National Health Insurance Co (Daman) - Core Silver without Dental AUH
Yearly Cover
AED 300,000.00
Deductible
AED 50 per out-patient consultation; 20% co-pay up to a maximum of AED 100 on out-patient prescriptions
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
Not Covered
Physiotherapy
Covered with pre-authorization
Scans
Covered; pre-authorization required for in-patient scans & out-patient specialized scans
Health Checks
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)
Psychiatric Treatment
Not Covered
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
44 Hospitals
153 Clinics
28 Laboratories
662 Pharmacies
20 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 full (up to AED 8,000 for in-patient treatment outside the UAE); AED 50 deductible per out-patient consultation & AED 500 deductible per delivery; pre-authorization required for in-patient treatment
Natal Complications
Covered; pre-authorization required for in-patient treatment
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered