Visitor Visa Medical
Insurance Policy
Name of the Company
Aljazira Takaful Ta’awuni Company
Policy No: 74316682832024 :
Policyholder Details
Policyholder Name: JAMI RAZA AHMED RAZA :
Nationality: PAK :
Date of Birth: 09-16-2014 :
Passport Number: KJ9893332 :
Purpose of visit: :
E-Number: E292580114 :
Postal Address: 0 :
Marital Status: Single :
E-mail address: raza.tesol.elt@gmail.com :
Mobile Number: 0570570880 :
Type of Insurance
Insurance for the visitors fo the kingdom of Saudi Arabia
Product: Visit Visa :
Provider's Network: C :
Policy / Insurance Period
From 31-03-2024
To 29-06-2024
Both dates included
This policy is issued once and upon expiry a new policy shall be
issued and does not need to be valid for one complete year)
Premium / Contribution Amount 51.12 - SAR /
Deductibles 0
Medical emergencies
Customer care centre 920011757 / 8003040400
Email info@ajt.com.sa
Any claims payment made for covered losses under this policy
will be in Saudi Riyals (SAR).
Aljazira Takaful Ta’awuni Co.: Insurance Joint Stock Co. Operating Saudi Central Bank,
license No. 201312/34, Capital S.R.: 550,000,000 Fully Paid C.R.No.: 4030251980 / 550,000,000 201312/34/
7001791990 – P.O.Box : 5215 Jeddah 21422, Toll Free.: 8003040400, Web Site 8003040400 : – 21422 : 5215 . : 7001791990 / 4030251980
www.ajt.com.sa National Address: Aljazira Takaful Ta’awuni Co., 7512 Al-Madinah Al- 7512 : www.ajt.com.sa :
Munawarah Rd. – AlHamra Dist., Unit No. 8021, Jeddah, 4516-23324, KSA. . 23324-4516 8021 –
The maximum benefits limit for each Limits -
person for the duration of the policy
100,000 SAR and that includes lower 100,000
limits specified in this policy
Diagnosis and treatment of emergency cases
Up to the policy limit
Hospitalization
Up to the policy limit
Emergency dental treatment (*) Up to SR 500
Treatment of emergency pregnancy and delivery cases Up to SAR 5,000
The treatment of premature babies (**)
Up to the policy limit
Emergency Medical Evacuation inside and outside the Kingdom
Up to the policy limit
Emergency Kidney Dialysis
Up to the policy limit
Repatriation of mortal remains to the home country Up to SAR 10,000
Cost of travel and accompanying of one direct family member Up to SAR 5,000
Treatment to injuries resulting from road traffic accidents
Up to the policy limit
Geographical limits
the insurance coverage will be effective when the insured
enters the borders of the Kingdom of Saudi Arabia
Covid 19 Coverage COVID-
19
Emergence medical cases Up to SAR 650,000
Quarantine Cost SAR 450 per day (maximum of
14 days)
Medical evacuation Actual costs /
Return the remains of the deceased to his original home Actual costs /
Aljazira Takaful Ta’awuni Co.: Insurance Joint Stock Co. Operating Saudi Central Bank,
license No. 201312/34, Capital S.R.: 550,000,000 Fully Paid C.R.No.: 4030251980 / 550,000,000 201312/34/
7001791990 – P.O.Box : 5215 Jeddah 21422, Toll Free.: 8003040400, Web Site 8003040400 : – 21422 : 5215 . : 7001791990 / 4030251980
www.ajt.com.sa National Address: Aljazira Takaful Ta’awuni Co., 7512 Al-Madinah Al- 7512 : www.ajt.com.sa :
Munawarah Rd. – AlHamra Dist., Unit No. 8021, Jeddah, 4516-23324, KSA. . 23324-4516 8021 –
Insurance eligibility criteria
Includes all individuals arriving in the Kingdom of Saudi
Arabia and their family members, under a legitimate visit
visa (except for pilgrims - Hajj and Umrah)
Special Conditions:
The company’s prior approval is required for medical
expense to be covered under the policy at the selected
provider network
Compensation will be paid after the company approval of
those expenses that are covered after completing the insurance
application form and submitting it to the company along with the .
original detailed bills in additional to any other related documents
such as medical information documents, flight tickets and travelling
documents
Treatment in day care and outpatient clinics shall not be covered
unless it is for emergency
.
There will be no cover for any illness or injury or physical :
weakness or physical disabilities, and the consequences and
symptoms that occur or appear before each trip .
This product does not cover pregnancy and delivery cases unless
declared on the porposal from and cover will be limited to
emergency only.
The policyholder and any other person that is listed on the policy
schedule and included in the insurance undertake not to use this
policy to cover any previously known treatment or diagnostic nor
visit the kingdom in order to obtain this treatment within this
coverage.
Signed on behalf of the company
Attorney: :
Company Seal
Aljazira Takaful Ta’awuni Co.: Insurance Joint Stock Co. Operating Saudi Central Bank,
license No. 201312/34, Capital S.R.: 550,000,000 Fully Paid C.R.No.: 4030251980 / 550,000,000 201312/34/
7001791990 – P.O.Box : 5215 Jeddah 21422, Toll Free.: 8003040400, Web Site 8003040400 : – 21422 : 5215 . : 7001791990 / 4030251980
www.ajt.com.sa National Address: Aljazira Takaful Ta’awuni Co., 7512 Al-Madinah Al- 7512 : www.ajt.com.sa :
Munawarah Rd. – AlHamra Dist., Unit No. 8021, Jeddah, 4516-23324, KSA. . 23324-4516 8021 –
