SME Insurance Plans
| Benefits \ Plans | Silver | Gold | Elite |
|---|---|---|---|
| Annual Maximum Limit PPPY | EGP 25,000 | EGP 50,000 | EGP 100,000 |
| Geographical scope of coverage | Inside Egypt | ||
| Type of Service | Direct Access | ||
| Inside Network | Covered up to AML | ||
| Accommodation Class | Shared Room | Single Room | |
| Intensive care | Covered up to AML | ||
| Ambulance | Covered up to AML | ||
| Consultation | Covered up to AML with Co-Payment 20% | ||
| Laboratory/ Radiology/ Physiotherapy/ Procedures | Covered up to AML with Co-Payment 20% | ||
| Prescribed Medication Inside Network | Covered up to AML with Co-Payment 20% | ||
| Dental Coverage - Examination with copayment 20% | Not Covered | Covered up to EGP 350 per person | Covered up to EGP 500 per person |
| Optical coverage includes - Eye-sight Glasses & Medical lenses with co-payment 20% 20% From the total members |
Not Covered | Covered up to EGP 200 per person | Covered up to EGP 350 per person |
| Maternity & Antenatal care Coverage For one Case out of every 20 members Provided that before the starting the medical insurance | Not Covered | Covered up to EGP 3,000 per case | |
| Pre-existing, Chronic Including Medications & Critical Cases with co-payment 20% | Covered up to EGP 2,500 per person | Covered up to EGP 4,000 per person | Covered up to EGP 6,000 per person |
| Laboratory | Reimburse 80% from the amount after deduct the co-payment | ||
| Radiology | Reimburse 80% from the amount after deduct the co-payment | ||
| Medications | Reimburse 80% from the amount after deduct the co-payment | ||
| Other Benefits | Reimburse 80% from the amount after deduct the co-payment for not exced according to contracted rates of Misr International Hospital | ||
| Get Offer | Get Offer | Get Offer | |