- 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.