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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 :

  1. Maximum age of the member for cove under the plan will be 65 years .

  2. All Pre-existing Condition are excluded

  3. Fee for file opening in any hospitals , clinics and medical centers will be excluded .

  4. 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.

  1. 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

To Fill the Application ,  click here

 

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