Medical Insurance package for Corporate in Saudi Arabia- Bupa Arabia

A quick look at the benefits:

We’re the largest healthcare service provider in Saudi Arabia
Our representatives are located on-site at the Kingdom’s largest hospitals, ready to immediately assist you
Advanced options, value and flexibility in benefit limits and healthcare provider network levels
Choice of four different customisable coverage schemes
Reimbursement claims are processed in record time

Overall annual maximum limit per member	Starts from SAR 500,000
Network of healthcare providers	NW7
Accommodation	Single room to Standard suite
Out-Patient Deductible	"0-20% deductible rate up to SR 75 at the minimum providers network (MPN) 0-20% deductible rate up to SR 100 at polyclinics in-network not within (MPN) 0-20% deductible rate up to SR 300 at hospitals in-network not within (MPN)"
Deductible Rate
Maximum Deductible (Hospital)
Maximum Deductible (Polyclinic)
Maximum Deductible (MPN)
International emergency treatment	Covered 100% of the actual cost on the first 50,000 Saudi Riyal. Any cost over this amount is paid based on the reasonable and customary cost of the same medical service in a network provider in KSA
Maternity cover with benefits	Starting from SAR 15,000 (normal deliveries , antenatal and postnatal cares)
Dental cover	Starting from 2,000 SAR that includes a dental scaling once a year
Optical cover	Starting from SAR 400
Seniors over 64 year old annual limit	-
In-patient / day-case coverage	Covered
Companion charges	Fully paid
Out-patient Consultation
Appropriate diagnosis and treatment in outpatient clinics including the cost of the General Physical/ Specialists, radiology, chemotherapy, laboratory exams, other diagnostic tests and medication
In-patient deductible	NIL
Out-patient coverage	Covered
Maternity complications (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)	Up to annual maximum limit (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)
Treatment of premature babies	Up to annual maximum limit
Circumcision of new-born boys and ear piercing of new-born girls	Up to SAR 500 for circumcision and SAR 300 for ear piercing
Neonatal cover	Covered from Day 1 under the mother's policy up to 30 days
Pre-existing conditions and chronic diseases	Up to annual maximum limit
Hearing aids	Up to SAR 6,000
Treatment for acquired heart valves diseases	-
Vaccination and inoculations as per the Ministry of Health (MOH) schedule.	Covered up to age 6
Seasonal vaccination including mother and child care as per the Ministry of Health (MOH) programme and schedule	-
Physiotherapy when medically needed	Up to annual maximum limit
Cost of early screening for new-borns (National Program for Prevention of Disability)	Up to SAR 100,000
Alzheimer’s Disease	Up to SAR 15,000
Autism	Covered up to 50,000 SR only for medical needs
Congenital illness	Up to annual maximum limit
Dialysis	Up to SAR 100,000
Acute psychiatric	Up to SAR 15,000
Rehabilitation (physiotherapy)	Up to annual maximum limit
Disability cases	Up to SAR 100,000
Treatment for damage to acquired heart valves	Covered up to 150,000 SR
Artificial limbs	Up to annual maximum limit
Cost of obtaining/harvesting donor organs	Up to SAR 50,000
Local road ambulance for emergency cases only	Covered through the Red Crescent or by network provider
Transportation of mortal remains to home country in case of death in KSA	Up to SAR 10,000
Life-threatening emergency treatment out of network in KSA	Covered up to 100% of the actual cost to the annual maximum limit
Physician’s fees within the network	Fully paid
Emergency evacuations through international SOS assistance	Covered
Emergency treatment outside the kingdom through International SOS Assistance
Emergency treatment out of KSA	-
Emergency treatment outside of network in KSA
Elective (non-emergency) treatment out of network in or out of KSA	Subject to Reasonable and Customary charges
Physiotherapy	-
MOH vaccines	-
Preventative tests	-
In-patient pre-authorisation approval	-
In-patient / day-case treatement	-
Out-patient pre-authorisation approval	-
Advanced imaging (MRI, CT, PET)	-
Cancer treatment	-
Emergency treatment at a healthcare provider outside the Bupa network	-
Healthline services	-
Local air ambulance for emergency cases only	-
Emergency medical treatment in the US	-
Mental health conditions (acute psychiatric treatment)	Covered up to 15,000 SR for acute psychiatric that includes 5,000 SR for non-acute cases for (4) session with medication per insurance cover period
Mental health conditions (non-acute psychiatric treatment)	-
Non-emergency (elective) treatment outside the Bupa network	-
Physiotherapy when medically necessary	-
Pre-existing and chronic conditions	-
Cost of early screening for new-borns	Up to SAR 100,000
Ear piercing of new-born girls	-
Circumcision of new-born boys	-
Transplant of organ or bone marrow	-
Treatment for contagious or endemic diseases	-
Vaccinations and inoculations (up till age 6)	-
Vaccinations and inoculations (after age 6)	-
Coverage	-
Respiratory syncytial virus (RSV) prophylaxis	Covered according to the newly developed guidelines
New born screening hearing test	Covered for new born babies but after using auto acoustic emission (AOAE) test
New born congenital heart anomalies screening	Covered using pulse oximetry
Obesity	Covered up to 20,000 only for Sleeve gastrectomy if BMI > 45
Artificial Milk & milk products	Covered for new babies until 24 months if its medically needed
#ResourceNotFound#:ECommerceResources:Isolation	Covered for infectious diseases
Medication Benefit
I/P Deductible
SOS

Overall annual maximum limit per member	Starts from SAR 500,000
Network of healthcare providers	NW5 or NW6
Accommodation	Single room
Out-Patient Deductible	20% of net amount up to SAR 100 per incident
Deductible Rate
Maximum Deductible (Hospital)
Maximum Deductible (Polyclinic)
Maximum Deductible (MPN)
International emergency treatment	Covered 100% of the actual cost on the first 50,000 Saudi Riyal. Any cost over this amount is paid based on the reasonable and customary cost of the same medical service in a network provider in KSA
Maternity cover with benefits	Starting from SAR 15,000 (normal deliveries , antenatal and postnatal cares)
Dental cover	Starting from 2,000 SAR that includes a dental scaling once a year
Optical cover	Starting from SAR 400
Seniors over 64 year old annual limit	-
In-patient / day-case coverage	Covered
Companion charges	Fully paid
Out-patient Consultation
Appropriate diagnosis and treatment in outpatient clinics including the cost of the General Physical/ Specialists, radiology, chemotherapy, laboratory exams, other diagnostic tests and medication
In-patient deductible	NIL
Out-patient coverage	Covered
Maternity complications (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)	Up to annual maximum limit (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)
Treatment of premature babies	Up to annual maximum limit
Circumcision of new-born boys and ear piercing of new-born girls	Up to SAR 500 for circumcision and SAR 300 for ear piercing
Neonatal cover	Covered from Day 1 under the mother's policy up to 30 days
Pre-existing conditions and chronic diseases	Up to annual maximum limit
Hearing aids	Up to SAR 6,000
Treatment for acquired heart valves diseases	-
Vaccination and inoculations as per the Ministry of Health (MOH) schedule.	Covered up to age 6
Seasonal vaccination including mother and child care as per the Ministry of Health (MOH) programme and schedule	-
Physiotherapy when medically needed	Up to annual maximum limit
Cost of early screening for new-borns (National Program for Prevention of Disability)	Up to SAR 100,000
Alzheimer’s Disease	Up to SAR 15,000
Autism	Covered up to 50,000 SR only for medical needs
Congenital illness	Up to annual maximum limit
Dialysis	Up to SAR 100,000
Acute psychiatric	Up to SAR 15,000
Rehabilitation (physiotherapy)	Up to annual maximum limit
Disability cases	Up to SAR 100,000
Treatment for damage to acquired heart valves	Covered up to 150,000 SR
Artificial limbs	Up to annual maximum limit
Cost of obtaining/harvesting donor organs	Up to SAR 50,000
Local road ambulance for emergency cases only	Covered through the Red Crescent or by network provider
Transportation of mortal remains to home country in case of death in KSA	Up to SAR 10,000
Life-threatening emergency treatment out of network in KSA	Covered up to 100% of the actual cost to the annual maximum limit
Physician’s fees within the network	Fully paid
Emergency evacuations through international SOS assistance	Covered
Emergency treatment outside the kingdom through International SOS Assistance
Emergency treatment out of KSA	-
Emergency treatment outside of network in KSA
Elective (non-emergency) treatment out of network in or out of KSA	Subject to Reasonable and Customary charges
Physiotherapy	-
MOH vaccines	-
Preventative tests	-
In-patient pre-authorisation approval	-
In-patient / day-case treatement	-
Out-patient pre-authorisation approval	-
Advanced imaging (MRI, CT, PET)	-
Cancer treatment	-
Emergency treatment at a healthcare provider outside the Bupa network	-
Healthline services	-
Local air ambulance for emergency cases only	-
Emergency medical treatment in the US	-
Mental health conditions (acute psychiatric treatment)	Covered up to 15,000 SR for acute psychiatric that includes 5,000 SR for non-acute cases for (4) session with medication per insurance cover period
Mental health conditions (non-acute psychiatric treatment)	-
Non-emergency (elective) treatment outside the Bupa network	-
Physiotherapy when medically necessary	-
Pre-existing and chronic conditions	-
Cost of early screening for new-borns	Up to SAR 100,000
Ear piercing of new-born girls	-
Circumcision of new-born boys	-
Transplant of organ or bone marrow	-
Treatment for contagious or endemic diseases	-
Vaccinations and inoculations (up till age 6)	-
Vaccinations and inoculations (after age 6)	-
Coverage	-
Respiratory syncytial virus (RSV) prophylaxis	Covered according to the newly developed guidelines
New born screening hearing test	Covered for new born babies but after using auto acoustic emission (AOAE) test
New born congenital heart anomalies screening	Covered using pulse oximetry
Obesity	Covered up to 20,000 only for Sleeve gastrectomy if BMI > 45
Artificial Milk & milk products	Covered for new babies until 24 months if its medically needed
#ResourceNotFound#:ECommerceResources:Isolation	Covered for infectious diseases
Medication Benefit
I/P Deductible
SOS

Overall annual maximum limit per member	Starts from SAR 500,000
Network of healthcare providers	NW4 or NW3 or NW2
Accommodation	Shared room
Out-Patient Deductible	"0-20% deductible rate up to SR 75 at the minimum providers network (MPN) 0-20% deductible rate up to SR 100 at polyclinics in-network not within (MPN) 0-20% deductible rate up to SR 300 at hospitals in-network not within (MPN)"
Deductible Rate
Maximum Deductible (Hospital)
Maximum Deductible (Polyclinic)
Maximum Deductible (MPN)
International emergency treatment	Covered 100% of the actual cost on the first 50,000 Saudi Riyal. Any cost over this amount is paid based on the reasonable and customary cost of the same medical service in a network provider in KSA
Maternity cover with benefits	Starting from SAR 15,000 (normal deliveries , antenatal and postnatal cares)
Dental cover	Starting from 2,000 SAR that includes a dental scaling once a year
Optical cover	Starting from SAR 400
Seniors over 64 year old annual limit	-
In-patient / day-case coverage	Covered
Companion charges	Fully paid
Out-patient Consultation
Appropriate diagnosis and treatment in outpatient clinics including the cost of the General Physical/ Specialists, radiology, chemotherapy, laboratory exams, other diagnostic tests and medication
In-patient deductible	NIL
Out-patient coverage	Covered
Maternity complications (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)	Up to annual maximum limit (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)
Treatment of premature babies	Up to annual maximum limit
Circumcision of new-born boys and ear piercing of new-born girls	Up to SAR 500 for circumcision and SAR 300 for ear piercing
Neonatal cover	Covered from Day 1 under the mother's policy up to 30 days
Pre-existing conditions and chronic diseases	Up to annual maximum limit
Hearing aids	Up to SAR 6,000
Treatment for acquired heart valves diseases	-
Vaccination and inoculations as per the Ministry of Health (MOH) schedule.	Covered up to age 6
Seasonal vaccination including mother and child care as per the Ministry of Health (MOH) programme and schedule	-
Physiotherapy when medically needed	Up to annual maximum limit
Cost of early screening for new-borns (National Program for Prevention of Disability)	Up to SAR 100,000
Alzheimer’s Disease	Up to SAR 15,000
Autism	Covered up to 50,000 SR only for medical needs
Congenital illness	Up to annual maximum limit
Dialysis	Up to SAR 100,000
Acute psychiatric	Up to SAR 15,000
Rehabilitation (physiotherapy)	Up to annual maximum limit
Disability cases	Up to SAR 100,000
Treatment for damage to acquired heart valves	Covered up to 150,000 SR
Artificial limbs	Up to annual maximum limit
Cost of obtaining/harvesting donor organs	Up to SAR 50,000
Local road ambulance for emergency cases only	Covered through the Red Crescent or by network provider
Transportation of mortal remains to home country in case of death in KSA	Up to SAR 10,000
Life-threatening emergency treatment out of network in KSA	Covered up to 100% of the actual cost to the annual maximum limit
Physician’s fees within the network	Fully paid
Emergency evacuations through international SOS assistance	Covered
Emergency treatment outside the kingdom through International SOS Assistance
Emergency treatment out of KSA	-
Emergency treatment outside of network in KSA
Elective (non-emergency) treatment out of network in or out of KSA	Subject to Reasonable and Customary charges
Physiotherapy	-
MOH vaccines	-
Preventative tests	-
In-patient pre-authorisation approval	-
In-patient / day-case treatement	Covered
Out-patient pre-authorisation approval	-
Advanced imaging (MRI, CT, PET)	-
Cancer treatment	-
Emergency treatment at a healthcare provider outside the Bupa network	-
Healthline services	-
Local air ambulance for emergency cases only	-
Emergency medical treatment in the US	-
Mental health conditions (acute psychiatric treatment)	Covered up to 15,000 SR for acute psychiatric that includes 5,000 SR for non-acute cases for (4) session with medication per insurance cover period
Mental health conditions (non-acute psychiatric treatment)	-
Non-emergency (elective) treatment outside the Bupa network	-
Physiotherapy when medically necessary	-
Pre-existing and chronic conditions	-
Cost of early screening for new-borns	Up to SAR 100,000
Ear piercing of new-born girls	-
Circumcision of new-born boys	-
Transplant of organ or bone marrow	-
Treatment for contagious or endemic diseases	-
Vaccinations and inoculations (up till age 6)	-
Vaccinations and inoculations (after age 6)	-
Coverage	-
Respiratory syncytial virus (RSV) prophylaxis	Covered according to the newly developed guidelines
New born screening hearing test	covered for new born babies but after using auto acoustic emission (AOAE) test
New born congenital heart anomalies screening	Covered using pulse oximetry
Obesity	Covered up to 20,000 only for Sleeve gastrectomy if BMI > 45
Artificial Milk & milk products	Covered for new babies until 24 months if its medically needed
#ResourceNotFound#:ECommerceResources:Isolation	Covered for infectious diseases
Medication Benefit
I/P Deductible
SOS

Overall annual maximum limit per member	Starts from SAR 500,000
Network of healthcare providers	NW1 or NWR or NWS
Accommodation	Shared room
Out-Patient Deductible	"0-20% deductible rate up to SR 75 at the minimum providers network (MPN) 0-20% deductible rate up to SR 100 at polyclinics in-network not within (MPN) 0-20% deductible rate up to SR 300 at hospitals in-network not within (MPN)"
Deductible Rate
Maximum Deductible (Hospital)
Maximum Deductible (Polyclinic)
Maximum Deductible (MPN)
International emergency treatment	Not covered
Maternity cover with benefits	SAR 15,000 (normal deliveries , antenatal and postnatal cares)
Dental cover	Starting from 2,000 SAR that includes a dental scaling once a year
Optical cover	SAR 400
Seniors over 64 year old annual limit	-
In-patient / day-case coverage	Covered
Companion charges	Fully paid
Out-patient Consultation
Appropriate diagnosis and treatment in outpatient clinics including the cost of the General Physical/ Specialists, radiology, chemotherapy, laboratory exams, other diagnostic tests and medication
In-patient deductible	NIL
Out-patient coverage	Covered
Maternity complications (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)	Up to annual maximum limit (Caesarean deliveries, legal abortion, miscarriage, haemorrhages…)
Treatment of premature babies	Up to annual maximum limit
Circumcision of new-born boys and ear piercing of new-born girls	Up to SAR 500 for circumcision and SAR 300 for ear piercing
Neonatal cover	Covered from Day 1 under the mother's policy up to 30 days
Pre-existing conditions and chronic diseases	Up to annual maximum limit
Hearing aids	Up to SAR 6,000
Treatment for acquired heart valves diseases	-
Vaccination and inoculations as per the Ministry of Health (MOH) schedule.	Covered up to age 6
Seasonal vaccination including mother and child care as per the Ministry of Health (MOH) programme and schedule	-
Physiotherapy when medically needed	Up to annual maximum limit
Cost of early screening for new-borns (National Program for Prevention of Disability)	Up to SAR 100,000
Alzheimer’s Disease	Up to SAR 15,000
Autism	Covered up to 50,000 SR only for medical needs
Congenital illness	Up to annual maximum limit
Dialysis	Up to SAR 100,000
Acute psychiatric	Up to SAR 15,000
Rehabilitation (physiotherapy)	Up to annual maximum limit
Disability cases	Up to SAR 100,000
Treatment for damage to acquired heart valves	Covered up to 150,000 SR
Artificial limbs	Up to annual maximum limit
Cost of obtaining/harvesting donor organs	Up to SAR 50,000
Local road ambulance for emergency cases only	Covered through the Red Crescent or by network provider
Transportation of mortal remains to home country in case of death in KSA	Up to SAR 10,000
Life-threatening emergency treatment out of network in KSA	Covered up to 100% of the actual cost to the annual maximum limit
Physician’s fees within the network	Fully paid
Emergency evacuations through international SOS assistance	Not covered
Emergency treatment outside the kingdom through International SOS Assistance
Emergency treatment out of KSA	-
Emergency treatment outside of network in KSA
Elective (non-emergency) treatment out of network in or out of KSA	Not covered
Physiotherapy	-
MOH vaccines	-
Preventative tests	-
In-patient pre-authorisation approval	-
In-patient / day-case treatement	-
Out-patient pre-authorisation approval	-
Advanced imaging (MRI, CT, PET)	-
Cancer treatment	-
Emergency treatment at a healthcare provider outside the Bupa network	-
Healthline services	-
Local air ambulance for emergency cases only	-
Emergency medical treatment in the US	-
Mental health conditions (acute psychiatric treatment)	covered up to 15,000 SR for acute psychiatric that includes 5,000 SR for non-acute cases for (4) session with medication per insurance cover period
Mental health conditions (non-acute psychiatric treatment)	-
Non-emergency (elective) treatment outside the Bupa network	-
Physiotherapy when medically necessary	-
Pre-existing and chronic conditions	-
Cost of early screening for new-borns	Up to SAR 100,000
Ear piercing of new-born girls	-
Circumcision of new-born boys	-
Transplant of organ or bone marrow	-
Treatment for contagious or endemic diseases	-
Vaccinations and inoculations (up till age 6)	-
Vaccinations and inoculations (after age 6)	-
Coverage	-
Respiratory syncytial virus (RSV) prophylaxis	Covered according to the newly developed guidelines
New born screening hearing test	covered for new born babies but after using auto acoustic emission (AOAE) test
New born congenital heart anomalies screening	Covered using pulse oximetry
Obesity	Covered up to 20,000 only for Sleeve gastrectomy if BMI > 45
Artificial Milk & milk products	Covered for new babies until 24 months if its medically needed
#ResourceNotFound#:ECommerceResources:Isolation	Covered for infectious diseases
Medication Benefit
I/P Deductible
SOS

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What Our Customers Say

“Bupa Arabia makes the difference, helping our employees to have happier, healthier lives.”

Personnel Manager, MOBILY

“It’s my absolute pleasure to state that Saudi Steel Pipe company has successful business relationship with Bupa Arabia since 2004. Bupa Arabia has proven throughout all these years to be one of the best & most professional healthcare companies that provide our employees and their families with the most integrated healthcare services, meanwhile maintaining excellent and inferior services like no other healthcare company.”

SAUDI STEEL PIPE COMPANY

“We thank Bupa Arabia for its professional services to our employees; saving their time and effort.”

Personnel Manager, P&G

“One of the top excelling health insurance providers in Saudi Arabia. Bupa Arabia offers exceptional after sales services, their e-services are noteworthy as they simplify attaining the member’s needs.”

Medical Services Supervisor, ABDUL LATIF JAMEEL GROUP

SAMA Product ID for Bupa Corporate: A-BUPA-2-C-12-001

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