January 20, 2019 Hazem Abdelhameed Sales-quotations Web Site Company Name (Arabic) * Company Name (English) * City / Area * Land line * Contact Person Name * Contact Person Title * Contact Personal Mobile * Contact Person Email * Company Website Total Members * Number of levels 1 2 3 Number of members per level First Level * Annual Coverage First Level * 15,000 25,000 30,000 50,000 Medical Network Access Check Medical Network First Level * S M R T Members Coinsurance * Includes Consultations, Radiology, Laboratories, and Medications First Level * 10% 15% 20% 25% 30% 35% 40% 45% 50% Do you require Dental coverage ? First Level 0 150 200 250 300 350 400 450 500 600 700 750 800 900 1000 1250 1500 1750 2000 Do you require Glasses coverage ? Beneficiaries percentage 0 5% 10% 15% 20% 25% 30% 35% 40% Do you require Maternity coverage ? First Level 0 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 5,500 6,000 6,500 7,000 Do you require Pre-Existing and Chronic Coverage ? Beneficiaries percentage 0 5% 10% 15% 20% Age Bands Children 18 to 35 36 to 45 46 to 55 56 to 60 Aggregate count Self Spouses Children Upload Age bands sheet Press here to upload file(s)
