Your health is our priority
We’re here to support your healthcare needs
We offer four plans that cater for different healthcare requirements. Prime Care is our flagship unlimited product. Global Care is our high-end product which includes a wide array of benefits with very high financial limits. Best Care is our budget friendly product with comprehensive coverage. Essential Care provides essential benefits at very attractive prices. We also provide tailor-made products for small or large businesses as well as syndicates.
Medical insurance plans – benefits summary
The benefits you get out of the insurance plan you purchase vary according to its type.
Please select the plan you wish to view:
Prime Care is our flagship unlimited product
| Benefit | Description |
|---|---|
| Area of cover | Lebanon |
| Networks available | Full Network on direct billing |
| Inpatient benefits | |
| Limit per year | Unlimited |
| Maternity (not applicable for Junior single) | |
| For couples | Full cover after 180 days of enrollment, for all classes |
| Free of charge new born baby (Bébé Securite) | Covered from day one |
| Incubator & nursery | Unlimited days, up to $30,000 |
| Congenital cases for babies born at Securite (Bébé Securite) | All cases covered up to the age of 12 and with no financial limit |
| Parent accommodation at hospital for children below 16 years | Covered |
| Prosthesis | |
| Due to accident | Unlimited, as per TPA’s tariff |
| Due to sickness | Up to $30,000 per year, as per TPA’s tariff |
| Additional Inpatient benefits | |
| Sleep disorders disease | Polysomnography is only covered |
| Sleep Apnea Surgery | Up to $5,000 |
| Parkinson | Up to $5,000 (In & Out) |
| Epilepsy | Up to $5,000 (In & Out) |
| New treatments, medical techniques, surgeries & tests | Up to $5,000 (In & Out) |
| Rehabilitation for a covered case | Up to $2,000 |
| Infertility | Covered after 12 months of enrollment and up to $3,000 per year, for all classes, as per TPA’s tariff |
| Work related accident | Covered |
| Bone marrow aspiration & organ transplant surgery | Up to $30,000 per lifetime. As per TPA’s tariff. Cost of organ is excluded |
| Bariatric surgery related to morbid obesity (e.g. Sleeve and bypass) | Up to $7,500 per lifetime. As per TPA’s tariff |
| Tropical Disease (specific diseases as per general conditions) | Covered |
| Sexually transmitted diseases (specific diseases as per general conditions) | Up to $15,000 per year |
| Breast Reconstruction | Covered if due to a covered partial or complete breast excision due to breast cancer (within 6 months of sickness) |
| Cancer including chemotherapy & radiotherapy | Covered |
| Psychiatric Disorder | In-hospital treatment covered up to $1,000 per year after 12 month of enrolment |
| Hospital daily income | For entrepreneurs < 60 years; $50/day starting the 2nd day & up to 7 days per year |
| Ambulatory (Lab, X-Ray, MRI,…) | |
| Option 1 | Unlimited, 100% coverage |
| Option 2 | Unlimited, 85% coverage |
| Doctor Visit (not applicable for Junior single) | Up to 10 visits per year |
| Prescription drugs (not applicable for Junior single) | |
| Option 1 | Up to $1,500 per year with a 15% deductible |
| Option 2 | Up to $1,500 per year with No deductible |
| Home Care | Covered |
| Rental of medical supplies | Up to 1 month rental |
| Travel insurance | Worldwide excluding USA, Canada, Australia & Japan |
| Travel insurance up to 65 years | Covers 24/7 help desk. Covers death abroad, repatriation of mortal remains, up to $10,000. Covers accidental and acute sickness not due to any Pre-Existing condition, up to €30,000 per trip and up to 90 days per year. Card should be requested at least 48 hours before traveling |
| Travel insurance 66 years and above | Covers 24/7 help desk. Covers death abroad, repatriation of mortal remains, up to $10,000 |
| Private transportation service/private ambulance | Covered |
| Waiver of medical premium of family (for adherents below 65 years) | We waive the medical premium of the family for a period of the policy year and 1 additional year in case of death, terminal illness, or total disability of the bread winner |
| Death in case of personal accident | Covered, up to $10,000 per case |
| Guaranteed renewability | 720 days, lifetime subject to an observation period of 180 days for new members |
| Tests related to pre-existing cases for new insured | Covered up to 100$ once per year since day 1 |
| Discounts and Special rates | |
| Family discount | Applicable for 3+ (for every year) |
| 4th child & more for free | Free for the first year (new business) |
| Age discount | 10% discount for individuals and families below 45 years for the first year only (new business) |
| Junior single special rate | Special rate for people between 18 and 35 years who are single (for every year) |
| Newly married couple discount | 15% discount for the couple aged 45 years or less and for the first year (new business) |
| Life style discount | For every Km you run outdoor, earn $0.5, up to $100 per year. To be monitored by your Nike+ App, linked to your Facebook account |
