Health Plus

Comprehensive Health Insurance Program

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  Program Brief

As an individual looking forward to life, you know that you are only as wealthy as your health. Because you surely want to enjoy all life’s moments, staying healthy has never been more important. Unfortunately, with increasing medical costs, your quality of life can be seriously jeopardized, especially if you have found yourself in urgent need of medical assistance which you cannot afford. Whatever the condition, Health Plus offers comprehensive health services giving you the peace of mind that you deserve, wherever you are.

Health Plus is a program designed by Allianz Egypt providing high quality medical care services through its carefully selected wide network of private hospitals and skilled doctors. Health Plus offers five distinct tailored packages to ensure the perfect health for yourself and your family: Royal, Platinum, Golden, Golden Plus, and Super Golden Plus. 

Recommended For...

  • Customers who are looking for excellent medical network of private hospitals, professionals and highly qualified doctors
  • Customers who are looking for regional medical coverage
  • Customers who are looking for international emergency assistance when they are abroad

  Benefits

  • Royal Package

  • Platinum Package

  • Golden Package

  • Golden Plus Package

  • Super Golden Plus Package

Royal Package

Annual Overall Maximum

500,000

Area of Cover

Egypt + Regional**

** UAE + Oman + Qatar + Kuwait + Bahrain + Lebanon + Egypt + Jordan

In-Patient Charges

Room & Board

1st class single bed

Hospital Accommodation, Nursing Care, Drugs and Dressings

Full Cover

Surgeons, Anesthetists and Attending Physicians Fees

Full Cover

Theatre Fees

Full Cover

Intensive Care Unit

Up to 21 days PA

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Organ transplants, covering cost of surgical procedure only (for insured person)

Full Cover

Open Heart, and Cancer related Surgeries

Full Cover

Radiotherapy and Chemotherapy for Oncology

Up to 60,000

Physiotherapy as post-surgical treatment

Full Cover

Day-Patient Charges

Hospitalized one-day Surgical Procedures (not including out-patient scans, Labs, or Endoscopies)

Full Cover

Out-Patient Charges

Maximum annual limit of out-patient charges

Up to 20,000

Consultation Fees (within network consultants/specialists)

Up to O/P sub-limit

Laboratory, Radiology and Diagnostic Imaging

Up to O/P sub-limit

Out-patient Surgical Procedures

Up to O/P sub-limit

Out-patient Prescribed Drugs (20% co-payment)

Up to 2,000

Emergency Accidental Dental Treatment (within 48 hours of acc.) within Egypt

Up to O/P sub-limit

Additional Benefits

Emergency Road Ambulance Transport

Paid in Full

International Emergency Medical Assistance (Evacuation Repatriation of Mortal Remains) - Mondial Asst. 

Full Cover

Maternity – (10 months waiting period) **

Natural Delivery

Up to 3,000

Caesarean Delivery

Up to 5,000

Miscarriage/Termination when medically necessary

Up to 2,000

** Covers pre-natal, childbirth + Post-natal treatment

Dental Benefit (50% co-pay applies)**

Maximum limit dental patient charges

Up to 1,000

** Examinations + extractions (by local anesthesia) + prescribed medications + amalgam/ composite fillings +root canal treatment + routine X-ray

Optical Benefit (20% co-pay applies)**

Maximum limit optical patient charges

Up to 750

** Routine examinations + cost of prescribed lenses for glasses

New chronic diseases

Maximum limit chronic patient charges

No Benefit

It is including all expenses related to the chronic diseases (in & outpatient, medicines, lab & X-ray), and subject to the outpatient & outpatient drugs sublimit and the above limit

Platinum Package

Annual Overall Maximum

250,000

Area of Cover

Egypt + Regional**

** UAE + Oman + Qatar + Kuwait + Bahrain + Lebanon + Egypt + Jordan

In-Patient Charges

Room & Board

1st class single bed

Hospital Accommodation, Nursing Care, Drugs and Dressings

Full Cover

Surgeons, Anesthetists and Attending Physicians Fees

Full Cover

Theatre Fees

Full Cover

Intensive Care Unit

Up to 21 days PA

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Organ transplants, covering cost of surgical procedure only (for insured person)

Full Cover

Open Heart, and Cancer related Surgeries

Full Cover

Radiotherapy and Chemotherapy for Oncology

Up to 40,000

Physiotherapy as post-surgical treatment

Full Cover

Day-Patient Charges

Hospitalized one-day Surgical Procedures (not including out-patient scans, Labs, or Endoscopies)

Full Cover

Out-Patient Charges

Maximum annual limit of out-patient charges

Up to 12,500

Consultation Fees (within network consultants/specialists)

Full Cover

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Out-patient Surgical Procedures

Full Cover

Out-patient Prescribed Drugs (20% co-payment)

Up to 1,250

Emergency Accidental Dental Treatment (within 48 hours of acc.) within Egypt

Up to O/P sub-limit

Additional Benefits

Emergency Road Ambulance Transport

Paid in Full

International Emergency Medical Assistance (Evacuation Repatriation of Mortal Remains) - Mondial Asst. 

Full Refund

Maternity – (10 months waiting period) **

Natural Delivery

Up to 3,000

Caesarean Delivery

Up to 5,000

Miscarriage/Termination when medically necessary

Up to 2,000

** Covers pre-natal, childbirth + Post-natal treatment

Dental Benefit (50% co-pay applies)**

Maximum limit dental patient charges

Up to 750

** Examinations + extractions (by local anesthesia) + prescribed medications + amalgam/ composite fillings +root canal treatment + routine X-ray

Optical Benefit (20% co-pay applies)**

Maximum limit optical patient charges

Up to 500

** Routine examinations + cost of prescribed lenses for glasses

New chronic diseases

Maximum limit chronic patient charges

N/A

It is including all expenses related to the chronic diseases (in & outpatient, medicines, lab & X-ray), and subject to the outpatient & outpatient drugs sublimit and the above limit

Golden Package

Annual Overall Maximum

150,000

Area of Cover

Egypt

In-Patient Charges

Room & Board

1st class single bed

Hospital Accommodation, Nursing Care, Drugs and Dressings

Full Cover

Surgeons, Anesthetists and Attending Physicians Fees

Full Cover

Theatre Fees

Full Cover

Intensive Care Unit

Up to 21 days PA

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Organ transplants, covering cost of surgical procedure only (for insured person)

Full Cover

Open Heart, and Cancer related Surgeries

Full Cover

Radiotherapy and Chemotherapy for Oncology

Up to 30,000

Physiotherapy as post-surgical treatment

Full Cover

Day-Patient Charges

Hospitalized one-day Surgical Procedures (not including out-patient scans, Labs, or Endoscopies)

Full Cover

Out-Patient Charges

Maximum annual limit of out-patient charges

Up to 7,500

Consultation Fees (within network consultants/specialists)

Full Cover

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Out-patient Surgical Procedures

Full Cover

Out-patient Prescribed Drugs (20% co-payment)

Up to 750

Emergency Accidental Dental Treatment (within 48 hours of acc.) within Egypt

Up to sub-limit

Additional Benefits

Emergency Road Ambulance Transport

Paid in Full

International Emergency Medical Assistance (Evacuation Repatriation of Mortal Remains) - Mondial Asst. 

No Benefit

Maternity – (10 months waiting period) **

Natural Delivery

Up to 3,000

Caesarean Delivery

Up to 5,000

Miscarriage/Termination when medically necessary

Up to 2,000

** Covers pre-natal, childbirth + Post-natal treatment

Dental Benefit (50% co-pay applies)**

Maximum limit dental patient charges

Up to 500

** Examinations + extractions (by local anesthesia) + prescribed medications + amalgam/ composite fillings +root canal treatment + routine X-ray

Optical Benefit (20% co-pay applies)**

Maximum limit optical patient charges

Up to 350

** Routine examinations + cost of prescribed lenses for glasses

New chronic diseases

Maximum limit chronic patient charges

N/A

It is including all expenses related to the chronic diseases (in & outpatient, medicines, lab & X-ray), and subject to the outpatient & outpatient drugs sublimit and the above limit

Golden Plus Package

Annual Overall Maximum

150,000

Area of Cover

Egypt

In-Patient Charges

Room & Board

1st class single bed

Hospital Accommodation, Nursing Care, Drugs and Dressings

Full Cover

Surgeons, Anesthetists and Attending Physicians Fees

Full Cover

Theatre Fees

Full Cover

Intensive Care Unit

Up to 21 days PA

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Organ transplants, covering cost of surgical procedure only (for insured person)

Full Cover

Open Heart, and Cancer related Surgeries

Full Cover

Radiotherapy and Chemotherapy for Oncology

Up to 30,000

Physiotherapy as post-surgical treatment

Full Cover

Day-Patient Charges

Hospitalized one-day Surgical Procedures (not including out-patient scans, Labs, or Endoscopies)

Full Cover

Out-Patient Charges

Maximum annual limit of out-patient charges

Up to 7,500

Consultation Fees (within network consultants/specialists)

Up to sub-limit

Laboratory, Radiology and Diagnostic Imaging

Up to sub-limit

Out-patient Surgical Procedures

Up to sub-limit

Out-patient Prescribed Drugs (20% co-payment)

Up to 750

Emergency Accidental Dental Treatment (within 48 hours of acc.) within Egypt

Up to sub-limit

Additional Benefits

Emergency Road Ambulance Transport

Paid in Full

International Emergency Medical Assistance (Evacuation Repatriation of Mortal Remains) - Mondial Asst. 

No Benefit

Maternity – (10 months waiting period) **

Natural Delivery

Up to 3,000

Caesarean Delivery

Up to 5,000

Miscarriage/Termination when medically necessary

Up to 2,000

** Covers pre-natal, childbirth + Post-natal treatment

Dental Benefit (50% co-pay applies)**

Maximum limit dental patient charges

Up to 500

** Examinations + extractions (by local anesthesia) + prescribed medications + amalgam/ composite fillings +root canal treatment + routine X-ray

Optical Benefit (20% co-pay applies)**

Maximum limit optical patient charges

Up to 350

** Routine examinations + cost of prescribed lenses for glasses

New chronic diseases

Maximum limit chronic patient charges

Up to 10,000

It is including all expenses related to the chronic diseases (in & outpatient, medicines, lab & X-ray), and subject to the outpatient & outpatient drugs sublimit and the above limit

Super Golden Plus Package

Annual Overall Maximum

150,000

Area of Cover

Egypt

In-Patient Charges

Room & Board

1st class single bed

Hospital Accommodation, Nursing Care, Drugs and Dressings

Full Cover

Surgeons, Anesthetists and Attending Physicians Fees

Full Cover

Theatre Fees

Full Cover

Intensive Care Unit

Up to 21 days PA

Laboratory, Radiology and Diagnostic Imaging

Full Cover

Organ transplants, covering cost of surgical procedure only (for insured person)

Full Cover

Open Heart, and Cancer related Surgeries

Full Cover

Radiotherapy and Chemotherapy for Oncology

Up to 30,000

Physiotherapy as post-surgical treatment

Full Cover

Day-Patient Charges

Hospitalized one-day Surgical Procedures (not including out-patient scans, Labs, or Endoscopies)

Full Cover

Out-Patient Charges

Maximum annual limit of out-patient charges

Up to 10,000

Consultation Fees (within network consultants/specialists)

Up to sub-limit

Laboratory, Radiology and Diagnostic Imaging

Up to sub-limit

Out-patient Surgical Procedures

Up to sub-limit

Out-patient Prescribed Drugs (20% co-payment)

Up to 1000

Emergency Accidental Dental Treatment (within 48 hours of acc.) within Egypt

Up to sub-limit

Additional Benefits

Emergency Road Ambulance Transport

Paid in Full

International Emergency Medical Assistance (Evacuation Repatriation of Mortal Remains) - Mondial Asst. 

No Benefit

Maternity – (10 months waiting period) **

Natural Delivery

Up to 5,000

Caesarean Delivery

Up to 7,000

Miscarriage/Termination when medically necessary

Up to 3,000

** Covers pre-natal, childbirth + Post-natal treatment

Dental Benefit (50% co-pay applies)**

Maximum limit dental patient charges

Up to 750

** Examinations + extractions (by local anesthesia) + prescribed medications + amalgam/ composite fillings +root canal treatment + routine X-ray

Optical Benefit (20% co-pay applies)**

Maximum limit optical patient charges

Up to 500

** Routine examinations + cost of prescribed lenses for glasses

New chronic diseases

Maximum limit chronic patient charges

Up to 10,000

It is including all expenses related to the chronic diseases (in & outpatient, medicines, lab & X-ray), and subject to the outpatient & outpatient drugs sublimit and the above limit

  Advantages

Get your online quotation NOW!

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Being provided with premium medical services, as an Allianz client, you receive many benefits as:

  • Medical services including in-patient charges, day-patient charges, and out-patient charges
  • International emergency coverage that is offered by "Mondial Assistance", the world leader in emergency assistance
  • Fast, efficient and professional services
  • A comprehensive and clear contract with no hidden clauses or conditions

  Frequently Asked Questions

Q1. Who is  administrating the medical service?

NEXtCARE is specialized in providing complete Health Insurance management and Third Party Administration services to Insurers and other Payers of Healthcare.
It is the leading Third Party Administrator in the region and member of the world leading Allianz Group. Third Party Administrators work closely with insurance companies and other types of payers as an administrative support.

Q2. How do I make a claim?

Claim Procedures

Q3. How can I get international emergency assistance?

If you have chosen the Royal or Platinum packages and are in need of emergency assistance outside Egypt, you should contact the customer service for Mondial Assistance by dialing the phone number shown on the medical card.

Q4. What is Health Plus medical network?

Medical Network