Table 1 Cooperative health insurance schedulea [67]
From: The personal and workplace characteristics of uninsured expatriate males in Saudi Arabia
Policy coverage | Maximum benefit limit/person | Covered treatments/procedures |
|---|---|---|
Maximum Benefit Limit/Person | SR 250,000 | Â |
Outpatient Treatment Expenses - Co-insurance/Deduction | 0-20% per visit, Max. of SR 100 per visit | Consultations, lab tests, x-rays, medicines, medicines and other medical necessities, follow-up visits and referrals for the same illness |
Physician's Fees: | ||
General Practitioner | SR 50 | Â |
Specialist | SR 100 | Â |
Consultant | SR 150 | Â |
Rare medical specialties | SR 250 | Cardiology, brain and neurological surgery, vascular surgery, and other sub-specialties per standards of Saudi Commission for Health Specialties |
Hospitalisation Expenses/Fees: | ||
Co-insurance/Deduction | None | Â |
Accommodation for the patient | SR 600/day | Â |
Accommodation for the hospital sitter | SR 150/day | Â |
Pregnancy/Delivery Cost for married beneficiaries | SR 150,000 | Shared Room (includes charges for bed, nursing, medical visits, supervision, and catering services) |
Premature Babies | As per terms and conditions of the policy | Shared Room |
Cost of Dental Treatment | SR 2,000 | Â |
Cost of Spectacles | SR 200 | Â |
Cost of Renal Dialysis | SR 10,000 | Â |
Cost of Acute Psychological Disorders | SR 15,000 | Â |
Corpse Repatriation to Home Country | SR 10,000 | Â |