Products (Family)

 

Schedule of Benefits

Almas Plan

Out 20%

 

 

Benefit Description

Almas - Individual

Territorial Limit

Worldwide
excl. USA & Canada
Travel WW

Network

Premium Plus NW

Inpatient: Bahrain, India, Jordan, KSA, Lebanon, Qatar and UAE

Outpatient: Bahrain

Annual Maximum Limit per person

BD 50,000

Pre-existing / Chronic Conditions

Covered

Inpatient & Daycare

  Accommodation Type

Suite Room

  Hospital Accommodation & Services:
     - at Designated/Network Provider

100%

     - at Non-Designated/Non-network Provider

BD 100

 Consultants`, Surgeons` & Anesthetists` Fees, etc.
     - at Designated/Network Provider

100%

     - at Non-Designated/Non-network Provider in Bahrain

80%

     - at Non-Designated/Non-network Provider outside
       Bahrain

80%

  Ambulance (followed by Hospital Admission) up to a
  max. of

BD 50

  Parent Accommodation for accompanying an Insured
  Child under 10 years of age (up to a max. per day of)

BD 20

  Hospital Cash Benefit if Inpatient Treatment is received
  free of charge in a Government Hospital

BD 20 per day up to a max of BD 200

Outpatient (unlimited benefit refund per person per year)

Deductible Options

20%

  Consultations:
  -  at Designated/Network Provider

Full Refund

  -  at Non-Designated/Non-network Provider up to a
     maximum of

BD 20

  Diagnostics (x-ray, MRI, CT scan, ultra sound, etc.),
  Laboratory, Pharmaceuticals
  -  at Designated/Network Provider

80%

  -  at Non-Designated/Non-network Provider

65%

Physiotherapy (subject to a maximum of 12 sessions per person per year):

 

- at Designated/Network Provider

80%

 - at Non-Designated/Non-network Provider (up to a max
   per session of)

BD 12

Inpatient Emergency Treatment Abroad During Business Trips and Holidays (subject to a maximum of 45 consecutive days per trip inclusive of travel)

USA & Canada:
Subject to a maximum of 150% of MedNet Bahrain reasonable & customary charges

Other Countries:
Full Refund

Any Treatment Outside Territory of Coverage other than Emergency

Not covered

Repatriation of Mortal Remains to the Country of Domicile up to max.

Covered Through International SOS

International SOS repatriation service

 

 

 

Maternity* (280 days waiting period)

Normal Delivery/Complications: BD 900
Cesarean: BD 1,200
Abortion/Misc.: BD 500

Outpatient (ante-/postnatal - outpatient deductible option applies)

BD 300

 

All Maternity Treatment (in- as well as outpatient) is subject to Pre-approval

 

Note: Full Refund is subject to annual maximum limit and sub-limits

 

(1) subject to MedNet Bahrain reasonable and customary charges if treated at non-destgnated/non-network provider

 

MedNet Bahrain

MedNet bahrain W.L.L.