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- Minimum Coverages Insurance
“JOFICO” Jordan French Insurance Company offers “Minimum coverage” health insurance program which provides the basic in-patient and out-patient coverage with the best prices especially designed for corporates and institutions.
Benefits |
To avail our medical services members have to only show the membership card since all our medical forms are readily available at doctors and hospitals of our medical network.
coverage |
In Patient Cover
(In Hospital): | Class A | Class B | Class C |
Maximum per person per year | 60000 | 40000 | 20000 |
Maximum per admission | 6000 | 4000 | 2000 |
Coverage for network | |||
– Room and Board | 100% | ||
– I.C.U, MRI & CT Scan | |||
– Doctors;( visits, surgery, anesthesia) | |||
– lab tests, medicines and diagnostic procedures | |||
– Accompanying parent for the child under the age of 13 years | |||
– Ambulance | |||
Coverage for non-network70% |
Out Patient Cover
Class A | Class B | Class C | |
Maximum per person per year | 600 | 400 | 300 |
Maximum forms per person per year | 8 | 6 | 4 |
Coverage for network | |||
– Doctor’s visit | Two JD Deductible | ||
– Drugs | 80% | ||
– X-ray | |||
– Labs | |||
Coverage for non-network70% |
Delivery Cover
Class A | Class B | Class C | |
– Normal Delivery* | 500 | 400 | 300 |
– Caesarean Delivery* | 600 | 500 | 400 |
– Legal Abortion* | 400 | 350 | 250 |
*To avail maternity and delivery benefits, all family members must be included in the insurancecontract as per member’s family book. |
Additional Benefits within Previously Stated Ceiling and Conditions | |
Pregnant women will be provided with additional 5 forms that would be used for the pregnancy cases only and dispensed for the remaining duration of the pregnancy in accordance to a medical report. | |
Coverage of newborn babies from day one provided having no congenital malformations and added to the insurance contract within a period not exceeding a month from the date of birth. | |
Coverage of vitamins and supplements (calcium included) prescribed by physicians to pregnant women which are subject to 16% tax. | |
Coverage of child circumcision within the limit of maternity. | |
Coverage of tests and treatments of Vitamin B12 deficiency. | |
Coverage of non-fertility related hormonal disorders (for outpatient procedures only). | |
Coverage of kidney stones laser lithotripsy. | |
Coverage of sedatives related to covered cases. | |
Coverage of ophthalmological diseases and conditions not related to vision correction. | |
Coverage of registered eye drops medication prescribed by a physician. | |
Coverage of accompanying parent for children under the age of 13 during hospitalization. | |
Coverage of physiotherapy treatment with a limit of 12 sessions at an appointed medical center, using one form only per year. | |
Coverage of declared and covered preexisting chronic conditions after being further studied by the company to determine premiums, conditions and acceptance. |
Waiting Periods |
Waiting periods do not apply to members who are enrolled on the inception date of the medical insurance contract, all members whose enrolling date falls beyond the inception date shall be subject to the below:
Back pain & Arthroscopy | Waiting period 12months |
Pregnancy & Maternity | Waiting period 9 months |
Hemorrhoids, Fistula and Anal Fissure | Waiting period 6 months |
Tonsillectomy & Adenoidectomy | Waiting period 6 months |
Deviated Nasal Septum & Sinusitis | Waiting period 6 months |
Hernia | Waiting period 6 months |
Fibroids | Waiting period 12 months |
Uterine and Hysterectomy | Waiting period 12 months |
Varicose Veins, Varicocele & Hydrocele | Waiting period 6 months |
Cataract & Glaucoma | Waiting period 12 months |
Hypertension & Hyperlipidemia | Waiting period 12 months |
Diabetes | Waiting period 12 months |
To Request Annual Premiums (Click here)
Additional Benefits (optional): |
*Dental Treatment: Unlimited and includes: dental examination, consultation, surgery, scaling and polishing, amalgam fillings, composite fillings, endodontic treatments, orthodontic treatments, implant logy treatments and fixed & removable prosthetic with an additional premium provided by the exclusive network (MEDCONNECT).* Medical Eyeglasses: One pair of Eyeglasses every year (frames & Lenses) with a yearly limit of 70 JD, with additional yearly premium*Coverage of cancer within (KHCC): with additional annual premiums for Jordanians and Arab Residents of Jordan*Personal Accident: for employees only (up to 60 years old) with an additional yearly premium with the following benefits: Accidental Death, Permanent Total Disability due to (accident), and Permanent Partial Disability due to (accident)*Critical Illness (CI) : Company is committed to pay the beneficiary a lump sum amount if insured suffers from one of the insured critical illnesses below and survives more than 28 days (survival period ) from the date of diagnosis or surgery. Maximum expiry age is 65 years and minimum entry age is 18 years, with additional annual premium that will be calculated according to the age of the participantsThe Coverage Includes the below Critical Illness (CI)
Coronary Artery Bypass Graft |
Heart Attack (Myocardial Infarction) |
Life-threatening Cancer |
Mayor Organ Transplant |
Stroke |
Renal Failure |
If any of these optional benefits were chosen it will be obligatory for all beneficiaries.
Medical Plan Exclusions |
(Unless stated otherwise in the terms and conditions of the policy)No reimbursement shall be made for any disability treatment, services, diagnostic tests, or complications as a result of injury or illness caused directly or indirectly, totally or partially by:
(New born children must add to the policy from day one after birth date in normal health).