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.
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.