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We at takaful Oman prioritize the well-being of your team. Our Group Medical Coverage is designed to provide comprehensive healthcare solutions for your employees, promoting a healthy and productive workforce.
With tailored plans and extensive coverage, we aim to safeguard the health and happiness of your team members, offering peace of mind and support for both employers and employees.
Explore our offerings to discover how we can contribute to the overall well-being of your organization.
Consider the health insurance needs of the group by considering their age, existing health conditions and any other special requirements. All of these factors can help the insurer to create a custom GMC policy for the group.
Assess the coverages [scope and limits] provided by the insurer and if it meets the requirements of the group. Consider the range of medical services covered, including hospitalization, outpatient care, prescription drugs, and preventive services.
Check the network hospital coverage of the insurer as wider network will ensure that group can access a variety of facilities and secure a comprehensive medical care.
Ensure that the coverages specified by the insurer caters to the requirements of everyone in the group. This will ensure maximum participation in the group. Some insurers also have a minimum participation requirement for the policy to be effective.
Hospital Accommodation, Accidents and Emergencies, Intensive Care and Operation Theatre Costs, Surgical Operations and procedures, Surgeons, Anaesthetists and Physicians fees, Prescribed Medicine and drugs, Prostheses and Surgical Appliances, (Artificial body parts surgically implanted to form parts of an insured's body), Diagnostic tests, Oncology Treatment, Radiotherapy and Chemotherapy, Ophthalmology, Acute (reversible) kidney failure, Physiotherapy.
Diagnostic tests, Specialists, Consultants, General Medical Practitioner and Family Physician fees, Out-Patient home visits for emergency conditions, Oncology, Prescribed Medicines & Dressings, Emergency Ambulance (to and/or from point of treatment), Outpatient Surgical Procedures, Physiotherapy
Services/treatments rendered by the Medical Practitioner in the Out-Patient clinic or that which do not require a stay in the hospital is termed as Out-Patient Service. You should note that some non-urgent services require pre-authorization, here are a few examples:
Routine dental care <br /> benefits
Maternity care <br /> benefits
Optical <br /> benefits
Prior approval may be necessary for certain services/treatments for which your Provider shall contact TAOI/Respective TPA either in writing or over the phone.
With this, both you and your provider can be rest assured of:
In the event of Emergency treatment pre-approval is not required but it is the liability of the Network Provider to inform TAOI of the case within 24 hours of admission to the hospital.