tawuniya

‫تاج‬ ‫خدمات‬
Taj services
‫حياتك‬ ‫عيش‬
Live your life
8001249990

8001249990 Taj services ‫تاج‬ ‫خدمات‬
07
)‫أميركا‬ ‫(أسست‬ ‫الدولية‬ ‫الطوارئ‬ ‫خدمات‬
Global Emergency Services
(Assist America)
03
‫المباشر‬ ‫الدواء‬ ‫صرف‬
Dispensing Medication
09
‫الطبية‬ ‫المصروفات‬ ‫استعاضة‬
Medical Reimbursement
01
‫طبيبك‬ ‫استشر‬
Telemedicine: Doctor Consultation
08
‫المستشفيات‬ ‫في‬ ‫التعاونية‬ ‫ممثلو‬
Tawuniya Hospital Services
Representatives
04
‫لألطفال‬ ‫المنزلية‬ ‫التطعيمات‬
Home Children Vaccination
10
‫رفض‬ ‫لتوضيح‬ ‫االتصال‬ ‫إعادة‬
‫الطبية‬ ‫الموافقات‬
Rejection Call Back
02
‫أدوية‬ ‫توصيل‬ ‫و‬ ‫صرف‬ ‫إعادة‬
‫المزمنة‬ ‫األمراض‬
Re-fill & delivery of Chronic Disease
Medication
05
‫المزمنة‬ ‫األمراض‬ ‫إدارة‬
Chronic Disease Management
11
‫النصية‬ ‫بالرسائل‬ ‫اإلشعار‬
SMS Notifications
06
‫الحمل‬ ‫متابعة‬ ‫برنامج‬
Pregnancy follow-up Program
12
‫الساعة‬ ‫مدار‬ ‫على‬ ‫اتصال‬ ‫مركز‬
Call center round the clock
13
‫الذكية‬ ‫لألجهزة‬ ‫التعاونية‬ ‫تطبيق‬ ‫خدمات‬
Tawuniya Application Services for
Smartphones
‫خدماتنا‬
Our services

‫الين‬ ‫أون‬ ‫موثوقة‬ ‫استشارة‬
‫ـة‬‫ـ‬‫خدم‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـم‬‫ـ‬‫لك‬ ‫ـدم‬‫ـ‬‫تق‬ ،‫ـفيات‬‫ـ‬‫للمستش‬ ‫ـاب‬‫ـ‬‫والذه‬ ‫ـد‬‫ـ‬‫الموع‬ ‫ـز‬‫ـ‬‫حج‬ ‫ـاء‬‫ـ‬‫عن‬ ‫ـدون‬‫ـ‬‫ب‬
‫ـة‬‫ـ‬‫موثوق‬ ‫ـة‬‫ـ‬‫طبي‬ ‫ـارات‬‫ـ‬‫باستش‬ ‫ـم‬‫ـ‬‫تزودك‬ ‫ـث‬‫ـ‬‫حي‬ ‫ـف‬‫ـ‬‫الهات‬ ‫ـق‬‫ـ‬‫تطبي‬ ‫ـر‬‫ـ‬‫عب‬ ‫ـك‬‫ـ‬‫طبيب‬ ‫ـر‬‫ـ‬‫استش‬
‫توجيهكــم‬ ‫ســيتم‬ ‫كمــا‬ ،‫الصحيــة‬ ‫التخصصــات‬ ‫كافــة‬ ‫فــي‬ ‫معتمديــن‬ ‫أطبــاء‬ ‫مــن‬
.‫ـك‬‫ـ‬‫ذل‬ ‫ـة‬‫ـ‬‫الصحي‬ ‫ـم‬‫ـ‬‫حالتك‬ ‫ـت‬‫ـ‬‫تطلب‬ ‫إذا‬ ‫ـج‬‫ـ‬‫المعال‬ ‫ـم‬‫ـ‬‫طبيبك‬ ‫ـة‬‫ـ‬‫لمراجع‬
‫الطريقة؟‬ ‫ماهي‬

1.
.‫التعاونية‬ ‫تطبيق‬ ‫افتح‬

2.
.‫طبيبك‬ ‫استشر‬ ‫أيقونة‬ ‫على‬ ‫انقر‬

3.
.‫جديد‬ ‫طلب‬ ‫حدد‬

4.
.‫معلوماتك‬ ‫بتعبئة‬ ‫وقم‬ ‫العضو‬ ‫اسم‬ ‫حدد‬

5.
‫استشارة‬ ‫طلب‬ ‫إنشاء‬

6.
.‫تقديم‬ ‫فوق‬ ‫انقر‬

7.
.‫طلبك‬ ‫استالم‬ ‫وتأكيد‬ ‫المرجع‬ ‫برقم‬ ‫رسالة‬ ‫تتلقى‬ ‫سوف‬

8.
‫ـد‬‫ـ‬‫الموع‬ ‫ـال‬‫ـ‬‫خ‬ ‫ـة‬‫ـ‬‫المطلوب‬ ‫ـارة‬‫ـ‬‫االستش‬ ‫ـم‬‫ـ‬‫لتقدي‬ ‫ـب‬‫ـ‬‫الطبي‬ ‫ـن‬‫ـ‬‫م‬ ‫ـة‬‫ـ‬‫مكالم‬ ‫ـتتلقى‬‫ـ‬‫س‬
.‫ـب‬‫ـ‬‫الطل‬ ‫ـي‬‫ـ‬‫ف‬ ‫ـدد‬‫ـ‬‫المح‬
Reliable Online Consultation
Effortlessly book an appointment and go to hospitals, Tawuniya provides
you with this service via the smartphone app. Through which you will
receive reliable medical consultation from accredited doctors in all health
specialties, and you will be directed to visit your doctor as per your health
condition.
How it works?
1. Open Tawuniya Application.
2. Click on the Telemedicine icon.
3. Select new request.
4. Select member name and fill out your information.
5. Create a consultation request.
6. Click submit.
7. You will receive an SMS message with a reference No. to confirm the
submission of your request.
8. You will receive a call from the doctor to provide the required
consultation within the time specified in the request.
‫المستفيد‬ ‫نوع‬
Beneficiary Type
‫المؤهلة‬ ‫الشبكات‬
Eligible Networks
‫المزمنة‬ ‫األمراض‬ ‫أصحاب‬ 2 ,+2 ,1 ,+1 ,‫الذهبية‬
Chronic Members Gold, +1, 1, +2, 2
‫طبيبك‬ ‫استشر‬
Telemedicine: Doctor Consultation

‫الطبيب‬ ‫مراجعة‬ ‫بدون‬ ‫الدواء‬ ‫صرف‬
‫أدويــة‬ ‫صــرف‬ ‫إعــادة‬ ‫لمنســوبيكم‬ ‫ل‬ ِّ
‫تســه‬ ‫حيــث‬ ً‫إلكترونيــ‬ ‫متاحــة‬ ‫الخدمــة‬ ‫هــذه‬
‫يتــم‬ ‫التــي‬ ‫األمــراض‬ ‫مــن‬ ‫وغيرهــا‬ ‫والضغــط‬ ‫الســكري‬ ‫مثــل‬ ‫المزمنــة‬ ‫األمــراض‬
‫ـم‬‫ـ‬‫يت‬ ‫ـث‬‫ـ‬‫بحي‬ ،‫ـهر‬‫ـ‬‫أش‬ ‫ـتة‬‫ـ‬‫س‬ ‫ـى‬‫ـ‬‫إل‬ ‫ـهر‬‫ـ‬‫ش‬ ‫ـن‬‫ـ‬‫بي‬ ‫ـا‬‫ـ‬‫م‬ ‫ـراوح‬‫ـ‬‫تت‬ ‫ـة‬‫ـ‬‫طويل‬ ‫ـرات‬‫ـ‬‫لفت‬ ‫ـتخدامها‬‫ـ‬‫اس‬
‫ـي‬‫ـ‬‫ف‬ ‫ـم‬‫ـ‬‫إليك‬ ‫ـالها‬‫ـ‬‫إرس‬ ‫أو‬ ‫ـرة‬‫ـ‬‫مباش‬ ‫ـدة‬‫ـ‬‫المعتم‬ ‫ـات‬‫ـ‬‫الصيدلي‬ ‫ـبكة‬‫ـ‬‫ش‬ ‫ـن‬‫ـ‬‫م‬ ‫ـا‬‫ـ‬‫صرفه‬ ‫ـادة‬‫ـ‬‫إع‬
.‫المعالــج‬ ‫الطبيــب‬ ‫لمراجعــة‬ ‫الحاجــة‬ ‫دون‬ ‫أماكنكــم‬
:‫اإللكتروني‬ ‫الموقع‬ ‫من‬

1.
www.tawuniya.com.sa ‫الموقع‬ ‫على‬ ‫بالدخول‬ ‫قم‬

2.
.‫دوائي‬ ‫اختر‬ ‫ثم‬ ‫المستفيد‬ ‫اختر‬ ‫التسجيل‬ ‫بعد‬

3.
‫اضغــط‬ ‫ثــم‬ ‫الطبيــة‬ ‫الوصفــة‬ ‫بتحميــل‬ ‫وقــم‬ ‫الــدواء‬ ‫ونــوع‬ ‫التشــخيص‬ ‫اختــر‬
.‫إرســال‬ ‫علــى‬

4.
‫اختــرت‬ ‫حــال‬ ‫فــي‬ ‫األدويــة‬ ‫توصيــل‬ ‫(ورابــط‬ ‫الموافقــة‬ ‫برقــم‬ ‫رســالة‬ ‫ســتصلك‬
.‫التوصيــل‬ ‫عمليــة‬ ‫إلتمــام‬ ‫التعليمــات‬ ‫واتبــع‬ ،)‫الــدواء‬ ‫أو‬ ‫النهــدي‬ ‫صيدليــة‬

5.
.‫المختــارة‬ ‫الصيدليــات‬ ‫فــروع‬ ‫مــن‬ ‫فــرع‬ ‫أي‬ ‫مــن‬ ‫الــدواء‬ ‫صــرف‬ ً‫أيضــ‬ ‫يمكنــك‬
:‫التعاونية‬ ‫تطبيق‬ ‫من‬

1.
.‫التعاونية‬ ‫تطبيق‬ ‫إلى‬ ‫ادخل‬

2.
. » ‫«دوائي‬ ‫على‬ ‫اضغط‬

3.
‫اضغــط‬ ‫ثــم‬ ‫الطبيــة‬ ‫الوصفــة‬ ‫بتحميــل‬ ‫قــم‬ ‫و‬ ‫الــدواء‬ ‫ونــوع‬ ‫التشــخيص‬ ‫اختــر‬
.‫إرســال‬ ‫علــى‬

4.
‫اختــرت‬ ‫حــال‬ ‫فــي‬ ‫األدويــة‬ ‫توصيــل‬ ‫(ورابــط‬ ‫الموافقــة‬ ‫برقــم‬ ‫رســالة‬ ‫ســتصلك‬
.‫التوصيــل‬ ‫عمليــة‬ ‫إلتمــام‬ ‫التعليمــات‬ ‫اتبــع‬ ،)‫الــدواء‬ ‫أو‬ ‫النهــدي‬ ‫صيدليــة‬

5.
.‫المختارة‬ ‫الصيدلية‬ ‫فروع‬ ‫من‬ ‫فرع‬ ‫أي‬ ‫من‬ ‫الدواء‬ ‫صرف‬ ‫أيضًا‬ ‫ويمكنك‬
Receiving medication without visiting doctor
It is an online service that enables your employees to re-fill chronic diseases
medications such as diabetes, high blood pressure and other diseases that
are used for long periods ranging from one to six months. So that they
can directly receive the medication at their premises or from any of the
approved pharmacy network without the need to see their doctors.
How it works?
From the website:
1. Go to www.tawuniya.com.sa
2. After registering, select the beneficiary then select “Dawae”.
3. Choose your diagnosis, medicine, and upload your prescription, then
click send.
4. You will receive an SMS with approval number (and the medication
delivery link if you chose Alnahdi or Aldawa pharmacies), and follow the
instructions to complete the delivery process.
5. You can dispense the medicines from any of the chosen pharmacies
branches.
From Tawuniya App:
1. Log in Tawuniya Application.
2. Click on “Dawae”.
3. Choose your diagnosis, medicine, and upload your prescription, then
click send.
4. You will receive an SMS with approval number (and the medication
delivery link if you chose Alnahdi or Aldawa pharmacies), and follow
the instructions to complete the delivery process.
5. You can dispense the medicines from any of the chosen pharmacies
branches.
Beneficiary Type
Eligible Networks
‫وتوصيل‬ ‫صرف‬ ‫إعادة‬
‫المزمنة‬ ‫األمراض‬ ‫أدوية‬
Re-fill & delivery of Chronic
Disease Medication

‫المستشفيات‬ ‫في‬ ‫لالنتظار‬ ‫ال‬
‫الــدواء‬ ‫لصــرف‬ ً‫ا‬‫طويــ‬ ‫االنتظــار‬ ‫إلــى‬ ‫منســوبوك‬ ‫يضطــر‬ ‫لــن‬ ‫الخدمــة‬ ‫هــذه‬ ‫مــع‬
‫الطبيــة‬ ‫الوصفــة‬ ‫صــرف‬ ‫يمكنهــم‬ ،‫اآلن‬ .‫يراجعونهــا‬ ‫التــي‬ ‫المستشــفيات‬ ‫مــن‬
‫الخاصــة‬ ‫الــوالء‬ ‫نقــاط‬ ‫مــن‬ ‫واالســتفادة‬ ‫المعتمــدة‬ ‫الصيدليــات‬ ‫مــن‬ ‫مباشــرة‬
.‫بالصيدليــات‬

1.
.‫المعالج‬ ‫الطبيب‬ ‫من‬ ‫العالج‬ ‫وصفة‬ ‫العضو‬ ‫يستلم‬

2.
.‫المستشفى‬ ‫ختم‬ ‫مع‬ )‫إلكترونيًا‬ ‫(المطبوعة‬ ‫الطبية‬ ‫العالج‬ ‫وصفة‬ ‫يبرز‬

3.
.‫اإلقامة‬ /‫الهوية‬ ‫وبطاقة‬ ‫الطبي‬ ‫التأمين‬ ‫بطاقة‬ ‫يرفق‬

4.
‫المعتمــدة‬ ‫الصيدليــات‬ ‫فــروع‬ ‫أحــد‬ ‫أو‬ ‫المستشــفى‬ ‫صيدليــة‬ ‫بزيــارة‬ ‫يقــوم‬
.‫األدويــة‬ ‫الســتالم‬
No need to wait at the hospitals
Through this service, your employees will avoid waiting too long to
dispense the medicine from hospitals. Now, they can dispense their
prescription directly from the approved pharmacies and take advantage
of the pharmacies’ loyalty points.
How it works?
1. The member takes his/her prescription from the physician.
2. He/she submits the medical electronic prescription with hospital
stamp.
3. He/she provides the ID/ Iqama.
4. The membervisits the hospital’s pharmacy or any approved pharmacy
to receivethe medications.
Beneficiary Type
Eligible Networks
‫األعضاء‬ ‫جميع‬ 3 ,2 ,+2 ,1 ,+1 ,‫الذهبية‬
All Members Gold, +1, 1, +2, 2, 3
‫المباشـر‬ ‫الدواء‬ ‫صرف‬
Dispensing Medication

‫المنزل‬ ‫في‬ ‫األطفال‬ ‫تطعيم‬
‫ـك‬‫ـ‬‫لذل‬ .‫ـؤوليتنا‬‫ـ‬‫مس‬ ‫ـن‬‫ـ‬‫م‬ ‫ـزء‬‫ـ‬‫ج‬ ‫ـي‬‫ـ‬‫ه‬ ‫ـم‬‫ـ‬‫وحمايته‬ ‫ـال‬‫ـ‬‫األطف‬ ‫ـامة‬‫ـ‬‫لس‬ ‫ـم‬‫ـ‬‫مه‬ ‫ـم‬‫ـ‬‫التطعي‬
‫ـوبيكم‬‫ـ‬‫منس‬ ‫ـاء‬‫ـ‬‫ألبن‬ ‫ـة‬‫ـ‬‫المنزلي‬ ‫ـات‬‫ـ‬‫التطعيم‬ ‫ـر‬‫ـ‬‫توف‬ ‫ـي‬‫ـ‬‫الت‬ ‫ـة‬‫ـ‬‫الخدم‬ ‫ـذه‬‫ـ‬‫ه‬ ‫ـم‬‫ـ‬‫بتقدي‬ ‫ـا‬‫ـ‬‫قمن‬
7‫و‬ ‫الــوالدة‬ ‫بيــن‬ ‫مــا‬ ‫أعمارهــم‬ ‫تتــراوح‬ ‫والذيــن‬ ‫التعاونيــة‬ ‫لــدى‬ ‫عليهــم‬ ‫المؤمــن‬
‫ـي‬‫ـ‬‫ف‬ ‫ورد‬ ‫ـا‬‫ـ‬‫وكم‬ ‫ـة‬‫ـ‬‫الصح‬ ‫وزارة‬ ‫ـن‬‫ـ‬‫ع‬ ‫ـادر‬‫ـ‬‫الص‬ ‫ـات‬‫ـ‬‫التطعيم‬ ‫ـدول‬‫ـ‬‫ج‬ ‫ـق‬‫ـ‬‫وف‬ ‫ـك‬‫ـ‬‫وذل‬ ،‫ـنوات‬‫ـ‬‫س‬
.‫التعاونــي‬ ‫الصحــي‬ ‫الضمــان‬ ‫مجلــس‬ ‫عــن‬ ‫الصــادرة‬ ‫الموحــدة‬ ‫الوثيقــة‬

1.
ً‫طلبــ‬ ‫ويقــدم‬ )8001249990( ‫الرقــم‬ ‫علــى‬ ‫بالتعاونيــة‬ ‫العضــو‬ ‫يتصــل‬
،‫اإللكترونــي‬ ‫التعاونيــة‬ ‫موقــع‬ ‫فــي‬ ‫بالتســجيل‬ ‫العضــو‬ ‫يقــوم‬ ‫أو‬ ( .‫بالخدمــة‬
‫ـم‬‫ـ‬‫تقدي‬ ‫ـراءات‬‫ـ‬‫إج‬ ‫ـل‬‫ـ‬‫ويكم‬ ‫ـة‬‫ـ‬‫المنزلي‬ ‫ـال‬‫ـ‬‫األطف‬ ‫ـم‬‫ـ‬‫تطعي‬ ‫ـة‬‫ـ‬‫خدم‬ ‫ـار‬‫ـ‬‫يخت‬ ‫ـك‬‫ـ‬‫ذل‬ ‫ـد‬‫ـ‬‫بع‬
.)‫إرســاله‬ ‫ثــم‬ ‫الطلــب‬

2.
‫وردت‬ ‫ـي‬‫ـ‬‫الت‬ ‫ـات‬‫ـ‬‫البيان‬ ‫ـد‬‫ـ‬‫وتأكي‬ ‫ـة‬‫ـ‬‫لمراجع‬ ‫ـل‬‫ـ‬‫عم‬ ‫ـام‬‫ـ‬‫أي‬ 3 ‫ـال‬‫ـ‬‫خ‬ ً‫ال‬‫ـا‬‫ـ‬‫اتص‬ ‫ـو‬‫ـ‬‫العض‬ ‫ـى‬‫ـ‬‫يتلق‬
.‫الطلب‬ ‫ـي‬‫ـ‬‫ف‬

3.
‫لتحديــد‬ ‫المعتمــد‬ ‫الخدمــة‬ ‫مقــدم‬ ‫مــن‬ ً‫ال‬‫اتصــا‬ ‫ذلــك‬ ‫بعــد‬ ‫العضــو‬ ‫يســتقبل‬
.‫المنــزل‬ ‫فــي‬ ‫الــازم‬ ‫التطعيــم‬ ‫وتقديــم‬ ‫المنزليــة‬ ‫الزيــارة‬ ‫موعــد‬
Vaccinating child at home
Vaccination is important for the child’s safety and his protection is part
of our responsibility. Therefore, we provide vaccination service at home
to the kids of your employees who are insured by Tawuniya and whose
age between born and 7 years based on the basic vaccinations schedule
issued by MOH and included in the Cooperative Health Insurance Unified
Policy published by CCHI.
How it works?
1. The member calls Tawuniya on (8001249990) and submits a service
request. (Or the member can register in Tawuniya website, then
choose Home Children Vaccination, complete the form and submit
the request).
2. Within 3 working days the member will receive a call to verify the
information.
3. Then the member will receive an appointment call from the medical
provider to submit the required vaccination at home.
Beneficiary Type
Eligible Networks
‫سنوات‬ 7 - 0 ‫الطفل‬ 6 ,5 ,4 ,3 ,2 ,+2 ,1 ,+1 ,‫الذهبية‬
Child 0 - 7 Yrs. Gold, +1, 1, +2, 2, 3, 4, 5, 6
‫لألطفال‬ ‫المنزلية‬ ‫التطعيمات‬
Home Children Vaccination

Beneficiary Type
Eligible Networks
‫التفاصيل‬ ‫بأدق‬ ‫منسوبيك‬ ‫صحة‬ ‫برعاية‬ ‫نهتم‬
‫ـة‬‫ـ‬‫الخدم‬ ‫ـذه‬‫ـ‬‫ه‬ ‫ـإن‬‫ـ‬‫ف‬ ،‫ـة‬‫ـ‬‫المزمن‬ ‫ـراض‬‫ـ‬‫األم‬ ‫ـن‬‫ـ‬‫م‬ ‫أي‬ ‫ـن‬‫ـ‬‫م‬ ‫ـي‬‫ـ‬‫يعان‬ ‫ـوبيك‬‫ـ‬‫منس‬ ‫ـد‬‫ـ‬‫أح‬ ‫كان‬ ‫إذا‬
‫بأصغــر‬ ‫تهتــم‬ ‫شــاملة‬ ‫صحيــة‬ ‫رعايــة‬ ‫علــى‬ ‫الحصــول‬ ‫لــه‬ ‫تتيــح‬ ‫التعاونيــة‬ ‫مــن‬
‫ـى‬‫ـ‬‫إل‬ ‫ـة‬‫ـ‬‫باإلضاف‬ ،‫ـدواء‬‫ـ‬‫ال‬ ‫ـرف‬‫ـ‬‫ص‬ ‫ـادة‬‫ـ‬‫إع‬ ‫ـى‬‫ـ‬‫وحت‬ ‫ـة‬‫ـ‬‫الطبي‬ ‫ـارة‬‫ـ‬‫االستش‬ ‫ـن‬‫ـ‬‫م‬ ‫ـدءًا‬‫ـ‬‫ب‬ ،‫ـل‬‫ـ‬‫التفاصي‬
.‫البرنامــج‬ ‫يوفرهــا‬ ‫أخــرى‬ ‫خدمــات‬

1.
‫ـات‬‫ـ‬‫خدم‬ ‫ـر‬‫ـ‬‫آخ‬ ‫و‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـام‬‫ـ‬‫نظ‬ ‫ـي‬‫ـ‬‫ف‬ ‫ـة‬‫ـ‬‫المدرج‬ ‫ـل‬‫ـ‬‫للعمي‬ ‫ـة‬‫ـ‬‫الطبي‬ ‫ـات‬‫ـ‬‫البيان‬ ‫ـب‬‫ـ‬‫حس‬
.‫ـة‬‫ـ‬‫الخدم‬ ‫ـذه‬‫ـ‬‫له‬ ‫ـن‬‫ـ‬‫المؤهلي‬ ‫ـى‬‫ـ‬‫المرض‬ ‫ـد‬‫ـ‬‫تحدي‬ ‫ـم‬‫ـ‬‫يت‬ ‫ـا‬‫ـ‬‫منه‬ ‫ـتفادة‬‫ـ‬‫االس‬ ‫ـم‬‫ـ‬‫ت‬

2.
‫ـد‬‫ـ‬‫أح‬ ‫أو‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـدى‬‫ـ‬‫ل‬ ‫ـاء‬‫ـ‬‫العم‬ ‫ـة‬‫ـ‬‫خدم‬ ‫ـن‬‫ـ‬‫م‬ ‫ـة‬‫ـ‬‫أولي‬ ‫ـة‬‫ـ‬‫مكالم‬ ‫ـض‬‫ـ‬‫المري‬ ‫ـتقبل‬‫ـ‬‫يس‬
‫وأخــذ‬ ‫األساســية‬ ‫المعلومــات‬ ‫مــن‬ ‫التأكــد‬ ‫و‬ ‫البرنامــج‬ ‫شــرح‬ ‫لغــرض‬ ‫الشــركاء‬
.‫ـة‬‫ـ‬‫الخدم‬ ‫ـذه‬‫ـ‬‫ه‬ ‫ـى‬‫ـ‬‫عل‬ ‫ـول‬‫ـ‬‫للحص‬ ‫ـض‬‫ـ‬‫المري‬ ‫ـن‬‫ـ‬‫م‬ ‫ـة‬‫ـ‬‫الموافق‬

3.
‫ـد‬‫ـ‬‫أح‬ ‫أو‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـب‬‫ـ‬‫طبي‬ ‫ـن‬‫ـ‬‫م‬ ‫ـة‬‫ـ‬‫مكالم‬ ‫ـض‬‫ـ‬‫المري‬ ‫ـتقبل‬‫ـ‬‫يس‬ ،‫ـة‬‫ـ‬‫الموافق‬ ‫ـال‬‫ـ‬‫ح‬ ‫ـي‬‫ـ‬‫ف‬
.‫ـة‬‫ـ‬‫الهاتفي‬ ‫ـة‬‫ـ‬‫الطبي‬ ‫ـارة‬‫ـ‬‫االستش‬ ‫ـة‬‫ـ‬‫خدم‬ ‫ـم‬‫ـ‬‫لتقدي‬ ‫ـركاء‬‫ـ‬‫الش‬

4.
.‫األمر‬ ‫لزم‬ ‫إذا‬ ‫الطبيب‬ ‫من‬ ‫التالي‬ ‫االتصال‬ ‫موعد‬ ‫طلب‬ ‫المريض‬ ‫يستطيع‬
We take care of your employees health with smallest
detail
If any of your employees suffers from a chronic disease, this service from
Tawuniya allows him/her to get a comprehensive health care that takes
care of the smallest detail. This service provides medical consultations
and necessary medication, in addition to other services provided by the
program.
How it works?
1. Eligible patients are defined based on members’ medical records
taken in Tawuniya medical system and the latest services utilized.
2. The patient receives a consent call from Tawuniya customer service
center or one of its partners to explain the program, verify the primary
information and to get patent approval for the service.
3. In approval case, patient will receive a call from Tawuniya’s doctor or
one of its partners to provide the phone medical consultation.
4. Patient can request an appointment for the next doctor call if needed.
‫المزمنة‬ ‫األمراض‬ ‫إدارة‬
Chronic Diseases Management

Beneficiary Type
Eligible Networks
‫الحامل‬ 2 ,+2 ,1 ,+1 ,‫الذهبية‬
Pregnant Gold, +1, 1, +2, 2
‫سعيدة‬ ‫رحلة‬ ‫الحمل‬ ‫أصبح‬ ‫اآلن‬
‫ـال‬‫ـ‬‫خ‬ ‫ـن‬‫ـ‬‫م‬ ‫ـى‬‫ـ‬‫تنس‬ ‫ال‬ ‫ـرى‬‫ـ‬‫وذك‬ ‫ـة‬‫ـ‬‫ممتع‬ ‫ـة‬‫ـ‬‫رحل‬ ‫ـل‬‫ـ‬‫الحم‬ ‫ـل‬‫ـ‬‫لجع‬ ‫ـا‬‫ـ‬‫جهدن‬ ‫ـارى‬‫ـ‬‫قص‬ ‫ـنبذل‬‫ـ‬‫س‬
‫ـادة‬‫ـ‬‫لزي‬ ‫ـم‬‫ـ‬‫بوثيقتك‬ ‫ـاة‬‫ـ‬‫المغط‬ ‫ـل‬‫ـ‬‫الحام‬ ‫ـرأة‬‫ـ‬‫للم‬ ‫ـة‬‫ـ‬‫كامل‬ ‫ـة‬‫ـ‬‫خط‬ ‫ـر‬‫ـ‬‫يوف‬ ‫ـذي‬‫ـ‬‫ال‬ ‫ـج‬‫ـ‬‫البرنام‬ ‫ـذا‬‫ـ‬‫ه‬
.‫ـل‬‫ـ‬‫الحم‬ ‫ـل‬‫ـ‬‫مراح‬ ‫ـع‬‫ـ‬‫جمي‬ ‫ـال‬‫ـ‬‫خ‬ ‫ـح‬‫ـ‬‫النصائ‬ ‫ـم‬‫ـ‬‫وتقدي‬ ‫ـة‬‫ـ‬‫المتبع‬ ‫ـراءات‬‫ـ‬‫باإلج‬ ‫ـا‬‫ـ‬‫وعيه‬

1.
‫ـات‬‫ـ‬‫خدم‬ ‫ـر‬‫ـ‬‫آخ‬ ‫و‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـام‬‫ـ‬‫نظ‬ ‫ـي‬‫ـ‬‫ف‬ ‫ـة‬‫ـ‬‫المدرج‬ ‫ـل‬‫ـ‬‫للعمي‬ ‫ـة‬‫ـ‬‫الطبي‬ ‫ـات‬‫ـ‬‫البيان‬ ‫ـب‬‫ـ‬‫حس‬
.‫ـل‬‫ـ‬‫الحام‬ ‫ـد‬‫ـ‬‫تحدي‬ ‫ـم‬‫ـ‬‫يت‬ ‫ـا‬‫ـ‬‫منه‬ ‫ـتفاده‬‫ـ‬‫االس‬ ‫ـم‬‫ـ‬‫ت‬

2.
‫أحــد‬ ‫أو‬ ‫التعاونيــة‬ ‫لــدى‬ ‫العمــاء‬ ‫خدمــة‬ ‫مــن‬ ‫أوليــة‬ ‫مكالمــة‬ ‫الحامــل‬ ‫تســتقبل‬
‫وأخــذ‬ ‫األساســية‬ ‫المعلومــات‬ ‫مــن‬ ‫التأكــد‬ ‫و‬ ‫البرنامــج‬ ‫شــرح‬ ‫لغــرض‬ ‫الشــركاء‬
.‫الخدمــة‬ ‫لتقديــم‬ ‫منهــا‬ ‫الموافقــة‬

3.
‫ـد‬‫ـ‬‫أح‬ ‫أو‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـب‬‫ـ‬‫طبي‬ ‫ـن‬‫ـ‬‫م‬ ‫ـة‬‫ـ‬‫مكالم‬ ‫ـل‬‫ـ‬‫الحام‬ ‫ـتقبل‬‫ـ‬‫تس‬ ،‫ـة‬‫ـ‬‫الموافق‬ ‫ـال‬‫ـ‬‫ح‬ ‫ـي‬‫ـ‬‫ف‬
‫ـح‬‫ـ‬‫النصائ‬ ‫ـة‬‫ـ‬‫خط‬ ‫ـى‬‫ـ‬‫إل‬ ‫ـة‬‫ـ‬‫باإلضاف‬ ‫ـة‬‫ـ‬‫الهاتفي‬ ‫ـارة‬‫ـ‬‫االستش‬ ‫ـة‬‫ـ‬‫خدم‬ ‫ـم‬‫ـ‬‫لتقدي‬ ‫ـركاء‬‫ـ‬‫الش‬
.‫ـادات‬‫ـ‬‫واإلرش‬ ‫ـل‬‫ـ‬‫للحام‬

4.
.‫األمر‬ ‫لزم‬ ‫إذا‬ ‫الطبيب‬ ‫من‬ ‫التالي‬ ‫االتصال‬ ‫موعد‬ ‫طلب‬ ‫الحامل‬ ‫تستطيع‬
Now, the pregnancy is a pleasant journey
We will do our best to make the pregnancy an enjoyable trip and an
unforgettable memory through the pregnancy follow-up program that
takes care of the insured pregnant mother and increases her awareness of
all procedures and provide tips during all the phases of pregnancy.
How it works?
1. Eligible patients are defined based on members’ medical records taken
inTawuniya medical system and the latest services utilized.
2. The pregnant patient receives a consent call from Tawuniya Customer
Service Center or one of its partners to explain the program, verify
the primary information and to get pregnant approval to submit the
service.
3. In approval case, the pregnant patient will receive a call from
Tawuniya’s doctor or one of its partners to provide the phone medical
consultation and the individual pregnancy plan including awareness,
tips and consultations.
4. The pregnant patient can request an appointment for the next doctor
call if needed.
‫الحمل‬ ‫متابعة‬ ‫برنامج‬
Pregnancy Follow-up Program

‫الدولية‬ ‫الطوارئ‬ ‫خدمات‬
)‫أميركا‬ ‫(أسست‬
Global Emergency Services
(Assist America)
Beneficiary Type
Eligible Networks
‫خارج‬ ‫عضو‬
‫السعودية‬ ‫العربية‬ ‫المملكة‬ 2 ,+2 ,1 ,+1 ,‫الذهبية‬
Member out of KSA Gold, +1, 1, +2, 2
‫السفر‬ ‫في‬ ‫وحدك‬ ‫لست‬
،‫ـعار‬‫ـ‬‫األس‬ ‫ـي‬‫ـ‬‫ف‬ ‫ـادة‬‫ـ‬‫زي‬ ‫ـدون‬‫ـ‬‫وب‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـن‬‫ـ‬‫م‬ ‫ـي‬‫ـ‬‫الطب‬ ‫ـن‬‫ـ‬‫التأمي‬ ‫ـج‬‫ـ‬‫لبرام‬ ‫ـة‬‫ـ‬‫قيم‬ ‫ـا‬‫ـ‬‫أضفن‬ ‫ـد‬‫ـ‬‫لق‬
‫ـت‬‫ـ‬‫(أسس‬ ‫ـي‬‫ـ‬‫الدول‬ ‫ـريكنا‬‫ـ‬‫ش‬ ‫ـق‬‫ـ‬‫طري‬ ‫ـن‬‫ـ‬‫وع‬ ‫ـفرهم‬‫ـ‬‫س‬ ‫ـاء‬‫ـ‬‫أثن‬ ‫ـوبيكم‬‫ـ‬‫لمنس‬ ‫ـنقدم‬‫ـ‬‫س‬ ‫ـث‬‫ـ‬‫حي‬
‫مثــل‬ ‫األخــرى‬ ‫الخدمــات‬ ‫مــن‬ ‫العديــد‬ ‫إلــى‬ ‫باإلضافــة‬ ،‫الطبــي‬ ‫اإلخــاء‬ ‫خدمــة‬ ،)‫أمريــكا‬
‫موطنــه‬ ‫إلــى‬ ‫الجثمــان‬ ‫وإعــادة‬ ،‫وطنــه‬ ‫إلــى‬ ‫المريــض‬ ‫وإعــادة‬ ،‫البديــل‬ ‫الطبــي‬ ‫الــرأي‬
.‫ـي‬‫ـ‬‫األصل‬

1.
‫ـي‬‫ـ‬‫اإللكترون‬ ‫ـع‬‫ـ‬‫الموق‬ ‫ـارة‬‫ـ‬‫زي‬ ‫أو‬ ‫ـركا‬‫ـ‬‫أمي‬ ‫ـت‬‫ـ‬‫أسس‬ ‫ـق‬‫ـ‬‫تطبي‬ ‫ـل‬‫ـ‬‫تحمي‬ ‫ـو‬‫ـ‬‫للعض‬ ‫ـن‬‫ـ‬‫يمك‬
.‫ـة‬‫ـ‬‫باإلنجليزي‬ ‫أو‬ ‫ـة‬‫ـ‬‫بالعربي‬

2.
.‫المقدمة‬ ‫الخدمات‬ ‫قائمة‬ ‫من‬ ‫المرغوبة‬ ‫الخدمة‬ ‫باختيار‬ ‫قم‬

3.
.‫الخدمة‬ ‫إلتمام‬ ‫أميركا‬ ‫أسست‬ ‫موظف‬ ‫مع‬ ‫االتصال‬ ‫بطلب‬ ‫قم‬
You are not alone while traveling
We have added value to Tawuniya’s medical insurance programs without
increasing prices, as we offer to your employees while their travel, through
our international partner, Assist America, medical evacuation service as
well as many other services, including second medical opinion, medical
repatriation, return of mortal remains and others.
How it works?
1. The member can download Assist America App or visit the website
(Arabic or English).
2. Choose the service needed out of the provided services.
3. Request the call to be connected with Assist America agent and
complete the service.

‫المستشفى‬ ‫داخل‬ ‫للمشاكل‬ ‫فوري‬ ‫حل‬
.‫ـفى‬‫ـ‬‫للمستش‬ ‫ـم‬‫ـ‬‫مراجعته‬ ‫ـاء‬‫ـ‬‫أثن‬ ‫ـارات‬‫ـ‬‫استفس‬ ‫أو‬ ‫ـاكل‬‫ـ‬‫مش‬ ‫ـدة‬‫ـ‬‫ع‬ ‫ـوبوك‬‫ـ‬‫منس‬ ‫ـه‬‫ـ‬‫يواج‬ ‫ـد‬‫ـ‬‫ق‬
،‫لخدمتهــم‬ ‫جاهزيــن‬ ً‫دائمــ‬ ‫ســيكونون‬ ‫المستشــفيات‬ ‫فــي‬ ‫التعاونيــة‬ ‫ممثلــو‬
‫مكاتبنــا‬ ‫مــن‬ ‫المشــاكل‬ ‫هــذه‬ ‫حــل‬ ‫علــى‬ ‫لمســاعدتهم‬ ‫الكامــل‬ ‫الدعــم‬ ‫ويقدمــون‬
.‫الشــبكة‬ ‫داخــل‬ ‫المستشــفيات‬ ‫بعــض‬ ‫فــي‬ ‫الموجــودة‬

1.
،‫ـفى‬‫ـ‬‫للمستش‬ ‫ـه‬‫ـ‬‫زيارت‬ ‫ـاء‬‫ـ‬‫أثن‬ ‫ـار‬‫ـ‬‫استفس‬ ‫أو‬ ‫ـكلة‬‫ـ‬‫مش‬ ‫ـة‬‫ـ‬‫أي‬ ‫ـو‬‫ـ‬‫العض‬ ‫ـه‬‫ـ‬‫واج‬ ‫ـال‬‫ـ‬‫ح‬ ‫ـي‬‫ـ‬‫ف‬
.‫ـفى‬‫ـ‬‫المستش‬ ‫ـل‬‫ـ‬‫داخ‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـب‬‫ـ‬‫مكت‬ ‫ـى‬‫ـ‬‫إل‬ ‫ـورًا‬‫ـ‬‫ف‬ ‫ـه‬‫ـ‬‫يتوج‬ ‫أن‬ ‫ـب‬‫ـ‬‫يج‬

2.
.‫تواجهه‬ ‫التي‬ ‫المشكلة‬ ‫عن‬ ‫ملخصًا‬ ‫التعاونية‬ ‫لممثل‬ ‫العضو‬ ‫يقدم‬

3.
.‫المشكلة‬ ‫لحل‬ ‫معه‬ ‫بالتعاون‬ ‫التعاونية‬ ‫ممثل‬ ‫سيقوم‬
Instant problem solving in the hospital
Your employees may encounter problems or inquiries while they are in
the hospitals. Tawuniya representatives provide full support and resolve
the complaints at our offices that are located in some hospitals within
the network.
How it works?
1. If a member encounters any problem or inquiry during his/her visit to
the hospital, he/she should go toTawuniya office inside the hospital.
2. The member provides Tawuniya representative with a summary of
the problem.
3. Tawuniya representative will cooperate with him/her to solve the
problem.
‫المستشفيات‬ ‫في‬ ‫التعاونية‬ ‫ممثلو‬
Tawuniya Hospital Services
Representatives

Beneficiary Type
Eligible Networks
‫الطوارئ‬ 6 ,5, 4 ,3 ,2 ,+2 ,1 ,+1 ,‫الذهبية‬
Emergency Gold, +1, 1, +2, 2, 3, 4, 5, 6
‫الشبكة‬ ‫خارج‬ ‫العالج‬ ‫قيمة‬ ‫السترجاع‬ ‫بسيطة‬ ‫خطوات‬ 3
‫ـع‬‫ـ‬‫بدف‬ ‫ـيقوم‬‫ـ‬‫س‬ ،‫ـدة‬‫ـ‬‫المعتم‬ ‫ـبكة‬‫ـ‬‫الش‬ ‫ـارج‬‫ـ‬‫خ‬ ‫ـاج‬‫ـ‬‫الع‬ ‫ـى‬‫ـ‬‫عل‬ ‫ـوبيك‬‫ـ‬‫منس‬ ‫ـد‬‫ـ‬‫أح‬ ‫ـول‬‫ـ‬‫حص‬ ‫ـد‬‫ـ‬‫عن‬
،‫ـا‬‫ـ‬‫دفعه‬ ‫ـي‬‫ـ‬‫الت‬ ‫ـة‬‫ـ‬‫الطبي‬ ‫ـات‬‫ـ‬‫المصروف‬ ‫ـترداد‬‫ـ‬‫اس‬ ‫ـه‬‫ـ‬‫بإمكان‬ .‫ـة‬‫ـ‬‫الخدم‬ ‫ـدم‬‫ـ‬‫لمق‬ ‫ـاج‬‫ـ‬‫الع‬ ‫ـة‬‫ـ‬‫تكلف‬
،‫الهاتــف‬ ‫تطبيــق‬ ‫أو‬ ‫اإللكترونــي‬ ‫التعاونيــة‬ ‫موقــع‬ ‫طريــق‬ ‫عــن‬ ‫طلــب‬ ‫بتقديــم‬ ‫وذلــك‬
‫ـغ‬‫ـ‬‫المبل‬ ‫ـل‬‫ـ‬‫وتحوي‬ ‫ـب‬‫ـ‬‫الطل‬ ‫ـوية‬‫ـ‬‫بتس‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـتقوم‬‫ـ‬‫س‬ .‫ـة‬‫ـ‬‫الالزم‬ ‫ـتندات‬‫ـ‬‫المس‬ ‫ـع‬‫ـ‬‫جمي‬ ‫ـع‬‫ـ‬‫ورف‬
.‫ـي‬‫ـ‬‫البنك‬ ‫ـابه‬‫ـ‬‫حس‬ ‫ـى‬‫ـ‬‫عل‬ً‫ة‬‫ـر‬‫ـ‬‫مباش‬ ‫ـتحق‬‫ـ‬‫المس‬
‫الموقع‬

1.
www.tawuniya.com.sa ‫التعاونية‬ ‫موقع‬ ‫على‬ ‫الدخول‬ ‫تسجيل‬

2.
،‫ـات‬‫ـ‬‫الخدم‬ ‫ـة‬‫ـ‬‫قائم‬ ‫ـن‬‫ـ‬‫م‬ ،“‫ـل‬‫ـ‬‫التفاصي‬ ‫ـرض‬‫ـ‬‫”ع‬ ‫ـم‬‫ـ‬‫ث‬ “‫ـي‬‫ـ‬‫محفظت‬ ‫”إدارة‬ ‫ـى‬‫ـ‬‫عل‬ ‫ـط‬‫ـ‬‫الضغ‬
.“‫ـتعاضة‬‫ـ‬‫االس‬ ‫ـب‬‫ـ‬‫”طل‬ ‫ـار‬‫ـ‬‫واختي‬

3.
.“‫”تقديم‬ ‫على‬ ‫الضغط‬ ‫ثم‬ ،‫المطلوبة‬ ‫الملفات‬ ‫ورفع‬ ‫الحقول‬ ‫تعبئة‬
‫التطبيق‬

1.
.‫التعاونية‬ ‫تطبيق‬ ‫على‬ ‫الدخول‬

2.
.‫الطبي‬ ‫التأمين‬ ‫وثيقة‬ ‫قائمة‬ ‫من‬ “‫االستعاضة‬ ‫”طلب‬ ‫على‬ ‫الضغط‬

3.
.“‫”تقديم‬ ‫على‬ ‫الضغط‬ ‫ثم‬ ‫المطلوبة‬ ‫الملفات‬ ‫ورفع‬ ‫الحقول‬ ‫تعبئة‬
3 simple steps to reimburse the expenses outside the
network
Upon receiving the medical treatment outside the appointed network,
the member will pay directly to the medical provider. He/she can apply
for reimbursement of his/her medical expenses by submitting a request
via Tawuniya’s website or Tawuniya App and uploading all necessary
support documents. Tawuniya will settle the claim and the funds will be
transferred to his/her bank account.
How it works?
Website
1. Log in Tawuniya website: to www.tawuniya.com.sa and register.
2. Click on “My Portfolio” then “View Details”, click on action menu,
then select “Reimbursement”.
3. Fill out all the fields and upload the required files, then click “Submit”.
Application
1. Log in Tawuniya application
2. Click on “Reimbursement Request” under the medical policy.
3. Fill out all fields and upload the required files, then click “Submit”.
‫الطبية‬ ‫المصروفات‬ ‫استعاضة‬
Medical Reimbursement

Beneficiary Type
Eligible Networks
‫األعضاء‬ ‫جميع‬ 1 ,+1 ,‫الذهبية‬
All Members Gold, +1, 1
‫العالج‬ ‫على‬ ‫لحصولك‬ ‫بديلة‬ ‫حلول‬
‫مســبقة‬ ‫موافقــة‬ ‫علــى‬ ‫الحصــول‬ ‫والعــاج‬ ‫الطبيــة‬ ‫الخدمــات‬ ‫بعــض‬ ‫تقديــم‬ ‫يتطلــب‬
‫ـاالت‬‫ـ‬‫الح‬ ‫ـل‬‫ـ‬‫مث‬ ،‫ـة‬‫ـ‬‫الموافق‬ ‫ـح‬‫ـ‬‫من‬ ‫ـركة‬‫ـ‬‫الش‬ ‫ـض‬‫ـ‬‫ترف‬ ‫ـاالت‬‫ـ‬‫الح‬ ‫ـض‬‫ـ‬‫بع‬ ‫ـي‬‫ـ‬‫ف‬ .‫ـن‬‫ـ‬‫التأمي‬ ‫ـركة‬‫ـ‬‫ش‬ ‫ـن‬‫ـ‬‫م‬
‫ـق‬‫ـ‬‫فري‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـص‬‫ـ‬‫تخص‬ .‫ـة‬‫ـ‬‫الوثيق‬ ‫ـروط‬‫ـ‬‫ش‬ ‫ـب‬‫ـ‬‫حس‬ ‫ـة‬‫ـ‬‫بالتغطي‬ ‫ـمولة‬‫ـ‬‫المش‬ ‫ـر‬‫ـ‬‫غي‬ ‫ـة‬‫ـ‬‫الطبي‬
‫ـرح‬‫ـ‬‫ويقت‬ ،‫ـة‬‫ـ‬‫الطبي‬ ‫ـة‬‫ـ‬‫المطالب‬ ‫ـض‬‫ـ‬‫رف‬ ‫ـباب‬‫ـ‬‫أس‬ ‫ـح‬‫ـ‬‫لتوضي‬ ‫ـم‬‫ـ‬‫له‬ ‫ـن‬‫ـ‬‫المؤم‬ ‫ـع‬‫ـ‬‫م‬ ‫ـل‬‫ـ‬‫يتواص‬ ‫ـل‬‫ـ‬‫عم‬
..‫ـة‬‫ـ‬‫بديل‬ ً‫ال‬‫ـو‬‫ـ‬‫حل‬

1.
‫علــى‬ ‫للموافقــة‬ ‫للتعاونيــة‬ ‫طلــب‬ ‫إرســال‬ ‫ســيتم‬ ،‫الخدمــة‬ ‫مقــدم‬ ‫زيــارة‬ ‫عنــد‬
.‫تقديمهــا‬ ‫قبــل‬ ‫الطبيــة‬ ‫الخدمــات‬ ‫بعــض‬

2.
‫ـى‬‫ـ‬‫عل‬ ‫ـة‬‫ـ‬‫الموافق‬ ‫ـدم‬‫ـ‬‫ع‬ ‫ـال‬‫ـ‬‫ح‬ ‫ـي‬‫ـ‬‫وف‬ ،‫ـب‬‫ـ‬‫الطل‬ ‫ـم‬‫ـ‬‫بتقيي‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـاء‬‫ـ‬‫أطب‬ ‫ـيقوم‬‫ـ‬‫س‬
.‫رفضــه‬ ‫ســيتم‬ ‫الوثيقــة‬ ‫لشــروط‬ ‫مطابقتــه‬ ‫عــدم‬ ‫أو‬ ‫طبــي‬ ‫ســبب‬ ‫ألي‬ ‫الطلــب‬

3.
‫ـول‬‫ـ‬‫حل‬ ‫ـراح‬‫ـ‬‫واقت‬ ‫ـض‬‫ـ‬‫الرف‬ ‫ـبب‬‫ـ‬‫س‬ ‫ـح‬‫ـ‬‫لتوضي‬ ‫ـال‬‫ـ‬‫باالتص‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـن‬‫ـ‬‫م‬ ‫ـق‬‫ـ‬‫فري‬ ‫ـيقوم‬‫ـ‬‫س‬
.‫ـن‬‫ـ‬‫أمك‬ ‫إن‬ ‫ـة‬‫ـ‬‫الالزم‬ ‫ـة‬‫ـ‬‫الخدم‬ ‫ـى‬‫ـ‬‫عل‬ ‫ـول‬‫ـ‬‫الحص‬ ‫ـهيل‬‫ـ‬‫لتس‬ ‫ـة‬‫ـ‬‫بديل‬
Alternative solutions for your treatment
Providing treatment and some medical services requires prior approval
from the insurance company. In some cases, the company refuses to
grant approval, such as medical conditions that are not covered under
the terms of the policy. Tawuniya has a dedicated team that calls back
members to clarify medically rejected cases and proposes alternative
solutions.
How it works?
1. Upon visiting a service provider, a request will be sent for Tawuniya’s
approval on some medical services.
2. Tawuniya’s doctors will evaluate the request and if it does not meet
the policy conditions or for medical reason, it will be rejected.
3. At the same time, a dedicated team from Tawuniya will contact
members to explain the reason for rejection and proposes alternative
solutions to facilitate access to the necessary service, if possible.
‫رفض‬ ‫لتوضيح‬ ‫االتصال‬ ‫إعادة‬
‫الطبية‬ ‫الموافقات‬
Rejection Call Back

‫األعضاء‬ ‫لطلبات‬ ‫سريعة‬ ‫متابعة‬
‫إلــى‬ ‫نصيــة‬ ‫رســائل‬ ‫بإرســال‬ ‫التعاونيــة‬ ‫تقــوم‬ ،‫الخدمــة‬ ‫تقديــم‬ ‫تطــورات‬ ‫لمتابعــة‬
‫عــن‬ ‫إشــعارات‬ ‫لهــم‬ ‫تقــدم‬ ‫كمــا‬ ،‫اإللكترونــي‬ ‫الموقــع‬ ‫فــي‬ ‫التســجيل‬ ‫بعــد‬ ‫األعضــاء‬
‫ـد‬‫ـ‬‫بمواعي‬ ‫ـر‬‫ـ‬‫والتذكي‬ ،‫ـة‬‫ـ‬‫الطبي‬ ‫ـات‬‫ـ‬‫المطالب‬ ‫ـوية‬‫ـ‬‫تس‬ ‫ـراءات‬‫ـ‬‫وإج‬ ،‫ـة‬‫ـ‬‫الطبي‬ ‫ـات‬‫ـ‬‫الموافق‬ ‫ـة‬‫ـ‬‫حال‬
.‫وغيرهــا‬ ،‫لألطفــال‬ ‫األساســية‬ ‫التطعيمــات‬

1.
.‫الجوال‬ ‫رقم‬ ‫وإدخال‬ ‫للتعاونية‬ ‫اإللكتروني‬ ‫الموقع‬ ‫في‬ ‫التسجيل‬

2.
‫الجــوال‬ ‫رقــم‬ ‫علــى‬ ‫قصيــرة‬ ‫نصيــة‬ ‫برســائل‬ ‫إشــعارات‬ ‫التعاونيــة‬ ‫سترســل‬
.‫األخــرى‬‫والعمليــات‬‫المطالبــات‬‫ومتابعــة‬‫الموافقــات‬‫بإصــدار‬‫تتعلــق‬‫المســجل‬
Quick tracking of members’ requests
To follow up the services provided to all members and after registering
on the website, Tawuniya will send SMSs to confirm the registration and
track the medical approvals and claims, as well as vaccination alerts for
children.
How it works?
1. Registering in Tawuniya website and entering the mobile number.
2. Tawuniya will send notifications via SMS messages related to issuing
approvals, tracking claims and other operations.
Beneficiary Type
Eligible Networks
‫األعضاء‬ ‫جميع‬ 6 ,5, 4 ,3 ,2 ,+2 ,1 ,+1 ,‫الذهبية‬
All Members Gold, +1, 1, +2, 2, 3, 4, 5, 6
‫النصية‬ ‫بالرسائل‬ ‫اإلشعار‬
SMS Notifications

!!‫دائمًا‬ ‫معك‬
‫مــدار‬ ‫علــى‬ ‫استفســاراتكم‬ ‫علــى‬ ‫والــرد‬ ‫لخدمتكــم‬ ‫متــاح‬ ‫بالتعاونيــة‬ ‫االتصــال‬ ‫مركــز‬
.‫األســبوع‬ ‫أيــام‬ ‫وطــوال‬ ‫الســاعة‬

1.
.8001249990 ‫الرقم‬ ‫على‬ ‫اتصل‬

2.
.‫المخصصة‬ ‫الهاتفية‬ ‫الخدمة‬ ‫عبر‬ ‫الخدمة‬ ‫تقديم‬ ‫خطوات‬ ‫اتبع‬

3.
‫مســاعدتكم‬ ‫ســتتم‬ ،‫طلبــك‬ ‫لــه‬ ‫وقــدم‬ ‫االتصــال‬ ‫مســؤولي‬ ‫أحــد‬ ‫اطلــب‬ ‫أو‬
.‫احتياجاتكــم‬ ‫وتلبيــة‬

4.
.‫العمالء‬ ‫لبعض‬ ‫هاتفية‬ ‫خدمة‬ ‫أيضًا‬ ‫التعاونية‬ ‫تخصص‬
Always with you!!
Tawuniya call center is available to serve you and respond to your inquiries
24 hours a day, 7 days a week.
How it works?
1. Call No. 8001249990
2. Follow the IVR steps to get the services required.
3. Or contact any of our call center agents and submit your request. He
will assist you and will meet your needs.
4. Tawuniya also provides a dedicated telephone service to some
customers.
Beneficiary Type
Eligible Networks
All Members Gold, +1, 1, +2, 2, 3, 4, 5, 6
‫الساعة‬ ‫مدار‬ ‫على‬ ‫اتصال‬ ‫مركز‬
Call center round the clock

Beneficiary Type
Eligible Networks
All Members Gold, +1, 1, +2, 2, 3, 4, 5, 6
..‫أكثر‬ ‫لكم‬ ‫لناها‬ ّ
‫سه‬
‫ـاعدك‬‫ـ‬‫يس‬ ‫ـة‬‫ـ‬‫الذكي‬ ‫ـف‬‫ـ‬‫للهوات‬ ‫ـة‬‫ـ‬‫التعاوني‬ ‫ـق‬‫ـ‬‫تطبي‬ .‫ـهل‬‫ـ‬‫أس‬ ‫ـارت‬‫ـ‬‫ص‬ ‫ـا‬‫ـ‬‫وإجراءاتن‬ ‫ـا‬‫ـ‬‫خدماتن‬
:‫ـا‬‫ـ‬‫منه‬ ،‫ـن‬‫ـ‬‫آم‬ ‫ـكل‬‫ـ‬‫بش‬ ‫ـات‬‫ـ‬‫الخدم‬ ‫ـى‬‫ـ‬‫عل‬ ‫ـول‬‫ـ‬‫والحص‬ ‫ـات‬‫ـ‬‫المعام‬ ‫ـاز‬‫ـ‬‫إنج‬ ‫ـي‬‫ـ‬‫ف‬

1.
.‫الشخصية‬ ‫البيانات‬ ‫تحديث‬

2.
.‫التغطية‬ ‫وحدود‬ ‫منافع‬ ‫عرض‬

3.
.‫الصحي‬ ‫الضمان‬ ‫مجلس‬ ‫نظام‬ ‫على‬ ‫التأمين‬ ‫حالة‬ ‫عرض‬

4.
.‫الطبي‬ ‫التأمين‬ ‫من‬ ‫المستفيدين‬ ‫العائلة‬ ‫أفراد‬ ‫تفاصيل‬ ‫عرض‬

5.
.‫طبية‬ ‫مصروفات‬ ‫استرداد‬ ‫طلب‬ ‫تقديم‬

6.
.‫الموافقات‬ ‫متابعة‬

7.
.‫الطبية‬ ‫المصروفات‬ ‫استرداد‬ ‫متابعة‬

8.
.‫الخدمة‬ ‫مقدمي‬ ‫مواقع‬

1.
‫ـق‬‫ـ‬‫تطبي‬ ‫ـل‬‫ـ‬‫تنزي‬ ‫ـر‬‫ـ‬‫عب‬ ‫ـق‬‫ـ‬‫التطبي‬ ‫ـي‬‫ـ‬‫ف‬ ‫ـة‬‫ـ‬‫المتاح‬ ‫ـات‬‫ـ‬‫الخدم‬ ‫ـن‬‫ـ‬‫م‬ ‫ـتفادة‬‫ـ‬‫االس‬ ‫ـك‬‫ـ‬‫يمكن‬
.‫ـجيل‬‫ـ‬‫والتس‬ ‫ـة‬‫ـ‬‫التعاوني‬

2.
.‫بالي‬ ‫وجوجل‬ ‫ستور‬ ‫اآلب‬ ‫متجر‬ ‫في‬ ‫متوفر‬
We’ve made it even easier..
Our services and procedures are now easier, Tawuniya developed a
smartphone application to help you complete transactions and insurance
procedure securely, including:
1. Updating personal information.
2. Viewing benefits and limits of coverage.
3. Viewing status of insurance in the CCHI system.
4. Viewing details offamily members benefitingfrom medical insurance.
5. Applying for reimbursement of medical expenses.
6. Following up on approvals
7. Following up on reimbursement of medical expenses.
8. Viewing locations of service providers.
How it works?
1. You can take advantage of the services in the app through
downloading Tawuniya application and registering.
2. It is available on the App store and Google Play.
‫التعاونية‬ ‫تطبيق‬ ‫خدمات‬
‫الذكية‬ ‫لألجهزة‬
Tawuniya Application Services
for Smartphones

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