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Group Medical Insurance

Peace of Mind-Guaranteed

Your health matters. We’ll make sure that you and your loved ones get the treatment they need, whenever they need it.

Our Medical Plans:

Balsam Gold

Our group medical insurance plans ensure that you and your employees have the optimum medical cover within the Qatar. We also provide you with flexibility to add benefits in your policy.

Balsam Classic

Our group medical insurance offer an easy and optimum medical cover within the Qatar and abroad.

You simply have to select a tier that is most suitable for your needs. It is perfect, simple, fast, and matches your personal benefit requirements

What is covered:

Emergency Medical Assistance
Emergency Medical Assistance, Covid Coverage

Hospitalization Benefit
Hospital charges, Cancer and kidney dialysis treatment , Pre/post hospitalization treatment, Home nursing

Outpatient Benefit
GP Doctor Consultation, Prescribed medicines, Health check-ups, Vaccinations

Optional Dental Benefit
Routine dental checks, Extractions, Implants, Crowns

Optional Vision Benefit
Eye checks, Eyeglasses or contact lenses

Our Promise to you:

Best diagnosis and treatment

Our large network will give you quick access to the best medical professionals.

Health is wealth

All our policies are tailored to your medical needs to keep you happy and healthy.

Accessible helpline

Get straight through to our friendly team, Our team is available from Sunday to Thursday from 7AM to 3PM.

Flexible Plans

Flexibility to choose benefits according to your needs rather than buying a preset plan

Smart questions you may be asking: View all

What factors determine the premium payable for health insurance ?

Under health insurance, the age and the amount of cover are two main factors that decide the premium. Usually, younger people are considered healthier and thus pay lower annual premiums. Older, people pay a higher health insurance premium as their risk of health problems or illness is higher. Similarly, smokers and those who consume alcohol have higher premiums. Even the nature of your job and where you stay can influence the premium of your medical insurance policy.

What is a TPA and what is its role?

TPA is short for Third Party Administrator. TPAs are IRDAI authorized entities that act as intermediaries between the general insurance company & the policyholder. They provide policyholders with numerous services such as claim guidance, issuance of photo identity cards, providing approval for cashless claims, guidance for rejected claims, and so on.

How to claim a cashless facility in health insurance?

Getting cashless claims is extremely simple. All you have to do is seek treatment in one of the network hospitals covered under your medi-claim policy. Upon completion of the treatment, the hospital files a claim with the insurer, and the insurance company settles the bill directly with the hospital. Policyholders need not pay a single penny for cashless claims.

What happens when you don’t renew health insurance on time?

Your health insurance policy offers cover against medical expenses. If a person meets with a medical emergency, then they can file for a claim with health insurance. However, a policyholder will not get such benefits when the health insurance policy has expired. The person must pay the medical expenses out of their pocket. Therefore, it is extremely important that you remember the expiry date of your medical insurance policy and renew your health insurance plan on time to enjoy interrupted protection.

Claims Services

Peace of mind is just a few steps away.

No need to visit a Claims Office to file your claims! Our Online system is ready to help round the clock, call 44658888 or WhatsApp 44658899 for all inquiries related to your claims.

What to expect when you submit a medical claim

Step 1: Direct billing within network
If you are getting medical treatment within our network, no claim is needed. All you need to do is present your medical insurance card and we will cover the cost of treatment outside of the deductible.

Step 2: Reimbursement outside network
If you get medical treatment outside our network or overseas, then you will need to submit a claim for reimbursement.

Step 3: Claim settlement
If you submit a medical claim because you need us to reimburse you, we will do this by transferring the amount directly into your bank account. You will receive an email/SMS notification when the transfer is complete.

What documents you’ll need

First thing’s first. Make sure you have all of the right details and documents ready, so you can submit your claim as smoothly as possible.

To submit your medical claim, you will need:
•Policy number
•Medical report
•Detailed bill
•Payment receipt
•Insured personal banking details
•Claim form*

Where to submit your claim

If you are a Group Medical Insurance cardholder, you can submit your claim to our medical insurance department at QIIG main office with original documents.

To get in touch with us about any medical claims questions, email us at takaful@qiic.com.qa and we will be happy to help you

Phone:
44658888

Whatsapp:
4465 8899

Online:
Submit your medical claim online.