National Life & General Insurance (NLGI) - NLGI NAS AUH Opal
Yearly Cover
AED 250,000.00
Deductible
None
Coverage
GCC, South East Asia
Chronic Conditions
Covered; up to AED 50,000 (with pre-existing conditions) for new members for first 6 months and up to AED 250,000 thereafter
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered within Abu Dhabi & Al Ain in case of medical emergency
Hospital Accomodation
Semi-Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per day
Out-Patient
Vaccination
Not Covered
Physiotherapy
Covered with pre-authorization
Scans
Covered with pre-authorization; AED 10 per out-patient treatment
Health Checks
Not Covered
Psychiatric Treatment
Not Covered
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
17 Hospitals
56 Clinics
0 Laboratories
65 Pharmacies
1 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
For elective treatment 80% of covered cost subject to network rates and on reimbursement basis
Maternity
Pregnancy Cover
Covered in full inside Abu Dhabi & Al Ain with AED 500 deductible per delivery; Covered up to AED 7,000 fpr normal delivery & up to AED 10,000 for C-section, outside Abu Dhabi & Al Ain; pre-authorization required for in-patient treatment; 6 months waiting period without COC; AED 10 per out-patient visit
Natal Complications
Covered; pre-authorization required for in-patient treatment
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered