YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS

INDEX
1- Your health care is in good hands 2- General Dictionary 3- From Your Management 4- Eligibility to Medical Insurance Coverage 5-Table Of Benefits. 6- Special Conditions. 7- General Conditions. 8- General Execlusion List of Assigned Providers Network. 4 5 6 7 8-9 10 10-12 13-14 15-44

YOUR HEALTH CARE IS IN GOOD HANDS

YOUR HEALTH CARE IS IN GOOD HANDS 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 attached inserts is to guide you and your dependents to access the benefits of your medical insurance plan, what are the general exclusions and what procedure to follow 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 conditions 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

YOUR HEALTH CARE IS IN GOOD HANDS

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

In case of difficulties, please call the following number:

Toll Free Round 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 Riyadh1451 E-mail: csc.riyadh@medexksa.com Tel. 01 403 8844

JEDDAH
Jeddah Office for your insured members in Jeddah, Makkah, Madina & Taif Regions Jeddah Prince Fahd Street (Al Siteen Street) Medgulf Building (Al Rajhi Center) 1st, 2nd, & 3rd.Floor P.O. Box 51830 Jeddah 21553 E-mail: csc.jeddah@medexksa.com Tel. 02 675 7101

KHOBAR
Khobar office for your insured members in Eastern Region Dammam Khobar Highway Nasser Saeed Al Hajri Tower (7th Floor) P.O. Box 8836 Dammam 31492 E-mail: khobar@medexksa.com Tel. 03 889 4220 Assist america: Worldwide Emergency Services when traveling abroad, please contact the following numbers: Toll Free inside the U.S.A. 877 488 9857 Outside the U.S.A. (Precede number by U.S access code.) 609 275 4999

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

From Your Management

From Your Management

We are Pleased to announce the Medical insurance plan of our employees with Medgulf The Mediterranean & Gulf Insurance and Reinsurance company (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, exclusions, 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 Doctors findings and recommendation by another expert. The company will not reimburse any expenses already rejected by the insurer because it falls outside the scope of the cover described in this booklet. The Health of our employees and their dependents is of paramount importance 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 established norms.

Eligibility to Medical Insurance Coverage

Eligibility to Medical Insurance Coverage

Employee: any employee working for the company on a permanent full-time basis and officially residing in KSA. Dependent: for the purpose of this plan, any member of the employees family residing officially with him in KSA and depending 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 provided to those dependents. Therefore, it is very important that you notify your Human Resources Department without delay of any new family member.

TABLE OF BENEFITS

TABLE OF BENEFITS
Period of Insurance LIMIT of BENEFITS Work Related Injury / Illness Geographical Scope Dependents Covered Waiting period of newborn baby Global Annual Limit per person In Hospital: Allowed Room at APN Daily Room & Board in KSA outside APN Daily Room & Board abroad Cost of Surgery & Anesthesia Radiotherapy & Chemotherapy Daycare for Surgical Procedure Deductible each & every claim Co-Insurance outside APN in KSA (emergency) Co-Insurance outside APN abroad (emergency) Renal Dialysis Acute Psychological Cases Class VIP Not Covered KSA Yes Nil SR. 5,000,000 Suite 800 1000 Full Cover Full Cover Full Cover Nil Nil Nil SR 100,000 SR 15,000 From: January 01st , 2013 To: December 31st, 2013 Class A Not Covered KSA Yes Nil SR. 1,000,000 Private SR. 600 SR. 600 Full Cover Full Cover Full Cover Nil Nil * Nil * SR 100,000 SR 15,000 Class B Not Covered KSA Yes Nil SR. 1,000,000 Private SR. 600 SR. 600 Full Cover Full Cover Full Cover Nil Nil * Nil * SR 100,000 SR 15,000 Class CA Not Covered KSA Yes Nil SR. 1,000,000 Private SR. 600 SR. 600 Full Cover Full Cover Full Cover Nil Nil * Nil * SR 100,000 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

TABLE OF BENEFITS
LIMIT of BENEFITS Out Patient Deductible each & every claim Co-Insurance outside APN in KSA (emergency) Co-Insurance outside APN abroad (emergency) Pre-Existing & Chronic: Maternity Coverage: Annual limit Waiting Period Covered SR 25,000 Nil Class VIP Covered Nil Class A Covered Class B Covered Class CA Covered

20% with a maximum of SR 100 per visit ** Nil * (plus applicable deductible) Nil * (plus applicable deductible) Covered SR 15,000 Nil Covered SR 15,000 Nil Covered SR 15,000 N/A

Vaccinations are covered for children upto 6 years as per Ministry of Health. Dental Care: Annual limit Co-Insurance SR 4,000 SR 2,000 SR 2,000 SR 2,000

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 Co-Insurance SR 1000 SR 500 SR 300 SR 250

20% with a maximum of SR 100 per visit ** Vision Tests, Lenses, Frame Up to maximum SR 250 for all Classes.

Repatriation Costs: Repatriation of Mortal Remains to country. Worldwide Emergency Services When traveling for more than 150 km away from home or abroad
*

Covered SR 10,000 Covered Full Cover

Covered SR 10,000 Covered Full Cover

Covered SR 10,000 Covered Full Cover

Covered SR 10,000 Covered 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.

Special Conditions

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

General Conditions
Out-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 (consultation, 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 opinion 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.

10

General Conditions

Emergency Admission: Treatment Abroad:

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

Any emergency and/or non emergency Medical expenses incurred whilst on vacation /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 immediate 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 under 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: yy Doctors report showing date, location, symptoms, diagnosis, treatment and prescription yy Doctors certificate indicating the reasons that made the condition of Emergency nature. yy Diagnostic investigations result (laboratory, X-raysetc). yy Original receipts for all amounts paid. yy Discharge report (for inpatient cases). yy Detailed itemized invoice (s). Submit the whole documents to HR Department for approval and submission to MEDGULF, but retain a copy for your file.

11

General Conditions

Claim Rejection
MEGULF may reject any claim for the following reasons: yy Lack Lack of information in the doctors report. yy Appropriate invoices / receipts not provided. yy Claim form not completed properly. yy 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 In Hospital Treatment Daycare Treatment, surgical procedure Maternity Coverage "only first visit" Dental Coverage. Optical Coverage. Claims over SAR 1500. Claims over SAR 1000. Class(es) for which approval is required A - B & CA A - B & CA A&B A - B & CA A - B & CA A 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 during normal working hours, should the response be delayed for any reasons, please call one of the numbers shown on the back of card.

12

General Exclusions

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 tranquilizers, or from the use of alcohol, drugs or similar substances. 3. Cosmetic treatment or surgery unless necessitated by a bodily injury not excluded in this section. 4. General Checkup, inoculations, drugs or preventive measures that are not required 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 beneficiarys profession. 9. Medically recognized venereal or sexually transmitted diseases. 10. Costs of treatment following diagnosis of HIV or any disease related to HIV including AIDS and its derivatives, alternatives or other forms. 11. All costs relating to tooth implant, artificial teeth, fixed or mobile bridges or orthodontic 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 ambulance 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 regulating reproduction, contraception, fertility, infertility, impotence, secondary sterility, in-vitro fertilization or any other method of artificial fertilization.

13

General Exclusions

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 beneficiarys 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).

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 nuclear plant or any of its nuclear components. 4. The beneficiarys service or participation in armed forces or police activities. 5. Riots, strikes, terrorism or similar events.

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Assigned Providers Network

Assigned Providers Network

Location Abha Abha Abha Abha Abha Abha Abha Abha Abha Abha Abha Abha Abou Arish Abqaiq Abqaiq Afif Aflaj Aflaj Aflaj Ahad Al Masarha Ahad Rufaidah Ahad Rufaidah Al Makhwah Al Makhwah Al Mandaq Al Mozhamiah Al Owaiqlia Anak Arar Arar Arar Provider Name Abha Private Hospital Al Rahma Hospital Abha General Clinic Al Themal Medical Center Al Arkan Polyclinic Dental Universe Center Al Nomis Polyclinics Complex Al Nomis Polyclinic Complex Family Health Polyclinic Al Balla Branch Est. Maternity And Child Hospital Asnani Dental Center Al Salamah Polyclinic Al Shefa Dispensary Manar Al Sihha Dispensary Mohammad B. Al Harbi Clinic Layla Medical Clinic Farhan El Nadir Clinic Al Kamal Medical Clinic Al Amal National Clinic Haramain Medical Polyclinic Al Emeis Polyclinic Al Makhwah National Clinic Mashaal Medical Polyclinic Ashfa Medical Center Bertal Medical Clinic Al Rian Clinic Anak General Medical Co. Khanani Medical Clinic Al Nukhba Medical Clinic Salamaty Polyclinic For Medical Services VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A No B B No B B B B B B B B B B B B No B B B B B B B B B B B B B B No No CA No CA No CA No CA CA No CA CA CA No No No CA CA CA No No CA CA No CA CA CA CA CA CA

Phone No
07 229 2222 07 228 2020 07 224 4888 07 231 6666 07 228 2626 07 231 0012 07 225 3355 07 227 2192 07 224 1199 07 224 6959 07 225 8000 07 227 2066 07 325 0163 03 566 3777 03 566 0163 01 722 2971 01 682 0618 01 782 0871 01 682 1111 07 319 3333 07 261 2747 07 250 6633 07 728 0544 07 728 0915 07 751 3525 01 523 2113 04 669 0014 03 842 3163 04 662 7770 04 662 6112 04 663 6222

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Assigned Providers Network

Assigned Providers Network

Location Arar Asfan Badr Badr Baha Baha Baha Baha Baha Baha Baha Baljuraashi Baljuraashi Baqa'a Baqa'a Bisha Bisha Bisha Bisha Bisha Bisha Bukairiah Buraydah Buraydah Buraydah Buraydah Buraydah Buraydah Buraydah Buraydah Provider Name Amass Health Polyclinic Complex Asfan Polyclinic El Nour Polyclinic Al Takhssosy Clinic Badr Shamekh Polyclinic Co King Fahd Hospital Al Rami Al Ahly Polyclinic Dr. Ghassan N. Pharaon Clinic Nees Dental Center Al Salama Polyclinic New Look Optics Ghamed National Clinic Ghodran General Hospital Allewa'a Medical Complex Bright Smile Dental Clinics Al Amal Medical Polyclinic Bisha Medical Dispensary King Abdullah Hospital Medical Consultant Dispensary Al Salam Medical Dispensary General Medical Care Polyclinic Attadawe Clinic Al Fereh Hospital Saudi Shamel Dental Clinic Al Mohaimid National Clinic Dr. Ghassan N. Pharaon Dental Center Dr. Ahmed Al Moussa Clinics Medical Saudian Polyclinic King Fahd Hospital Shifa Buraidah Polyclinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B No No B B No B B B B B B B B B B B B B B B B B B CA CA CA CA No CA CA No No CA No No No CA CA CA No CA No CA CA CA No No CA No CA CA CA CA

Phone No
04 663 8383 02 265 2999 04 332 4541 04 332 2900 07 727 0801 07 725 4000 07 724 2424 07 727 1126 07 724 2333 07 725 5052 07 725 5779 07 722 0540 07 722 4470 06 527 1122 06 527 5550 07 622 6900 07 622 6560 07 622 0957 07 622 1111 07 622 3575 07 622 0003 06 335 8708 06 324 5501 06 381 9050 06 324 4905 06 381 3596 06 383 7777 06 381 0196 06 325 7683 06 369 4332

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Assigned Providers Network

Assigned Providers Network

Location Buraydah Buraydah Buraydah Buraydah Buraydah Buraydah Dalam Dalam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Provider Name Future Care Clinics Al Flaiw Polyclinic Dr. Sulaiman Al Habib Medical Group Al Qasseem National Hospital Rasheed Polyclinic Al Noor Distinguished Polyclinic Al Gannas Medical Group Madenat Al Elaj National Clinic Mouwasat Medical Services Arrawdha Dispensary Al Dukair Clinic Al Faraby Dispensary Mouwasat Dispensary Dar Assihha Dispensary Tadawi General Hospital Al Mana Dispensary General Care Dispensary Badr Al Rabie Dispensary Health & Life Dispensary Al Borg Laboratory Al Faraby Dispensary - Dammam Industrial Area Al Doha National Dispensary EBN CENA DENTAL CLINIC Dammam Medical Dispensary (1) Dammam Scan Center Excellence center For Physiotherapy VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B No B B B B B No B B B B B B B B B B B B B B B B B B B No No CA No No CA CA CA CA No CA CA No No CA No CA CA CA CA No No CA No CA CA CA CA CA No

Phone No
06 325 9900 06 385 6611 06 316 6666 06 383 6100 06 381 4400 06 384 6777 01 541 1007 01 541 2925 03 820 0000 03 834 6555 03 842 9461 03 842 0909 03 826 0800 03 817 7899 03 834 8777 03 812 2161 03 846 7777 03 834 0903 03 822 2222 03 834 7000 03 847 4080 03 891 3111 03 828 0466 03 827 1388 03 830 1718 03 815 4119 03 843 4090 03 821 1111 920001118

Dammam National Dispensary Al Ahmadi Medical Dispensary Special Care Dental Dispensary

17

Assigned Providers Network

Assigned Providers Network

Location Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dammam Dawadmi Dawmet Al Jundal Dhahran Al Janoub Provider Name Fajar Dammam Medical Complex Al Bashawri Opticals Canadian Medical Center Diamond Dental Center Safa Medical Center Specialist Dental Treatment Center Dr. Khaled Al Zahrani Medical Center Dar Al Hekmah Dispensary Creative Dental Center Mada Dental Center Cardio World & Specialized Medicine Center Dento Plast Centers Saudi European Dental Clinic _ Dammam Ahaleena Medical Clinics Co. Adwaa Al Hikmah Dental Center Al Taqwa Medical Complex Kahhal Medical Complex Modern Dental Center Ajyad Polyclinic Al Jood Dental Complex Ram Dental Care International Medical Clinic Arrawdha General Hospital Ram Dental Care 2 Secret Smile Dental Center Abu Zaid Medical Clinic Al Amal Medical Clinic Al Ahli Medical Polyclinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B No B B B B B B B B No B No No B B No No B B B B B B B B B B CA No CA No CA No CA CA No CA No No No No No CA No No CA CA No CA No No No No CA CA

Phone No
03 815 2555 03 834 6063 920005510 03 811 0997 03 834 1016 03 834 4428 03 818 8866 03 826 4749 03 820 3045 03 846 4222 03 805 0101 03 818 8844 03 827 7700 03 833 3080 03 832 0130 03 809 6464 03 809 7777 03 843 0243 03 805 6444 03 837 3434 03 835 6755 03 827 7445 03 834 6555 03 842 5701 03 811 7250 01 642 3338 04 622 0981 07 255 1829

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Assigned Providers Network

Assigned Providers Network

Location Dhuba Dhuba Dhuba Dhuba Gizan Gizan Gizan Gizan Gizan Gizan Gizan Gizan Gizan Hafer Al Batin Hafer Al Batin Hafer Al Batin Hafer Al Batin Hafouf Hafouf Hail Hail Hail Hail Hail Hail Hail Hail Hail Provider Name Dhuba National Polyclinic Anmar Al Khaleg Medical Polyclinic Rai Al Ain For Optical Mohammed Eid Al Juhani Company For Dental Samta National Clinic Ali Khamaj Medical Clinic Jazan Medical Center Sabia General Hospital Al Haramain Medical Complex Al Safwa Dental Clinic Jrrash Medical Dispensary Al Emeis Polyclinic Nasser Dhaif Allah Moraya Polyclinic Dr. Noor Mohammad Khan's Clinic Al Hujielan Medical. Dispensary Dr. Noor Mohammad Khan General Hospital King Khaled Hospital King Fahd Hospital Hussein Al Ali Hospital Al Rashid Hospital National Clinic-hail EBN SEENA POLYCLINIC Rayan Al Sharq PolyClinic Salamat Clinic Al Noor Polyclinic King Khaled Hospital Maternity & Children Hospital Al Takhsees Medical Group VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B No B B B B B B B B B B B B B B B B B B B B B B B No CA CA CA No No CA CA No CA CA No No CA CA No CA CA CA No No No CA No CA CA CA CA

Phone No
04 432 0112 04 432 2200 04 432 0640 04 432 0950 07 332 5056 07 322 0990 07 323 3333 07 326 0222 07 261 2747 07 322 2777 07 324 3100 07 322 6633 07 317 3725 03 722 0701 03 722 5270 03 722 5550 03 721 3803 03 575 8894 03 586 6566 06 533 2222 06 532 0333 06 539 9999 06 5388 888 06 532 5777 06 534 4440 06 543 6099 06 543 7007 06 543 4040

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Assigned Providers Network

Assigned Providers Network

Location Hail Hail Hail Hail Hail Haqel Haqel Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hasa Hotet Bani Tamim Jamoom Provider Name Al Safa polyClinic Hail Al Khaleej Polyclinic Zamzam Clinic Semah Polyclinic Al Ahli Polyclinic Shaah Al Amal Dispensary Rai Al Ain For Optical Obeid Specialized Hospital-Alhasa Al Moosa General Hospital Al Mardiah Al Hawraa Clinic Medical Co Hegar Dispensary Hussein Al Ali Clinic Al Nisaee Dispensary Hofuf National Clinic Al Mashafi Clinic Al Mouwasat Dispensary Al Maghlouth Medical Dispensary Aziz Medical Dispensary Ibrahim N. Al Shawi Clinic Dr. Jamil Khattab Polyclinic Al Rida Clinic Al Hasa Hospital Naim Clinic Dahim Clinic Faisal Dispensary Elaj Medical Center Al Mulhim Dispensary Ram Dental Care Al Gaoli Medical Clinic Al Saedy Medical Clinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B No CA CA No CA CA CA No No CA CA CA CA CA CA No CA CA CA CA CA No CA CA CA CA CA No CA CA

Phone No
06 543 5556 06 532 2333 06 531 2121 06 532 8000 06 535 5555 04 453 2922 04 453 1395 03 530 3333 03 530 7000 03 587 9585 03 580 4677 03 587 8796 03 586 3638 03 582 7840 03 586 5900 03 536 0000 03 531 3333 03 582 7961 03 582 1500 03 585 0999 03 596 3760 03 584 4000 03 857 7733 03 575 5599 03 592 0000 03 531 2000 03 580 5030 03 531 1282 01 555 0372 02 594 0403

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Assigned Providers Network

Assigned Providers Network

Location Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Provider Name Dr. Erfan & Bagedo Hospital New Jeddah Clinic Hospital Jeddah Clinic Hospital - Al Kandara Saudi German Hospital Dr. S. Fakeeh Hospital Bugshan Hospital Abuzinadah Hospital Saudi American Clinic Dr. Ghassan N. Pharaon General Hospital Al Mostaqbal Hospital Dr. Khalid Idriss Hospital Hai Al Jamea Hospital Al Hamra Hospital Al Salam International Hospital Dr. Bakhash Hospital - Sharafya Dr. Samir A. Kayasseh Clinic New Al Jedaani Hospital - Gholail Al Jedaani Hospital - Al Safa Saba Clinic5 Badruldin Polyclinic Saba Clinic 2 Saba Clinic 1 El Faisal Polyclinic Andalusia Dental Center Taj Polyclinic Al Hamra Dental Polyclinic ALJ Rehabilitation Hospital & Specialty Clinic Al Abeer Medical Centers Co. Dr. Kamal Kattab Clinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A No No B No No B B B B B B B B B B No B B B B B B B B B No No B B No No No No No No No CA No No CA No No CA No No CA CA No CA CA No CA No CA No No CA No

Phone No
02 682 0022 02 667 5000 02 631 3131 02 682 9000 02 660 3000 02 669 1222 02 651 0652 02 660 5050 02 682 3200 02 687 5255 02 642 3555 02 680 6666 02 665 3777 02 697 0000 02 651 0666 02 665 5521 02 636 8100 02 677 2221 02 638 0903 02 670 6007 02 620 4547 02 654 2022 02 631 8944 02 670 2777 02 635 5715 02 665 5588 02 677 1143 02 657 3001 02 661 1002

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Assigned Providers Network

Assigned Providers Network

Location Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Provider Name Al Zahra Hospital Al Hayat Hospital Al Madina Medical Clinic Saba Clinic 4 Al Baraka Medical Clinic United Doctors Hospital Gulf Atheer Clinic Al Hiba Polyclinic Al Rayan Polyclinic Saba Clinic 3 Naseem Jeddah Polyclinic-Jeddah Al Shuroug Dental Polyclinic New Al Salama Polyclinic Al Rajhi Polyclinic Dr. Hani Abdullah Ragaban Polyclinic Badr Al Tamam Polyclinic Dr. A.Saim Al Dahr Hospital Shifa Polyclinic (1) Shifa Polyclinic (2) Dr. Nihad M.S.Islam Daysurgery and Polyclinic Tala Medical Center International Medical Center AL-ABEER MEDICAL CENTER My Care Medical Center Shifa Jeddah Polyclinic Eed Clinics Al Yasmin Polyclinic Shifa Al Bawadi Polyclinic Kahlid Polyclinic - Al Rawaby Pearl Dental Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B No B B B B B B B B B No B B B No B B B B CA CA CA CA No No CA CA CA No CA No CA CA CA CA CA CA CA CA No No CA CA CA No CA CA CA CA

Phone No
02 682 3331 02 6370 707 02 688 1288 02 683 6651 02 6710242 02 653 3333 02 680 3772 02 650 0089 02 631 9475 02 640 4134 02 287 5000 02 691 0343 02 268 2862 02 630 1123 02 694 6207 02 645 5043 02 675 4444 02 697 7075 02 688 0888 02 607 7700 02 639 1818 02 650 9000 02 639 5444 02 619 0606 02 651 8999 920022211 02 624 4107 02 662 5259 02 620 4484 02 607 3030

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Assigned Providers Network

Assigned Providers Network

Location Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Provider Name Dr. Hala Essa Bin Laden Hospital Hiba Asia Polyclinic Al Bashawri Opticals New Sidrah Medical Center Al Jawhara Polyclinic Mushrifah Medical Center Tebabat Jeddah Polyclinic Al Rdaddi Clinic Al Samria Polyclinic Blue Coral Dental Clinics Group Al Zafer Polyclinic 2 Al Zafer Polyclinic 1 Al Noor Medical Center Medical Physical Therapy Center Al Themairy Polyclinic Sharq Polyclinic (2) The First Clinic Dental Art Safa Al Bawadi Polyclinic Al Falak Dental Polyclinic International Renal Care Center Jwel Clinics Hussam Est. For Trading Al Nahda Clinic General Medical Polyclinic - Sari Al Quds Polyclinic Sameera Polyclinic Dr. Hassan Ghazzawi Hospital Badgaish Eye Care Dr. Rami Hassaneine Dental Implant Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B No B B B B B B B B B B B B B No B B B B No B B B B B B No No CA CA No CA CA CA CA CA CA No CA CA CA No CA CA No No CA No No No No No No CA CA CA No No

Phone No
02 660 3332 02 623 2020 02 697 6742 02 650 0065 02 655 1851 02 673 8641 02 682 9522 02 614 1412 02 628 3333 02 698 1888 02 679 9747 02 640 5565 02 630 5555 02 660 5224 02 675 4555 02 660 0046 920029090 02 670 5002 02 662 5536 02 691 8036 02 616 5924 02 263 1733 02 665 8665 02 620 5940 02 697 4309 02 697 0224 02 674 4370 02 663 6333 02 667 1049 02 256 0050

23

Assigned Providers Network

Assigned Providers Network

Location Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jeddah Jubail Jubail Jubail Jubail Jubail Provider Name Al Aziziah Polyclinic Al Rahaily Polyclinic Al Sahly Medical Polyclinic Rimas Dental Clinic Islam Medical Clinic Medic Medical Polyclinic Saudi Hospital Palestine Polyclinic Eskan Polyclinic Al Higrah Medical Center Mustasharak Medical Center Shifa Al Munthaza Polyclinic Riadah Polyclinic Co. Ltd. Medical Experts Center Eye 2 Eye Optics American Strategic Health Care Management Al-Raqoun Medical Center Dr.Talal Qutub Medical Center Saba Clinic 6 Watanak Polyclinics Salah Osaman Shawoosh Medical Co. New Gulail Polyclinic Hala Essa Binladen Polyclinic Jamal Al Ayoun Optics Jeddah National Hospital Jubail National Dispensary Mouwasat Hospital Avicena Dental Center Co. Ltd. Shifa Al Jubail Medical Center Al Jubail General Hospital VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B No CA CA CA CA No CA CA No No CA CA CA No CA CA CA No No CA CA CA CA CA CA CA No No CA CA

Phone No
02 670 1071 02 289 4583 02 658 3386 02 651 7828 02 687 1077 02 692 1632 02 671 1831 02 654 1418 02 653 0784 02 621 6040 02 222 0000 02 261 0805 02 272 1111 02 667 7777 02 622 1663 02 664 4172 02 614 3630 02 693 9222 02 693 5958 02 265 5500 02 645 0019 02 637 8073 02 672 2315 02 658 6952 02 671 0040 03 362 0358 03 349 0000 03 828 0466 03 361 1777 03 362 2233

24

Assigned Providers Network

Assigned Providers Network

Location Jubail Jubail Jubail Jubail Jubail Jubail Jubail Jubail Khafji Khafji Khafji Khafji Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Khamis Mushyt Provider Name Khonaini General Dispensary for Medical Services Dina Dispensary for Medical Services Sun Citys Kims Medical Center Badgaish Eye Care Badgaish Eye Care Mutlaq Al Otaibi Medical Complex Al Naba Dispensary Est. Br. Shoq Aloyoon Optical Al Khafji National Hospital Mutlaq Al Otaibi Polyclinics The Complex of The Clinics of The Arak for Dentist Al Manar Medical Complex Al Shifa Clinic Dr. Ghassan N. Pharaon Hospital Saudi German Hospital Al Shamil Family Polyclinic Al Khamis Medical Polyclinic Shifa Al Khamis Polyclinic Sarat Obaidah Hospital Al Themal Medical Center Al Razi Clinic Al Hayah National Hospital Al Ahli Hospital Al Husam Polyclinic Al Emeis Polyclinic Shoaa Al Hadeth For Dental Mustasharak Medical Center Wasni Medical Complex Asnani Dental Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B No No B No B B B B B B B No B B B B No B B B B B B B B B No CA No No No CA No No No CA CA CA CA No No CA No CA CA No CA No CA No No No CA CA CA

Phone No
03 341 0110 03 361 1993 03 362 0039 03 361 3250 03 347 2411 03 363 1888 03 345 1111 03 361 0552 03 7661111 03 766 3666 03 767 4747 03 766 6565 07 223 5790 07 220 0002 07 235 5000 07 221 9791 07 222 2012 07 237 4233 07 259 5013 07 222 6666 07 222 0700 07 233 4444 07 223 7705 07 235 1154 07 250 0878 07 236 1111 07 220 0006 545533526 07 221 7700

25

Assigned Providers Network

Assigned Providers Network

Location Kharj Kharj Kharj Kharj Kharj Kharj Kharj Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khobar Provider Name Al Taawin Polyclinics Company Limit Al Ameed Medical Clinic Al Gannas Medical Group Al Dosary Modern Polyclinic Dar Al Shoubaa Medical Polyclinic Advanced Consultant Polyclinic Ebraheem Al Sukhaiber Medical Clinic Al Jazira Clinic Al Yousif Hospital For Medical Services As Salama Hospital Dr. Fakhry & Al Rajhi Hospital Dr. Layla Al Onaizi Polyclinic Astoon Hospital Khobar Cooperative Clinic Al Faraby Medical Center Mohammad Dossary Hospital Avicena Dental Center Co. Ltd. Ram Dental & Orthodontic Clinics Saudi Swiss Consultant Dental Center Academic Dental Center Al Khobar National Clinic Riaya Hospital ( Procare ) Zarka El Yamama Optics Artal Dental Clinic Modern Dental Center Al Juaidi Dispensary Ozone Dental Center Badgaish Eye Care VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B No B B B B B B B B B B B B No No B B No No CA CA CA CA CA CA No CA CA No CA No CA No No No No No CA CA No No No No CA No No

Phone No
01 548 4080 01 544 2777 01 544 4003 01 544 8960 01 548 8866 01 545 1111 01 548 8881 03 898 2022 03 864 2751 03 864 1011 03 895 4960 03 857 4040 03 859 0024 03 893 6203 03 891 6163 03 894 5524 03 828 0466 03 864 8181 03 889 8714 03 894 4626 03 895 1588 03 895 5900 03 896 6199 03 887 9946 03 867 1828 03 899 6669 03 894 0007 03 895 1097

26

Assigned Providers Network

Assigned Providers Network

Location Khobar Khobar Khobar Khobar Khobar Khobar Khobar Khorma khulais Kingdom Wide Kingdom Wide Kingdom Wide Kingdom Wide Kingdom Wide Kingdom Wide Kingdom Wide Kingdom Wide Laith Madina Madina Madina Madina Madina Madina Madina Madina Madina Madina Provider Name Badgaish Eye Care Rawnaq Dental Clinics Silver Crescent Dispensary Jood Al Salam For Medical Services Shifa Al Khobar Company Ltd. Basamat Dental Center Cham Dental Clinics Al Elaj Medical Clinic Baraket Khulais Polyclinic & Dental Center Al Mana General Hospital Magrabi Optical Al Faiha Medical Center Magraby Hospitals & Centers Madar Al Shefa Dental Clinic Barakat Optical Al Madina Hearing Aids Center Mohamed Abdul Latif Basha Medical Servies Al Laith National Clinic Al Zahra Hospital Madina National Hospital Company Ltd. Al Rahma Hospital Mouwasat Hospital Safa Al Madina Hospital Saudi German Hospital Wahat Al Shifa Polyclinic Seha Polyclinic Al Dar Polyclinic Dr. Hamid Suliman Al Ahmadi VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A No B B B B B B B B B B B B B B B B B B No No B B B B B B B No No No CA No CA CA CA CA No No CA No No CA CA CA CA No No No No CA No CA No No CA

Phone No
03 896 5945 03 880 0003 03 865 0005 03 882 0006 03 894 4984 03 802 9006 03 887 8676 02 832 3346 02 289 1409 03 826 2111 02 651 0655 06 381 4020 03 818 0000 01 208 6177 03 834 0340 01 478 8809 01 291 1861 07 742 3446 04 848 8808 04 844 4444 04 827 2777 04 842 2211 04 828 0000 04 840 6000 04 828 8177 04 846 2663 04 836 1672 04 836 3332

27

Assigned Providers Network

Assigned Providers Network

Location Madina Madina Madina Madina Madina Madina Madina Madina Madina Madina Madina Madina Madina Mahad El Zahab Mahad El Zahab Majmaa Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Provider Name Bakkari Polyclinic Al Dar Hospital - Quba Clinic of Dr.Abdul Rahman Al Ogaly Weqayah Medical Center Al Andalus Dental Center Rouya Optic Hussam Est. For Trading Rai Al Ain For Optical Rai Al Ain For Optical Al Dar Private Dispensary Ansari Optical Consultative Dental Clinic Atebba Al Madina Polyclinic El Amal Medical Center Rai Al Ain For Optical Sudair Consulting Clinics Alawi Tunsi & Bros Hospital Al Rafie Hospital Muhammad S. Basharahil Hospital Saudi National Hospital Al Shefa Hospital-Makkah Almokaramah Dr. Bakhash Hospital Al Saedy Medical Clinic-Makkah Al Salam Hospital Asian Polyclinic Dr. Abdul Aziz K. Kurdy Polyclinic Makkah Makkah Medical Polyclinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B No B B B B No B No B B No B B B B B B No CA CA No CA CA No No CA CA CA CA No CA CA CA CA No No No CA No No No CA CA CA CA CA No

Phone No
04 8383 323 04 867 7777 04 825 0561 04 831 2777 04 815 1444 04 830 3293 04 822 8726 04 824 0372 04 839 4907 04 823 5390 04 845 4856 04 825 2222 04 837 2313 04 868 1372 04 868 1866 06 432 2444 02 558 7777 02 545 4455 02 520 4444 02 556 2177 02 536 9779 02 522 2222 02 544 2261 02 577 2222 02 538 0891 02 545 4800 02 544 0707 02 561 4002 02 536 6331

Elite Medical Complex Al Bashawri Opticals

28

Assigned Providers Network

Assigned Providers Network

Location Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Makkah Methenab Mozahmia Mozahmia Muhayil Muhayil Najran Najran Najran Najran Najran Najran Najran Najran Najran Najran Najran Najran Najran Najran Provider Name Al Kholood Clinic Dr. Zaher & Suad Polyclinic Dr. Zaher Gadeeb Alban Polyclinic Hussam Est. For Trading Medical Convention Clinic Ali Al Ssaeidi & Partner Ibn Sina Clinic Makkah Polyclinic Umm Al Qura General Hospital Dr. Hala Essa Binladen Society Med. Dispensary Al Metrek Medical Clinic-Mozahmia My Teeth Specialized Dental Polyclinic Muhayil National Hospital Hamed Specialized Polyclinic Al Zafer Hospital Al Atfain Polyclinic Al Watani Modern Polyclinic Al Qadi Ideal Polyclinic Al Hayah Medical Center Al Safwa Dental Clinic King Khaled Hospital Maternity & Children Hospital Ebn Ankies Polyclinic Epn Cena Dental Clinic Al Okhadoud Clinic center - Najran Medical Center of Dawa Al Janoub Dawaa Al Salama Polyclinic Dr. Ghassan N. Pharaon Dental Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B No B B B B B B No B B B B B B B B B B B B No CA CA CA No No No CA No CA CA CA CA No CA No No No No CA CA CA CA No CA CA No CA No

Phone No
02 542 2183 02 573 5201 02 540 0004 02 542 2942 02 543 6276 02 558 6515 02 545 6561 02 537 6767 02 597 3862 06 342 2117 01 523 5161 01 523 2929 07 285 0853 07 285 8444 07 542 9777 07 523 0851 07 522 4000 07 543 1000 07 529 0888 07 523 0888 07 522 3314 07 529 4181 07 522 2197 07 542 6100 07 544 2000 07 542 2075 07 522 1080 07 522 5133

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Assigned Providers Network

Assigned Providers Network

Location Najran Najran Najran Namas Namera Nuairiyah Onaizah Onaizah Onaizah Onaizah Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qatif Qelwa Quieiah Qunfuza Qurayyat Qurayyat Qurayyat Qurayyat Provider Name Dento Plast Centers Dr. Marzouq.H.Al Qannas Dental Clinics Al Mehthel Polyclinic Deryaq Medical Center Anwar Polyclinic Al Nuairiyah National Clinic Al Salam National Polyclinic Al Barakah Polyclinic Medi. Care Polyclinic Al Wafa Hospital Mudar Charitable Society For Social Services Dispensary Mouwasat Hospital Avicena Dental Center Co. Ltd. Al Bati Dispensary Al Wazzan Vision Al Zahra General Hospital-Qatif Zuhair Al Shuwekhat Optical Center Julan For Optical Badr Al-Jazeera Polyclinic Medical Excellence Center Noor Al Madar Dental Polyclinic 3 Jamal Al Ayoun Optics Al Rafiq polyclinic Medical Polyclinic Tehama Medical Clinic Al Ajaj PolyClinic National Clinic Dr. Ali T. Abo Taleb Polyclinic Dr. Bader Medical Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B No B B B B B B B No B B B B B B B B B B B B B B B B B B B No No CA CA CA CA No CA No No No CA No CA CA No CA CA CA No CA CA CA CA CA CA CA CA CA

Phone No
07 523 2222 07 522 8899 07 523 8652 07 282 0222 07 738 0550 03 373 1100 06 364 2085 06 365 1800 06 361 0000 06 363 6600 03 854 1869 03 851 2222 03 828 0466 03 823 2811 03 837 7347 03 855 5000 03 854 8551 03 863 1812 03 863 5000 03 851 2800 03 852 5858 03 850 0147 07 730 1244 01 652 1333 07 733 6330 04 642 0011 04 642 1235 04 642 1169 04 643 2333

30

Assigned Providers Network

Assigned Providers Network

Location Qurayyat Qurayyat Rabigh Rabigh Rabigh Rabigh Rahima Rahima Ranyah Ras Tanura Ras Tanura Rass Rass Rass Rass Remah Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Al Qurayat General Hospital Dr. Sultan Medical Center Al Amal Polyclinic Al Nakheel National Clinic Hussam Est. For Trading Dr.Khalid Idriss Medical Center Rahima Al Ahli Dispensary Co. Ltd. Shifa Rahima Dispensary Al Wedyan Medical Clinic Al Ta'afi Dispensary Zuhair Al Shuwekhat Optical Center Al Baraka Polyclinic - 3 (Al Taya Previously) Azzaeyd Hospital Al Shark National C. Doni Al Noor Optical Farhan Al Nadir Polyclinic Dar Al Shefa Hospital Arab Medical Dar Kingdom Hospital Al Bustan Clinic Al Thowaini Clinic Al Washem Medical Clinic Dallah Hospital Al Hammadi Hospital Modern Medical Clinic Olaya Medical Center Riyadh Medical Center National Hospital (Riyadh National H. Previously) VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B No B B B No B B B B B CA No CA CA No CA CA CA CA CA CA No No No CA CA CA No No CA CA No No No No No No No

Phone No
04 641 6064 04 641 8080 02 422 2916 02 422 1200 02 422 1385 02 422 2229 03 667 4490 03 667 2525 02 842 2279 03 667 1378 03 668 1816 06 333 5500 06 333 7007 06 333 0029 06 333 0138 01 552 1781 01 401 2029 01 416 0011 01 275 0677 01 458 2140 01 231 7744 01 401 1305 01 299 5555 01 464 3312 01 491 8003 01 464 5501 01 465 3060 01 476 1211

31

Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Riyadh Care Hospital (Insurance H. Previously)R.C.H Transad Clinic Medical & Dental Consulting Clinics Green Crescent Hospital Al Alam Medical Center Al Barakat Medical Center Dr. Abdul Rahman Al Mishari Hospital Al Mobarak Hospital Mustawsaf Oleya Polyclinic Al Mawed Medical Center Dr. Fawaz Izzat Taba Clinic Al O'srah Int'l. Hospital Al Wattan Clinic Al Wattan Medical Center Shoaa Medical Center Badr Al Samaa Polyclinic Consultative Medical Clinics Pearl's Smile Medical Center Al Khazan Medical Clinic Riyadh Consultative Clinics Dr. Sulaiman Al Habib Medical Group Obeid Specialized Hospital - Riyadh Al Osrah Medical Clinic - Badeah Al Rawdah National Clinic Mohd. Saeed Badruddin Polyclinic - Batha Branch Consultant Radiologist (Riyadh Scan) Malaz Modern Clinic .co VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A No B No B B B No B B B B B B B B B B B B B No B B B B B B No No No No No CA No No CA No No No CA CA CA CA No No CA No No No CA CA CA CA No

Phone No
01 493 3000 01 464 5050 01 465 9100 01 464 4434 01 278 3330 01 476 9874 01 465 7700 01 401 5282 01 463 2691 01 450 9035 01 460 8808 01 431 1111 01 458 8444 01 496 4455 01 456 3777 01 405 2526 01 232 0000 01 464 6334 01 435 5252 01 450 7000 01 462 2224 01 476 2695 01 426 0737 01 231 1104 01 405 0243 01 461 2266 01 477 1515

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Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Factories Polyclinic Al Khaldia Clinic Dar El Hekma Clinic Riyadh Clinic Al Dhawi Polyclinic Badeah Consultative Clinic Al Badri Medical Clinic Center Taif Medical Center Rathawia Center Medical Specialized VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B No B B B B No B B B No B B No B B B CA CA CA CA CA No No CA No CA CA No CA CA No CA CA No CA No CA CA No No CA No No CA CA CA

Phone No
01 265 2130 01 448 1448 01 446 1804 01 478 7070 01 493 1160 01 433 3028 01 450 9000 01 488 1133 01 416 3322 01 491 1149 01 448 6834 01 416 4000 01 495 6127 01 445 4954 01 411 5001 01 465 1868 01 402 6111 01 473 1313 01 439 0040 01 408 0414 01 463 3571 01 492 3030 01 461 6777 01 466 1200 01 474 1122 01 462 4433 01 487 3000 01 480 6348 01 236 5111 01 476 5548

Al Thomairy National Clinic Avicenna Polyclinic Specialized Medical Center Hospital Al Azizia Medical Clinic Al Sarh Medical Clinic Safad Dental Center Dr. Abdul Fattah Al Hourani Clinic Safa Makkah Polyclinic Medical World Polyclinic Heraa Medical Clinic Kental Dental Center Medical Society Clinic Group Hai Al Salam Area National Clinic Elite Medical & Surgical Center Dima Dental Omar Al Ajaji Medical Center Al Awal Dental Center Saudi German Hospital OMM-Al Hamam Polyclinic Khalid Medical Clinic Makkah Dispensary

33

Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Al Rayyan National Clinic Family Smile Polyclinic Dar Al Shefa Clinic Shining Horizons Medical Center Shining Horizons Dental Center Al Haya National Clinic Sultan Bin Abdulaziz Humanitarian City Typical Medical Clinic Najd Consulting Hospital Operated by Al Inma Medical Services Yana Dental Specialized Medical Clinic Safeer Dental Center Dr. Moajjel Polyclinic Al Nahdah Medical Center Samy Alsubhi Polyclinics Co.(Subhi Specialized Center) Ent Medical Center Al Ebda'a Medical Clinic & Center Al Mansur Medical Clinics Durrat Ghornata Medical Complex Al Warood Medical Centre Dr. Ghassan N. Pharaon Dental Center Mayiez Medical Center Al Hayat National Clinic 3 Al Majd Family Polyclinic Al Mashfa Medical Center Fahad Dental Center (1) - Al Hijaz Road Fahad Dental Center (2) - King Fahad Road VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B No B B No B B B B No B B B B B B B B B B B CA CA CA CA CA CA No CA No No No CA CA No No CA CA CA No No No CA CA No CA CA

Phone No
01 493 1785 01 456 9729 01 498 9220 01 225 2000 01 426 8777 01 244 4111 01 562 0000 01 245 4444 01 445 5555 01 450 2777 01 205 0810 01 4477 065 01 456 7161 01 233 5000 01 480 2229 01 226 3800 01 241 1888 01 277 1162 01 470 3355 01 464 5221 01 216 8877 01 274 1820 01 418 2228 01 208 8585 01 459 7123 01 461 2424

34

Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Al Osrah Medical Clinic - Manfouha Al Azhar Hospital Al Ryan International Polyclinic Co. Ridwan Dental Center Special Dental Polyclinics Maroog Diagnostic Center Elixir International Polyclinic Al Zamil Polyclinic Shifa Al Jazeera Polyclinic Raf Medical Complex Al Khaleeji Medical Center Qasr Al Rayed Medical Clinic Your Health Medical Clinic H.O.W. Medical Center- Al Mourooj Al Khaleejy Polyclinic Fedad Specialist Dental Center Ghodaf Medical Center Trust Medical Clinic Attadawe Medical Center Dent Care Clinics Al Nozha Medical Center Al Rajhi Int'l. Clinic Al Olaya Int'l. Clinic Al Mohammadiah Medical Center Al Madina Opticals Wahat Al Mas Dental Center Alpha Clinic Center Douvin Medical Center Al Haramain Medical Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B No No B B B B B B B B B B No B B B No B B B B B No No B B CA CA CA No No CA CA CA CA CA CA No CA CA CA No CA CA No No CA CA CA CA CA No No CA CA

Phone No
01 457 2417 01 236 6788 01 401 3429 01 474 3441 01 470 7766 01 263 4887 01 408 0977 01 492 3000 01 409 3465 01 447 3407 01 421 7631 01 269 0606 01 226 8255 01 450 9444 01 498 7038 01 225 3440 01 460 7562 01 249 6181 01 278 0211 01 219 6000 01 455 4400 01 403 6555 01 293 0146 01 210 1414 01 404 0695 01 248 7888 01 269 9222 01 411 1658 01 232 3666

35

Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Al Momtaz Polyclinic Sama Dental Al Marwa Medical Clinic Al Kadesiah Clinic Al Daraya Polyclinic Dr. Mohamed Abdullatif Basha Medical Clinic Ebtsamatac Dental Polyclinic Al Mawiyah Consultative Clinics Adwaa Doret Al Alami Medical Clinics Al Shomoly Medical Polyclinic Photon Radiology Center Al Rayah Medical Clinic Al Bashawri Opticals Safa Makkah Polyclinic (2) Rawdat Al Aqsa Medical Complex Rawdat Al Aqsa Medical Complex 2 Al Maha Opticals Al Diriaya National Medical Clinic Bin Rushed Medical Center Ramah Polyclinic Center Al Morsalat Medical Clinic Dar El Elaj Dispensary Al Jazeera Medical Clinic Right Treatment Adwaa Al Alami Polyclinic Al Orouba Medical clinic - Riyadh Hai Alshefa National Dispensary Al Orouba second medical clinic Riyadh VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B No B B B B B B B B B No B B B B B B No B B B B B B B B CA CA No CA CA CA No CA CA CA CA CA No CA CA CA CA CA No No CA No No CA CA CA CA CA

Phone No
01 478 6807 01 249 5604 01 238 2020 01 446 0800 01 486 3555 01 286 3909 01 232 6291 01 231 4444 01 278 8181 01 454 3232 01 466 6651 01 228 9090 01 413 2550 01 404 0188 01 493 8919 01 453 6060 01 232 6567 01 486 0040 01 461 3131 01 480 0933 01 456 1214 01 425 8933 01 233 1290 01 267 6296 01 495 3022 01 421 5709 01 421 0015 01 421 5704

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Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Hai Badr medical clinic - Riyadh NAWAJETH DENTAL CLINIC Al Jafel Hospital Al Amin Medical Clinic 1+2 Future Medical Center Al Metrek Medical Clinic Lasting Smile Dental Clinics AL Khozama Medical Clinic Al Falah Hospital Saad Al Gwaiz Polyclinic Family Medical Center Clinics Hay Al Khaleej Medical Clinic Madar Al Shefa Dental Center Al Farabi Dental Center Al Nakheel 1 Dental Center Al Nakheel 2 Dental Center Al Hakim Dental Center Al Abrag Dental Center Al Andalus Dental Center Al Mohaideb For Orthodental & Planting Al Warood Optical Center United Medical Clinic Rabia Hospital Al Rahmah Clinic and Medical Lab Dr. Al Mutlaq Polyclinic Bariq Al Ebtesama Dental and Orthoclinic Asia Medical Dispensary Bilad Group Medical Clinics Salamatak Medical Center Al Qwaifel Clinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B No B No B B B B B B B B B B B B B B B B B B B B B B B CA No CA CA No CA No CA CA No CA CA CA CA CA CA CA CA CA No No CA CA CA CA CA CA CA CA CA

Phone No
01 422 2254 01 465 6531 01 432 2222 01 271 1022 01 450 6000 01 490 2552 01 464 0216 01 450 0011 01 446 3737 01 200 6070 01 424 4592 01 226 9967 01 486 2828 01 425 9262 01 418 1178 01 485 2295 01 436 5530 01 424 6101 01 431 8077 01 438 1794 01 470 3355 01 245 4334 01 499 9000 01 226 0507 01 405 9787 01 233 8020 01 449 4466 01 277 5552 01 228 7234 01 426 8888

37

Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Al Sharq Polyclinic Al Hayat National Polyclinic 1 Alshamael Medical Polyclinic Al Faris Medical Clinic Dr. Ahmed Abanamy Hospital Amal Medical Care Clinic Ashbelia Medical Clinic Kadoon Polyclinic 2 Zarka El Yamama Optics Al Bayan Medical Clinic Khaled Al Ajaji Medical Clinic Kadoon Dental Center Al Riyadh Care Medical Clinic Basmah Al Multaqa Dental Clinic Worof Medical Polyclinic Razi Clinic Rasan Medical Clinic Pretty Smile Al Rabe'a Medical Clinic Wahat Altashafi Polyclinic Faraidy National Clinic Sultan Al Faraidy Medical Clinic Senymar Pharmacy & Medical Clinic Al Maseef Medical Clinic Motamayzoon Medical Center Dr. Samir Polyclinic Zahrat Al Amal Clinic 1 Zahrat Al Amal Clinic 2 Saudi Jwel Company Medical Care Co. Optical Art Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B CA CA CA CA No CA CA No No No CA No CA CA No CA CA No CA CA CA CA CA CA No CA CA CA No CA

Phone No
01 226 7128 01 278 9333 01 428 6923 01 262 4678 01 240 7778 01 405 9434 01 240 0555 01 206 0229 01 416 0456 01 451 0944 01 430 3539 01 206 0230 01 455 3042 01 446 0668 01 275 5500 01 482 4370 01 454 4228 01 224 3333 01 228 1242 01 432 7888 01 236 6662 01 200 1166 01 235 6321 01 225 5000 01 230 3434 01 495 2220 01 431 9988 01 431 3333 01 488 3424 01 227 5459

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Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Dorat Al Maha Establishment Dr. Saed S. Al Harthi Medical Group Al Ekhlass Medical Clinic Adwaa Al Alami Dental Polyclinic Cu Optics Photon Clinics Al Rowad Dental Center Physical Therapists Center Al Aqiq Medical Clinic Center Abas Medical Center How Medical Center Al Yarmok Polyclinic Medical Co. Mirad Medical Clinic Dr. Maha Al Haj Dental clinics Renad Optical Sanaya polyclinic Raseel Medical Center(1) Safa Makkah Polyclinic 3 Ajial Medical Polyclinic Bilad Al Tib Medical Clinics 2 Dr. Sulaiman Al Habib Medical Group - Al Rayan Arabian Dental Clinic Badgaish Eye Care Shaza Medical Clinic Madar Al Quds Dental Center Curing Touch Clinics Complex Co. Al Khazan Medical Clinic Noon Medical Co. Ayan Consultative Center Ayma Consultative Center VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B No B No B B B B No No No B No B B B No No CA CA CA CA No No CA CA CA No CA CA CA No No No CA CA No CA No No No CA No No No CA No No

Phone No
01 477 8718 01 489 7666 01 249 2129 01 495 6444 01 461 1485 01 466 6651 01 466 1199 01 293 0010 01 485 1399 01 455 7000 01 235 6111 01 249 0484 01 230 6044 01 219 1922 01 206 6363 01 217 4888 01 244 7700 01 401 2128 01 454 3104 01 233 8844 01 490 9999 01 465 0748 01 419 3846 01 491 7788 01 278 3222 01 228 8888 01 435 5252 01 482 2198 01 272 5555 01 455 3030

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Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Provider Name Sehat Al Omam Al Takhasusi Medical Center 1 Dawaak Medical Polyclinic Company 1 Tutia Trading Est. Dar Al Shark Polyclinic Center Al Eman Medical Clinic Al Belad Medical Clinic Dr. Sulaiman Al Thukair Specialist Clinics Treatment Way Dental Center Al Ewan Medical Center Menshaf Eye Care Est. Al Safwa Hospital Al Barrak Medical Center Maleen Consultant Dental Center Mugla Optical Center Allied Diagnostics Shroaq Medical Center Bilasan Dental Center Complex Modern Clinics Consultative Mawyah Corner Polyclinics Saudi British Hospital Optic Centr New Co. Amat Medical Clinic Al Amal International Clinic 1 Al Marmar Dental Polyclinic Al Salameh Medical Center Al Metrek Medical Clinic - Dahiat Laban Raheef Dental Clinic Al-Jazeera Hospital VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B No B B B B No B B B B No No No B B B B No No B B B B B B B CA CA No CA CA CA No No CA CA No CA No No No CA CA No CA No No CA CA CA CA CA CA CA

Phone No
01 227 7676 920000317 01 217 8491 01 227 2228 01 458 5940 01 451 1895 01 496 2424 01 278 4400 01 463 1606 01 491 6505 01 288 5444 01 262 0407 01 205 5577 01 208 0409 01 494 2990 01 233 9494 01 210 4442 01 233 8585 01 453 7777 01 463 6666 01 461 4847 01 249 1353 01 459 4900 01 422 2170 01 411 3289 01 436 6819 01 482 2718 01 238 8888

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Assigned Providers Network

Assigned Providers Network

Location Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Riyadh Sabia Sabia Sabia Sabt Al Alaya Safwa Provider Name Medicine&Technology Omc Medical Center Panorama Medical Clinic Class Optics Cmai Medical Center Jamayel Medical Polyclinic AL Naseem National Clinic Metrek Maged Al Kahtane & Partner Co. Bin Rushd Optical Eye World Optical Ram Dental Center 12 Ram Dental Center 13 Basmit Al Farabi Dental Polyclinic 18 Basmit Al Farabi Dental Polyclinic 19 Nasem Al Azhar Clinic Lolouat Al Aaj Dental Clinics Bright Vision For Optical Dr. Marzouk Hussein Al Yami 3 Dental Clinics Ramz Al Masa Optics Center Demas Medical Clinics & Dialysis Centers Al Luhaibi Ali Medical Center Doni Al Noor Optical Smile Experts Dental Center 1 Al Emeis National Hospital Baashen Medical Dispensary Jrrash Medical Center Al Azhar Polyclinic Al Safa S.s.c.s Dispensary VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B B B B B B B B B B B No CA No CA No CA CA CA No No CA CA CA CA CA CA CA CA CA CA CA CA No CA CA CA CA CA

Phone No
01 462 1156 01 287 7329 01 206 5852 01 473 4715 01 200 5333 01 267 1117 01 246 3331 01 458 1925 01 461 7776 01 216 3999 01 495 9485 01 210 5017 01 209 8182 01 209 8182 01 411 5965 01 247 7301 01 475 0606 01 489 9224 01 433 0273 01 275 9710 01 281 1205 01 430 3717 01 431 1188 07 326 6633 07 327 4619 07 327 3030 07 630 0888 03 664 1637

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Assigned Providers Network

Assigned Providers Network

Location Safwa Safwa Safwa Safwa Saihat Saihat Saihat Saihat Saihat Sajer Sakaka Gouf Sakaka Gouf Sakaka Gouf Sakaka Gouf Sakaka Gouf Sakaka Gouf Sakaka Gouf Sarat Obaidah Shagra Shagra Sharoorah Solail Tabarjal Tabuk Tabuk Tabuk Tabuk Tabuk Tabuk Provider Name Salamatak Dispensary Zuhair Al Shuwekhat Optical Center Specialized Polyclinic Complex Jamal Al Ayoun Optics Al Sadiq Hospital Al Madlouh Dispensary Zuhair Al Shuwekhat Optical Center Rubban Medical Center Jamal Al Ayoun Optics Sajer Medical Center Al Hamad Medical Clinic Al Shifa Clinic Khanani Medical Clinic Abdulrahman Al Sudairi Hospital Maternity & Children Hospital Al Thalg Clinic Amass Polyclinic Complex Future Visions Al Anfal Medical Group Corner Shakra General Hospital Al Jazerah Polyclinic Al Solail National Polyclinic Gulf Family Medical Center Al Dakhel Polyclinic Prince Fahd Bin Sultan Hospital Co. Ltd. Tabuk National Polyclinic Al Shefa Medical Polyclinic Nabras Al Jazira Polyclinic Dorat Okaz Polyclinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B B B B B B B B B B No B B B B CA CA No CA CA CA CA CA CA CA CA CA CA CA CA CA CA No CA CA CA CA CA CA No No No CA CA

Phone No
03 663 0959 03 663 1238 03 664 4116 03 664 6646 03 850 0160 03 850 0208 03 850 5205 03 838 7401 03 856 8561 01 632 3030 04 624 8888 04 626 4448 04 625 5099 04 624 4536 04 624 0808 04 626 2210 04 625 6565 07 259 0505 01 622 3166 01 622 0609 07 532 1966 01 782 0871 04 628 8880 04 424 2222 04 423 8486 04 422 6215 04 422 4244 04 423 7009 04 423 5999

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Assigned Providers Network

Assigned Providers Network

Location Tabuk Tabuk Tabuk Tabuk Tabuk Tabuk Tabuk Tabuk Taif Taif Taif Taif Taif Taif Taif Taif Taif Taif Tanoma Tarout Tarout Tathleth Thawal Turaif Turaif Turaif Turaif Ummluj Ummluj Wadi Al Dawaser Provider Name Al Affary Polyclinic Mabasem Polyclinic Health Gulf King Khaled Hospital Maternity & Children Hospital Dubha General Hospital Dar Al Razi Dental Polyclinic Dar Al Razi Dental Polyclinic (2) Al Adwani General Hospital Al Ameen Hospital Rania National Clinic GNP Dental Center Al Nahda Hospital El Mokhtar Clinic Taif Polyclinic Al Watan National Clinic Al Nasr Medical Clinic Doni Al Noor Optical Tanoma Al Ahlee Dispensary Al Hadi Medical Clinic Jamal Al Ayoun Optics Tathleth National Polyclinic Al Bishri Medical Complex Turaif National Clinic Sarya Medical Dispensary Al Muna Medical Clinic Turaif General Hospital Al Salamah & Al Hayah Polyclinic Ansari Optical Al Khamasine Medical Clinic VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A B B B B B B No No No B B No B B B B B B No B B B B B B B B B B B CA CA No CA CA CA No No No No CA No No CA CA CA CA CA No CA CA CA CA CA No CA CA CA CA CA

Phone No
04 422 2422 04 422 8840 04 421 1113 04 425 0715 04 423 7000 04 432 0948 04 423 1354 04 423 9031 02 734 0000 02 736 6100 02 842 1495 02 732 7055 02 725 0600 02 725 2702 02 743 3990 02 749 0660 02 732 6800 02 742 9662 07 282 7920 03 823 0333 03 823 6171 01 782 0871 02 288 4656 04 652 0020 04 652 1672 04 653 0091 04 653 1138 04 382 0222 04 382 4243 01 782 0871

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Assigned Providers Network

Assigned Providers Network

Location Wadi Al Dawaser Wadi Al Dawaser Wadi Al Dawaser Yadamah Yanbu Yanbu Yanbu Yanbu Yanbu Yanbu Yanbu Yanbu Yanbu Zulfi Zulfi Provider Name Alnowaiemah Polyclinic Medical National VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP VIP Classes A A A A A A A A A A A A A A A B B B B B B B B B B B B B B B CA CA CA CA CA No No No No No No CA CA CA CA

Phone No
01 786 1495 01 784 4559 01 784 8484 07 545 1255 04 322 3413 04 322 7062 04 392 6444 04 391 5000 04 396 2000 04 392 3222 04 396 0510 04 392 5111 04 391 5111 06 422 6666 06 422 2777

Al Moawadah Clinic Al Wedam Medical Consultative Polyclinic Farhan Al Nadir Polyclinic Red Sea Polyclinic Dar Al Shifa Medical Center-Yanbu Al Ansari Specialist Hospital Sameer Ibrahim Saeedi General Hospital Yanbu National Hospital Dr. Ghassan N. Pharaon Dental Center Hussam Est. For Trading Ansari Optical Ansari Optical Al Zulfi Medical Dispensary Nabdh Alwateen Polyclinic

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