The CCHI Secretary-General , Mohammed bin Suleiman Al-Hussein,
announced that the new unified policy and its annexes will be applied to new or
renewed insurance policies as of tomorrow, Sunday, the first of July. He also stressed
that he would not accept thereafter the previous policy, unless being valid,
and that CCHI informed all health insurance companies by all the developments
arising from entering the new policy into force.
He explained that the new policy includes additional benefits, such
as: treatment of dental and periodontal diseases, including costs of one-time
dental cleaning during the policy period, respiratory syncytial virus (RSV)
vaccines for children, coverage of early screening of hearing impairment program,
program of critical congenital heart defects (critical CHDs) for all births, surgical
treatment of super super morbid obesity by sleeve gastrectomy only (Sleeve) for
insured with a body mass index (BMI) of 45 kg/m2, treatment
of severe and non-severe psychological disorders, treatment of pathological
conditions requiring hospital
isolation determined by the Ministry of Health, treatment of psoriasis and
costs of infant formula for infants in need of formula for medical reasons up
to the age of 24 months pursuant to the regulations, including cases, such as:
metabolic disorders, diseases included in National Newborn Screening Program to
reduce disability, milk and sugar allergy, malabsorption, and premature, small
for gestational age (SGA) or very low birth weight (VLBW) infants, who need calorie
or growth boosters besides breast milk according to the regulations in order to
include the benefit of infant formula milk within the benefits set out in the
policy schedule.
Al-Hussein indicated that the financial coverage limits of the
health insurance policy in force is (SAR 500,000) five thousand Riyals, which
covers a package of benefits including all expenses of medical examination,
diagnosis, treatment, medication and hospitalization, including surgeries or
one-day surgery or treatment as detailed in the policy schedule, considering
that law does not, in no case, permit the issuance of a health insurance policy
with less benefits than those stated in the policy, which come into force as of
today. He stated that CCHI Secretariat General has regularly developed and
updated the implementing regulations and the unified policy, at least for three
years, to raise the level of health insurance services for the insured and relevant
parties, stating that CCHI and its partners thoroughly studied all feedbacks
and suggestions received by the Secretariat General on the previous policy from
all relevant and competent parties before the inclusion of these additions and
updates.
The Secretary-General also called upon the insured to be aware of
their insurance rights by having cognizance of the Cooperative Health Insurance
Law, the implementing regulations and the new unified policy through visiting
the website, www.cchi.gov.sa. In addition to this, he recommended that the
insured benefits from the communication channels for responding to all
inquiries and receiving feedback, suggestions and complaints through one of the
following channels: unified # 920001177, e-mail: info@cchi.gov.sa, smart phone
applications, or CCHI official webpages cchi.ksa on social media channels
(Twitter, Facebook and LinkedIn).
