment 10% Out of Hospital Co-Payment 0%

85

80

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



Details
For more information,

Please call the Bancassurance department at 06-5629400 ext. 2059 / 2053

The above program is Subject to the terms, conditions, and exceptions of the contract.