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Summary of cover

 
 

Description Bupa Family
Level of cover Gold Silver Bronze Blue
Overall annual cover per member
Overall annual maximum cover per member
SR 250,000

SR 150,000

SR 100,000

SR 75,000
In-patient / day-case coverage
Medical treatment Covered
Covered
Covered
Covered
Accommodation
Standard Suite

Single Room

Shared Room

Shared Room
Companion charges (up to 12 yrs old) Covered
Covered
Covered
Covered
Out-patient coverage
Medical treatment Covered
Covered
Covered
Covered
Member contribtion
SR 35

SR 30

SR 25

SR 20
Pre-existing conditions & chronic diseases
SR 25,000

SR 20,000

SR 15,000

SR 15,000
Network of hospitals and clinics
Network 7

Network 6

Network 3

Network 1
Out of network treatment
Based on 100% of customary prices of network hospital according to the member's scheme level

Based on 100% of customary prices of network hospital according to the member's scheme level

Based on 100% of customary prices of network hospital according to the member's scheme level
Not Covered
Emergency out of Kingdom cover
100% covered on the first SR50,000 subject to scheme limits and sub-limits. Any cost over this amount will be based on the customary prices of network hospitals according to the member's scheme level

100% covered on the first SR50,000 subject to scheme limits and sub-limits. Any cost over this amount will be based on the customary prices of network hospitals according to the member's scheme level

100% covered on the first SR50,000 subject to scheme limits and sub-limits. Any cost over this amount will be based on the customary prices of network hospitals according to the member's scheme level
Not Covered
Medical out of Kingdom evacuation Covered
Covered
Covered
Not Covered
Local road ambulance for emergency cases within the Kingdom only
SR 3,000

SR 1,000

SR 1,000

SR 1,000
Maternaty normal delivery (each year up to)
SR 10,000

SR 7,500

SR 5,000

SR 5,000
Caesarean section and other maternity complications annual limit
SR 15,000

SR 10,000

SR 7,000

SR 7,000
Dental (each year up to)
SR 3,000

SR 2,000

SR 1,000

SR 1,000
Optical (each year up to)
SR 750

SR 600

SR 400

SR 250
Next Steps
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