National Health Insurance Co (Daman) - Care Chrome DNE with Dental
Yearly Cover
AED 160,000.00
Deductible
AED 50 per out-patient consultation within Abu Dhabi Emirate; 20% co-pay per out-patient consultation up to a maximum of AED 50 outside Abu Dhabi Emirate; 10% co-pay on out-patient prescriptions, diagnostics, physiotherapy and alternative medicine
Coverage
GCC
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per day with pre-authorization
Out-Patient
Vaccination
Covered for children up to 6 years as per DHA on reimbursement basis
Physiotherapy
Covered with pre-authorization; up to 15 sessions with 10% co-pay for out-patient treatment
Scans
Covered; 10% co-pay on out-patient scans; pre-authorization required for in-patient scans & out-patient specialized scans
Health Checks
Diabetes screening as per DHA on reimbursement; Covered with pre-authorization: annual breast cancer screening (females above 35); annual prostate cancer screening (males above 45); colorectal cancer screening once every 2 years for FIT & once every 10 years for colonoscopy (males & females above 50); annual health check-up for a claim free year on renewal of policy
Psychiatric Treatment
Not Covered
Alternative Medicine
Up to AED 1,500 on reimbursement basis for chiropractic services & alternative medicine with 10% co-pay
Prescription Drugs
Not Covered
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Network
Network Coverage
113 Hospitals
572 Clinics
40 Laboratories
1045 Pharmacies
46 Dentals
0 Optics
Treatment Outside Area of Cover
Emergency treatment covered in Southeast Asia, Indian Sub-Continent & Arab countries for IP treatment only
Treatment Outside Network
50% of covered non-emergency cost subject to network rates on reimbursement basis; 100% of emergency cost on reimbursement basis
Maternity
Pregnancy Cover
Covered in-patient upto AED 7,000 for normal delivery & up to AED 10,000 for C-section, complications & medically necessary termination (within UAE) & up to AED 7,000 for all maternity benefits outside the UAE, with pre-authorization; emergency treatment covered 100%; AED 25 deductible per out-patient consultation within Abu Dhabi Emirate; 10% co-insurance (maximum AED 25) per out-patient consultation outside Abu Dhabi Emirate; 10% co-insurance on other out-patient services within network (50% co-insurance outside network)
Newborn Baby Cover
Covered with pre-authorization
Natal Complications
Up to AED 10,000 for C-section, complications & medically necessary termination, with pre-authorization; emergency treatment covered 100%
Dental
Dental Coverage
Up to AED 1,000 with 20% co-pay & pre-authorization (x-rays, extractions, fillings & RCT)
Accidental Damage to Teeth
Covered