§  Inpatient Services

§  Outpatient clinics, lab

§  Tests

§  Dental

§  Vision (including eyeglasses),

§  Maternity

§  Chronic and critical illness

§  Treatment, and organ transplants

§  Annually

§  Semi-annually

§  Quarterly

§  In the case of local insurance:

·  MedNet

·  EgyCare

§  International medical insurance:

·  NextCare in Egypt

·  April International Abroad.

§ Excel sheet with date of birth, gender (and class/category per person; in case we have more than one category) LOM classified into principals & dependents to be able to proceed.

§ Nature of Business for the company & the employees.

§ Name of current /previous insurance company and TPA; if any.

§ Last 9 months detailed consumption.

§ Amount of treatment cost per year for current chronic cases.

§ Amount of treatment cost per year for current Critical cases.

§ Current table of benefits

§ Requested table of benefits.

§ Effective date

§ Target premium per person (or total)

§ Opening and closing membership

§ Commercial register & tax card.

• Bank transfer.
• Cheques

The coverage conditions are according to the issued insurance policy, and a draft can be shared for review.

Family Coverage includes spouse and children only, and families of employees must be enrolled at the start of the insurance.

Emergencies only, on a reimbursement basis based on local contract rates

Policy cannot be modified during the active period, but cancellation is allowed as per the cancellation clause.

To add/remove an employee and their family, a request must be sent via email to the medical issuance department. Forms are provided at policy start.