National General Insurance Co - Nextcare GN Basic Class A - AED 50 ded
Yearly Cover
AED 500,000.00
Deductible
AED 50 per out-patient consultation
Coverage
Middle East & North Africa, South East Asia
Chronic Conditions
Covered 100% with pre-authorization after a waiting period of 6 months; up to AED 150,000 (with pre-existing conditions) in case of an emergency during the waiting period of 6 months
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Not Covered
Hospital Accomodation
Semi-Private Room with pre-authorization
Hospital Cash Benefit
AED 200 per night with pre-authorization
Parent Accomodation
Not Covered
Out-Patient
Vaccination
Covered for children up to 6 years with pre-authorization
Physiotherapy
Covered with pre-authorization
Scans
MRI & CT scans covered only for in-patient treatment with pre-authorization
Health Checks
Diabetes screening as per DHA with pre-authorization
Psychiatric Treatment
Not Covered
Alternative Medicine
Up to AED 1,600 for osteopathy & chiropractic treatments with pre-authorization
Prescription Drugs
Not Covered
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Network
Network Coverage
167 Hospitals
1268 Clinics
75 Laboratories
1741 Pharmacies
157 Dentals
130 Optics
Treatment Outside Area of Cover
Covered Worldwide (ex USA & Canada) for emergency treatment
Treatment Outside Network
80% of non-emergency in-patient treatment costs with pre-authorization (80% reimbursement will be subject to the maximum of 80% of the reasonable & customary costs without pre-authorization); 80% of non-emergency out-patient treatment costs; 100% for emergency treatment
Maternity
Pregnancy Cover
Covered with 10% co-insurance & pre-authorization; up to AED 7,000 for normal delivery, up to AED 10,000 for medically necessary C-section, complications & medically necessary termination (limits include co-insurance); out-patient maternity covered 100%
Newborn Baby Cover
Covered for 30 days from birth with pre-authorization
Natal Complications
Covered with 10% co-insurance & pre-authorization; up to AED 10,000 for medically necessary C-section, complications & medically necessary termination (limit includes co-insurance)
Dental
Dental Coverage
Not Covered