- Network
NW7+
Network of Health Providers
- Annual Limit
250,000
- Inpatient
- Inpatient Co-pay
- 20% with no CAP
- Outpatient
- Outpatient Co-pay
- 20% with no CAP
- Room Type
- Standard Suite
- Companion Charges (When medically necessary)
- Medication Coverage
- Pregnancy & Childbirth
- 35,000
- Pregnancy & Childbirth-related Complications
- Covered up to the annual Maternity Sub-limit
- Premature Children’s Treatment
- Circumcision
- 500
- Ear Piercings
- 300
- Neonatal
- Newborn Early Testing
- Dental Treatment
- 4,000
- Optical
- 1,000
- Pre-existing Conditions & Chronic Diseases
- Hearing Aids
- Vaccination & Inoculations
- Physiotherapy (When medically necessary)
- 12 sessions
- Dialysis
- Psychiatric Treatment
- Rehabilitation (physiotherapy)
- Disability
- Obesity Treatment
- Acquired Heart Valve Diseases
- 55, 000
- Alzheimer’s Treatment
- 15, 000
- Autism Treatment
- Donor Part Collection
- Transportation of the Deceased Beneficiary’s Body
- Consulting an In-Network Doctor
- Local Ambulance
- 3,000
- Emergency Out-of-Network Treatment
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Maximum Physician's Fees within the Network
- Family Planning
- Menopausal & Perimenopausal
- Sexually Transmitted Diseases
- Comprehensive Diabetic Program
- Preventive Screenings
- Kidney Transplant
- Medical Devices
- Birth Defects
- Emergency Medical Evacuation
- Emergency Life Threating Treatment – Outside KSA
- Elective (Non-emergency) Treatment Out of Network – Inside/ Outside KSA
