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Bancassurance

CROWN FAMILY (UNLIMITED)

Crown Family Unlimited

Insurance coverage without limits – individual medical insurance

 Benefits:

  • In & out hospital medical insurance for all family members in & out of Jordan Taking into consideration the conditions as stipulated in the medical insurance policy pertaining to medical coverage outside Jordan.
  • 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.

 

Coverage:

Class

Class
(X)

Class
(A)

Class
(B)

Class
(C)

Region

Inside & Outside Jordan

Maximum annual limit/member

Unlimited Coverage

Maximum annual case limit /member

Unlimited Coverage

 

In-Hospital Coverage:

ICU; CCU

Full Coverage 100%

MRI, CT scan

Full Coverage 100%

Laboratory tests, medications, and diagnostic procedures

Full Coverage 100%

Accompanied parent coverage (for children less than 13 years old)

Full Coverage 100%

Ambulance once/annum

Full Coverage 100%

Doctor fees & Consultation

Full Coverage 100%

Surgery, Surgeon Fees & Anesthesia

Full Coverage 100%

Stent

Full Coverage 100%

 

Maternity Coverage (NOT Including Maternity Visits, IVF):

Annual Limits

Unlimited Coverage
Full Coverage 100%

 

Out-Hospital Coverage (Including Maternity Visits):

Number of Out-Hospital forms/member/ year16 Forms14 Forms12 Forms10 Forms
Specialized Dr. & G. P.Full coverage
Laboratory Tests & Diagnostic Tests80%
Medicine80%
Physiotherapy30 Sessions20 Sessions14 Sessions10 Sessions

 

 Normal Maternity and Delivery Coverage:

  • Coverage of all maternity related vitamins & mineral supplements (including medications subject to 16% sales tax).
  • Coverage of calcium supplements for maternity cases.

 

Newborn 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 baby from day one.
  • Coverage of neonates' incubator for maternity (excluding IVF) cases with an annual limit JOD 7,500 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 & Outpatient):

Prices: 

Gender

Male

Female

Class

X

A

B

C

X

A

B

C

1 Day – 17 Years (JOD)

309

281

265

254

309

281

265

254

18 Years – 40 Years (JOD)

451

412

395

373

473

434

412

390

41 Years – 45 Years (JOD)

517

473

451

429

544

495

468

446

46 Years – 50 Years (JOD)

715

649

622

588

754

688

654

622

51 Years – 55 Years (JOD)

814

743

710

677

853

782

743

710

56 Years – 60 Years (JOD)

1103

1004

948

904

1158

1053

1004

948

61 Years – 65 Years (JOD)

1395

1267

1207

1140

1395

1267

1207

1140

 

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

Class

Class
(X)

Class
(A)

Class
(B)

Class
(C)

Out of Hospital Co-Payment 10%

60

55

50

45

Out of Hospital Co-Payment 0%

85

80

75

70

 

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