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Council of Cooperative Health Insurance
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FAQ
. What the limits of insurance coverage?
The health insurance policy covers all expenses of medical examination, diagnosis, treatment and medication,
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Can a policyholder upgrade insurance coverage to cover other diseases?
An employer may upgrade insurance coverage by means of additional annexes with extra cost to cover other diagnostic
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What is meant by deduction/payment sharing?
It is the part which the beneficiary pays when receiving treatment in the outpatient clinics as prescribed (if any) in
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Who is responsible for paying the deduction/payment sharing when receiving healthcare services, and what are the exceptions?
When receiving a health service, every beneficiary shall pay the payment sharing amount (if any) as prescribed in
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What is the period necessary for insurance companies to respond to approve treatment requests?
The insurance company must respond to the request for approval to treatment within sixty minutes, with the exception of
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Does the CCHI policy cover claims arising from congenital deformities?
The CCHI policy does not cover cases of congenital deformities unless they pose a risk to the life of the insured as
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Does the policy cover psychological cases?
The CCHI policy covers treatment of acute psychological cases with a maximum amount of 15 thousand riyals. Such cases
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How is insurance for people with chronic diseases carried out?
The beneficiary must disclose if he/she has any illnesses before entering into insurance once given a medical questionnaire
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What is the maximum benefit limit?
The maximum benefit limit per beneficiary is (500) thousand
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Is the employment contract concluded between the employer and employee enough to determine the marital status of the latter?
The employment contract does not identify marital status, and the categories stated in Article (2) of the executive
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FAQ
Currently selected
. What the limits of insurance coverage?
Can a policyholder upgrade insurance coverage to cover other diseases?
What is meant by deduction/payment sharing?
Who is responsible for paying the deduction/payment sharing when receiving healthcare services, and what are the exceptions?
What is the period necessary for insurance companies to respond to approve treatment requests?
Does the CCHI policy cover claims arising from congenital deformities?
Does the policy cover psychological cases?
How is insurance for people with chronic diseases carried out?
What is the maximum benefit limit?
Is the employment contract concluded between the employer and employee enough to determine the marital status of the latter?
Is the employer obliged to provide insurance for their employee’s wife who entered the Kingdom through a visit visa?
Is the baby covered by insurance as of the first day of insurance for the insured, whether she is an employee or a dependent?
Is insurance linked with the employee’s renewal of residence permit (Iqama)?
Does the cooperative health insurance policy cover a vehicle accident caused by the (insured driver) who is 14 years old (i.e. who does not have a driving license)?
Has the cooperative health insurance policy determined a certain age limit which the sponsor or employer has to adhere to in insuring its staff?
What are the cases which the employer can use to cancel the insurance policy for expat employees?
Does the cooperative health insurance policy cover vision correction operations (Laster, Lasik)?
Is an employer entitled to cancel the health insurance policy for non-Saudi workers who do now show up at work?
Will outside doctor costs be covered by the cooperative health insurance policy?
Does insurance cover hepatitis?
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