Health Insurance Eligibility in Saudi Arabia: Categories and Requirements

2023-12-16 14:41:01

Who are the categories eligible for health insurance? Is there health insurance for residents? One of the most important achievements made by the Kingdom of Saudi Arabia with regard to the health sector is what is known as insurance, which includes the inclusion of a group of individuals to provide a package of medical services at reasonable prices and with many advantages. From this standpoint, we answer whether health insurance in Saudi Arabia is considered compulsory or not.

Who are the categories eligible for health insurance?

The Health Insurance Council in the Kingdom of Saudi Arabia has identified the categories whose individuals are allowed to subscribe to health insurance, which it mentioned as follows:

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  • Saudi citizens.
  • Residents working for a non-governmental entity.
  • Residents who do not work for a government or private entity, except for the foreign wife of a Saudi citizen or the children of a Saudi mother.
  • Those belonging to the previous two categories, provided that they hold residence permits.
  • Saudis and their families working in a private entity, provided that there is an employment contract.
  • As for the intended family members, they are for the male worker; His wives, his daughters, provided they are not married, and his children under 25 years old.
  • As for the family members of the working woman, they are: Her husband is not working, or works for an entity that does not provide insurance, or is considered one of the excluded categories, her unmarried daughters, and children under 25 years old.

Is medical insurance compulsory in Saudi Arabia?

The question that arises regarding the issue of health insurance is: Is this insurance considered compulsory or compulsory, or is it optional? Here the conversation is directed to the owner of the institution and not the worker himself. Because he is concerned with adding all his employees to the health insurance system compulsorily.

So, according to what the Health Insurance Council indicated, the employer is obligated to issue a health insurance policy for every Saudi and non-Saudi worker in his organization, including them and their family members, from the first moment of work, even if it is during the probationary period.

Inquiry about medical insurance

It is possible for every individual in Saudi Arabia to inquire about his health insurance in the following way:

  • Choose to inquire about insurance status from electronic services.
  • Select to inquire about insurance information.
  • Enter your ID or residency number, then the visual verification code.

  • Click Submit until the insurance details are displayed.

Health insurance has made many things easier for individuals in Saudi Arabia from the various categories entitled to it. They were able to obtain a series of the best services in the best hospitals, which they would have incurred financial costs if they had been out of insurance.

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