What are the criteria for eligibility for your group medical insurance?
As we provide corporate Medical insurance to your company, eligibility into the group is determined in conjunction with your employer. In almost all cases, your employer will extend cover to all employees who are actively at work. You may want to talk to your employer or your HR department directly to see what they can offer.
I am covered by my company's group medical policy. Do I need further insurance?
The first thing to do is check what your company policy covers you for. Quite often this type of cover provides initial basic insurance that may not be sufficient to cover all your needs. How much and what type of cover you need will be dependent on your own individual circumstances. The best way to work out what’s right for you is to fill in our short “Contact us“ form and request a call from one of our qualified personal advisers. They’ll take you through a few questions that will help you determine what your needs are now and also what they might be in the future, if you need to cover a partner or children for example. Every call is confidential and there’s no obligation or charge to you. We look forward to hearing from you.
How long does it take to issue a MetLife card for a new member?
We do our best to register new members as quickly as possible. Our standard turnaround time for issuing MetLife Alico cards, following enrolment, is five working days.
Does your policy cover treatment of all types of health problems and diseases?
Our standard Group Policy provides comprehensive Medical coverage. However, as with all insurance providers, we have to take into consideration your individual circumstances. If you have a pre-existing condition, a congenital anomaly or special medical needs of another sort this may impact the cover you receive. If this is a case, your group policy will always detail the extent of cover, any specific exclusions and benefit maximums. You can always talk to one of our advisers, in confidence, if you are unsure about your cover. Fill in our short "Contact us" form and one of our experts will call you back at a time that suits you.
Is it possible to consolidate medical costs related to more than one health problem in one claim form?
Yes. That's perfectly fine if you need to. Just make sure that when you file your claim, you have provided the details required for all the costs and our claims staff will ensure the correct split is achieved whilst processing your form.
What is the time limit that Group Policy members have to submit their claims forms?
We recommend that as a Group Policy member you notify us and submit your claims as soon as they are incurred. But we also realise that might not be possible, so we ask you to submit the claim form no later than 45 days from the date of expense.
What is the time period within which claims shall be reimbursed to members?
Once we receive all the relevant and completed documentation for a claim, we will process it within 14 working days. Quite often it takes less time than this.
Does your policy cover cost of medical treatment outside Jordan?
The geographical limit of our cover can be set at whatever area is appropriate for a specific company. We offer cover locally, regionally and on a worldwide basis depending on the need. It's important to check the extent of your cover, with your employer if you are thinking of travelling.
What are the requirements needed for members to receive treatment outside Jordan?
To cover treatments outside Jordan, the selected country of treatment should be included in the geographical scope of your policy.
Does your policy cover the cost of specified medical operations that are already pre-arranged through one of the healthcare centres outside Jordan?
We want to make our policy as relevant to our customers as possible, so we're happy to settle expenses for any benefits that have been approved through our pre-determination process, to providers outside Jordan (considering the selected country included in the geographical scope of coverage). In addition we have providers outside Jordan within our network for e.g. in the Middle East and Europe which can be utilized for direct billing Inpatient facility.
What is the maximum number of employee's dependants that can be enrolled in GMIS?
We don't set a limit as to the number of dependants that can be covered under our plans. You might find your employer has set a limit as they are the policyholder.
I have insurance provided by my employer. Can I add my family to this policy? Can I increase the cover of this policy?
The cover and benefits provided by your Group Insurance are agreed between your employer and us. If your employer has provided for family coverage then you can quite easily add your family (as per your family book) to the policy. If you do not have such a cover provided in Group Policy but wish to insure your family, you could talk to one of our personal advisers for a more detailed plan of your requirements. The easiest way to get in touch with an adviser is to fill in the short "Contact us" form and let us call you at a time that's most convenient.
If I take an Individual insurance in addition to the group one, do I get any extra benefit?
Your Group Insurance benefits are specified and agreed between your employer (as Policyholder) and us. Your employer will be able to provide you with the details of your group policy. If you find your group Insurance doesn't cover the situations you need you can talk to us about an Individual policy that has the extra benefits you want. If you'd like to talk to us about what Individual cover will best complement your Group cover, simply fill in our short "Contact us" form and one of our personal advisers will get back to you, in confidence and at no extra cost to you.
Can any employee add/delete his dependents coverage during the policy year?
The eligibility date for a spouse's coverage is the date of marriage or the date of Employee's coverage whichever is later.
The eligibility date of a dependent child's coverage is usually fourteen/zero days after birth or the date of Employee's coverage whichever is later.