MaxMedical (Dubai Insurance Co Psc) - MaxMedical Gold Plan
Yearly Cover
AED 2,500,000.00
Deductible
Nil Co-insurance
Coverage
Worldwide ex-North America
Chronic Conditions
Covered (waiting period of 6 months for new members)
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
AED 200 per day up to 180 days
Parent Accomodation
Covered
Out-Patient
Vaccination
Covered for children up to age of 6 years on reimbursement basis
Physiotherapy
Covered for a maximum of 15 out-patient visit
Scans
Covered; pre-authorization required for in-patient treatment & out-patient CT scans & MRI
Health Checks
Diabetes screening covered as per DHA; up to AED 1,500 for routine check-up once a year
Psychiatric Treatment
Covered up to AED 5,000 for out-patient treatment
Alternative Medicine
Covered up to AED 5,000 for osteopathy, chiropractic, homeopathic & ayurvedic treatment
Prescription Drugs
Not Covered
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Network
Network Coverage
117 Hospitals
777 Clinics
60 Laboratories
1269 Pharmacies
50 Dentals
116 Optics
Treatment Outside Area of Cover
Covered Worldwide for emergency treatment
Treatment Outside Network
For elective treatment 80% of the reasonable & customary costs of the medical network on reimbursement basis
Maternity
Pregnancy Cover
Up to AED 25,000 for normal delivery and medically necessary c-section; up to AED 150,000 in case of an emergency
Newborn Baby Cover
Covered; baby born outside UAE covered after acquiring UAE residency status
Natal Complications
Covered up to AED 25,000 (combined limit with delivery & medically necessary C-section)
Dental
Dental Coverage
Up to AED 5,000 with 20% co-pay
Accidental Damage to Teeth
Covered if treated within 7 days of an accident