Our Vision

Group Local Medical Takaful

Home Group Local Medical Takaful
  • Many classes of medical insurance coverage are available to choose from, with minimum 15 staff for each plan.
  • Available for groups of more than 15 employees.
  • Tailored solutions for large groups can be applicable for their special requirements.
  • Coverage for the elective treatments inside Egypt only and the coverage for the Non-Elective treatment abroad worldwide excluding USA & Canada on emergency cases only.
  • In addition to In & Out patient cover. All Tokio Marine Egypt General Takaful Medical plans provide an optional cover for treatment of dental, optical, Maternity & Delivery.
  • The coverage outside the admitted network is available for Tokio Marine Egypt General Takaful programs and subject to factors like the ceiling & conditions, etc…
  • Cover for chronic medical conditions is available as additional program.
  • Cover for pre-existing medical conditions is available as additional program.
  • Cover for critical medical conditions is available as additional program.
  • Additional standard benefits under most of plans include: home consultations through the admitted doctor and for emergency cases if the patient cannot go to a provider.
  • A specialized & dedicated In-House service center to serve clients through our TPA Companies who have an extensive direct billing network throughout Egypt in most of the governorates.

Age limits:

  • Maximum age at entry is 60 years, older participants can be added subject to additional contributions & special conditions. They will also be asked to fill a specific questionnaire.
  • Children are covered from the 14th day after their birth up to age of 18 years, for those in full time education and not married. (Excluding all congenital & prematurity), older participants can be added subject to additional contributions & special conditions.

Third Part Administrator (TPA) for Medical Local product & The Medical Network

We are in continuous expansion of our network to assure the full spread throughout Egypt.

  • Most hospitals and major medical centers are available.
  • TPAs facilitate the procedures for the provision of medical services to their network.
  • TPAs provide accurate and fast settlement of claims for both claims reimbursements and direct billing claims through the medical card.

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