Description of the insurer's obligations
Maximum annual obligations of each person in Rials
Franchise percentage
Reimbursement of hospitalization, surgery, chemotherapy, radiotherapy, cardiac angiography, Gamanayev. Types of crushers in hospitals and limited surgery centers and day care
200.000.000
10
Reimbursement of costs related to the correction of refractive errors of each eye 3 diopters or more up to a maximum of 10.000.000 Rials for each eye
20.000.000
10
Reimbursement of ambulance costs within the city on condition of hospitalization
1.200.000
10
Reimbursement of intercity ambulance costs on condition of hospitalization
2.400.000
10
Reimbursement of delivery costs, including natural and cesarean section
50.000.000
10
Reimbursement of surgeries related to cancer, central neurology and spinal cord (excluding spinal disc) Gamanayev, heart, lung transplant, liver transplant, kidney transplant. bone marrow transplant
400.000.000
10
Reimbursement of costs of ultrasound, mammography, types of scans, types of endoscopy, MRI, echocardiography, echo stress, densitometry
20.000.000
10
Reimbursement of costs related to exercise test, allergy test, respiratory test, muscle strip, nerve strip, brain strip, bladder strip, audiometry, optometry, heart holter monitoring, eye angiography
12.000.000
10
Reimbursement of permitted outpatient procedures including fractures, casts, circumcisions, sutures, cryotherapy, lipoma excision, biopsy, cyst evacuation and laser treatment
12.000.000
10
Maximum obligations of rows 1, 3, 4 and 6
400.000.000
10
Maximum obligations of rows 1, 3 and 4
200.000.000
10