Individual Medical Insurance

Our Individual Medical plans offer the following benefits:

  • Low deductibles.
  • Low waiting periods.
  • Variable annual limits –ranging from JOD 25,000 to JOD 100,000 per member per year.

 

Standard Coverage Includes:

 

In-Patient Services Out-Patient Services
Hospital accommodation and ICU Consultation Fees
Prescribed drugs/medicines & Investigations – Radiology / Lab tests Prescribed drugs/medicines & Investigations – Radiology / Lab tests
Consultant visits, Surgical Fees, Surgical theatre charges Outpatient surgical procedures
Outpatient surgical procedures Hospital services, expenses & supplies for outpatient / day care services
Ambulances, if required

According to fees approved by Syndicate of Doctors 2008 minimum limits.

 

Main Exclusions:

  • Pre-existing conditions – any medical conditions that exists at the time of inception of the policy.
  • Chronic conditions – medical conditions that are long lasting or recurrent and during waiting periods.

 

Additional benefits:

  • Maternity
  • Dental
  • Optical services

 

Terms and Conditions

  • Maximum eligible age at entry is 60 years old. A waiting period of 13 days is applicable for newborn babies.
  • Premium payment is annual and to be paid in advance.
  • All family members (Self, Spouse & Children) should be covered for family insurance.
  • All outpatient claims are on REIMBURSEMENT basis (pay to the Provider and claim from JOFICO). According to fees approved by Syndicate of Doctors 2008 minimum limits.
  • Pre-existing and chronic conditions /appliances are excluded. Insured individuals should follow JOFICO standard Prior Approval Protocols.

 

Required Documentation:

The following documents needed to be submitted to our Medical Insurance Department. The documents can also be submitted to us electronically to medical@jofico.com. Upon receipt of your completed documents, we shall process your policy within seven working days.

  • Fill the application in order to send you a quote.
  • A copy of the final quote you received from us.
  • Quotation acceptance form.
  • A copy of the ID / family book for you and the family.