Individual Medical Insurance is divided into two sections :
A ) Individual Medical Insurance inside / outside the hospital .
B ) Individual Medical Insurance inside the hospital only .
Types of Medical Insurance programs : -
1 ) Golden Program .
2 ) Shefa'a ( 1 ) program - First Class .
3 ) Shefa'a ( 2 ) program - Second Class .
4 ) Shefa'a ( 3 ) Program - Third Class .
5 ) Aman Program - for individual / Family .
Privileges of Medical Insurance Programs :
1 ) A wide, distinguished Medical Network ( Doctors , Hospitals , Pharmacies , labs & X - Ray Centers, etc ….. ) with A total of around( 2000 ) Medical provider , spread all over Jordan .
2 ) Hot-line service telephone No. is ( 06/ 566 1300) 24 hours 7 days a week
3 ) Special services , periodic visits to the customers during the contract period .
4 ) Service center 7 Days a week, 24 hour provided by experts of Medical staff
5 ) Doctors at The Islamic Insurance Company are always ready to give the required medical consultation to all the members .
6 ) Quick and efficient settlement of medical reimbursement claims .
7 ) Settlement of medical network claims within a period less than ( 30 ) days from the date of receiving the Claims .
Privileges of the Coverage for treatment inside the hospital :
This Coverage is applying on all the medical expenses that some one might need during the treatment at hospital, these expenses are as follow:-
1 - Accommodation at the hospital according to the grade and the chosen program .
2 - Intensive Care Unit and treatment of coronary artery disease treatment
3 - Fees of the surgeon and anesthesiologist .
4 - Services provided by hospital operating room, surgery , laboratory, testing , drugs , and radiation treatment , etc …..
5 - Using the Hospital Medical Equipment such as systems to support heart and lungs , etc …..
6 - Injections and Intravenous means , etc ……
7 - Laboratory Tests and diagnostic X - Ray Tomography ECG, etc …..( related to the main reason of admission to hospital ) .
8 - Doctor visits related to the main cause of admission to hospital .
9 - Private nursing care , if medically necessary .
10- Delivery .
11- Ambulance services in the event of being medically necessary .
12- Companion expenses for insured below 13 Years old .
13- The Cost of the autopsy in the case of the death after being admitted to the hospital due to illness or bodily injury not excluded by policy .
Privileges of Coverage for treatment outside the hospital :
This Coverage is optional and include the following :
1 - Physician Consultation .
2 - Diagnostic tests which includes :
X - rays , laboratory , magnetic resonance imaging MRI , CT scan, intravenous and / or muscle injection by a doctor for the purposes of treatment , all kinds of endoscopes if requested only as a diagnostic measure .
It also includes any other tests performed for diagnostic purposes .
3 - Medicines include :
Pharmacological treatment prescribed medications recognized and registered by the authorities as medical treatment / Medicine .
4 - Physical therapy .
The Medical Insurance Department at the Islamic Insurance Company is managed by a highly qualified team of Doctors, Pharmacists , laboratory technicians and nurses of 25 employee .
The Medical team are performing their distinguished services from the Company Offices 24 hours , Seven days a week through hot line services and the availability of a medical net work of providers spread all around Jordan .
Types of Medical Insurance :-
1) Group Medical Insurance : is the Insurance policy issued in the name of the legal entity whether it is a Company or governmental sector and all the employees of these institutions and / or their dependents are Insured .
2) Individual Medical Insurance : is the Insurance policy issued in the name of the individual and his and his dependent, the individual to pay the premium on his and all the dependent behalf .
Medical Expenses Insurance
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