Yearly Cover
AED 500,000.00
Deductible
AED 50 per out-patient consultation
Coverage
Worldwide
Chronic Conditions
Covered up to AED 150,000 (with pre-existing conditions); 6 month waiting period for new members except those who are under continuous cover
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Up to AED 250 per night for a max of 10 nights
Parent Accomodation
Up to AED 350 per day
Out-Patient
Vaccination
Covered for children up to age of 6 years as per MOH
Physiotherapy
Covered for out-patient treatment with pre-authorization
Scans
Covered
Health Checks
Not Covered
Psychiatric Treatment
Up to AED 6,000 for in-patient treatment; up to AED 1,500 for out-patient treatment
Alternative Medicine
Up to AED 1,500
Prescription Drugs
Not Covered
ReviewsView all plan reviews
Apply
Network
Network Coverage
112 Hospitals
892 Clinics
62 Laboratories
1655 Pharmacies
70 Dentals
98 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
80% of the reasonable actual costs or 80% of the reasonable & customary costs of the medical network, whichever is less on, reimbursement basis
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity treatment with AED 50 per consultation; covered 100% for in-patient treatment & in case of an emergency (within Abu Dhabi); up to AED 10,000 for normal delivery & up to AED 12,000 for C-section and complications (outside the Emirate of Abu Dhabi); AED 500 deductible per delivery within Abh Dhabi
Natal Complications
Covered; up to AED 12,000 (combined limit with medically necessary C-section) outside Abu Dhabi
Dental
Dental Coverage
Up to AED 2,500 with 20% co-pay