New App release look and feel is of an impressive design, but that is not the only thing that makes it unique in the KSA market. The app has a real time connectivity to Enaya’s core system which allows real time information and interaction between the member and Enaya’s support. A digital insurance card of the member and his/her dependents ready to use at all times. Provider search has an impressive interactive google powered map to find nearest provider and order a Careem or an Uber to where a member needs to go. Reimbursement submissions are a photograph based and money transferred directly to member account quicker than typical market time. The app design allows you to brows to see approvals and claims as well as your benefits.
Class | VIP+ | VIP |
---|---|---|
Network | Network 1 | Network 2 |
Room Type | Suite | |
Max Annual Limit (Saudi Riyal) | SAR 10,00,000 | |
Geographical Coverage | World Wide 2 | |
Dental Limit (Saudi Riyal) | Limit: SAR 5,000
Scaling & Polishing are covered once a year Bridges, Crowns or Braces |
|
Optical Limit (Saudi Riyal) | Frame Sublimit (SAR 400)
Limit: SAR 2,000 |
|
Maternity Limit (Saudi Riyal) | Limit: SAR 30,000 | |
Out-Patient Coinsurance in Saudi Riyal Within minimum network of accredited health service providers (MPN) | 0 | |
Outside minimum network of accredited health service providers - Hospitals (OHN) | 0 | |
Other service providers Outside minimum network of accredited health service providers - (OCN) |
0 |
فئة العضوية | +VIP | VIP |
---|---|---|
الشبكة | Network 1 | Network 2 |
نوع الغرفة | جناح | |
الحد الأقصى السنوي (بالريال السعودي) | 10,00,000 ريال | |
التغطية الجغرافية | الشبكة العالمية 2 | |
حد تغطية الأسنان (بالريال السعودي) | حد التغطية 5,000 ريال
تنظيف الاسنان يغطى مرة واحدة خلال الوثيقة جسر، تاج أو تقويم |
|
حد تغطية البصر (بالريال السعودي) | حد الإطار (400)
حد التغطية 2,000 ريال |
|
حد تغطية الحمل والولادة (بالريال السعودي) | حد التغطية: 30,000 ريال | |
نسبة المشاركة التأمينية للعيادات الخارجية بالريال السعودي داخل شبكة الحد الأدنى الموحدة | 0 | |
خارج شبكة الحد الأدنى الموحدة - المستشفيات | 0 | |
باقي مقدمي الخدمة خارج شبكة الحد الأدنى الموحدة |
0 |