| sr | Insurance Plan | Benefits | Room Type | Network | Max Annual Limit (SAR) |
Geographical Coverage | Dental Limit (SAR) |
Optical Limit (SAR) |
Maternity Limit (SAR) |
Minimum Provider Network (MPN) |
Outside Hospital Network (OHN) |
Outside Clinic Network (OCN) |
Generic Medication | Branded Medication | Action |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Diamond | Option 1 | SE_VIP | Suite | SAR 500,000 | World Wide 2 | SAR 2,000 | SAR 400 | SAR 15,000 | 20% Max 75 | 20% Max 300 | 20% Max 100 |
20% copayment, maximum participation in payment: SAR 30
|
50% without maximum participation
|
|
| 2 | Diamond | Option 1 | SE_VIP | Suite | SAR 500,000 | World Wide 2 | SAR 2,000 | SAR 400 | SAR 15,000 | 20% Max 75 | 20% Max 300 | 20% Max 100 |
20% copayment, maximum participation in payment: SAR 30
|
50% without maximum participation
|
|
| 3 | Diamond | Option 1 | SE_VIP | Suite | SAR 500,000 | World Wide 2 | SAR 2,000 | SAR 400 | SAR 15,000 | 20% Max 75 | 20% Max 300 | 20% Max 100 |
20% copayment, maximum participation in payment: SAR 30
|
50% without maximum participation
|
|
| 4 | Diamond | Option 1 | SE_VIP | Suite | SAR 500,000 | World Wide 2 | SAR 2,000 | SAR 400 | SAR 15,000 | 20% Max 75 | 20% Max 300 | 20% Max 100 |
20% copayment, maximum participation in payment: SAR 30
|
50% without maximum participation
|