Article 56 :The insurance coverage for the beneficiaries shall not
be conditional on the issuance of insurance
cards thereto. The insurance company shall be liable for all medical claims from the effective date of the policy and shall issue insurance cards within a period not exceeding five business days from said effective date.
Article 57 :The accreditation of any insurance company proven to have deliberately issued, allowed, facilitated or contributed directly or indirectly in the issuance of a health insurance policy that does not entail real healthcare services shall be revoked. The revocation decision shall be issued by the Chairman of the Council, based on grounds provided by the General Secretariat. Said decision may provide for the suspension of the relevant
company for a specific period.
"Article 58 :The Council shall approve (governmental/non-governmental) healthcare service providers in
accordance with the following:
1. The service provider in the private sector is licensed by the Ministry of Health.
2. The service provider meets quality standards in accordance with decisions and directives issued by the Central Board for Accreditation of Healthcare Institutions.3. The service provider satisfies the electronic transactions’ controls and requirements adopted by the Council."
"Article 59 :The PPN network shall comprise the following levels of healthcare services:
- First level (primary healthcare)
- Second level (general hospitals)
- Third level (specialized or referral hospitals)
- Other supplementary healthcare centers (e.g. same-day surgery centers, pharmacies, physiotherapy centers and optical stores)."
Article 60 :The fee adopted by the Council for the accreditation of a service provider shall be applied in each case in accordance with Article 61 of this Regulation.
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