Health Insurance Options and Plans as an Expat in Saudi Arabia

1. What are the available health insurance options and plans for expats in Saudi Arabia?


There are a few options and plans available for expats in Saudi Arabia:

1. Mandatory Health Insurance: The Saudi Arabian government requires all residents, including expatriates, to have health insurance. This can be obtained through the Cooperative Health Insurance Council (CHIC), which offers a Basic Plan that covers essential medical services.

2. Private Health Insurance: Many expats also opt for private health insurance to supplement their mandatory coverage. This can provide additional benefits and coverage, such as access to private hospitals or coverage for pre-existing conditions.

3. Employer-Sponsored Health Insurance: Many employers in Saudi Arabia offer health insurance plans for their employees, which may include additional benefits and coverage compared to the basic plan offered by CHIC.

4. International Health Insurance: Some expats may choose to purchase international health insurance plans from their home country or other international providers. These plans typically offer more comprehensive coverage and allow for treatment both in Saudi Arabia and abroad.

2. What are the mandatory requirements for health insurance in Saudi Arabia?

The mandatory requirements for health insurance in Saudi Arabia are:

– All residents (including expats) must have valid health insurance coverage provided by CHIC or an approved private insurer.
– The policy must cover basic medical services, including consultations, laboratory tests, prescription drugs, and emergency care.
– The minimum annual coverage amount for individuals must be at least SAR 450,000 (USD $120,000).
– Dependents of expats who are not employed must be included under their sponsor’s policy.
– Employers must pay at least 50% of the premium for their employees’ health insurance.

3. How much does health insurance cost in Saudi Arabia?

The cost of health insurance in Saudi Arabia can vary depending on your age, pre-existing conditions, selected plan/provider, and additional coverage options. On average, you can expect to pay anywhere from SAR 3,000-5,000 (USD $800-$1,300) per year for an individual plan. However, this cost can increase significantly for families and more comprehensive coverage.

4. Can I purchase health insurance in Saudi Arabia as an individual?

Yes, expats can purchase private health insurance plans directly from approved insurance providers in Saudi Arabia. However, CHIC’s Basic Plan is only available through employers or as a dependent under a sponsor’s policy.

5. What does health insurance in Saudi Arabia cover?

The mandatory basic health insurance in Saudi Arabia covers the essential medical services required by law. These include consultations, laboratory tests, prescriptions drugs, and emergency care. Private health insurance plans may offer additional benefits such as coverage for pre-existing conditions, access to private hospitals and clinics, dental and vision care, and maternity care.

6. Are pre-existing conditions covered by health insurance in Saudi Arabia?

CHIC’s mandatory Basic Plan does not cover pre-existing conditions. However, some private health insurance plans may provide coverage for pre-existing conditions depending on your age and the specific condition.

7. Can I use my international health insurance in Saudi Arabia?

Yes, international health insurance plans are accepted in Saudi Arabia. However, it is important to check with your insurer to see if they have any network restrictions or limitations on coverage while living abroad.

8. How do I file a claim with my health insurance provider in Saudi Arabia?

The claims process will vary depending on your insurer and type of plan. Generally, you should inform your insurer of any medical treatments or services you have received before submitting a claim form along with supporting documents (medical receipts/invoices). Some insurers may also have online portals or mobile apps where you can submit claims electronically.

9. What should I consider when choosing a health insurance plan in Saudi Arabia?

When choosing a health insurance plan in Saudi Arabia, here are some factors to consider:

– The cost of the premium: Make sure you understand what is included in the premium and if there are any additional fees or deductibles.
– Coverage: Consider your specific healthcare needs and ensure that the plan covers them adequately.
– Network of providers: If you have a preferred hospital or doctor, make sure they are within the network of providers for your chosen plan.
– Exclusions and limitations: Be aware of any specific exclusions or limitations on coverage, especially if you have pre-existing conditions.
– Customer service: Look into the insurer’s customer service reputation and their process for handling claims. Good customer service is essential when dealing with healthcare.

10. Are there any tips for saving money on health insurance in Saudi Arabia?

Some tips for saving money on health insurance in Saudi Arabia include:

– Choose a basic plan: If you’re looking to save money, consider opting for CHIC’s Basic Plan rather than a more comprehensive private plan.
– Compare plans and providers: Shop around to compare different plans and providers to find the best deal for your needs.
– Increase deductible/coinsurance amounts: Some plans may offer lower premiums if you agree to pay a higher deductible or coinsurance amount.
– Stay healthy: Many insurance plans offer discounts or bonuses for maintaining healthy habits such as regular exercise or non-smoker status.

2. Is it mandatory for expats to have health insurance in Saudi Arabia?


Yes, it is mandatory for expats to have health insurance in Saudi Arabia. The Saudi government requires all foreigners living and working in the country to have valid and comprehensive health insurance coverage. This applies to both expatriates sponsored by an employer and those living in the country as dependents.

3. What is covered by health insurance in Saudi Arabia?

The coverage offered by health insurance plans in Saudi Arabia varies depending on the type of policy and insurer. However, most plans cover basic healthcare services, including hospitalization, doctor’s fees, prescription medications, laboratory tests, and emergency medical services. Some plans may also include coverage for dental care, vision care, maternity care, chronic disease management, and other specialized treatments.

4. Do I need to purchase a separate insurance plan for my family or will my employer cover them too?

It depends on your contract with your employer. Some employers provide health insurance coverage for employees’ families as part of their benefits package. In this case, you may not need to purchase a separate plan for your family members. However, it is always best to clarify this with your employer before making any assumptions.

5. Can I use my home country’s health insurance in Saudi Arabia?

It is generally recommended to purchase a local health insurance plan while living in Saudi Arabia. While some international health insurance plans may offer coverage in Saudi Arabia, they may not be accepted at all healthcare facilities or may have limited coverage compared to local plans.

6. How do I choose a suitable health insurance plan in Saudi Arabia?

The best way to choose a suitable health insurance plan in Saudi Arabia is to research and compare different policies from various providers based on your needs and budget. It is important to look into factors such as coverage benefits, network of hospitals and clinics, customer reviews and ratings, as well as the cost of premiums when making your decision.

7. Can I change my health insurance provider or policy during my stay in Saudi Arabia?

Yes, you can change your health insurance provider or policy during your stay in Saudi Arabia. However, it is important to carefully review the terms and conditions of your current policy before making any changes to avoid any penalties or gaps in coverage. It is also recommended to seek advice from a licensed insurance agent or consultant when switching plans.

3. What is the average cost of health insurance for expats in Saudi Arabia?

The cost of health insurance for expats in Saudi Arabia can vary greatly depending on a variety of factors such as your age, health status, and the level of coverage you require. On average, expats can expect to pay anywhere from $150 to $500 per month for health insurance in Saudi Arabia.

4. What kind of healthcare services are available for expats in Saudi Arabia?
Expats in Saudi Arabia have access to a wide range of healthcare services, including both private and public hospitals and clinics. Private healthcare is generally more expensive but offers higher-quality facilities and services, while public healthcare is more affordable but may have longer wait times and less advanced equipment and treatments. Expats can also seek medical treatment at government-run hospitals, which offer free or heavily subsidized care for citizens and residents. Additionally, there are several specialized hospitals in major cities that cater specifically to the needs of expats.

5. Do I need travel insurance while living as an expat in Saudi Arabia?
Yes, it is recommended that all expats living in Saudi Arabia obtain international travel insurance to cover unexpected medical expenses or emergency situations. While public healthcare is available for residents, it may not always meet the standards or preferences of expats. Travel insurance can also provide coverage for other scenarios such as lost luggage or cancelled flights.

4. Are there any government-sponsored health insurance programs for expats in Saudi Arabia?

Yes, there are two government-sponsored health insurance programs for expats in Saudi Arabia: the Mandatory Health Insurance Scheme and the Cooperative Health Insurance Program. Both programs provide coverage for basic healthcare services and are mandatory for all expats working in certain industries or covered by employers. The costs of these programs are generally shared between the employer and employee.

5. Can I use my home country’s health insurance while living in Saudi Arabia?


It is possible to use your home country’s health insurance while living in Saudi Arabia, but you will need to check with your insurance provider to make sure that they provide coverage for international travel and living. Additionally, it is recommended to also purchase health insurance in Saudi Arabia to ensure comprehensive coverage while residing there.

6. How does the healthcare system work for expats in Saudi Arabia?

The healthcare system in Saudi Arabia is generally of high quality, with modern facilities and well-trained medical professionals. However, access to healthcare services may vary depending on your immigration status and the type of health insurance you have.

Expats who are employed by a company in Saudi Arabia are generally provided with health insurance through their employer. This insurance typically covers the cost of basic medical services such as doctor’s appointments, hospital visits, and prescription medications. Some employers may also offer additional coverage for specialized treatments or elective procedures.

If you are self-employed or not covered by an employer-provided health insurance plan, you can purchase private health insurance from local or international providers. Private health insurance plans often offer more comprehensive coverage and access to a wider range of healthcare facilities and services.

In order to receive medical treatment in Saudi Arabia, expats must first obtain a resident permit (iqama) and a National Identification Number (NIN). These can be obtained through your employer or sponsor. Once you have these documents, you can register with a primary care physician who will refer you to specialists as needed.

It is also important to note that while public hospitals and clinics in Saudi Arabia are open to everyone, private healthcare facilities may only accept patients with certain types of health insurance or from specific countries.

Overall, the healthcare system in Saudi Arabia can be efficient and accessible for expats with proper documentation and adequate health insurance coverage.

7. Do I need to have a certain level of income to be eligible for health insurance as an expat in Saudi Arabia?


In Saudi Arabia, expats are required to have a minimum level of income in order to be eligible for health insurance. The specific income level may vary depending on the type of health insurance plan and your visa status. It is important to check with your employer or insurance provider to determine the exact eligibility requirements.

8. Are pre-existing conditions covered under the expat health insurance plans in Saudi Arabia?


Pre-existing conditions may not be covered under some expat health insurance plans in Saudi Arabia. It is important to carefully review the terms and conditions of your specific insurance plan to determine what is covered and what is excluded. Some plans may have waiting periods or limitations for pre-existing conditions, while others may offer coverage for them at an additional cost. It is always best to disclose any pre-existing conditions when applying for health insurance to avoid any potential issues with coverage later on.

9. What is the process of applying for health insurance as an expat in Saudi Arabia?

The process of applying for health insurance as an expat in Saudi Arabia typically involves the following steps:

1. Verify if you are eligible for health insurance: As an expatriate living and working in Saudi Arabia, it is mandatory for you to have a valid health insurance policy. However, certain expats such as diplomats, government employees, and their dependents may be exempted from this requirement.

2. Choose a healthcare provider: The first step towards getting health insurance is choosing a healthcare provider. Expats can opt for either public or private healthcare providers.

3. Decide on the coverage required: Once you have chosen a healthcare provider, you need to decide on the extent of coverage that you require. This will depend on your specific needs and budget.

4. Check with your employer: Some employers provide health insurance coverage for their employees as part of their employment package. Therefore, check with your employer if they offer this benefit before applying for health insurance.

5. Submit necessary documents: Depending on the healthcare provider and the type of policy you are opting for, you will need to submit certain documents along with your application form. This may include copies of your passport, residence permit, employment contract, and a valid health certificate.

6. Pay the premium: After submitting your application form and necessary documents, you will have to pay the premium amount as determined by the insurer.

7. Await approval: Your application will then be reviewed by the insurer and if there are no issues or discrepancies found, your health insurance policy will be approved.

8. Activate your policy: Once your policy is approved and activated, you will receive a copy of your policy document along with an identification card from the insurer.

9. Renewing your policy: Health insurance policies in Saudi Arabia typically need to be renewed annually before they expire.

It is important to note that the process may vary slightly depending on the specific requirements of each insurer or healthcare provider.

10. Are routine check-ups and preventative care covered under expat health insurance plans in Saudi Arabia?

Most expat health insurance plans in Saudi Arabia cover routine check-ups and preventative care, though the extent of coverage may vary. Some plans may fully cover these services, while others may have a co-pay or require the member to pay out-of-pocket until meeting a deductible. It is important to review the specific coverage details of your chosen insurance plan to understand what routine and preventative services are covered.

11. Can I choose my own doctor or hospital with the provided health insurance options in Saudi Arabia?


No, for most health insurance options provided in Saudi Arabia, you will be limited to a network of approved doctors and hospitals. However, some insurance plans may offer the option to add on out-of-network coverage for an additional cost. It is important to review the details of your specific health insurance plan to understand your coverage options.

12. What documents do I need to provide when applying for health insurance as an expat in Saudi Arabia?


When applying for health insurance as an expat in Saudi Arabia, the necessary documents may vary depending on the specific insurance provider you are applying with. However, here are some of the common documents that may be required:

1. Passport or valid ID: This is mandatory to prove your identity and residency status.

2. Visa: Your visa document is essential as it shows your legal status in Saudi Arabia and specifies how long you can stay in the country.

3. Residency permit (Iqama): If you have already obtained your residency permit, make sure to provide a copy of it when applying for health insurance.

4. Proof of address: You may need to provide a proof of address, such as a recent utility bill or tenancy agreement to verify your residence in Saudi Arabia.

5. Employment contract or letter from employer: This will show your position, salary, and other details related to your employment.

6. Bank statement: Some insurance providers may require a copy of your bank statement as proof of financial stability.

7. Medical history report: If you have any pre-existing medical conditions or ongoing treatments, you may need to provide a detailed medical history report from your previous doctor.

8. Dependent information: If you are including any dependents in your health insurance plan, you will need to provide their personal information and supporting documents such as marriage certificates and birth certificates.

9. Other relevant documents: Depending on the insurance provider, there may be other supporting documents required such as passport-size photographs or additional forms to fill out.

It’s best to check with the specific insurance provider for their precise requirements before submitting your application.

13. Do I have to pay upfront for medical treatments or will my claims be reimbursed by the insurer?


It depends on the specific policy and coverage you have with your insurance provider. Some insurance plans require you to pay upfront for medical treatments and then submit a claim to be reimbursed by the insurer. Other plans may have arrangements with certain healthcare providers where the insurer will pay them directly for covered services. It is important to review your policy or contact your insurance provider to understand their reimbursement process.

14. Are prescription drugs covered under expat health insurance plans in Saudi Arabia?


Yes, prescription drugs are typically covered under expat health insurance plans in Saudi Arabia. However, coverage will vary depending on the specific insurance plan and provider. It is important to review the coverage details and limitations of your insurance plan before purchasing to ensure that your necessary medications are covered.

15. In case of emergencies, does the health insurance cover medical evacuation expenses?


It depends on the specific health insurance policy and the circumstances of the emergency. Some health insurance policies may offer coverage for medical evacuation expenses in case of emergencies, while others may not. It is important to check with your insurance provider before travelling to determine if this is included in your coverage.

16. Are dental and vision care included in expat health insurance plans in Saudi Arabia?


Dental and vision care may be included in some expat health insurance plans in Saudi Arabia, but this varies depending on the specific plan you choose. Some plans may offer coverage for routine dental and vision care, while others may require separate, additional coverage for these services. It is important to carefully review the details of any health insurance plan before selecting one to determine what is included and what may need to be purchased separately.

17. How long does it take to get coverage after purchasing a plan as an expat in Saudi Arabia?

The length of time it takes to get coverage after purchasing a plan as an expat in Saudi Arabia can vary depending on the insurance company and the type of plan chosen. Some providers may offer immediate coverage, while others may have a waiting period of a few days to a few weeks. It is important to carefully review the details of the plan before purchasing to understand when coverage will begin.

18. Can I tailor my coverage based on my specific needs and budget as an expat living in Saudi Arabia?

Yes, as an expat living in Saudi Arabia, you can tailor your insurance coverage to fit your specific needs and budget. Your insurance provider will offer various options for coverage levels, deductibles, and additional benefits that you can choose from to create a plan that best meets your individual needs. It is important to discuss your options with your insurance provider and understand the details of your coverage before making a decision.

19.For how long can I keep my international/expat health insurance if I decide to leave Saudi Arabia and move to another country?


The length of time you can keep your international or expat health insurance while living in another country will vary depending on the terms of your policy and the regulations of the new country. You should check with your insurance provider to see if they have any restrictions on coverage outside of Saudi Arabia, and make sure to inform them of your plans to move so that they can advise you on how to proceed. In some cases, you may need to transfer your insurance coverage to a new policy that is specifically designed for your new country of residence.

20. Are there any exclusions or limitations on coverage for expats in Saudi Arabia?


Yes, there may be certain exclusions or limitations on coverage for expats in Saudi Arabia. Some common examples include:

1. Pre-existing conditions: Many insurance policies exclude coverage for pre-existing conditions, which are any health issues that you had before your policy went into effect.

2. High-risk activities: Coverage may be limited or excluded for high-risk activities such as extreme sports or adventure activities like scuba diving and rock climbing.

3. War and political unrest: Insurance policies may not cover injuries or illnesses related to war, terrorism, or political unrest.

4. Repatriation expenses: Some policies may cap the amount paid for repatriation, which is the cost of returning your remains to your home country in the event of death.

5. Mental health treatment: Some policies may have limited coverage for mental health treatment or exclude it altogether.

It’s important to carefully review the terms and conditions of your insurance policy to understand any exclusions or limitations that may apply to your specific situation.