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Al-Reaya Medical Family Plan

Warba Takaful Insurance Co, presents a comprehensive “
Al- Reaya Medical Family Plan “, offering a group of
outstanding medical coverage for families through our
medical providers network of hospitals , medical clinics
& centers that cover all areas in Kuwait . We are
pleased to offer the followings :-
First :
The Plan Characteristics :
1. The Maximum Annual limit
for per person per year is KD.3000/-
2. Geographical Scope : Kuwait
3. The Plan Covers the in-patient and out - patient
treatments and Dental Treatment .
4. Every insured member will be provided with a medical
card . This card can be used for availing direct billing
facilities at the hospitals ,clinics and medical centers
which have signed contract with us .
5. Insured members can also avail treatment ( in /out
patient ) at hospitals , clinics which do not have
contracts with us as a reimbursement basis .
6. Covers the emergency Treatment whilst the insured
person is out side the country traveling on holiday or
Business trip, each trip period should not exceed 60
days .
7. Covers ages from 0 – 65 Years
8. Each insured member covered under Al-Reaya Medical
Family Plan will have the following benefits : -
I) Personal
Accident Coverage :
Loss of life due to accident cover KD.3000/-
Permanent Total Disability due to accident KD.3000/-
II) Al-Noor Card :
Specially designed for health care requirements at
the time of maternity, the card facilitates discount up
to 50% for the services offered by our large network of
Hospitals & Clinics. It covers many pre-delivery tests
and also services required to take care of a new born
baby.
9.
Hospitals , Clinics and medical centers which have
contract with Warba Takaful Insurance Co. and provide
the treatment by direct billing system .
Second
: The Plan General Conditions :
-
Maximum age of the member
for cove under the plan will be 65 years .
-
All Pre-existing Condition
are excluded
-
Fee for file opening in any
hospitals , clinics and medical centers will be excluded
.
-
Chronic conditions are
excluded. ( Chronic conditioned means having any of the
following: )
-
Has no cure, or recurs.
-
Leads to permanent
disability.
-
Is caused by irreversible
changes to your body .
-
Required you to be
specially trained or rehabilitated.
-
Needs prolonged
supervision, monitoring and treatment.
-
Additional and deletion :
If the insured adds a new member into the policy during
the year , full annual premium will be charged .
If the insured wants to delete the policy/member then
the prorata premium will be refunded subject to no claim
being paid under the policy
Third :
Table of Benefits :
|
Maximum Annual Limit P.P.P.Y |
KD.3000/- |
|
Geographic Scope |
Kuwait |
|
Deductibles :- |
|
10% each & every Claim for |
|
The Covers :- |
|
A ) In-Patient Treatment |
|
1)
Hospital Accommodation ( Room
Charges ) |
KD.50/- Per Night
|
|
2)
Surgeries |
KD.300/- Per surgery |
|
3)
Medical Consultation
|
Covered Up to KD.400/- |
|
4)
Lab Test |
|
5)
Medicine given During Hospital
Stay |
|
6)
Physiotherapy Fees ( should not
exceed 6 sessions ) |
|
7)
Cardiograph |
|
8)
Dressing |
|
9)
Anesthesia |
|
10) X-Rays Classified as follows |
|
Ultra
sound |
|
|
Cardiac
Ultra sound |
Covered Up to KD.200/- |
|
MRI |
|
CT Scan
|
|
B ) Out Patient Treatment |
Covered Up
to KD.300/- |
|
1) Medical Check up General
Practitioner & specialist |
|
2) X-Rays Classified as follows: |
|
Ultra Sound |
|
Cardiac Ultra sound
|
|
C.T Scan |
|
MRI |
|
3) Lab Investigation |
|
4) Dressing |
|
5) Prescribed drugs |
|
6) Outpatient surgical operating |
|
C ) Other Benefits |
|
1)
Ambulance Services |
Fully
covered |
|
D ) Dental Coverage |
|
Amalgam Filling
Extraction
X Ray
Dental Cleaning ones a Year
Root Canal Treatment |
|
D ) Dental Exclusions : |
|
1. Teeth
extraction for children under 12 years old.
2. Orthodontic operations i.e. proper positioning
of teeth.
3. Crowing and bridging.
4. Obtaining dentures of fixing of artificial
teeth unless necessitated by an accident.
5. Scaling Operation
6. Fluoride Treatment.
7. laser Surgery
8. Gum Diseases due to insufficient Oral Hygiene
(e.g. gingivitis ), & cosmetic treatment. |
|
4) Emergency Treatment whilst the
insured person in outside the Geographic Scope
( Including USA , Canada & Japan )
traveling on holiday or Business Trip
( The Maximum Trip Duration is restricted
to 60 days in any one policy Year )
|
Fourth :
Annual Premium :
|
Age
Band |
Male
|
Female |
|
0 |
: |
18 |
156 |
|
19 |
: |
35 |
169 |
205 |
|
36 |
: |
45 |
185 |
220 |
|
46 |
: |
50 |
216 |
263 |
|
51 |
: |
55 |
258 |
304 |
|
56 |
: |
60 |
275 |
337 |
|
61 |
: |
65 |
313 |
387 |
|
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Fill the Application ,
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