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<strong>MedNet</strong> Saudi Arabia LLC<br />
Al Khobar – Al Rakha<br />
2ed Floor – Office # 1222<br />
Tel. : + 966 3 8584401/02<br />
Fax. : + 966 3 8584403<br />
7. Hearing Aids (Prescribed & up to SR 11,000)<br />
every 2 yrs<br />
8. Optical (Prescribed Medical Glasses including<br />
frame up to SR 500<br />
9. Glucometer & Nebulizer every 2 yrs up to Sr<br />
500 each<br />
Challenge for Better Healthcare<br />
ﻩرﺪ�ﻗ ﻰﺼ�ﻗأ ﺪﺤﺑ ﺞﻟﺎﻌﻤﻟا ﺐﻴﺒﻄﻟا ﺔﻴﺻﻮﺗ ﺐﺴﺣ نذﻷا تﺎﻋﺎﻤﺳ<br />
. ﻦﻴﺘﻨﺳ ﻞﻜﻟ يدﻮﻌﺳ لﺎﻳر ( 11,000)<br />
ﻩرﺪﻗ ﻰﺼﻗأ ﺪﺤﺑ ﺞﻟﺎﻌﻤﻟا ﺐﻴﺒﻄﻟا ﺔﻴﺻﻮﺗ ﺐﺴﺣ ﺔﻴﺒﻄﻟا تارﺎﻈﻨﻟا<br />
. ةﺪﺣاﻮﻟا ﺔﻨﺴﻠﻟ يدﻮﻌﺳ لﺎﻳر ( 500)<br />
ﻰﺼ��ﻗأ ﺪ��ﺤﺑ Glucometer & Nebulizer لا ةﺰ��ﻬﺟأ<br />
. ﻦﻴﺘﻨﺳ ﻞآ زﺎﻬﺟ ﻞﻜﻟ لﺎﻳر 500<br />
Policy Holder Name AGOC Retirees<br />
Insurance Co. Self funded Policy<br />
Policy Limit NO LIMIT<br />
Policy Type New Policy Policy Status Group<br />
Effective Date 01 st July 2011 Expiry Date Up To: 30 th June 2012<br />
Policy Coverage As per AGOC Special policy.<br />
Card Color Gold<br />
Deductible (Consultation)<br />
/ Co-Payment for OPD<br />
Room Type Private Room<br />
Dental Unlimited Covered ( Panoramic X ray mandatory)<br />
NO NEED OF APPROVAL<br />
Optical Sr 500 Covered and Need for MCC prior Approval<br />
REFRACTION TEST DOES NOT NEED APPROVAL<br />
Maternity Covered<br />
Network AGOC NW<br />
Note: Dental Claims should be submitted with supporting Panoramic X ray.<br />
Exclusions of AGOC Policy.<br />
The company shall not bear the expenses arising from the hereunder enumerated medical services (<br />
unless they are work injuries):<br />
1. DENTAL: Dental Bridges, Crowns, Temporary or Permanent Partial/Complete Dentures, Dental<br />
Bleaching, Dental Fluoride and Fissure Sealants, Dental Implantation, Orthodontics, Toothpaste and<br />
Dental Floss or Brushes.<br />
P.O. Box 5537 Jeddah 21432 Kingdom of Saudi Arabia<br />
Tel.: +966 2 644 4448 Fax: +966 2 644 6464 E-mail: info@mednet.com.sa Web: www.mednetgulf.com<br />
Nil<br />
. 7<br />
. 8<br />
. 9
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