National General Insurance Co - HealthNet International
Yearly Cover
AED 1,000,000.00
Deductible
AED 50 per per week per out-patient illness (combined deductible)
Coverage
Worldwide ex-North America
Chronic Conditions
Covered; 6 month waiting period for new members
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Up to AED 200 per day for a maximum of 7 days
Parent Accomodation
Covered
Out-Patient
Vaccination
Covered for children up to 6 years as per DHA
Physiotherapy
Not Covered
Scans
Covered for in-patient treatment
Health Checks
Diabetes screening as per DHA
Psychiatric Treatment
Not Covered
Alternative Medicine
Covered with pre-authorization
Prescription Drugs
Not Covered
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Network
Network Coverage
45 Hospitals
447 Clinics
45 Laboratories
950 Pharmacies
5 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
60% of covered non-emergency cost subject to network rates on reimbursement basis
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity with 10% co-pay; up to AED 10,000 per normal delivery & AED 15,000 for medically necessary C-section, complications & medically necessary termination (including 10% co-pay); preauthorization required for all services
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Up to AED 15,000 (combined limit with medically necessary C-section & termination) with pre-authorization & 10% co-pay
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Covered