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Description Bupa Business
Level of cover Diamond Gold Silver Bronze Blue White
Overall annual cover per member
Maximum benefit limit per member per policy period
SR 600.000
SR 500.000
SR 400.000
SR 300.000
SR 250.000
SR 250.000
In-patient / day-case coverage
Medical treatment Covered
Covered
Covered
Covered
Covered
Covered
Accommodation
Standard Suite
Standard Suite
Single Room
Single Room
Shared Room
Shared Room
Companion charges (up to 12 yrs old) Covered
Covered
Covered
Covered
Covered
Covered
Out-patient coverage
Medical treatment Covered
Covered
Covered
Covered
Covered
Covered
General Practitioner & Specialist Covered
Covered
Covered
Covered
Covered
Covered
Pre-authorisation approval
None
As per standard protocol
As per standard protocol
As per standard protocol
As per standard protocol
As per standard protocol
Out-patient Deductible (per visit) Not Covered
20% of net amount up to SR 100
20% of net amount up to SR 100
20% of net amount up to SR 100
20% of net amount up to SR 100
20% of net amount up to SR 100
Network of Providers
Network 7
Network 7
Network 6
Network 4
Network 1
Network W
Circumcision for new born babies and ear piercing for new born girls Covered
Covered
Covered
Covered
Covered
Covered
Maternity Option Sub-limit - Normal delivery & antenatal care.
SR 20,000
SR 15,000
SR 15,000
SR 15,000
SR 15,000
SR 15,000
Maternity complications (if maternity is covered)
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Treatment of premature babies (if maternity is covered)
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Covered up to Annual Maximum Limit
Neonatal cover (if maternity is covered)
Covered from day 1
Covered from day 1
Covered from day 1
Covered from day 1
Covered from day 1
Covered from day 1
Dental
SR 5,000
SR 4,000
SR 3,000
SR 2,000
SR 2,000
SR 2,000
Pre-existing & chronic diseases
Covered up to the Annual Maximum Limit
Covered up to the Annual Maximum Limit
Covered up to the Annual Maximum Limit
Covered up to the Annual Maximum Limit
Covered up to the Annual Maximum Limit
Covered up to the Annual Maximum Limit
Hearing aids Sub-limit & Optical Normal eye test, lenses and frames, frames are covered up to SR 250
SR 2,000
SR 1,500
SR 1,500
SR 1,500
SR 1,500
SR 1,500
Physiotherapy Covered
Covered
Covered
Covered
Covered
Covered
Vaccination & inoculations as per the Ministry of Health (MOH) schedule
Covered on complete list up to 6 years old
Covered (MOH list) up to 6 years old
Covered (MOH list) up to 6 years old
Covered (MOH list) up to 6 years old
Covered (MOH list) up to 6 years old
Covered (MOH list) up to 6 years old
Congenital Illness
Covered
Covered
Covered
Covered
Covered
Covered
Dialysis & Haemodialysis
Covered up to SR 100,000
Covered up to SR 100,000
Covered up to SR 100,000
Covered up to SR 100,000
Covered up to SR 100,000
Covered up to SR 100,000
Psychiatric
covered for 3 months duration and up to the sublimit SR 15,000
covered for 3 months duration and up to the sublimit SR 15,000
covered for 3 months duration and up to the sublimit SR 15,000
covered for 3 months duration and up to the sublimit SR 15,000
covered for 3 months duration and up to the sublimit SR 15,000
covered for 3 months duration and up to the sublimit SR 15,000
Local road ambulance for emergency cases only Covered
Covered
Covered
Covered
Covered
Covered
Emergency treatment outside of network in KSA
Covered 100% of the actual cost up to the Annual Maximum Limit
Covered 100% of the actual cost up to the Annual Maximum Limit
Covered 100% of the actual cost up to the Annual Maximum Limit
Covered 100% of the actual cost up to the Annual Maximum Limit
Covered 100% of the actual cost up to the Annual Maximum Limit
Covered 100% of the actual cost up to the Annual Maximum Limit
Transportation of mortal remains to home country in case of death in KSA
SR 15,000
SR 10,000
SR 10,000
SR 10,000
SR 10,000
SR 10,000
Emergency treatment outside of KSA
SR 100,000
SR 75,000
SR 50,000
SR 50,000
SR 50,000		 Not Covered
Elective (non-emergency) treatment out of network in and out of KSA
Covered subject to reasonable & customary charges of the same treatment when done within the network provider in KSA
Covered subject to reasonable & customary charges of the same treatment when done within the network provider in KSA
Covered subject to reasonable & customary charges of the same treatment when done within the network provider in KSA
Covered subject to reasonable & customary charges of the same treatment when done within the network provider in KSA
Covered subject to reasonable & customary charges of the same treatment when done within the network provider in KSA		 Not Covered
Emergency evacuations while outside of KSA through International SOS Covered
Covered
Covered
Covered
Covered
Not Covered
Home Visit
Covered as per reasonable & customary charges
Covered as per reasonable & customary charges		 Not Covered Not Covered Not Covered Not Covered
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