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Page 1: YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS

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Page 2: YOUR HEALTH CARE IS IN GOOD HANDS
Page 3: YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS

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1- Your health care is in good hands 4

2- General Dictionary 5

3- From Your Management 6

4- Eligibility to Medical Insurance Coverage 7

5-Table Of Benefits. 8-9

6- Special Conditions. 10

7- General Conditions. 10-12

8- General Execlusion 13-14

List of Assigned Providers Network. 15-44

INDEX

Page 4: YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS

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Welcome to the membership of Medgulf Health Care World. We hope our experience will ensure your satisfaction by allowing you trouble free access to quality health care services whenever needed.

The Purpose of this booklet and the at-tached inserts is to guide you and your dependents to access the ben-efits of your medical insurance plan, what are the general exclu-sions and what procedure to fol-low in case of a claim. However, it does not replace the policy officially issued to your company that remains the sole legal reference.

This booklet is issued in compliance with the compulsory policy terms and condi-tions enforced by Council of Cooperative Health Insurance.

This booklet only contains guidelines. The signed policy between your company and Medgulf stands as the official contract

IS IN GOOD HANDSYOUR HEALTH CARE

Page 5: YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS

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General DirectoryIf you require any assistance or need any clarification, please contact the following:

In case of difficulties, please call the following number:

Toll FreeRound the Clock

800 124 8844

OR contact The Claims Support Center of MediVisa at the following for any complain or suggestion:

RIYADH

Al-Maather Street, Future Building 7th Floor P.O. Box 2302 Riyadh1451E-mail: [email protected] Tel. 01 403 8844

JEDDAHJeddah Office for your insured members in Jeddah, Makkah, Madina & Taif RegionsJeddah Prince Fahd Street (Al Siteen Street) Medgulf Building (Al Rajhi Center) 1st, 2nd, & 3rd.Floor P.O. Box 51830 Jeddah 21553E-mail: [email protected] Tel. 02 675 7101

KHOBARKhobar office for your insured members in Eastern RegionDammam Khobar HighwayNasser Saeed Al Hajri Tower (7th Floor) P.O. Box 8836 Dammam 31492E-mail: [email protected] Tel. 03 889 4220

Assist america: Worldwide Emergency Services when traveling abroad, please contact the following numbers:

Outside the U.S.A.(Precede number by U.S access code.)

609 275 4999

Toll Free inside the U.S.A.

877 488 9857

202 Carnegie Center● Suite 302A ● Princeton, NJ 08540www.assistamerica.com

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From Your Management

We are Pleased to announce the Medical insurance plan of our employees with Medgulf – The Mediterranean & Gulf Insurance and Reinsurance com-pany (E.C.). with administrative and technical assistance from Medi Visa KSA.

Essentially, the medical coverage is provided for all staff and their authorized dependents living with them in the Kingdom.

Please read this booklet carefully to learn and understand the benefits, ex-clusions, controls and administration of the program.

In order to benefit from the direct billing systems, treatment must be obtained from one of the medical providers specified in this booklet. All outpatient and inpatient care will be paid for by direct billing between the insurer and the providers. Using the services of other providers in case of Emergency, would result in cash payment by the employee who could then recover through an established reimbursement procedure.

The pre-authorized of non-emergency hospitalization as a control must be recognized. It allows validation of a Doctor’s findings and recommendation by another expert.

The company will not reimburse any expenses already rejected by the insur-er because it falls outside the scope of the cover described in this booklet.

The Health of our employees and their dependents is of paramount impor-tance to us. On the other hand, we expect them to use such coverage only when it is necessary.

Medgulf will continually report to us the level of utilization of each employee and his dependents to investigate those cases that fall outside the estab-lished norms.

From Your Management

Page 7: YOUR HEALTH CARE IS IN GOOD HANDS

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Eligibility to Medical Insurance Coverage

Eligibility to Medical Insurance Coverage

— Employee: any employee working for the company on a perma-nent full-time basis and officially residing in KSA.

— Dependent: for the purpose of this plan, any member of the em-ployee’s family residing officially with him in KSA and depend-ing on him for subsistence shall be considered as dependent if within one of the following criteria:

— A wife of the employee. — Any unmarried child provided:

• He / She is under age 18.• He / She is a full time student and is under age 25.• Unmarried female.• Parents of the employee.

You have 30 days from the date of eligibility to enroll each of your dependents. If you apply after 30 days, coverage may not be pro-vided to those dependents. Therefore, it is very important that you notify your Human Resources Department without delay of any new family member.

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TABLE OF BENEFITS

Period of Insurance From: January 01st , 2013To: December 31st, 2013

LIMIT of BENEFITS Class VIP Class A Class B Class CA

Work Related Injury / Illness Not Covered Not Covered Not Covered Not Covered

Geographical Scope KSA KSA KSA KSA

Dependents Covered Yes Yes Yes Yes

Waiting period of newborn baby Nil Nil Nil Nil

Global Annual Limit per person SR. 5,000,000

SR. 1,000,000

SR. 1,000,000

SR. 1,000,000

In Hospital: Allowed Room at APN Suite Private Private Private

Daily Room & Board in KSA outside APN 800 SR. 600 SR. 600 SR. 600

Daily Room & Board abroad 1000 SR. 600 SR. 600 SR. 600

Cost of Surgery & Anesthesia Full Cover Full Cover Full Cover Full Cover

Radiotherapy & Chemotherapy Full Cover Full Cover Full Cover Full Cover

Daycare for Surgical Procedure Full Cover Full Cover Full Cover Full Cover

Deductible each & every claim Nil Nil Nil Nil

Co-Insurance outside APN in KSA (emergency) Nil Nil * Nil * Nil *

Co-Insurance outside APN abroad (emergency) Nil Nil * Nil * Nil *

Renal Dialysis SR 100,000 SR 100,000 SR 100,000 SR 100,000

Acute Psychological Cases SR 15,000 SR 15,000 SR 15,000 SR 15,000

* Cash reimbursement for Emergency Cases (in K.S.A. or Abroad) @ 100% subject to network rating.

** The visit includes doctor consultation, related investigations & prescribed medicine.

TABLE OF BENEFITS

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TABLE OF BENEFITS

LIMIT of BENEFITS Class VIP Class A Class B Class CA

Out Patient Covered Covered Covered Covered

Deductible each & every claim Nil 20% with a maximum of SR 100 per visit **

Co-Insurance outside APN in KSA (emergency) Nil * (plus applicable deductible)

Co-Insurance outside APN abroad (emergency) Nil * (plus applicable deductible)

Pre-Existing & Chronic: Covered Covered Covered Covered

Maternity Coverage: Annual limit SR 25,000 SR 15,000 SR 15,000 SR 15,000

Waiting Period Nil Nil Nil N/A

Vaccinations are covered for children upto 6 years as per Ministry of Health.

Dental Care: Annual limit SR 4,000 SR 2,000 SR 2,000 SR 2,000

Co-Insurance 20% with a maximum of SR 100 per visit **

Extraction of Natural tooth, Amalgam/Composite Filling, Root Canal Treatment and Gum Treatment excl. Scaling and Cleaning.

Optical Care: Annual Limit SR 1000 SR 500 SR 300 SR 250

Co-Insurance 20% with a maximum of SR 100 per visit **

Vision Tests, Lenses, Frame Up to maximum SR 250 for all Classes.

Repatriation Costs: Covered Covered Covered Covered

Repatriation of Mortal Remains to country. SR 10,000 SR 10,000 SR 10,000 SR 10,000

Worldwide Emergency Services Covered Covered Covered Covered

When traveling for more than 150 km away from home or abroad Full Cover Full Cover Full Cover Full Cover

* Cash reimbursement for Emergency Cases (in K.S.A. or Abroad) @ 100% subject to network rating.

** The visit includes doctor consultation, related investigations & prescribed medicine.

TABLE OF BENEFITS

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Special Conditions

Special Conditions- Cash reimbursement for Emergency Cases (in K.S.A or Abroad) @ 100% subject to KSA network customary charges.

General ConditionsOut-patient services:

• Every member is provided with a medical insurance card to be presented, together with a proof of identity, at any of the assigned providers in Saudi Arabia to receive treatment.

• The Card holder is requested to follow the administrative procedure below set by Medgulf together with the assigned providers:

• The member (or his guardian) should sign the Outpatient claim form at the reception desk of the medical facility.

• The member will pay to the medical facility all the medical expenses (con-sultation, deductibles, co-insurance and any other services) that are not covered by this medical plan.

Important Remark The medical insurance card is the responsibility of the employee.If lost, the employee will be fully responsible for all expenses resulting from any misuse of the lost card at any assigned provider.

In-patient services AT APN:

Non-Emergency Admissions:

• Pre-Admission Authorization: When Hospitalization is required, the medical facility shall request pre-authorization from MediVisa. Once authorized as medically necessary, the medical facility and Card holder are advised to arrange for admission.

• Second opinion: The plan covers 100% of the cost to obtain a second opin-ion from a well-known doctor to confirm the necessity for surgery.

• Should the patient refuse to submit to such second opinion, he will have to pay 50% of all eligible expenses.

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General Conditions

Emergency Admission:• For Emergency cases, pre-authorization is not required prior to admission.

Treatment Abroad:Any emergency and/or non emergency Medical expenses incurred whilst on va-cation /business trips not exceeding 60 days will be reimbursed at reasonable & customary charges at assigned providers subject to policy terms & conditions.

Emergency is a health condition, other than delivery, accompanied with severe pain and/or high fever, raising a professional concern that the absence of im-mediate treatment is likely to result in a serious loss of a bodily function or organ.

Reimbursement of Claims:

Certain expenses incurred outside the assigned providers are reimbursable un-der this plan provided the below procedure is followed:- Get Get a claim form from the HR Department and complete it in full.- Attach all of the following documents that are applicable:

y Doctor’s report showing date, location, symptoms, diagnosis, treatment and prescription

y Doctor’s certificate indicating the reasons that made the condition of Emer-gency nature.

y Diagnostic investigations’ result (laboratory, X-rays…etc). y Original receipts for all amounts paid. y Discharge report (for inpatient cases). y Detailed itemized invoice (s).

— Submit the whole documents to HR Department for approval and submission to MEDGULF, but retain a copy for your file.

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General Conditions

Claim Rejection

MEGULF may reject any claim for the following reasons: y Lack Lack of information in the doctor’s report. y Appropriate invoices / receipts not provided. y Claim form not completed properly. y Treatment /condition not covered under the scheme.

Rejected claim and reasons (s) will be returned to your HR Department. Such claims should be resubmitted with all requested details not later than 30 days from the date the documents are received by your HR Department.

Pre-Authoration Procedure:

Some Services and/or conditions cannot be treated at assigned providers without prior approval from MediVisa.

Medical Service and/or Condition Class(es) for which approval is required

In Hospital Treatment A - B & CA

Daycare Treatment, surgical procedure A - B & CA

Maternity Coverage "only first visit" A & B

Dental Coverage. A - B & CA

Optical Coverage. A - B & CA

Claims over SAR 1500. A

Claims over SAR 1000. B & CA

To avoid delay /complaints, please make sure that the approval request has been sent by the medical facility to MediVisa immediately.

The reply should be forwarded back to the medical facility within 15-30 minutes dur-ing normal working hours, should the response be delayed for any reasons, please call one of the numbers shown on the back of card.

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General Exclusions

Unless specifically indicated to the contrary in the Table of Benefits, the company shall not be liable for any expenses relating directly or indirectly to:A – This policy shall not cover claims arising from:1. Intentional self-inflicted injury.2. Sicknesses resulting from the abuse of some medicine, stimulants or tranquil-

izers, or from the use of alcohol, drugs or similar substances.3. Cosmetic treatment or surgery unless necessitated by a bodily injury not exclud-

ed in this section.4. General Checkup, inoculations, drugs or preventive measures that are not re-

quired for a medical treatment covered under this policy (excluding preventive procedures as defined by the Ministry of Health like vaccinations and mother care and childcare.).

5. Pregnancy and delivery of a woman whose contractual status is un-married.6. Treatment received by a beneficiary free of charge.7. Rest cures, general health cures and treatment in social healthcare institutions.8. Any disease or injury resulting directly from the beneficiary’s profession.9. Medically recognized venereal or sexually transmitted diseases.10. Costs of treatment following diagnosis of HIV or any disease related to HIV in-

cluding AIDS and its derivatives, alternatives or other forms.11. All costs relating to tooth implant, artificial teeth, fixed or mobile bridges or orth-

odontic treatment unless resulting from violent external means.12. Vision or hearing tests and visual or hearing aids unless required by the licensed

doctor.13. Transportation expenses other than by a licensed local ambulance or an ambu-

lance of the Saudi Red Crescent Society.14. Loss of hair, baldness or artificial hair.15. Psychological treatment, mental or nervous disorders unless of an acute nature

as per policy schedule.16. Allergy testing of any nature unless relating to medicine, diagnosis or treatment.17. Drugs, procedures, equipment or hormone treatment for the purpose of regulat-

ing reproduction, contraception, fertility, infertility, impotence, secondary sterility, in-vitro fertilization or any other method of artificial fertilization.

General Exclusions

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General Exclusions

18. Any congenital defect or deformity existing prior to the inception date unless it is life threatening.

19. Any costs or additional expenses incurred by the beneficiary’s companion during a hospital stay except hospital room and board charges for one companion, like a mother accompanying her baby aged up to twelve years or whenever medically necessary as judged by the treating physician.

20. Treatment of Acne (adolescence pimples) or any treatment relating to obesity or overweight.

21. Organ or bone marrow transplant or implant of artificial organs to replace any organ of the body.

22. Personal hazards mentioned in the Definition section of the policy.23. Alternative Medicines and treatment.24. Artificial body parts unless medically prescribed by a legally contracted provider for

a particular situation of a patient.25. Physiological natural changes for insured females (Menopause).

General Exclusions

B – This policy shall not cover any medical benefits and repatriation of the body to home country in case claim is directly resulting from:

1. War, invasion, act of foreign enemy, hostilities (whether war is declared or not), civil war.

2. Ionizing radiations, pollution from radioactive activity of any nuclear fuel or waste resulting from the combustion of a nuclear fuel.

3. The radioactive, contaminating, explosive or other dangerous properties of any nu-clear plant or any of its nuclear components.

4. The beneficiary’s service or participation in armed forces or police activities.5. Riots, strikes, terrorism or similar events.

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Assigned Providers’ Network

Location Provider Name Classes Phone NoAbha Abha Private Hospital VIP A No No 07 229 2222

Abha Al Rahma Hospital VIP A B No 07 228 2020

Abha Abha General Clinic VIP A B CA 07 224 4888

Abha Al Themal Medical Center VIP A No No 07 231 6666

Abha Al Arkan Polyclinic VIP A B CA 07 228 2626

Abha Dental Universe Center VIP A B No 07 231 0012

Abha Al Nomis Polyclinics Complex VIP A B CA 07 225 3355

Abha Al Nomis Polyclinic Complex VIP A B No 07 227 2192

Abha Family Health Polyclinic VIP A B CA 07 224 1199

Abha Al Balla Branch Est. VIP A B CA 07 224 6959

Abha Maternity And Child Hospital VIP A B No 07 225 8000

Abha Asnani Dental Center VIP A B CA 07 227 2066

Abou Arish Al Salamah Polyclinic VIP A B CA 07 325 0163

Abqaiq Al Shefa Dispensary VIP A B CA 03 566 3777

Abqaiq Manar Al Sihha Dispensary VIP A B No 03 566 0163

Afif Mohammad B. Al Harbi Clinic VIP A B No 01 722 2971

Aflaj Layla Medical Clinic VIP A No No 01 682 0618

Aflaj Farhan El Nadir Clinic VIP A B CA 01 782 0871

Aflaj Al Kamal Medical Clinic VIP A B CA 01 682 1111

Ahad Al Masarha Al Amal National Clinic VIP A B CA 07 319 3333

Ahad Rufaidah Haramain Medical Polyclinic VIP A B No 07 261 2747

Ahad Rufaidah Al Emeis Polyclinic VIP A B No 07 250 6633

Al Makhwah Al Makhwah National Clinic VIP A B CA 07 728 0544

Al Makhwah Mashaal Medical Polyclinic VIP A B CA 07 728 0915

Al Mandaq Ashfa Medical Center VIP A B No 07 751 3525

Al Mozhamiah Bertal Medical Clinic VIP A B CA 01 523 2113

Al Owaiqlia Al Rian Clinic VIP A B CA 04 669 0014

Anak Anak General Medical Co. VIP A B CA 03 842 3163

Arar Khanani Medical Clinic VIP A B CA 04 662 7770

Arar Al Nukhba Medical Clinic VIP A B CA 04 662 6112

Arar Salamaty Polyclinic For Medical Services VIP A B CA 04 663 6222

Assigned Providers’ Network

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Assigned Providers’ Network

Location Provider Name Classes Phone NoArar Amass Health Polyclinic Complex VIP A B CA 04 663 8383

Asfan Asfan Polyclinic VIP A B CA 02 265 2999

Badr El Nour Polyclinic VIP A B CA 04 332 4541

Badr Al Takhssosy Clinic Badr VIP A B CA 04 332 2900

Baha Shamekh Polyclinic Co VIP A B No 07 727 0801

Baha King Fahd Hospital VIP A B CA 07 725 4000

Baha Al Rami Al Ahly Polyclinic VIP A B CA 07 724 2424

Baha Dr. Ghassan N. Pharaon Clinic VIP A No No 07 727 1126

Baha Nees Dental Center VIP A No No 07 724 2333

Baha Al Salama Polyclinic VIP A B CA 07 725 5052

Baha New Look Optics VIP A B No 07 725 5779

Baljuraashi Ghamed National Clinic VIP A No No 07 722 0540

Baljuraashi Ghodran General Hospital VIP A B No 07 722 4470

Baqa'a Allewa'a Medical Complex VIP A B CA 06 527 1122

Baqa'a Bright Smile Dental Clinics VIP A B CA 06 527 5550

Bisha Al Amal Medical Polyclinic VIP A B CA 07 622 6900

Bisha Bisha Medical Dispensary VIP A B No 07 622 6560

Bisha King Abdullah Hospital VIP A B CA 07 622 0957

Bisha Medical Consultant Dispensary VIP A B No 07 622 1111

Bisha Al Salam Medical Dispensary VIP A B CA 07 622 3575

Bisha General Medical Care Polyclinic VIP A B CA 07 622 0003

Bukairiah Attadawe Clinic VIP A B CA 06 335 8708

Buraydah Al Fereh Hospital VIP A B No 06 324 5501

Buraydah Saudi Shamel Dental Clinic VIP A B No 06 381 9050

Buraydah Al Mohaimid National Clinic VIP A B CA 06 324 4905

Buraydah Dr. Ghassan N. Pharaon Dental Center VIP A B No 06 381 3596

Buraydah Dr. Ahmed Al Moussa Clinics VIP A B CA 06 383 7777

Buraydah Medical Saudian Polyclinic VIP A B CA 06 381 0196

Buraydah King Fahd Hospital VIP A B CA 06 325 7683

Buraydah Shifa Buraidah Polyclinic VIP A B CA 06 369 4332

Assigned Providers’ Network

Page 17: YOUR HEALTH CARE IS IN GOOD HANDS

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Location Provider Name Classes Phone NoBuraydah Future Care Clinics VIP A B No 06 325 9900

Buraydah Al Flaiw Polyclinic VIP A B CA 06 385 6611

Buraydah Dr. Sulaiman Al Habib Medical Group VIP A No No 06 316 6666

Buraydah Al Qasseem National Hospital VIP A B No 06 383 6100

Buraydah Rasheed Polyclinic VIP A B CA 06 381 4400

Buraydah Al Noor Distinguished Polyclinic VIP A B CA 06 384 6777

Dalam Al Gannas Medical Group VIP A B CA 01 541 1007

Dalam Madenat Al Elaj National Clinic VIP A B CA 01 541 2925

Dammam Mouwasat Medical Services VIP A No No 03 820 0000

Dammam Arrawdha Dispensary VIP A B CA 03 834 6555

Dammam Al Dukair Clinic VIP A B CA 03 842 9461

Dammam Al Faraby Dispensary VIP A B No 03 842 0909

Dammam Mouwasat Dispensary VIP A B No 03 826 0800

Dammam Dar Assihha Dispensary VIP A B CA 03 817 7899

Dammam Tadawi General Hospital VIP A B No 03 834 8777

Dammam Al Mana Dispensary VIP A B CA 03 812 2161

Dammam General Care Dispensary VIP A B CA 03 846 7777

Dammam Badr Al Rabie Dispensary VIP A B CA 03 834 0903

Dammam Health & Life Dispensary VIP A B CA 03 822 2222

Dammam Al Borg Laboratory VIP A B No 03 834 7000

Dammam Al Faraby Dispensary - Dammam Industrial Area VIP A B No 03 847 4080

Dammam Al Doha National Dispensary VIP A B CA 03 891 3111

Dammam EBN CENA DENTAL CLINIC VIP A B No 03 828 0466

Dammam Dammam Medical Dispensary (1) VIP A B CA 03 827 1388

Dammam Dammam Scan Center VIP A B CA 03 830 1718

Dammam Excellence For Physiotherapy center VIP A B CA 03 815 4119

Dammam Dammam National Dispensary VIP A B CA 03 843 4090

Dammam Al Ahmadi Medical Dispensary VIP A B CA 03 821 1111

Dammam Special Care Dental Dispensary VIP A No No 920001118

Assigned Providers’ Network

Assigned Providers’ Network

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Location Provider Name Classes Phone NoDammam Fajar Dammam Medical Complex VIP A B CA 03 815 2555

Dammam Al Bashawri Opticals VIP A No No 03 834 6063

Dammam Canadian Medical Center VIP A B CA 920005510

Dammam Diamond Dental Center VIP A B No 03 811 0997

Dammam Safa Medical Center VIP A B CA 03 834 1016

Dammam Specialist Dental Treatment Cen-ter VIP A B No 03 834 4428

Dammam Dr. Khaled Al Zahrani Medical Center VIP A B CA 03 818 8866

Dammam Dar Al Hekmah Dispensary VIP A B CA 03 826 4749

Dammam Creative Dental Center VIP A B No 03 820 3045

Dammam Mada Dental Center VIP A B CA 03 846 4222

Dammam Cardio World & Specialized Medi-cine Center VIP A No No 03 805 0101

Dammam Dento Plast Centers VIP A B No 03 818 8844

Dammam Saudi European Dental Clinic _ Dammam VIP A No No 03 827 7700

Dammam Ahaleena Medical Clinics Co. VIP A No No 03 833 3080

Dammam Adwaa Al Hikmah Dental Center VIP A B No 03 832 0130

Dammam Al Taqwa Medical Complex VIP A B CA 03 809 6464

Dammam Kahhal Medical Complex VIP A No No 03 809 7777

Dammam Modern Dental Center VIP A No No 03 843 0243

Dammam Ajyad Polyclinic VIP A B CA 03 805 6444

Dammam Al Jood Dental Complex VIP A B CA 03 837 3434

Dammam Ram Dental Care VIP A B No 03 835 6755

Dammam International Medical Clinic VIP A B CA 03 827 7445

Dammam Arrawdha General Hospital VIP A B No 03 834 6555

Dammam Ram Dental Care 2 VIP A B No 03 842 5701

Dammam Secret Smile Dental Center VIP A B No 03 811 7250

Dawadmi Abu Zaid Medical Clinic VIP A B No 01 642 3338

Dawmet Al Jundal Al Amal Medical Clinic VIP A B CA 04 622 0981

Dhahran Al Janoub Al Ahli Medical Polyclinic VIP A B CA 07 255 1829

Assigned Providers’ Network

Assigned Providers’ Network

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Location Provider Name Classes Phone NoDhuba Dhuba National Polyclinic VIP A B No 04 432 0112

Dhuba Anmar Al Khaleg Medical Poly-clinic VIP A B CA 04 432 2200

Dhuba Rai Al Ain For Optical VIP A B CA 04 432 0640

Dhuba Mohammed Eid Al Juhani Com-pany For Dental VIP A B CA 04 432 0950

Gizan Samta National Clinic VIP A No No 07 332 5056

Gizan Ali Khamaj Medical Clinic VIP A B No 07 322 0990

Gizan Jazan Medical Center VIP A B CA 07 323 3333

Gizan Sabia General Hospital VIP A B CA 07 326 0222

Gizan Al Haramain Medical Complex VIP A B No 07 261 2747

Gizan Al Safwa Dental Clinic VIP A B CA 07 322 2777

Gizan Jrrash Medical Dispensary VIP A B CA 07 324 3100

Gizan Al Emeis Polyclinic VIP A B No 07 322 6633

Gizan Nasser Dhaif Allah Moraya Poly-clinic VIP A B No 07 317 3725

Hafer Al Batin Dr. Noor Mohammad Khan's Clinic VIP A B CA 03 722 0701

Hafer Al Batin Al Hujielan Medical. Dispensary VIP A B CA 03 722 5270

Hafer Al Batin Dr. Noor Mohammad Khan Gen-eral Hospital VIP A B No 03 722 5550

Hafer Al Batin King Khaled Hospital VIP A B CA 03 721 3803

Hafouf King Fahd Hospital VIP A B CA 03 575 8894

Hafouf Hussein Al Ali Hospital VIP A B CA 03 586 6566

Hail Al Rashid Hospital VIP A B No 06 533 2222

Hail National Clinic-hail VIP A B No 06 532 0333

Hail EBN SEENA POLYCLINIC VIP A B No 06 539 9999

Hail Rayan Al Sharq PolyClinic VIP A B CA 06 5388 888

Hail Salamat Clinic VIP A B No 06 532 5777

Hail Al Noor Polyclinic VIP A B CA 06 534 4440

Hail King Khaled Hospital VIP A B CA 06 543 6099

Hail Maternity & Children Hospital VIP A B CA 06 543 7007

Hail Al Takhsees Medical Group VIP A B CA 06 543 4040

Assigned Providers’ Network

Assigned Providers’ Network

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Location Provider Name Classes Phone NoHail Al Safa polyClinic Hail VIP A B No 06 543 5556

Hail Al Khaleej Polyclinic VIP A B CA 06 532 2333

Hail Zamzam Clinic VIP A B CA 06 531 2121

Hail Semah Polyclinic VIP A B No 06 532 8000

Hail Al Ahli Polyclinic VIP A B CA 06 535 5555

Haqel Shaah Al Amal Dispensary VIP A B CA 04 453 2922

Haqel Rai Al Ain For Optical VIP A B CA 04 453 1395

Hasa Obeid Specialized Hospital-Alhasa VIP A B No 03 530 3333

Hasa Al Moosa General Hospital VIP A B No 03 530 7000

Hasa Al Mardiah Al Hawraa Clinic Medi-cal Co VIP A B CA 03 587 9585

Hasa Hegar Dispensary VIP A B CA 03 580 4677

Hasa Hussein Al Ali Clinic VIP A B CA 03 587 8796

Hasa Al Nisaee Dispensary VIP A B CA 03 586 3638

Hasa Hofuf National Clinic VIP A B CA 03 582 7840

Hasa Al Mashafi Clinic VIP A B CA 03 586 5900

Hasa Al Mouwasat Dispensary VIP A B No 03 536 0000

Hasa Al Maghlouth Medical Dispensary VIP A B CA 03 531 3333

Hasa Aziz Medical Dispensary VIP A B CA 03 582 7961

Hasa Ibrahim N. Al Shawi Clinic VIP A B CA 03 582 1500

Hasa Dr. Jamil Khattab Polyclinic VIP A B CA 03 585 0999

Hasa Al Rida Clinic VIP A B CA 03 596 3760

Hasa Al Hasa Hospital VIP A B No 03 584 4000

Hasa Naim Clinic VIP A B CA 03 857 7733

Hasa Dahim Clinic VIP A B CA 03 575 5599

Hasa Faisal Dispensary VIP A B CA 03 592 0000

Hasa Elaj Medical Center VIP A B CA 03 531 2000

Hasa Al Mulhim Dispensary VIP A B CA 03 580 5030

Hasa Ram Dental Care VIP A B No 03 531 1282

Hotet Bani Tamim Al Gaoli Medical Clinic VIP A B CA 01 555 0372

Jamoom Al Saedy Medical Clinic VIP A B CA 02 594 0403

Assigned Providers’ Network

Assigned Providers’ Network

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Location Provider Name Classes Phone NoJeddah Dr. Erfan & Bagedo Hospital VIP A No No 02 682 0022

Jeddah New Jeddah Clinic Hospital VIP A No No 02 667 5000

Jeddah Jeddah Clinic Hospital - Al Kan-dara VIP A B No 02 631 3131

Jeddah Saudi German Hospital VIP A No No 02 682 9000

Jeddah Dr. S. Fakeeh Hospital VIP A No No 02 660 3000

Jeddah Bugshan Hospital VIP A B No 02 669 1222

Jeddah Abuzinadah Hospital VIP A B No 02 651 0652

Jeddah Saudi American Clinic VIP A B CA 02 660 5050

Jeddah Dr. Ghassan N. Pharaon General Hospital VIP A B No 02 682 3200

Jeddah Al Mostaqbal Hospital VIP A B No 02 687 5255

Jeddah Dr. Khalid Idriss Hospital VIP A B CA 02 642 3555

Jeddah Hai Al Jamea Hospital VIP A B No 02 680 6666

Jeddah Al Hamra Hospital VIP A B No 02 665 3777

Jeddah Al Salam International Hospital VIP A B CA 02 697 0000

Jeddah Dr. Bakhash Hospital - Sharafya VIP A B No 02 651 0666

Jeddah Dr. Samir A. Kayasseh Clinic VIP A No No 02 665 5521

Jeddah New Al Jedaani Hospital - Gholail VIP A B CA 02 636 8100

Jeddah Al Jedaani Hospital - Al Safa VIP A B CA 02 677 2221

Jeddah Saba Clinic5 VIP A B No 02 638 0903

Jeddah Badruldin Polyclinic VIP A B CA 02 670 6007

Jeddah Saba Clinic 2 VIP A B CA 02 620 4547

Jeddah Saba Clinic 1 VIP A B No 02 654 2022

Jeddah El Faisal Polyclinic VIP A B CA 02 631 8944

Jeddah Andalusia Dental Center VIP A B No 02 670 2777

Jeddah Taj Polyclinic VIP A B CA 02 635 5715

Jeddah Al Hamra Dental Polyclinic VIP A No No 02 665 5588

Jeddah ALJ Rehabilitation Hospital & Spe-cialty Clinic VIP A No No 02 677 1143

Jeddah Al Abeer Medical Centers Co. VIP A B CA 02 657 3001

Jeddah Dr. Kamal Kattab Clinic VIP A B No 02 661 1002

Assigned Providers’ Network

Assigned Providers’ Network

Page 22: YOUR HEALTH CARE IS IN GOOD HANDS

22

Location Provider Name Classes Phone NoJeddah Al Zahra Hospital VIP A B CA 02 682 3331

Jeddah Al Hayat Hospital VIP A B CA 02 6370 707

Jeddah Al Madina Medical Clinic VIP A B CA 02 688 1288

Jeddah Saba Clinic 4 VIP A B CA 02 683 6651

Jeddah Al Baraka Medical Clinic VIP A B No 02 6710242

Jeddah United Doctors Hospital VIP A B No 02 653 3333

Jeddah Gulf Atheer Clinic VIP A B CA 02 680 3772

Jeddah Al Hiba Polyclinic VIP A B CA 02 650 0089

Jeddah Al Rayan Polyclinic VIP A B CA 02 631 9475

Jeddah Saba Clinic 3 VIP A B No 02 640 4134

Jeddah Naseem Jeddah Polyclinic-Jeddah VIP A B CA 02 287 5000

Jeddah Al Shuroug Dental Polyclinic VIP A No No 02 691 0343

Jeddah New Al Salama Polyclinic VIP A B CA 02 268 2862

Jeddah Al Rajhi Polyclinic VIP A B CA 02 630 1123

Jeddah Dr. Hani Abdullah Ragaban Poly-clinic VIP A B CA 02 694 6207

Jeddah Badr Al Tamam Polyclinic VIP A B CA 02 645 5043

Jeddah Dr. A.Saim Al Dahr Hospital VIP A B CA 02 675 4444

Jeddah Shifa Polyclinic (1) VIP A B CA 02 697 7075

Jeddah Shifa Polyclinic (2) VIP A B CA 02 688 0888

Jeddah Dr. Nihad M.S.Islam Daysurgery and Polyclinic VIP A B CA 02 607 7700

Jeddah Tala Medical Center VIP A B No 02 639 1818

Jeddah International Medical Center VIP A No No 02 650 9000

Jeddah AL-ABEER MEDICAL CENTER VIP A B CA 02 639 5444

Jeddah My Care Medical Center VIP A B CA 02 619 0606

Jeddah Shifa Jeddah Polyclinic VIP A B CA 02 651 8999

Jeddah Eed Clinics VIP A No No 920022211

Jeddah Al Yasmin Polyclinic VIP A B CA 02 624 4107

Jeddah Shifa Al Bawadi Polyclinic VIP A B CA 02 662 5259

Jeddah Kahlid Polyclinic - Al Rawaby VIP A B CA 02 620 4484

Jeddah Pearl Dental Center VIP A B CA 02 607 3030

Assigned Providers’ Network

Assigned Providers’ Network

Page 23: YOUR HEALTH CARE IS IN GOOD HANDS

23

Location Provider Name Classes Phone NoJeddah Dr. Hala Essa Bin Laden Hospital VIP A B CA 02 660 3332

Jeddah Hiba Asia Polyclinic VIP A B CA 02 623 2020

Jeddah Al Bashawri Opticals VIP A No No 02 697 6742

Jeddah New Sidrah Medical Center VIP A B CA 02 650 0065

Jeddah Al Jawhara Polyclinic VIP A B CA 02 655 1851

Jeddah Mushrifah Medical Center VIP A B CA 02 673 8641

Jeddah Tebabat Jeddah Polyclinic VIP A B CA 02 682 9522

Jeddah Al Rdaddi Clinic VIP A B CA 02 614 1412

Jeddah Al Samria Polyclinic VIP A B CA 02 628 3333

Jeddah Blue Coral Dental Clinics Group VIP A B No 02 698 1888

Jeddah Al Zafer Polyclinic 2 VIP A B CA 02 679 9747

Jeddah Al Zafer Polyclinic 1 VIP A B CA 02 640 5565

Jeddah Al Noor Medical Center VIP A B CA 02 630 5555

Jeddah Medical Physical Therapy Center VIP A B No 02 660 5224

Jeddah Al Themairy Polyclinic VIP A B CA 02 675 4555

Jeddah Sharq Polyclinic (2) VIP A B CA 02 660 0046

Jeddah The First Clinic VIP A No No 920029090

Jeddah Dental Art VIP A B No 02 670 5002

Jeddah Safa Al Bawadi Polyclinic VIP A B CA 02 662 5536

Jeddah Al Falak Dental Polyclinic VIP A B No 02 691 8036

Jeddah International Renal Care Center VIP A B No 02 616 5924

Jeddah Jwel Clinics VIP A No No 02 263 1733

Jeddah Hussam Est. For Trading VIP A B No 02 665 8665

Jeddah Al Nahda Clinic VIP A B No 02 620 5940

Jeddah General Medical Polyclinic - Sari VIP A B No 02 697 4309

Jeddah Al Quds Polyclinic VIP A B CA 02 697 0224

Jeddah Sameera Polyclinic VIP A B CA 02 674 4370

Jeddah Dr. Hassan Ghazzawi Hospital VIP A B CA 02 663 6333

Jeddah Badgaish Eye Care VIP A No No 02 667 1049

Jeddah Dr. Rami Hassaneine Dental Im-plant Center VIP A No No 02 256 0050

Assigned Providers’ Network

Assigned Providers’ Network

Page 24: YOUR HEALTH CARE IS IN GOOD HANDS

24

Location Provider Name Classes Phone NoJeddah Al Aziziah Polyclinic VIP A B No 02 670 1071

Jeddah Al Rahaily Polyclinic VIP A B CA 02 289 4583

Jeddah Al Sahly Medical Polyclinic VIP A B CA 02 658 3386

Jeddah Rimas Dental Clinic VIP A B CA 02 651 7828

Jeddah Islam Medical Clinic VIP A B CA 02 687 1077

Jeddah Medic Medical Polyclinic VIP A B No 02 692 1632

Jeddah Saudi Hospital VIP A B CA 02 671 1831

Jeddah Palestine Polyclinic VIP A B CA 02 654 1418

Jeddah Eskan Polyclinic VIP A B No 02 653 0784

Jeddah Al Higrah Medical Center VIP A B No 02 621 6040

Jeddah Mustasharak Medical Center VIP A B CA 02 222 0000

Jeddah Shifa Al Munthaza Polyclinic VIP A B CA 02 261 0805

Jeddah Riadah Polyclinic Co. Ltd. VIP A B CA 02 272 1111

Jeddah Medical Experts Center VIP A B No 02 667 7777

Jeddah Eye 2 Eye Optics VIP A B CA 02 622 1663

Jeddah American Strategic Health Care Management VIP A B CA 02 664 4172

Jeddah Al-Raqoun Medical Center VIP A B CA 02 614 3630

Jeddah Dr.Talal Qutub Medical Center VIP A B No 02 693 9222

Jeddah Saba Clinic 6 VIP A B No 02 693 5958

Jeddah Watanak Polyclinics VIP A B CA 02 265 5500

Jeddah Salah Osaman Shawoosh Medi-cal Co. VIP A B CA 02 645 0019

Jeddah New Gulail Polyclinic VIP A B CA 02 637 8073

Jeddah Hala Essa Binladen Polyclinic VIP A B CA 02 672 2315

Jeddah Jamal Al Ayoun Optics VIP A B CA 02 658 6952

Jeddah Jeddah National Hospital VIP A B CA 02 671 0040

Jubail Jubail National Dispensary VIP A B CA 03 362 0358

Jubail Mouwasat Hospital VIP A B No 03 349 0000

Jubail Avicena Dental Center Co. Ltd. VIP A B No 03 828 0466

Jubail Shifa Al Jubail Medical Center VIP A B CA 03 361 1777

Jubail Al Jubail General Hospital VIP A B CA 03 362 2233

Assigned Providers’ Network

Assigned Providers’ Network

Page 25: YOUR HEALTH CARE IS IN GOOD HANDS

25

Location Provider Name Classes Phone No

Jubail Khonaini General Dispensary for Medical Services VIP A B No 03 341 0110

Jubail Dina Dispensary for Medical Ser-vices VIP A B CA 03 361 1993

Jubail Sun Citys Kims Medical Center VIP A B No 03 362 0039

Jubail Badgaish Eye Care VIP A No No 03 361 3250

Jubail Badgaish Eye Care VIP A No No 03 347 2411

Jubail Mutlaq Al Otaibi Medical Complex VIP A B CA 03 363 1888

Jubail Al Naba Dispensary VIP A No No 03 345 1111

Jubail Est. Br. Shoq Aloyoon Optical VIP A B No 03 361 0552

Khafji Al Khafji National Hospital VIP A B No 03 7661111

Khafji Mutlaq Al Otaibi Polyclinics VIP A B CA 03 766 3666

Khafji The Complex of The Clinics of The Arak for Dentist VIP A B CA 03 767 4747

Khafji Al Manar Medical Complex VIP A B CA 03 766 6565

Khamis Mushyt Al Shifa Clinic VIP A B CA 07 223 5790

Khamis Mushyt Dr. Ghassan N. Pharaon Hospital VIP A B No 07 220 0002

Khamis Mushyt Saudi German Hospital VIP A No No 07 235 5000

Khamis Mushyt Al Shamil Family Polyclinic VIP A B CA 07 221 9791

Khamis Mushyt Al Khamis Medical Polyclinic VIP A B No 07 222 2012

Khamis Mushyt Shifa Al Khamis Polyclinic VIP A B CA 07 237 4233

Khamis Mushyt Sarat Obaidah Hospital VIP A B CA 07 259 5013

Khamis Mushyt Al Themal Medical Center VIP A No No 07 222 6666

Khamis Mushyt Al Razi Clinic VIP A B CA 07 222 0700

Khamis Mushyt Al Hayah National Hospital VIP A B No 07 233 4444

Khamis Mushyt Al Ahli Hospital VIP A B CA 07 223 7705

Khamis Mushyt Al Husam Polyclinic VIP A B No 07 235 1154

Khamis Mushyt Al Emeis Polyclinic VIP A B No 07 250 0878

Khamis Mushyt Shoaa Al Hadeth For Dental VIP A B No 07 236 1111

Khamis Mushyt Mustasharak Medical Center VIP A B CA 07 220 0006

Khamis Mushyt Wasni Medical Complex VIP A B CA 545533526

Khamis Mushyt Asnani Dental Center VIP A B CA 07 221 7700

Assigned Providers’ Network

Assigned Providers’ Network

Page 26: YOUR HEALTH CARE IS IN GOOD HANDS

26

Location Provider Name Classes Phone No

Kharj Al Taawin Polyclinics Company Limit VIP A B No 01 548 4080

Kharj Al Ameed Medical Clinic VIP A B CA 01 544 2777

Kharj Al Gannas Medical Group VIP A B CA 01 544 4003

Kharj Al Dosary Modern Polyclinic VIP A B CA 01 544 8960

Kharj Dar Al Shoubaa Medical Polyclinic VIP A B CA 01 548 8866

Kharj Advanced Consultant Polyclinic VIP A B CA 01 545 1111

Kharj Ebraheem Al Sukhaiber Medical Clinic VIP A B CA 01 548 8881

Khobar Al Jazira Clinic VIP A B No 03 898 2022

Khobar Al Yousif Hospital For Medical Ser-vices VIP A B CA 03 864 2751

Khobar As Salama Hospital VIP A B CA 03 864 1011

Khobar Dr. Fakhry & Al Rajhi Hospital VIP A No No 03 895 4960

Khobar Dr. Layla Al Onaizi Polyclinic VIP A B CA 03 857 4040

Khobar Astoon Hospital VIP A B No 03 859 0024

Khobar Khobar Cooperative Clinic VIP A B CA 03 893 6203

Khobar Al Faraby Medical Center VIP A B No 03 891 6163

Khobar Mohammad Dossary Hospital VIP A B No 03 894 5524

Khobar Avicena Dental Center Co. Ltd. VIP A B No 03 828 0466

Khobar Ram Dental & Orthodontic Clinics VIP A B No 03 864 8181

Khobar Saudi Swiss Consultant Dental Center VIP A B No 03 889 8714

Khobar Academic Dental Center VIP A B CA 03 894 4626

Khobar Al Khobar National Clinic VIP A B CA 03 895 1588

Khobar Riaya Hospital ( Procare ) VIP A B No 03 895 5900

Khobar Zarka El Yamama Optics VIP A B No 03 896 6199

Khobar Artal Dental Clinic VIP A No No 03 887 9946

Khobar Modern Dental Center VIP A No No 03 867 1828

Khobar Al Juaidi Dispensary VIP A B CA 03 899 6669

Khobar Ozone Dental Center VIP A B No 03 894 0007

Khobar Badgaish Eye Care VIP A No No 03 895 1097

Assigned Providers’ Network

Assigned Providers’ Network

Page 27: YOUR HEALTH CARE IS IN GOOD HANDS

27

Location Provider Name Classes Phone NoKhobar Badgaish Eye Care VIP A No No 03 896 5945

Khobar Rawnaq Dental Clinics VIP A B No 03 880 0003

Khobar Silver Crescent Dispensary VIP A B No 03 865 0005

Khobar Jood Al Salam For Medical Ser-vices VIP A B CA 03 882 0006

Khobar Shifa Al Khobar Company Ltd. VIP A B No 03 894 4984

Khobar Basamat Dental Center VIP A B CA 03 802 9006

Khobar Cham Dental Clinics VIP A B CA 03 887 8676

Khorma Al Elaj Medical Clinic VIP A B CA 02 832 3346

khulais Baraket Khulais Polyclinic & Den-tal Center VIP A B CA 02 289 1409

Kingdom Wide Al Mana General Hospital VIP A B No 03 826 2111

Kingdom Wide Magrabi Optical VIP A B No 02 651 0655

Kingdom Wide Al Faiha Medical Center VIP A B CA 06 381 4020

Kingdom Wide Magraby Hospitals & Centers VIP A B No 03 818 0000

Kingdom Wide Madar Al Shefa Dental Clinic VIP A B No 01 208 6177

Kingdom Wide Barakat Optical VIP A B CA 03 834 0340

Kingdom Wide Al Madina Hearing Aids Center VIP A B CA 01 478 8809

Kingdom Wide Mohamed Abdul Latif Basha Medi-cal Servies VIP A B CA 01 291 1861

Laith Al Laith National Clinic VIP A B CA 07 742 3446

Madina Al Zahra Hospital VIP A B No 04 848 8808

Madina Madina National Hospital Com-pany Ltd. VIP A No No 04 844 4444

Madina Al Rahma Hospital VIP A No No 04 827 2777

Madina Mouwasat Hospital VIP A B No 04 842 2211

Madina Safa Al Madina Hospital VIP A B CA 04 828 0000

Madina Saudi German Hospital VIP A B No 04 840 6000

Madina Wahat Al Shifa Polyclinic VIP A B CA 04 828 8177

Madina Seha Polyclinic VIP A B No 04 846 2663

Madina Al Dar Polyclinic VIP A B No 04 836 1672

Madina Dr. Hamid Suliman Al Ahmadi VIP A B CA 04 836 3332

Assigned Providers’ Network

Assigned Providers’ Network

Page 28: YOUR HEALTH CARE IS IN GOOD HANDS

28

Location Provider Name Classes Phone NoMadina Bakkari Polyclinic VIP A B CA 04 8383 323

Madina Al Dar Hospital - Quba VIP A B CA 04 867 7777

Madina Clinic of Dr.Abdul Rahman Al Og-aly VIP A B No 04 825 0561

Madina Weqayah Medical Center VIP A B CA 04 831 2777

Madina Al Andalus Dental Center VIP A B CA 04 815 1444

Madina Rouya Optic VIP A B No 04 830 3293

Madina Hussam Est. For Trading VIP A B No 04 822 8726

Madina Rai Al Ain For Optical VIP A B CA 04 824 0372

Madina Rai Al Ain For Optical VIP A B CA 04 839 4907

Madina Al Dar Private Dispensary VIP A B CA 04 823 5390

Madina Ansari Optical VIP A B CA 04 845 4856

Madina Consultative Dental Clinic VIP A No No 04 825 2222

Madina Atebba Al Madina Polyclinic VIP A B CA 04 837 2313

Mahad El Zahab El Amal Medical Center VIP A B CA 04 868 1372

Mahad El Zahab Rai Al Ain For Optical VIP A B CA 04 868 1866

Majmaa Sudair Consulting Clinics VIP A B CA 06 432 2444

Makkah Alawi Tunsi & Bros Hospital VIP A No No 02 558 7777

Makkah Al Rafie Hospital VIP A B No 02 545 4455

Makkah Muhammad S. Basharahil Hospital VIP A No No 02 520 4444

Makkah Saudi National Hospital VIP A B CA 02 556 2177

Makkah Al Shefa Hospital-Makkah Almo-karamah VIP A B No 02 536 9779

Makkah Dr. Bakhash Hospital VIP A No No 02 522 2222

Makkah Al Saedy Medical Clinic-Makkah VIP A B No 02 544 2261

Makkah Al Salam Hospital VIP A B CA 02 577 2222

Makkah Asian Polyclinic VIP A B CA 02 538 0891

Makkah Dr. Abdul Aziz K. Kurdy Polyclinic VIP A B CA 02 545 4800

Makkah Makkah Medical Polyclinic - Makkah VIP A B CA 02 544 0707

Makkah Elite Medical Complex VIP A B CA 02 561 4002

Makkah Al Bashawri Opticals VIP A No No 02 536 6331

Assigned Providers’ Network

Assigned Providers’ Network

Page 29: YOUR HEALTH CARE IS IN GOOD HANDS

29

Location Provider Name Classes Phone NoMakkah Al Kholood Clinic VIP A B CA 02 542 2183

Makkah Dr. Zaher & Suad Polyclinic VIP A B CA 02 573 5201

Makkah Dr. Zaher Gadeeb Alban Polyclinic VIP A B CA 02 540 0004

Makkah Hussam Est. For Trading VIP A B No 02 542 2942

Makkah Medical Convention Clinic Ali Al Ssaeidi & Partner VIP A B No 02 543 6276

Makkah Ibn Sina Clinic VIP A B No 02 558 6515

Makkah Makkah Polyclinic VIP A B CA 02 545 6561

Makkah Umm Al Qura General Hospital VIP A No No 02 537 6767

Makkah Dr. Hala Essa Binladen VIP A B CA 02 597 3862

Methenab Society Med. Dispensary VIP A B CA 06 342 2117

Mozahmia Al Metrek Medical Clinic-Mozah-mia VIP A B CA 01 523 5161

Mozahmia My Teeth Specialized Dental Poly-clinic VIP A B CA 01 523 2929

Muhayil Muhayil National Hospital VIP A B No 07 285 0853

Muhayil Hamed Specialized Polyclinic VIP A B CA 07 285 8444

Najran Al Zafer Hospital VIP A No No 07 542 9777

Najran Al Atfain Polyclinic VIP A B No 07 523 0851

Najran Al Watani Modern Polyclinic VIP A B No 07 522 4000

Najran Al Qadi Ideal Polyclinic VIP A B No 07 543 1000

Najran Al Hayah Medical Center VIP A B CA 07 529 0888

Najran Al Safwa Dental Clinic VIP A B CA 07 523 0888

Najran King Khaled Hospital VIP A B CA 07 522 3314

Najran Maternity & Children Hospital VIP A B CA 07 529 4181

Najran Ebn Ankies Polyclinic VIP A B No 07 522 2197

Najran Epn Cena Dental Clinic VIP A B CA 07 542 6100

Najran Al Okhadoud Clinic center - Najran VIP A B CA 07 544 2000

Najran Medical Center of Dawa Al Janoub VIP A B No 07 542 2075

Najran Dawaa Al Salama Polyclinic VIP A B CA 07 522 1080

Najran Dr. Ghassan N. Pharaon Dental Center VIP A No No 07 522 5133

Assigned Providers’ Network

Assigned Providers’ Network

Page 30: YOUR HEALTH CARE IS IN GOOD HANDS

30

Location Provider Name Classes Phone NoNajran Dento Plast Centers VIP A B No 07 523 2222

Najran Dr. Marzouq.H.Al Qannas Dental Clinics VIP A No No 07 522 8899

Najran Al Mehthel Polyclinic VIP A B CA 07 523 8652

Namas Deryaq Medical Center VIP A B CA 07 282 0222

Namera Anwar Polyclinic VIP A B CA 07 738 0550

Nuairiyah Al Nuairiyah National Clinic VIP A B CA 03 373 1100

Onaizah Al Salam National Polyclinic VIP A B No 06 364 2085

Onaizah Al Barakah Polyclinic VIP A B CA 06 365 1800

Onaizah Medi. Care Polyclinic VIP A B No 06 361 0000

Onaizah Al Wafa Hospital VIP A No No 06 363 6600

Qatif Mudar Charitable Society For So-cial Services Dispensary VIP A B No 03 854 1869

Qatif Mouwasat Hospital VIP A B CA 03 851 2222

Qatif Avicena Dental Center Co. Ltd. VIP A B No 03 828 0466

Qatif Al Bati Dispensary VIP A B CA 03 823 2811

Qatif Al Wazzan Vision VIP A B CA 03 837 7347

Qatif Al Zahra General Hospital-Qatif VIP A B No 03 855 5000

Qatif Zuhair Al Shuwekhat Optical Cen-ter VIP A B CA 03 854 8551

Qatif Julan For Optical VIP A B CA 03 863 1812

Qatif Badr Al-Jazeera Polyclinic VIP A B CA 03 863 5000

Qatif Medical Excellence Center VIP A B No 03 851 2800

Qatif Noor Al Madar Dental Polyclinic 3 VIP A B CA 03 852 5858

Qatif Jamal Al Ayoun Optics VIP A B CA 03 850 0147

Qelwa Al Rafiq polyclinic VIP A B CA 07 730 1244

Quieiah Medical Polyclinic VIP A B CA 01 652 1333

Qunfuza Tehama Medical Clinic VIP A B CA 07 733 6330

Qurayyat Al Ajaj PolyClinic VIP A B CA 04 642 0011

Qurayyat National Clinic VIP A B CA 04 642 1235

Qurayyat Dr. Ali T. Abo Taleb Polyclinic VIP A B CA 04 642 1169

Qurayyat Dr. Bader Medical Center VIP A B CA 04 643 2333

Assigned Providers’ Network

Assigned Providers’ Network

Page 31: YOUR HEALTH CARE IS IN GOOD HANDS

31

Location Provider Name Classes Phone NoQurayyat Al Qurayat General Hospital VIP A B CA 04 641 6064

Qurayyat Dr. Sultan Medical Center VIP A B No 04 641 8080

Rabigh Al Amal Polyclinic VIP A B CA 02 422 2916

Rabigh Al Nakheel National Clinic VIP A B CA 02 422 1200

Rabigh Hussam Est. For Trading VIP A B No 02 422 1385

Rabigh Dr.Khalid Idriss Medical Center VIP A B CA 02 422 2229

Rahima Rahima Al Ahli Dispensary Co. Ltd. VIP A B CA 03 667 4490

Rahima Shifa Rahima Dispensary VIP A B CA 03 667 2525

Ranyah Al Wedyan Medical Clinic VIP A B CA 02 842 2279

Ras Tanura Al Ta'afi Dispensary VIP A B CA 03 667 1378

Ras Tanura Zuhair Al Shuwekhat Optical Cen-ter VIP A B CA 03 668 1816

Rass Al Baraka Polyclinic - 3 (Al Taya Previously) VIP A B No 06 333 5500

Rass Azzaeyd Hospital VIP A B No 06 333 7007

Rass Al Shark National C. VIP A B No 06 333 0029

Rass Doni Al Noor Optical VIP A B CA 06 333 0138

Remah Farhan Al Nadir Polyclinic VIP A B CA 01 552 1781

Riyadh Dar Al Shefa Hospital VIP A B CA 01 401 2029

Riyadh Arab Medical Dar VIP A B No 01 416 0011

Riyadh Kingdom Hospital VIP A No No 01 275 0677

Riyadh Al Bustan Clinic VIP A B CA 01 458 2140

Riyadh Al Thowaini Clinic VIP A B CA 01 231 7744

Riyadh Al Washem Medical Clinic VIP A B No 01 401 1305

Riyadh Dallah Hospital VIP A No No 01 299 5555

Riyadh Al Hammadi Hospital VIP A B No 01 464 3312

Riyadh Modern Medical Clinic VIP A B No 01 491 8003

Riyadh Olaya Medical Center VIP A B No 01 464 5501

Riyadh Riyadh Medical Center VIP A B No 01 465 3060

Riyadh National Hospital (Riyadh National H. Previously) VIP A B No 01 476 1211

Assigned Providers’ Network

Assigned Providers’ Network

Page 32: YOUR HEALTH CARE IS IN GOOD HANDS

32

Location Provider Name Classes Phone No

Riyadh Riyadh Care Hospital (Insurance H. Previously)R.C.H VIP A No No 01 493 3000

Riyadh Transad Clinic Medical & Dental VIP A B No 01 464 5050

Riyadh Consulting Clinics VIP A No No 01 465 9100

Riyadh Green Crescent Hospital VIP A B No 01 464 4434

Riyadh Al Alam Medical Center VIP A B No 01 278 3330

Riyadh Al Barakat Medical Center VIP A B CA 01 476 9874

Riyadh Dr. Abdul Rahman Al Mishari Hos-pital VIP A No No 01 465 7700

Riyadh Al Mobarak Hospital VIP A B No 01 401 5282

Riyadh Mustawsaf Oleya Polyclinic VIP A B CA 01 463 2691

Riyadh Al Mawed Medical Center VIP A B No 01 450 9035

Riyadh Dr. Fawaz Izzat Taba Clinic VIP A B No 01 460 8808

Riyadh Al O'srah Int'l. Hospital VIP A B No 01 431 1111

Riyadh Al Wattan Clinic VIP A B CA 01 458 8444

Riyadh Al Wattan Medical Center VIP A B CA 01 496 4455

Riyadh Shoaa Medical Center VIP A B CA 01 456 3777

Riyadh Badr Al Samaa Polyclinic VIP A B CA 01 405 2526

Riyadh Consultative Medical Clinics VIP A B No 01 232 0000

Riyadh Pearl's Smile Medical Center VIP A B No 01 464 6334

Riyadh Al Khazan Medical Clinic VIP A B CA 01 435 5252

Riyadh Riyadh Consultative Clinics VIP A B No 01 450 7000

Riyadh Dr. Sulaiman Al Habib Medical Group VIP A No No 01 462 2224

Riyadh Obeid Specialized Hospital - Ri-yadh VIP A B No 01 476 2695

Riyadh Al Osrah Medical Clinic - Badeah VIP A B CA 01 426 0737

Riyadh Al Rawdah National Clinic VIP A B CA 01 231 1104

Riyadh Mohd. Saeed Badruddin Polyclinic - Batha Branch VIP A B CA 01 405 0243

Riyadh Consultant Radiologist (Riyadh Scan) VIP A B CA 01 461 2266

Riyadh Malaz Modern Clinic .co VIP A B No 01 477 1515

Assigned Providers’ Network

Assigned Providers’ Network

Page 33: YOUR HEALTH CARE IS IN GOOD HANDS

33

Location Provider Name Classes Phone NoRiyadh Factories Polyclinic VIP A B CA 01 265 2130

Riyadh Al Khaldia Clinic VIP A B CA 01 448 1448

Riyadh Dar El Hekma Clinic VIP A B CA 01 446 1804

Riyadh Riyadh Clinic VIP A B CA 01 478 7070

Riyadh Al Dhawi Polyclinic VIP A B CA 01 493 1160

Riyadh Badeah Consultative Clinic VIP A B No 01 433 3028

Riyadh Al Badri Medical Clinic Center VIP A B No 01 450 9000

Riyadh Taif Medical Center VIP A B CA 01 488 1133

Riyadh Rathawia Medical Specialized Center VIP A B No 01 416 3322

Riyadh Al Thomairy National Clinic VIP A B CA 01 491 1149

Riyadh Avicenna Polyclinic VIP A B CA 01 448 6834

Riyadh Specialized Medical Center Hos-pital VIP A B No 01 416 4000

Riyadh Al Azizia Medical Clinic VIP A B CA 01 495 6127

Riyadh Al Sarh Medical Clinic VIP A B CA 01 445 4954

Riyadh Safad Dental Center VIP A No No 01 411 5001

Riyadh Dr. Abdul Fattah Al Hourani Clinic VIP A B CA 01 465 1868

Riyadh Safa Makkah Polyclinic VIP A B CA 01 402 6111

Riyadh Medical World Polyclinic VIP A B No 01 473 1313

Riyadh Heraa Medical Clinic VIP A B CA 01 439 0040

Riyadh Kental Dental Center VIP A No No 01 408 0414

Riyadh Medical Society Clinic Group VIP A B CA 01 463 3571

Riyadh Hai Al Salam Area National Clinic VIP A B CA 01 492 3030

Riyadh Elite Medical & Surgical Center VIP A B No 01 461 6777

Riyadh Dima Dental VIP A No No 01 466 1200

Riyadh Omar Al Ajaji Medical Center VIP A B CA 01 474 1122

Riyadh Al Awal Dental Center VIP A B No 01 462 4433

Riyadh Saudi German Hospital VIP A No No 01 487 3000

Riyadh OMM-Al Hamam Polyclinic VIP A B CA 01 480 6348

Riyadh Khalid Medical Clinic VIP A B CA 01 236 5111

Riyadh Makkah Dispensary VIP A B CA 01 476 5548

Assigned Providers’ Network

Assigned Providers’ Network

Page 34: YOUR HEALTH CARE IS IN GOOD HANDS

34

Location Provider Name Classes Phone NoRiyadh Al Rayyan National Clinic VIP A B CA 01 493 1785

Riyadh Family Smile Polyclinic VIP A B CA 01 456 9729

Riyadh Dar Al Shefa Clinic VIP A B CA 01 498 9220

Riyadh Shining Horizons Medical Center VIP A B CA 01 225 2000

Riyadh Shining Horizons Dental Center VIP A B CA 01 426 8777

Riyadh Al Haya National Clinic VIP A B CA 01 244 4111

Riyadh Sultan Bin Abdulaziz Humanitarian City VIP A No No 01 562 0000

Riyadh Typical Medical Clinic VIP A B CA 01 245 4444

Riyadh Najd Consulting Hospital Operated by Al Inma Medical Services VIP A B No 01 445 5555

Riyadh Yana Dental Specialized Medical Clinic VIP A No No 01 450 2777

Riyadh Safeer Dental Center VIP A B No 01 205 0810

Riyadh Dr. Moajjel Polyclinic VIP A B CA 01 4477 065

Riyadh Al Nahdah Medical Center VIP A B CA 01 456 7161

Riyadh Samy Alsubhi Polyclinics Co.(Subhi Specialized Center) VIP A B No 01 233 5000

Riyadh Ent Medical Center VIP A No No 01 480 2229

Riyadh Al Ebda'a Medical Clinic & Center VIP A B CA 01 226 3800

Riyadh Al Mansur Medical Clinics VIP A B CA 01 241 1888

Riyadh Durrat Ghornata Medical Complex VIP A B CA 01 277 1162

Riyadh Al Warood Medical Centre VIP A B No 01 470 3355

Riyadh Dr. Ghassan N. Pharaon Dental Center VIP A B No 01 464 5221

Riyadh Mayiez Medical Center VIP A B No 01 216 8877

Riyadh Al Hayat National Clinic 3 VIP A B CA 01 274 1820

Riyadh Al Majd Family Polyclinic VIP A B CA 01 418 2228

Riyadh Al Mashfa Medical Center VIP A B No 01 208 8585

Riyadh Fahad Dental Center (1) - Al Hijaz Road VIP A B CA 01 459 7123

Riyadh Fahad Dental Center (2) - King Fa-had Road VIP A B CA 01 461 2424

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Assigned Providers’ Network

Page 35: YOUR HEALTH CARE IS IN GOOD HANDS

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Location Provider Name Classes Phone No

Riyadh Al Osrah Medical Clinic - Man-fouha VIP A B CA 01 457 2417

Riyadh Al Azhar Hospital VIP A B CA 01 236 6788

Riyadh Al Ryan International Polyclinic Co. VIP A B CA 01 401 3429

Riyadh Ridwan Dental Center VIP A No No 01 474 3441

Riyadh Special Dental Polyclinics VIP A No No 01 470 7766

Riyadh Maroog Diagnostic Center VIP A B CA 01 263 4887

Riyadh Elixir International Polyclinic VIP A B CA 01 408 0977

Riyadh Al Zamil Polyclinic VIP A B CA 01 492 3000

Riyadh Shifa Al Jazeera Polyclinic VIP A B CA 01 409 3465

Riyadh Raf Medical Complex VIP A B CA 01 447 3407

Riyadh Al Khaleeji Medical Center VIP A B CA 01 421 7631

Riyadh Qasr Al Rayed Medical Clinic VIP A B No 01 269 0606

Riyadh Your Health Medical Clinic VIP A B CA 01 226 8255

Riyadh H.O.W. Medical Center- Al Mour-ooj VIP A B CA 01 450 9444

Riyadh Al Khaleejy Polyclinic VIP A B CA 01 498 7038

Riyadh Fedad Specialist Dental Center VIP A No No 01 225 3440

Riyadh Ghodaf Medical Center VIP A B CA 01 460 7562

Riyadh Trust Medical Clinic VIP A B CA 01 249 6181

Riyadh Attadawe Medical Center VIP A B No 01 278 0211

Riyadh Dent Care Clinics VIP A No No 01 219 6000

Riyadh Al Nozha Medical Center VIP A B CA 01 455 4400

Riyadh Al Rajhi Int'l. Clinic VIP A B CA 01 403 6555

Riyadh Al Olaya Int'l. Clinic VIP A B CA 01 293 0146

Riyadh Al Mohammadiah Medical Center VIP A B CA 01 210 1414

Riyadh Al Madina Opticals VIP A B CA 01 404 0695

Riyadh Wahat Al Mas Dental Center VIP A No No 01 248 7888

Riyadh Alpha Clinic Center VIP A No No 01 269 9222

Riyadh Douvin Medical Center VIP A B CA 01 411 1658

Riyadh Al Haramain Medical Center VIP A B CA 01 232 3666

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Assigned Providers’ Network

Page 36: YOUR HEALTH CARE IS IN GOOD HANDS

36

Location Provider Name Classes Phone NoRiyadh Al Momtaz Polyclinic VIP A B CA 01 478 6807

Riyadh Sama Dental VIP A B CA 01 249 5604

Riyadh Al Marwa Medical Clinic VIP A No No 01 238 2020

Riyadh Al Kadesiah Clinic VIP A B CA 01 446 0800

Riyadh Al Daraya Polyclinic VIP A B CA 01 486 3555

Riyadh Dr. Mohamed Abdullatif Basha Medical Clinic VIP A B CA 01 286 3909

Riyadh Ebtsamatac Dental Polyclinic VIP A B No 01 232 6291

Riyadh Al Mawiyah Consultative Clinics VIP A B CA 01 231 4444

Riyadh Adwaa Doret Al Alami Medical Clinics VIP A B CA 01 278 8181

Riyadh Al Shomoly Medical Polyclinic VIP A B CA 01 454 3232

Riyadh Photon Radiology Center VIP A B CA 01 466 6651

Riyadh Al Rayah Medical Clinic VIP A B CA 01 228 9090

Riyadh Al Bashawri Opticals VIP A No No 01 413 2550

Riyadh Safa Makkah Polyclinic (2) VIP A B CA 01 404 0188

Riyadh Rawdat Al Aqsa Medical Complex VIP A B CA 01 493 8919

Riyadh Rawdat Al Aqsa Medical Complex 2 VIP A B CA 01 453 6060

Riyadh Al Maha Opticals VIP A B CA 01 232 6567

Riyadh Al Diriaya National Medical Clinic VIP A B CA 01 486 0040

Riyadh Bin Rushed Medical Center VIP A B No 01 461 3131

Riyadh Ramah Polyclinic Center VIP A No No 01 480 0933

Riyadh Al Morsalat Medical Clinic VIP A B CA 01 456 1214

Riyadh Dar El Elaj Dispensary VIP A B No 01 425 8933

Riyadh Al Jazeera Medical Clinic VIP A B No 01 233 1290

Riyadh Right Treatment VIP A B CA 01 267 6296

Riyadh Adwaa Al Alami Polyclinic VIP A B CA 01 495 3022

Riyadh Al Orouba Medical clinic - Riyadh VIP A B CA 01 421 5709

Riyadh Hai Alshefa National Dispensary VIP A B CA 01 421 0015

Riyadh Al Orouba second medical clinic - Riyadh VIP A B CA 01 421 5704

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Assigned Providers’ Network

Page 37: YOUR HEALTH CARE IS IN GOOD HANDS

37

Location Provider Name Classes Phone NoRiyadh Hai Badr medical clinic - Riyadh VIP A B CA 01 422 2254

Riyadh NAWAJETH DENTAL CLINIC VIP A B No 01 465 6531

Riyadh Al Jafel Hospital VIP A B CA 01 432 2222

Riyadh Al Amin Medical Clinic 1+2 VIP A B CA 01 271 1022

Riyadh Future Medical Center VIP A No No 01 450 6000

Riyadh Al Metrek Medical Clinic VIP A B CA 01 490 2552

Riyadh Lasting Smile Dental Clinics VIP A No No 01 464 0216

Riyadh AL Khozama Medical Clinic VIP A B CA 01 450 0011

Riyadh Al Falah Hospital VIP A B CA 01 446 3737

Riyadh Saad Al Gwaiz Polyclinic VIP A B No 01 200 6070

Riyadh Family Medical Center Clinics VIP A B CA 01 424 4592

Riyadh Hay Al Khaleej Medical Clinic VIP A B CA 01 226 9967

Riyadh Madar Al Shefa Dental Center VIP A B CA 01 486 2828

Riyadh Al Farabi Dental Center VIP A B CA 01 425 9262

Riyadh Al Nakheel 1 Dental Center VIP A B CA 01 418 1178

Riyadh Al Nakheel 2 Dental Center VIP A B CA 01 485 2295

Riyadh Al Hakim Dental Center VIP A B CA 01 436 5530

Riyadh Al Abrag Dental Center VIP A B CA 01 424 6101

Riyadh Al Andalus Dental Center VIP A B CA 01 431 8077

Riyadh Al Mohaideb For Orthodental & Planting VIP A B No 01 438 1794

Riyadh Al Warood Optical Center VIP A B No 01 470 3355

Riyadh United Medical Clinic VIP A B CA 01 245 4334

Riyadh Rabia Hospital VIP A B CA 01 499 9000

Riyadh Al Rahmah Clinic and Medical Lab VIP A B CA 01 226 0507

Riyadh Dr. Al Mutlaq Polyclinic VIP A B CA 01 405 9787

Riyadh Bariq Al Ebtesama Dental and Or-thoclinic VIP A B CA 01 233 8020

Riyadh Asia Medical Dispensary VIP A B CA 01 449 4466

Riyadh Bilad Group Medical Clinics VIP A B CA 01 277 5552

Riyadh Salamatak Medical Center VIP A B CA 01 228 7234

Riyadh Al Qwaifel Clinic VIP A B CA 01 426 8888

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Assigned Providers’ Network

Page 38: YOUR HEALTH CARE IS IN GOOD HANDS

38

Location Provider Name Classes Phone NoRiyadh Al Sharq Polyclinic VIP A B CA 01 226 7128

Riyadh Al Hayat National Polyclinic 1 VIP A B CA 01 278 9333

Riyadh Alshamael Medical Polyclinic VIP A B CA 01 428 6923

Riyadh Al Faris Medical Clinic VIP A B CA 01 262 4678

Riyadh Dr. Ahmed Abanamy Hospital VIP A B No 01 240 7778

Riyadh Amal Medical Care Clinic VIP A B CA 01 405 9434

Riyadh Ashbelia Medical Clinic VIP A B CA 01 240 0555

Riyadh Kadoon Polyclinic 2 VIP A B No 01 206 0229

Riyadh Zarka El Yamama Optics VIP A B No 01 416 0456

Riyadh Al Bayan Medical Clinic VIP A B No 01 451 0944

Riyadh Khaled Al Ajaji Medical Clinic VIP A B CA 01 430 3539

Riyadh Kadoon Dental Center VIP A B No 01 206 0230

Riyadh Al Riyadh Care Medical Clinic VIP A B CA 01 455 3042

Riyadh Basmah Al Multaqa Dental Clinic VIP A B CA 01 446 0668

Riyadh Worof Medical Polyclinic VIP A B No 01 275 5500

Riyadh Razi Clinic VIP A B CA 01 482 4370

Riyadh Rasan Medical Clinic VIP A B CA 01 454 4228

Riyadh Pretty Smile VIP A B No 01 224 3333

Riyadh Al Rabe'a Medical Clinic VIP A B CA 01 228 1242

Riyadh Wahat Altashafi Polyclinic VIP A B CA 01 432 7888

Riyadh Faraidy National Clinic VIP A B CA 01 236 6662

Riyadh Sultan Al Faraidy Medical Clinic VIP A B CA 01 200 1166

Riyadh Senymar Pharmacy & Medical Clinic VIP A B CA 01 235 6321

Riyadh Al Maseef Medical Clinic VIP A B CA 01 225 5000

Riyadh Motamayzoon Medical Center VIP A B No 01 230 3434

Riyadh Dr. Samir Polyclinic VIP A B CA 01 495 2220

Riyadh Zahrat Al Amal Clinic 1 VIP A B CA 01 431 9988

Riyadh Zahrat Al Amal Clinic 2 VIP A B CA 01 431 3333

Riyadh Saudi Jwel Company Medical Care Co. VIP A B No 01 488 3424

Riyadh Optical Art Center VIP A B CA 01 227 5459

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Assigned Providers’ Network

Page 39: YOUR HEALTH CARE IS IN GOOD HANDS

39

Location Provider Name Classes Phone NoRiyadh Dorat Al Maha Establishment VIP A B CA 01 477 8718

Riyadh Dr. Saed S. Al Harthi Medical Group VIP A B CA 01 489 7666

Riyadh Al Ekhlass Medical Clinic VIP A B CA 01 249 2129

Riyadh Adwaa Al Alami Dental Polyclinic VIP A B CA 01 495 6444

Riyadh Cu Optics VIP A B No 01 461 1485

Riyadh Photon Clinics VIP A B No 01 466 6651

Riyadh Al Rowad Dental Center VIP A B CA 01 466 1199

Riyadh Physical Therapists Center VIP A B CA 01 293 0010

Riyadh Al Aqiq Medical Clinic Center VIP A B CA 01 485 1399

Riyadh Abas Medical Center VIP A B No 01 455 7000

Riyadh How Medical Center VIP A B CA 01 235 6111

Riyadh Al Yarmok Polyclinic Medical Co. VIP A B CA 01 249 0484

Riyadh Mirad Medical Clinic VIP A B CA 01 230 6044

Riyadh Dr. Maha Al Haj Dental clinics VIP A No No 01 219 1922

Riyadh Renad Optical VIP A B No 01 206 6363

Riyadh Sanaya polyclinic VIP A No No 01 217 4888

Riyadh Raseel Medical Center(1) VIP A B CA 01 244 7700

Riyadh Safa Makkah Polyclinic 3 VIP A B CA 01 401 2128

Riyadh Ajial Medical Polyclinic VIP A B No 01 454 3104

Riyadh Bilad Al Tib Medical Clinics 2 VIP A B CA 01 233 8844

Riyadh Dr. Sulaiman Al Habib Medical Group - Al Rayan VIP A No No 01 490 9999

Riyadh Arabian Dental Clinic VIP A No No 01 465 0748

Riyadh Badgaish Eye Care VIP A No No 01 419 3846

Riyadh Shaza Medical Clinic VIP A B CA 01 491 7788

Riyadh Madar Al Quds Dental Center VIP A No No 01 278 3222

Riyadh Curing Touch Clinics Complex Co. VIP A B No 01 228 8888

Riyadh Al Khazan Medical Clinic VIP A B No 01 435 5252

Riyadh Noon Medical Co. VIP A B CA 01 482 2198

Riyadh Ayan Consultative Center VIP A No No 01 272 5555

Riyadh Ayma Consultative Center VIP A No No 01 455 3030

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Assigned Providers’ Network

Page 40: YOUR HEALTH CARE IS IN GOOD HANDS

40

Location Provider Name Classes Phone No

Riyadh Sehat Al Omam Al Takhasusi Med-ical Center 1 VIP A B CA 01 227 7676

Riyadh Dawaak Medical Polyclinic Com-pany 1 VIP A B CA 920000317

Riyadh Tutia Trading Est. VIP A No No 01 217 8491

Riyadh Dar Al Shark Polyclinic Center VIP A B CA 01 227 2228

Riyadh Al Eman Medical Clinic VIP A B CA 01 458 5940

Riyadh Al Belad Medical Clinic VIP A B CA 01 451 1895

Riyadh Dr. Sulaiman Al Thukair Specialist Clinics VIP A B No 01 496 2424

Riyadh Treatment Way Dental Center VIP A No No 01 278 4400

Riyadh Al Ewan Medical Center VIP A B CA 01 463 1606

Riyadh Menshaf Eye Care Est. VIP A B CA 01 491 6505

Riyadh Al Safwa Hospital VIP A B No 01 288 5444

Riyadh Al Barrak Medical Center VIP A B CA 01 262 0407

Riyadh Maleen Consultant Dental Center VIP A No No 01 205 5577

Riyadh Mugla Optical Center VIP A No No 01 208 0409

Riyadh Allied Diagnostics VIP A No No 01 494 2990

Riyadh Shroaq Medical Center VIP A B CA 01 233 9494

Riyadh Bilasan Dental Center VIP A B CA 01 210 4442

Riyadh Complex Modern Clinics VIP A B No 01 233 8585

Riyadh Consultative Mawyah Corner Poly-clinics VIP A B CA 01 453 7777

Riyadh Saudi British Hospital VIP A No No 01 463 6666

Riyadh Optic Centr New Co. VIP A No No 01 461 4847

Riyadh Amat Medical Clinic VIP A B CA 01 249 1353

Riyadh Al Amal International Clinic 1 VIP A B CA 01 459 4900

Riyadh Al Marmar Dental Polyclinic VIP A B CA 01 422 2170

Riyadh Al Salameh Medical Center VIP A B CA 01 411 3289

Riyadh Al Metrek Medical Clinic - Dahiat Laban VIP A B CA 01 436 6819

Riyadh Raheef Dental Clinic VIP A B CA 01 482 2718

Riyadh Al-Jazeera Hospital VIP A B CA 01 238 8888

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Assigned Providers’ Network

Page 41: YOUR HEALTH CARE IS IN GOOD HANDS

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Location Provider Name Classes Phone NoRiyadh Medicine&Technology VIP A B No 01 462 1156

Riyadh Omc Medical Center VIP A B CA 01 287 7329

Riyadh Panorama Medical Clinic VIP A B No 01 206 5852

Riyadh Class Optics VIP A B CA 01 473 4715

Riyadh Cmai Medical Center VIP A B No 01 200 5333

Riyadh Jamayel Medical Polyclinic VIP A B CA 01 267 1117

Riyadh AL Naseem National Clinic VIP A B CA 01 246 3331

Riyadh Metrek Maged Al Kahtane & Part-ner Co. VIP A B CA 01 458 1925

Riyadh Bin Rushd Optical VIP A B No 01 461 7776

Riyadh Eye World Optical VIP A B No 01 216 3999

Riyadh Ram Dental Center 12 VIP A B CA 01 495 9485

Riyadh Ram Dental Center 13 VIP A B CA 01 210 5017

Riyadh Basmit Al Farabi Dental Polyclinic 18 VIP A B CA 01 209 8182

Riyadh Basmit Al Farabi Dental Polyclinic 19 VIP A B CA 01 209 8182

Riyadh Nasem Al Azhar Clinic VIP A B CA 01 411 5965

Riyadh Lolouat Al Aaj Dental Clinics VIP A B CA 01 247 7301

Riyadh Bright Vision For Optical VIP A B CA 01 475 0606

Riyadh Dr. Marzouk Hussein Al Yami 3 Dental Clinics VIP A B CA 01 489 9224

Riyadh Ramz Al Masa Optics Center VIP A B CA 01 433 0273

Riyadh Demas Medical Clinics & Dialysis Centers VIP A B CA 01 275 9710

Riyadh Al Luhaibi Ali Medical Center VIP A B CA 01 281 1205

Riyadh Doni Al Noor Optical VIP A B CA 01 430 3717

Riyadh Smile Experts Dental Center 1 VIP A B No 01 431 1188

Sabia Al Emeis National Hospital VIP A B CA 07 326 6633

Sabia Baashen Medical Dispensary VIP A B CA 07 327 4619

Sabia Jrrash Medical Center VIP A B CA 07 327 3030

Sabt Al Alaya Al Azhar Polyclinic VIP A B CA 07 630 0888

Safwa Al Safa S.s.c.s Dispensary VIP A B CA 03 664 1637

Assigned Providers’ Network

Assigned Providers’ Network

Page 42: YOUR HEALTH CARE IS IN GOOD HANDS

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Location Provider Name Classes Phone NoSafwa Salamatak Dispensary VIP A B CA 03 663 0959

Safwa Zuhair Al Shuwekhat Optical Cen-ter VIP A B CA 03 663 1238

Safwa Specialized Polyclinic Complex VIP A B No 03 664 4116

Safwa Jamal Al Ayoun Optics VIP A B CA 03 664 6646

Saihat Al Sadiq Hospital VIP A B CA 03 850 0160

Saihat Al Madlouh Dispensary VIP A B CA 03 850 0208

Saihat Zuhair Al Shuwekhat Optical Cen-ter VIP A B CA 03 850 5205

Saihat Rubban Medical Center VIP A B CA 03 838 7401

Saihat Jamal Al Ayoun Optics VIP A B CA 03 856 8561

Sajer Sajer Medical Center VIP A B CA 01 632 3030

Sakaka Gouf Al Hamad Medical Clinic VIP A B CA 04 624 8888

Sakaka Gouf Al Shifa Clinic VIP A B CA 04 626 4448

Sakaka Gouf Khanani Medical Clinic VIP A B CA 04 625 5099

Sakaka Gouf Abdulrahman Al Sudairi Hospital VIP A B CA 04 624 4536

Sakaka Gouf Maternity & Children Hospital VIP A B CA 04 624 0808

Sakaka Gouf Al Thalg Clinic VIP A B CA 04 626 2210

Sakaka Gouf Amass Polyclinic Complex VIP A B CA 04 625 6565

Sarat Obaidah Future Visions VIP A B No 07 259 0505

Shagra Al Anfal Medical Group Corner VIP A B CA 01 622 3166

Shagra Shakra General Hospital VIP A B CA 01 622 0609

Sharoorah Al Jazerah Polyclinic VIP A B CA 07 532 1966

Solail Al Solail National Polyclinic VIP A B CA 01 782 0871

Tabarjal Gulf Family Medical Center VIP A B CA 04 628 8880

Tabuk Al Dakhel Polyclinic VIP A B CA 04 424 2222

Tabuk Prince Fahd Bin Sultan Hospital Co. Ltd. VIP A No No 04 423 8486

Tabuk Tabuk National Polyclinic VIP A B No 04 422 6215

Tabuk Al Shefa Medical Polyclinic VIP A B No 04 422 4244

Tabuk Nabras Al Jazira Polyclinic VIP A B CA 04 423 7009

Tabuk Dorat Okaz Polyclinic VIP A B CA 04 423 5999

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Assigned Providers’ Network

Page 43: YOUR HEALTH CARE IS IN GOOD HANDS

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Assigned Providers’ Network

Location Provider Name Classes Phone NoTabuk Al Affary Polyclinic VIP A B CA 04 422 2422

Tabuk Mabasem Polyclinic VIP A B CA 04 422 8840

Tabuk Health Gulf VIP A B No 04 421 1113

Tabuk King Khaled Hospital VIP A B CA 04 425 0715

Tabuk Maternity & Children Hospital VIP A B CA 04 423 7000

Tabuk Dubha General Hospital VIP A B CA 04 432 0948

Tabuk Dar Al Razi Dental Polyclinic VIP A No No 04 423 1354

Tabuk Dar Al Razi Dental Polyclinic (2) VIP A No No 04 423 9031

Taif Al Adwani General Hospital VIP A No No 02 734 0000

Taif Al Ameen Hospital VIP A B No 02 736 6100

Taif Rania National Clinic VIP A B CA 02 842 1495

Taif GNP Dental Center VIP A No No 02 732 7055

Taif Al Nahda Hospital VIP A B No 02 725 0600

Taif El Mokhtar Clinic VIP A B CA 02 725 2702

Taif Taif Polyclinic VIP A B CA 02 743 3990

Taif Al Watan National Clinic VIP A B CA 02 749 0660

Taif Al Nasr Medical Clinic VIP A B CA 02 732 6800

Taif Doni Al Noor Optical VIP A B CA 02 742 9662

Tanoma Tanoma Al Ahlee Dispensary VIP A No No 07 282 7920

Tarout Al Hadi Medical Clinic VIP A B CA 03 823 0333

Tarout Jamal Al Ayoun Optics VIP A B CA 03 823 6171

Tathleth Tathleth National Polyclinic VIP A B CA 01 782 0871

Thawal Al Bishri Medical Complex VIP A B CA 02 288 4656

Turaif Turaif National Clinic VIP A B CA 04 652 0020

Turaif Sarya Medical Dispensary VIP A B No 04 652 1672

Turaif Al Muna Medical Clinic VIP A B CA 04 653 0091

Turaif Turaif General Hospital VIP A B CA 04 653 1138

Ummluj Al Salamah & Al Hayah Polyclinic VIP A B CA 04 382 0222

Ummluj Ansari Optical VIP A B CA 04 382 4243

Wadi Al Dawaser Al Khamasine Medical Clinic VIP A B CA 01 782 0871

Assigned Providers’ Network

Page 44: YOUR HEALTH CARE IS IN GOOD HANDS

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Assigned Providers’ Network

Location Provider Name Classes Phone No

Wadi Al Dawaser Alnowaiemah Medical National Polyclinic VIP A B CA 01 786 1495

Wadi Al Dawaser Al Moawadah Clinic VIP A B CA 01 784 4559

Wadi Al Dawaser Al Wedam Medical Consultative Polyclinic VIP A B CA 01 784 8484

Yadamah Farhan Al Nadir Polyclinic VIP A B CA 07 545 1255

Yanbu Red Sea Polyclinic VIP A B CA 04 322 3413

Yanbu Dar Al Shifa Medical Center-Yanbu VIP A B No 04 322 7062

Yanbu Al Ansari Specialist Hospital VIP A B No 04 392 6444

Yanbu Sameer Ibrahim Saeedi General Hospital VIP A B No 04 391 5000

Yanbu Yanbu National Hospital VIP A B No 04 396 2000

Yanbu Dr. Ghassan N. Pharaon Dental Center VIP A B No 04 392 3222

Yanbu Hussam Est. For Trading VIP A B No 04 396 0510

Yanbu Ansari Optical VIP A B CA 04 392 5111

Yanbu Ansari Optical VIP A B CA 04 391 5111

Zulfi Al Zulfi Medical Dispensary VIP A B CA 06 422 6666

Zulfi Nabdh Alwateen Polyclinic VIP A B CA 06 422 2777

Assigned Providers’ Network