- Network
- NW6
- NW7
- NW6
- NW7+
- Annual Limit
- SAR 250,000
- SAR 500,000
- SAR 150,000
- SAR 250,000
- Inpatient
- Room Type
- Single Room
- Standard Suite
- Single Room
- Standard Suite
- Companion Charges (When medically necessary)
- Inpatient Co-pay
- 25% with no CAP
- 25% with no CAP
- NIL
- NIL
- Outpatient
- Medication Coverage
- SAR 5,000
- SAR 6,000
- Outpatient Co-pay
- 25% with no CAP
- 25% with no CAP
- 20% up to SAR 100
- NIL
- Pregnancy & Childbirth
- SAR 15,000
- SAR 20,000
- SAR 15,000
- SAR 25,000
- Pregnancy & Childbirth-related Complications
- Covered up to the annual Maternity Sub-limit
- Covered up to the annual Maternity Sub-limit
- Covered up to the annual Maternity Sub-limit
- Covered up to the annual Maternity Sub-limit
- Premature Children’s Treatment
- Circumcision
- SAR 500
- SAR 500
- Ear Piercings
- SAR 300
- SAR 300
- Neonatal
- Newborn Early Testing
- Dental Treatment
- SAR 1,500
- SAR 2,000
- SAR 2,000
- SAR 3,000
- Optical
- Not covered
- Not covered
- SAR 600
- SAR 1,000
- Pre-existing Conditions & Chronic Diseases
- Covered up to the annual limit for I/P cases only
- Covered up to the annual limit for I/P cases only
- Hearing Aids
- Vaccination & Inoculations
- Physiotherapy (When medically necessary)
- 12 sessions
- 12 sessions
- 12 sessions
- 12 sessions
- Dialysis
- Psychiatric Treatment
- Rehabilitation (physiotherapy)
- Disability
- Obesity Treatment
- Acquired Heart Valve Diseases
- Alzheimer’s Treatment
- Autism Treatment
- Donor Part Collection
- Emergency Out-of-Network Treatment
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Transportation of the Deceased Beneficiary’s Body
- Consulting an In-Network Doctor
- Maximum Physician's Fees within the Network
- Family Planning
- Menopausal & Perimenopausal
- Sexually Transmitted Diseases
- Comprehensive Diabetic Program
- Kidney Transplant
- Preventive Screenings
- Local Ambulance
- SAR 1,000
- SAR 3,000
- Medical Devices
- Birth Defects
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