Registering a New Beneficiary

First: Service Eligibility Requirements

Geographical Scope:

The beneficiary must reside within the Eastern Province, and the requested service must fall within the association’s approved scope of services.

Identity Verification:

• National ID
• Resident ID (Iqama)
• Passport
• Valid visit visa

Financial Status Verification:

• Salary certificate attested by the Chamber of Commerce
• Social Insurance (GOSI) report
• Bank statement for the last three months

Medical Condition Verification:

A recent medical report or prescription not exceeding 3 months, issued by an accredited healthcare provider within the Kingdom.

If the beneficiary has medical insurance, documentation proving the insurer’s refusal to cover the treatment must be attached.

Proof of Residence:

• Property deed
• Valid lease contract
• Official letter from the employer

Second: Medical Services Policy

Coverage Scope:

The association provides medical services to beneficiaries who meet all eligibility criteria, with the exception of the following cases:

• Intensive care and long-term care
• Dental treatments (except life-threatening cases)
• Rehabilitation therapies (physical therapy, autism therapy, speech therapy, palliative care)
• Psychological support and mental health treatments
• Cosmetic surgeries (except for medically necessary functional procedures)
• Organ transplantation
• All childbirth cases

Third: Medication and Medical Devices Policy

1. Medication Dispensing Regulations:

• Only medical prescriptions issued within the past 3 months are accepted, and a new prescription is required once this period lapses.
• Prescriptions must be clear, aligned with the diagnosis, and issued by an accredited healthcare provider within the Kingdom.
• All prescriptions must be updated annually after the beneficiary’s application is approved.

For psychiatric and neurological medications:

• The prescription must be stamped by a specialized consultant.
• It must be updated every 6 months at most.

2. Medical Device Dispensing Regulations:

• A certified medical report must be provided, clearly indicating the beneficiary’s need for the device.
• Devices are selected based on the beneficiary’s actual needs and in accordance with approved quality standards.
• All devices undergo inspection and verification of functionality prior to delivery.
• The beneficiary must sign a device receipt form and commit to maintaining the device and returning it if it is no longer needed.