Saudi Insurance companies’ approval not necessary to treat emergency cases

The Council of Cooperative Health Insurance has confirmed that treating emergency cases no longer requires prior approval from insurance companies. (Reuters)
Updated 06 January 2018
0

Saudi Insurance companies’ approval not necessary to treat emergency cases

The Council of Cooperative Health Insurance has confirmed that treating emergency cases no longer requires prior approval from insurance companies, as long as the service provider informs the insurance company within 24 hours of receiving the case.

The council’s spokesperson, Yaser Al-Maarek, urged insured individuals to become familiar with their insurance company’s policy. He also stressed how important it is for them to be aware about the intricacies of the cooperative health insurance system and know their rights.

Fuaad Hawasawi, a health insurance expert, told Arab News: “It’s natural that hospitals are being required to take action now as a service provider. Hospitals are now more in command as they are capable of treating the patient, performing surgeries if needed and after that, they’re required to inform the insurance company of the case within 24 hours. After that, the insurance company can pay the hospital bill and the insured should only pay a specific amount depending on his insurance card, 10 percent of the amount or so.”

He added: “There have been cases before the regulation was passed in which hospitals contacted insurance companies about costly surgeries or a cardiac catheterization case that the hospital deemed as an emergency, but were forced to stop when insurance companies stalled to inquire more and ensure that their policy covered the patient’s case.”

Notably, there are a few treatments exempt from the policy such as cosmetic procedures (except in cases with urgent physical injuries that are not dismissed by insurance policy); injuries caused by self-harm; dental implants or bridges, as well as braces (unless caused by accidents); diseases contracted due to the misuse of certain medications, stimulants and sedatives; and those resulting from use of alcohol and drugs.


Developing cities to serve Hajj and Umrah on agenda of Makkah Cultural Forum

The forum will be held under the slogan of “How to be Role Model” and implemented with the cooperation of 100 governmental and private entities. (SPA)
Updated 4 min 35 sec ago
0

Developing cities to serve Hajj and Umrah on agenda of Makkah Cultural Forum

  • Prince Khaled encouraged youth in universities, schools and officials in the government and civil sectors to participate in serving pilgrims
  • Prince Khaled underlined the need for focusing research, studies and workshops on ways of developing this service

JEDDAH: “How to develop our cities to serve Hajj and Umrah” will be the theme of the third edition of the Makkah Cultural Forum.

The forum will be held under the slogan of “How to be Role Model” and implemented with the cooperation of 100 governmental and private entities, Prince Khaled Al-Faisal,  governor of the Makkah region, said on Wednesday.

Prince Khaled has adopted the Makkah Cultural Excellence Award for the current year’s theme, stressing the importance of improving services to pilgrims and developing the cities of Makkah, Jeddah and Taif, as well as the rest of the provinces, to present a civilized and smart Islamic image of the Kingdom.

He encouraged youth in universities, schools and officials in the government and civil sectors to participate in serving pilgrims. 

He underlined the need for focusing research, studies and workshops on ways of developing this service. 

“We must strive to introduce ourselves to the world in a modern and civilized way, especially since God has bestowed upon us the honor of serving pilgrims,” he said.

The Makkah Cultural Forum, launched by the governor of the Makkah region two years ago, succeeded in unifying the cultural and humanitarian works of the government and private sectors in the region around a single vision and a positive concept. The forum’s aim was to build humanity in the Makkah region.

It also followed a strategy that prioritizes the importance of building strong Saudi citizens who are able to improve their homeland and the civilization of their country.

What distinguishes the Makkah Cultural Forum is its adoption of an annual theme from which events, activities and programs draw their spirit and identity.