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