Health insurance is mandatory to renew a family visit visa, Jawazat confirmed through their official Twitter account.

If your health insurance policy has expired, you will have to renew the policy in order to renew the visit visa.

Go through this article to find out: How to Extend Health Insurance to Renew Visit Visa

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just to share my experience on, extension of my mother visit visa,
i went through many insurence companies dealing with visit visa, but mostly expensive and we know this insurence is very limited to cover your medical. So our intention is to extend visa only ..
Conclusion ,i choos arbian shield which charge me 67 SR only and update in CCHI in 5 min after i confirm my payment and next 5 min, i was able to extned visa. and done successfully!!