Programs Conditions
Travel Program
- For a period less than 6 months (the policy is be valid for one trip only), if more
than six months (the policy is valid for Multiple Trips, Maximum duration of any
one trip should not exceed 92 days)
- War Zones is excluded from policy coverage.
- Repatriation to Jordan only.
- The Deductible is 75$.
For Iraqi Citizens:
- Departure from Jordan.
- Repatriation expenses to Jordan.
Motor Programs
- Rates are annual (i.e. for one year only).
- Customs fees difference will be born by the insured for non Jordanian vehicles.
Medical Programs
Aman Program Exclusion
It is understood and agreed upon that this insurance policy (program) covers only
cancer related diseases (diagnosis and / or treatment and / or surgical operations),
consequently all cases, reasons, services, treatments, injuries, diseases, complications,
incapability resulting due to any case not related directly or indirectly to cancer
diseases are to be excluded. Also all preexisting undeclared cases shall be excluded
from this policy.
Crown Family Program
Exclusions:
It is understood and agreed upon that all the following cases, reasons, medical
services, injuries, diseases, illnesses, and disabilities consequences and results
are excluded under this insurance policy:
- Suicide and suicidal attempts, voluntary self-injury.
- Committing or attempts to commit an illegal action, criminal action, sedition action
or quarrel involved and traffic accidents.
- All cases resulting from war, invasion, hostilities, or war-like operations, civil
war, rebellion, mutiny, revolution, martial law and terrorist acts.
- All cases related to hazardous activities such as: motor racing, mountaineering,
and motorcycling.
- All cases resulting from alcoholism use of drugs, or hallucinatory substances, and
ionizing radiation, radioactive contamination, nuclear processes.
- Earthquakes, flood, volcano eruption, landslides and other natural hazards.
- Undeclared pre-existing conditions.
- Bulimia, anorexia nervosa, dialysis, AIDS, all senility related cases, Alzheimer,
psychological and mental disorders and its complications .
- Elective Non accident related plastic surgery, cosmetic related medicine.
- Acne, Hair loss, Isolations, vaccinations, circumcision, sexual diseases.
- Contraceptives, infertility, telemedicine. Fertility related hormones, Psoriasis.
Calcium supplements, natural products, vitamins unless therapeutic or maternity
related and not subject to 16% sales tax.
- All cases directed to hospital by a non-physician unless it is an emergency case.
- Elective non-accident related surgery for the correction of refraction errors and
acuteness of the sense of hearing and all auditory and vision accessories.
- All cases resulting from nuclear contamination, i.e. any exposure to ionizing radiation,
radioactive contamination, nuclear processes, military material or nuclear waste
of any kind
- Elective non-accident Dental and Gum surgery (Excluding Bridges), epilepsy, congenital
and hereditary diseases.
- Artificial limbs, transplantation service and accessories such as: prostheses, …etc.
- Epidemic diseases, cancer, work related accidents.
- Any In-patient treatment, tests, and other procedures that can be done on outpatient
basis without jeopardizing the insured’s health.
- Unless mentioned in table of benefits (Physiotherapy, Maternity, Dental, Optical
and chronic diseases )
- Vaccinations, bandages.
- All substances, which are not considered as medicine. subject to sales tax 16%
- More than one unit of medicine except antibiotic, anti parasites, anti-fungal.
- New born (below age of 14 days).
- All medical tests not related to specific symptoms or disease (General check up).
Waiting Periods:
It is understood and agreed upon that all the following waiting periods will be
applied to all existing members and will also be applied to newly enrolled members
as from date of enrollment
|
1 |
Hemorrhoids, anal fissure and fistula |
6 Months |
|
2 |
Tonsils, Adenoids |
6 Months |
|
3 |
Deviated septum, sinusitis |
6 Months |
|
4 |
Hernias |
6 Months |
|
5 |
Fibroids |
12 Months |
|
6 |
Endometriosis, Hysterectomy |
12 Months |
|
7 |
Varicocele, Hydrocele and varicose veins |
12 Months |
|
8 |
Cataract, Glaucoma |
12 Months |
|
9 |
Back pain & back surgery & knee surgery |
12 Months |
|
10 |
Maternity |
12 Months |
|
11 |
Hyperlipidemia and related complications |
24 Months |
|
12 |
Chronic Diseases medications (HTN, D.M, Hyperlipidemia, Osteoporosis..) |
24 Months |
|
13 |
Hypertension |
24 Months |
|
14 |
Diabetes Mellitus |
24 Months |
Additional benefits:
- Home visits are covered in coordination with the company, phone no. 5654550-5609888.
- One general checks up (Physical examination, Chest x-ray, ECG, CBC, FBS, Urine analysis)
in coordination with the company.
- Free Flu vaccination.
- Pre-Marital tests (MCV) are covered with maximum limit 50JOD.
- Travel insurance for one month per year (as needed).
- Free Crown Cash card.
Crown Crystal Program
Exclusions
It is understood and agreed upon that all the following cases, reasons, medical
services, injuries, diseases, illnesses, and disabilities consequences and results
are excluded under this insurance policy:
- Suicide and suicidal attempts, voluntary self-injury.
- Committing or attempts to commit an illegal action, criminal action, sedition action
or quarrel involved and traffic accidents.
- All cases resulting from war, invasion, hostilities, or war-like operations, civil
war, rebellion, mutiny, revolution, martial law and terrorist acts.
- All cases related to hazardous activities such as: motor racing, mountaineering,
and motorcycling.
- All cases resulting from alcoholism use of drugs, or hallucinatory substances, and
ionizing radiation, radioactive contamination, nuclear processes.
- Earthquakes, flood, volcano eruption, landslides and other natural hazards.
- Undeclared pre-existing conditions.
- Bulimia, anorexia nervosa, dialysis, AIDS, all senility related cases, Alzheimer,
psychological and mental disorders and its complications .
- Elective Non accident related plastic surgery, cosmetic related medicine.
- Acne, Hair loss, Isolations, vaccinations, circumcision, sexual diseases.
- Contraceptives, infertility, telemedicine, hormones, Psoriasis. Calcium supplements,
natural products, vitamins.
- All cases directed to hospital by a non-physician unless it is an emergency case.
- Elective non-accident related surgery for the correction of refraction errors and
acuteness of the sense of hearing and all auditory and vision accessories.
- All cases resulting from nuclear contamination, i.e. any exposure to ionizing radiation,
radioactive contamination, nuclear processes, military material or nuclear waste
of any kind
- Elective non-accident Dental and Gum surgery (Excluding Bridges), epilepsy, congenital
and hereditary diseases.
- Artificial limbs, transplantation service and accessories such as: prostheses, …etc.
- Epidemic diseases, cancer, work related accidents.
- Any In-patient treatment, tests, and other procedures that can be done on outpatient
basis without jeopardizing the insured’s health.
- Unless mentioned in table of benefits (Physiotherapy, Maternity, Dental, Optical
and chronic diseases )
- Vaccinations, bandages.
- All substances, which are not considered as medicine. subject to sales tax 16%
- More than one unit of medicine except antibiotic, anti parasites, anti-fungal.
- New born (below age of 14 days).
- All medical tests not related to specific symptoms or disease (General check up).
Waiting Periods:
It is understood and agreed upon that all the following waiting periods will be
applied to all existing members and will also be applied to newly enrolled members
as from date of enrollment.
|
1 |
Hemorrhoids, anal fissure and fistula |
6 Months |
|
2 |
Tonsils, Adenoids |
6 Months |
|
3 |
Deviated septum, sinusitis |
6 Months |
|
4 |
Hernias |
6 Months |
|
5 |
Fibroids |
12 Months |
|
6 |
Endometriosis, Hysterectomy |
12 Months |
|
7 |
Varicocele, Hydrocele and varicose veins |
12 Months |
|
8 |
Cataract, Glaucoma |
12 Months |
|
9 |
Hyperlipidemia and related complications |
12 Months |
|
10 |
Chronic Diseases medications (HTN, D.M, Hyperlipidemia, Osteoporosis..) |
24 Months |
|
11 |
Hypertension |
24 Months |
|
12 |
Diabetes Mellitus |
24 Months |
Hiba Extra Program
Exclusions:
It is understood and agreed upon that all the following cases, reasons, medical
services, injuries, diseases, illnesses, and disabilities consequences and results
are excluded under this insurance policy:
- Suicide and suicidal attempts, voluntary self-injury.
- Committing or attempts to commit an illegal action, criminal action, sedition action
or quarrel involved and traffic accidents.
- All cases resulting from war, invasion, hostilities, or war-like operations, civil
war, rebellion, mutiny, revolution, martial law and terrorist acts.
- All cases related to hazardous activities such as: motor racing, mountaineering,
and motorcycling.
- All cases resulting from alcoholism use of drugs, or hallucinatory substances, and
ionizing radiation, radioactive contamination, nuclear processes.
- Earthquakes, flood, volcano eruption, landslides and other natural hazards.
- Undeclared pre-existing conditions.
- Bulimia, anorexia nervosa, dialysis, AIDS, all senility related cases, Alzheimer,
psychological and mental disorders and its complications .
- Elective Non accident related plastic surgery, cosmetic related medicine.
- Acne, Hair loss, Isolations, vaccinations, circumcision, sexual diseases.
- Contraceptives, infertility, telemedicine. hormones, Psoriasis. Calcium supplements,
natural products, vitamins.
- All cases directed to hospital by a non-physician unless it is an emergency case.
- Elective non-accident related surgery for the correction of refraction errors and
acuteness of the sense of hearing and all auditory and vision accessories.
- All cases resulting from nuclear contamination, i.e. any exposure to ionizing radiation,
radioactive contamination, nuclear processes, military material or nuclear waste
of any kind
- Elective non-accident Dental and Gum surgery (Excluding Bridges), epilepsy, congenital
and hereditary diseases.
- Artificial limbs, transplantation service and accessories such as: prostheses, etc.
- Epidemic diseases, cancer, work related accidents.
- Any In-patient treatment, tests, and other procedures that can be done on outpatient
basis without jeopardizing the insured’s health.
- Unless mentioned in table of benefits (Physiotherapy, Maternity, Dental, Optical
and chronic diseases )
- Vaccinations, bandages.
- All substances, which are not considered as medicine. subject to sales tax 16%
- All cases related to back pain & back surgery & knee surgery.
- More than one unit of medicine except antibiotic, anti parasites, anti-fungal.
- New born (below age of 14 days).
- All medical tests not related to specific symptoms or disease (General check up).
Waiting Periods:
It is understood and agreed upon that all the following waiting periods will be
applied to all existing members and will also be applied to newly enrolled members
as from date of enrollment.
|
1 |
Hemorrhoids, anal fissure and fistula |
6 Months |
|
2 |
Tonsils, Adenoids |
6 Months |
|
3 |
Deviated septum, sinusitis |
6 Months |
|
4 |
Hernias |
6 Months |
|
5 |
Fibroids |
12 Months |
|
6 |
Endometriosis, Hysterectomy |
12 Months |
|
7 |
Varicocele, Hydrocele and varicose veins |
12 Months |
|
8 |
Cataract, Glaucoma |
12 Months |
|
9 |
Hyperlipidemia and related complications |
12 Months |
|
10 |
Chronic Diseases medications (HTN, D.M, Hyperlipidemia, Osteoporosis..) |
24 Months |
|
11 |
Hypertension |
24 Months |
|
12 |
Diabetes Mellitus |
24 Months |
|
|