Pregnancy and childbirth limit
- (Natural childbirth, prenatal and postnatal care).
SAR 15,000
- Pregnancy and childbirth-related complications
Covered up to the overall annual maximum limit.
- Premature children’s treatment.
Covered up to the overall annual maximum limit.
- Neonatal cover new born babies
Covered up to the annual maximum limit.
- Vaccination for children
Mandatory vaccination shall be covered according to the
Ministry of Health’s schedule and up to the age of six years.
Costs of circumcision (males)
and ear piercing (females) for newborns
Covered up to a maximum of SAR 500 for male circumcision
and up to SAR 300 for female ear piercing.
Costs relating to the national program for early testing of newborn children to prevent disability
Covered up to SAR 100,000 during the policy term.
Dentistry coverage:
SAR 2,000
Optical
SAR 600
Pre-existing conditions & chronic diseases
Covered up to the maximum annual benefit limit
Hearing aid costs
Covered up to SAR 6,000 for total claims for both ears over the policy term
Physiotherapy when medically necessary.
Covered up to the overall annual maximum limit.
Birth defects
Covered up to the overall annual maximum limit.
Dialysis
Covered up to a maximum of SAR 100,000 during the policy term.
Acute and non-acute psychiatric
Covered up to SAR 15,000 for acute psychiatric that includes
SR 5,000 for non-acute cases for (4)
Rehabilitation (physiotherapy)
Covered up to the overall annual maximum limit.
Disability costs
Covered up to a maximum of SAR 100,000 during the policy term.
Obesity treatment
Covered up to SAR 20,000 per insurance cover period
Cost of acquired heart valve
diseases management
Covered up to a maximum of SAR 150,000 during the policy term
Alzheimer’s treatment
Covered up to a maximum of SAR 15,000 during the policy term
Autism treatment
Covered up to SAR 50,000 per insurance cover period according
to the announced regulations
Cost of donor part collection
Covered up to a maximum of SAR 50,000 during the policy term
Transportation of the deceased beneficiary’s body from the Kingdom to his country of origin
Covered up to a maximum of SAR 10,000 during the policy term
Consulting an in-network doctor
Covered
Local ambulance
Covered by ambulances of approved service providers in cases
of medical emergencies
Out-of-network treatment for life-threatening emergency conditions inside the Kingdom:
Fully covered from the maximum annual benefit limit.
Additional Table of benefits
Emergency medical evacuation in cooperation with International SOS Assistance when the
illness occurs outside the KSA only
Covered up to the overall annual maximum limit.
Emergency life threating treatment –out KSA
The actual cost of covered medical services is limited to the amounts mentioned below.
Any cost exceeding this amount will be covered at reasonable and customary rates for the same
level of coverage in the approved network within Saudi Arabia (SR 50,000)
Elective (non-emergency) treatment out of – OUT KSA network – OUT KSA
Covered as per accepted prices and approved for the same level of coverage in the network approved within
the Kingdom of Saudi Arabia through the principle of Reimbursements only for the cases covered in this
policy, based on the conditions of Reimbursements and the prior approval of Buba Arabia