MaxMedical (Dubai Insurance Co Psc) - MaxMedical Silver Plan AUH
Yearly Cover
AED 1,500,000.00
Deductible
AED 50 per OP consultation
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
Psychiatric Treatment
Not Covered
Alternative Medicine
Covered up to AED 2,000 for osteopathy, chiropractic, homeopathic & ayurvedic treatment
Prescription Drugs
Not Covered
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Network
Network Coverage
141 Hospitals
754 Clinics
66 Laboratories
1276 Pharmacies
46 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
Covered in full within Abu Dhabi & Al Ain; up to AED 20,000 for normal delivery; up to AED 20,000 for medically necessary c-section & complications outside Abu Dhabi & Al Ain; AED 500 deductible per delivery within Abu Dhabi; AED 50 deductible per out-patient consultation; pre-authorization required for in-patient treatment
Newborn Baby Cover
Covered; baby born outside UAE covered after acquiring UAE residency status
Natal Complications
Covered up to AED 20,000 (combined limit with medically necessary C-section)
Dental
Dental Coverage
Up to AED 3,000 with 20% co-pay; up to AED 250 for scaling & polishing once a year
Accidental Damage to Teeth
Covered if treated within 7 days of an accident