Insurance Plans - QHIS

InsurancePlan

Introduction

To achieve the desired goals of your visit to our country, whether for tourism or to learn about our culture and values, or to accomplish some business, obtaining health insurance that you
trust and that guarantees you insurance coverage for medical emergency and accidents, will save you time, effort and money, in case the necessity arises.

How To Obtain Visitor's Health Insurance?

To avoid paying for your healthcare services in emergency or accident, all visitors to the State of Qatar are
advised to obtain a Health Insurance Policy that covers Emergency and Accident healthcare services before
entering the Country.

However, if you plan to extend your stay in the country for additional (30) days, you must buy a health insurance policy.
You can purchase the Health Insurance Policy from any of the Insurance Companies Registered with or Approved by the Ministry of Public Health click here.

Upon completion of the purchase of the Policy, you can apply on the website of the Ministry of Interior or through “Metrash" App to obtain/extend your Visit visa.

Health Insurance Premium

The premium for the Mandatory Visitors’ Health Insurance policy is QAR 50 per month.
The visitor can purchase additional coverage (Top-ups) as desired for extra premiums to be
determined by the insurance companies.

What Is Covered By The Policy?

Emergency medical treatment:
Up to QAR 150,000 for the policy period and within the State of Qatar.
Emergency medical assistance with a sub-limit of QAR 35,000, includes:
- Emergency ambulance transportation within the State of Qatar, and where necessary.
- Medical evacuation to the visitor's country of residence.
COVID-19 and Quarantine:
1. Sub-limit up to QAR 50,000.
2. Covid-19 treatment for positive cases.
3. Quarantine expenses (for confirmed cases) are up to QAR 300 per day.
No waiting period is required under this document.
Repatriation: In the event of the visitor's death within the State of Qatar, the cost of repatriation is covered up to an amount of QAR 10,000.
No copayment or deductibles required for any covered services as per the terms and conditions stipulated in the visitor's health insurance policy.

International Health Insurance Policies:

In addition to the visitors’ health insurance policies issued by insurance companies registered with the Ministry of Public Health (MOPH), visitors’ health insurance policies issued by MOPH approved international insurance companies are also accepted. The visitor must ensure that the international insurance policy fulfils the acceptance criteria defined by the MOPH, which include:

The geographical coverage must include the State of Qatar.
The policy is valid and cover the period of the full duration of visitor’s stay in the country.
The policy covers emergency and accidents healthcare services with a limit of QAR 150,000, without deductibles or copayments.
The policy covers COVID-19 with a limit of QAR 50,000.
Presence of a physical proof of health insurance coverage (paper format of the policy) to be presented by the border authority and healthcare providers on demand.

Contact Us

MOPH Helpline:

16000 – Extension No. (1) Dedicated to health insurance
International Number: 0097444069963

Complaints: ghcc@moph.gov.qa
Questions and Answers: FAQs
Health Financing and Insurance Department Home Page: click here

Overview

Categories of Non-Qataris :
1. Crafts and Manual Workers
2. White Collars
3. Domestic Workers
Provider Network: Defined network of registered providers
1. Out-of-network provider is not covered except for emergency cases.
2. Gatekeeping system is mandatory.

Insurance Highlights:

Territorial Coverage

State of Qatar.

Pre-Existing Conditions

Covered

Waiting /Eligibility Period

Follow Ups

Free follow up for outpatient visits within 10 days after initial consultation.

Emergency Care

Covered

Inpatient Care

Covered

Overall Plan Limit

Annual Aggregate limit	QAR 500,000
Premium	QAR 1000 Per Member

Medical Benefits and Limits

# Benefit category	Benefits description	Stipulation
1 Inpatient and Day Care	Fully covered (Medical and Surgical Cases in a shared room): Physician, surgeon, anesthetist fees for consultation and procedures. Nursing care procedures. Medically necessary diagnostic tests and imaging. Intensive or critical care room. Surgical appliances and consumables (incl. medication, implants. Cancer treatment including surgery, chemotherapy, radiotherapy, reconstruction, and rehabilitation.	30% coinsurance up to QAR 500 per encounter, and max QAR 1.500 per year. Anything more than that is fully covered by the insurer. Preauthorization required.
2 Organ Transplantation	Covered	Doner expenses are excluded. Sublimit QAR 30.000 Preauthorization required.
3 Patient Co-accommodation	Covered up to QAR 200 per night in a shared room.	Preauthorization required.
4 Maternity benefits - Antenatal care and postnatal care. - Normal delivery or caesarean Section Neonatal care.	Inpatient maternity services: Normal delivery, Caesarian Section and Legal Abortion Ultrasound and investigations. Neonate: covered for 30 days after delivery under mother policy. Complications of pregnancy, delivery and for the neonate: up to annual aggregate limit. Neonatal screening. Outpatient maternity services: Antenatal care visits and Ultrasounds as per MOPH Clinical Guidelines.	Annual sublimit: QAR 10000. QAR 300 deductible per episode of care. Preauthorization required. 8 visits. QAR 50 deductible
5 Emergency & Urgent Care.	Fully covered. Reimbursement in case of out of network care delivery as per MOPH guidelines.	Covered
6 Outpatient care · Fully covered (Medical and Surgical cases).	GP consultation; primary care medical practitioner Specialist or consultant consultation on referral only	QAR 70 per visit Physician home visit and home nursing not covered QAR 80 per visit Physician home visit and home nursing not covered
7 Outpatient Diagnostics	Lab tests, US scan, all X-Rays imaging, angiography, ECG, stress test, ECHO. CT scan, MRI, PET scan, fluoroscopy, mammography, and nuclear medicine imaging.	QAR 60 per visit Preauthorization required for CT scan, MRI, PET scan, fluoroscopy, mammography, and nuclear medicine imaging.
8 Pharmaceutical benefits (prescribed by a network physician).	Vitamins, minerals, and food supplements - only covered for prenatal or a diagnosis associated with of verified deficiency.	2000 Annual sublimit. 25% co-insurance.
9 Physiotherapy and rehabilitation	Physiotherapy prescribed by a network physician.	6 visits with QAR 60 per visit Preauthorization required.
10 DMEs	All physician-prescribed medically necessary DMEs (registered by MOPH) for covered medical conditions.	QAR 60 Preauthorization required.
11 Vaccination	Covered	Children Vaccination as per the National Immunization Program Guidelines. Other vaccines mandated by MOPH

List of Uncovered Services

# Benefit category	Benefits description	Stipulation
12 Dental	All types of dental care are not covered except for Trauma and Accidents only and until patient’s condition is stabilized	Not Covered
13 Psychiatry and psychotherapy.	Both inpatient and outpatient	Not Covered
14 Ambulance services	-	Not Covered
15 Health and wellness	-	Not Covered
16 Infertility treatments.	-	Not Covered
17 Bariatric Care	-	Not Covered
18 Cosmetic Surgery and Treatment	-	Not Covered
19 Optical	-	Not Covered
20 Renal dialysis	-	Not Covered
21 Long Term Care	-	Not Covered
22 Repatriation of mortal remains.	-	Not Covered
23 Treatment Abroad	-	Not Covered
24 Alternative Medicine.	-	Not Covered

Contact Us

MOPH Helpline:

16000 – Extension No. (1) Dedicated to health insurance
International Number: 0097444069963

Complaints: ghcc@moph.gov.qa
Questions and Answers: FAQs
Health Financing and Insurance Department Home Page: click here

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InsurancePlan

Introduction

How To Obtain Visitor's Health Insurance?

Health Insurance Premium

What Is Covered By The Policy?

International Health Insurance Policies:

Contact Us

Overview

Insurance Highlights:

Contact Us

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