National Health Insurance Co (Daman) - Enhanced Gold with Dental - AUH
Yearly Cover
AED 2,500,000.00
Deductible
AED 50 per out-patient consultation & 10% co-insurance in Cleveland Abu Dhabi
Coverage
Worldwide ex-North America
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room (Deluxe) with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 300 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
158 Hospitals
1121 Clinics
49 Laboratories
1116 Pharmacies
238 Dentals
0 Optics
Treatment Outside Area of Cover
Covered Worldwide for emergency treatment
Treatment Outside Network
80% 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 10,000 outside the UAE); AED 50 deductible per out-patient consultation & 10% co-insurance in Cleveland Clinic Abu Dhabi; pre-authorization required for in-patient treatment
Natal Complications
Covered; pre-authorization required for in-patient treatment
Dental
Dental Coverage
Up to AED 3,500 with 20% co-pay & pre-authorization
Accidental Damage to Teeth
Covered