Healthcare Secure

AXA Standard Medical Expenses Plan

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Whatever the size of your business, AXA offers a range of medical insurance plans and healthcare solutions to suit your requirements and your budget. All plans have been designed to protect your business against the unexpected

Why AXA?

  • Instant cover

  • Fast & fair claims

  • Extensive network

  • Wide range of covers

We offer three flexible plans:

Area of cover

Regional (Direct billing in GCC)

Regional (Direct billing in GCC)

Outside area of cover

 

 

Overall year limit

SAR 500,000

SAR 500,000

Room& board (inside AXA network) - daily limitation including bed fees, nursing services and visitations, medical observation and services. Excluding medicine fees and medical necessities.

Suite room - max SR2,000/night in & outside Network

Suite room - max SR2,000/night in & outside Network

Intensive care unit

Covered

Covered

Network of providers

VVIP or VIP

VVIP or VIP

Prescribed labs, investigations and medical imagery

Covered

Covered

Prescribed medication

Covered

Covered

Deductible

10% maximum SAR50

Nil

Pre existing conditions

Covered

Covered

Maintenance of chronic conditions

Covered

Covered

Life threatening congenital conditions

Covered

Covered

Physiotherapy sessions

Covered

Covered

Oncology treatment

Covered

Covered

Dialysis limitation

SAR 100,000

SAR 100,000

Vaccination

Covered as per MOH

Covered as per MOH

Circumcision

SAR 500

SAR 500

Ambulance

Covered

Covered

Repatriation of mortal remains

SAR 10,000

SAR 10,000

Psychiatric treatment (acute cases)

SAR 15,000

SAR 15,000

Maternity complications

Covered

Covered

Nil waiting period

Nil waiting period

Pregnancy and delivery  (for employees with married contract)**

SAR 15,000

SAR 15,000

Nil waiting period

Nil waiting period

Pre-mature babies

Covered

Covered

Hearing aids

SAR 6,000

SAR 6,000

Damaged costs in acquired heart valves

SAR 70,000

SAR 70,000

Organ transplant / Donor surgery only

SAR 50,000

SAR 50,000

Alzheimer treatment

SAR 15,000

SAR 15,000

Autism treatment

SAR 15,000

SAR 15,000

Cost of national program for newborns to reduce disability

SAR 100,000

SAR 100,000

Disability costs

SAR 100,000

SAR 100,000

Ear piercing

SAR 300

SAR 300

Dental care

SAR 3,000

SAR 3,000

Optical care

SAR 750

SAR 750

 

 

 

 

Area of cover

KSA Only

KSA Only

KSA Only

KSA Only

KSA Only

KSA Only

Overall year limit

SAR 500,000

SAR 500,000

SAR 500,000

SAR 500,000

SAR 500,000

SAR 500,000

Room & board (inside AXA network) - daily limitation including bed fees, nursing services and visitations, medical observation and services. Excluding medicine fees and medical necessities.

Suite room - max SAR 2,000/night in & outside Network

Private room - max SAR 2,000/night in & outside Network

Private - max SAR 800/night outside network

Semi-Private - max SAR 700/night outside network

Shared - Max. SAR 600/night

Shared - Max. SAR 600/night

Intensive care unit

Covered

Covered

Covered

Covered

Covered

Covered

Network of providers

VIP

A

B

C

D

E

Deductible

20% maximum SAR 100

20% maximum SAR 100

20% maximum SAR 100

20% maximum SAR 100

20% maximum SAR 100

20% maximum SAR 100

Pre existing conditions

Covered

Covered

Covered

Covered

Covered

Covered

Maintenance of chronic conditions

Covered

Covered

Covered

Covered

Covered

Covered

Life threatening congenital conditions

Covered

Covered

Covered

Covered

Covered

Covered

Physiotherapy sessions

Covered

Covered

Covered

Covered

Covered

Covered

Oncology treatment

Covered

Covered

Covered

Covered

Covered

Covered

Dialysis limitation

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

Vaccination

Covered as per MOH

Covered as per MOH

Covered as per MOH

Covered as per MOH

Covered as per MOH

Covered as per MOH

Circumcision

SAR 500

SAR 500

SAR 500

SAR 500

SAR 500

SAR 500

Ambulance

Covered

Covered

Covered

Covered

Covered

Covered

Repatriation of mortal Remains

SAR 10,000

SAR 10,000

SAR 10,000

SAR 10,000

SAR 10,000

SAR 10,000

Psychiatric treatment (acute cases)

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

Maternity complications

Covered

Covered

Covered

Covered

Covered

Covered

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Pregnancy and delivery  (for employees with married contract)**

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Nil waiting period

Pre-mature babies

Covered

Covered

Covered

Covered

Covered

Covered

Hearing aids

SAR 6,000

SAR 6,000

SAR 6,000

SAR 6,000

SAR 6,000

SAR 6,000

Damaged costs in acquired heart valves

SAR 70,000

SAR 70,000

SAR 70,000

SAR 70,000

SAR 70,000

SAR 70,000

Organ transplant / Donor surgery only

SAR 50,000

SAR 50,000

SAR 50,000

SAR 50,000

SAR 50,000

SAR 50,000

Alzheimer treatment

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

Autism treatment

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

SAR 15,000

Cost of national program for newborns to reduce disability

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

Disability costs

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

SAR 100,000

Ear piercing

SAR 300

SAR 300

SAR 300

SAR 300

SAR 300

SAR 300

Dental care

SAR 2,000

SAR 2,000

SAR 2,000

SAR 2,000

SAR 2,000

SAR 2,000

Optical care

SAR 400

SAR 400

SAR 400

SAR 400

SAR 400

SAR 400