- Network
NWS
Network of Health Providers
- Annual Limit
50,000
- Inpatient
- Inpatient Co-pay
- 20% with no CAP
- Outpatient
- Outpatient Co-pay
- 20% with no CAP
- Room Type
- Shared Room
- Companion Charges (When medically necessary)
- Medication Coverage
- 800
- Pregnancy & Childbirth
- Pregnancy & Childbirth-related Complications
- Premature Children’s Treatment
- Circumcision
- Ear Piercings
- Neonatal
- Newborn Early Testing
- Dental Treatment
- 300
- Optical
- Pre-existing Conditions & Chronic Diseases
- Covered up to the annual limit for I/P cases only
- Hearing Aids
- Vaccination & Inoculations
- Physiotherapy (When medically necessary)
- 6 sessions
- Dialysis
- Psychiatric Treatment
- Disability
- Obesity Treatment
- Acquired Heart Valve Diseases
- Alzheimer’s Treatment
- Autism Treatment
- Donor Part Collection
- Transportation of the Deceased Beneficiary’s Body
- 10,000
- Local Ambulance
- Emergency Out-of-Network Treatment
- Fully covered from the maximum annual benefit limit based on the network benchmarked prices
- Birth Control
- Menopausal & Perimenopausal
- Sexually Transmitted Diseases
- 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
