| Maximum annual medical coverage limit for individual |
300K / 100K / 50K EGP |
| Geographical area for medical coverage |
Inside Egypt |
| Prosthesis and Stents |
Covered up to ceiling if not pre-existing |
| Work related accident |
Covered |
| physiotherapy |
Covered (inside& outside hospital) with prior approval |
| Cancer treatment |
Covered from the first day if not pre-existing |
| Organ transplant |
Not covered |
| Maternity |
Covered after 20 months waiting period limited to:
- 7,000 EGP for Cesarean deliveries
- 5,000 EGP for Natural
- 1,500 EGP for legal non-elective abortion
|
| Road ambulances in emergency only |
Covered up to 600 EGP |
| Newly born coverage within GlobeMed Egypt |
Not covered |
| Home care |
Covered |
| Parent accommodation |
Covered only for up to 12 years old children. |
| Hepatitis (B&C) inside and outside hospital |
Covered if not pre existing |
| Heart diseases |
Covered if not medically pre-existing |
| Outside medical network |
Covered with 80% according to contracting prices with Cleopatra hospital |
| Pre-existing diseases |
Not Covered |
| Chronic disease (if not pre-existing) |
Covered |
| Guaranteed renewability |
Covered after two years |
| Morgue & last expenses ( death during treatment of a disease that is covered by this policy ) |
Covered up to 15,000 EGP |
| Labs /x-ray / one day operations |
85% / 80 % covered for unlimited number of transactions |
| Prescribed medicines |
Maximum of 80 % covered up to 3,000 EGP / 2,000 EGP per year |
| Doctor visits cost |
80% covered for 12 visits only
80% covered maximum of 250 EGP for visit (outside medical network) according to contracting prices with Cleopatra hospital |
| Dental treatment |
Covered up to 1000 EGP with co-payment 25% only (4 acts of fillings and / or extraction ) |
| Optics |
Covered up to 1000 EGP with co-payment 25% |
| Outside medical network |
80% covered according to contracting prices with Cleopatra hospital |
