Health Insurance Council outlines eligibility for infant formula coverage
Saudi health insurance covers infant formula for children with medical needs up to 24 months, subject to approved conditions and a doctor's prescription.
Key Takeaways
AIThe Health Insurance Council has announced that the mandatory health insurance policy covers the cost of infant formula for children who require it for medical reasons up to the age of 24 months, in accordance with approved conditions and upon prescription by the treating physician.
In a post on its official X account, the council clarified that coverage includes children whose health conditions require special types of formula, helping to meet their nutritional needs as recommended by their doctor.
Eligible cases include children with metabolic diseases, metabolic disorders, milk or sugar intolerance, malabsorption problems, and conditions identified through the national newborn screening program aimed at preventing disabilities.
اعرض التغريدة على منصة X
Coverage also extends to premature infants and children with growth deficiencies or low birth weight, according to the terms and conditions set out in the policy.
The council emphasized that eligibility for infant formula coverage is based on medical necessity and a physician's prescription, in line with the specific requirements of the mandatory health insurance policy.