Yearly Cover
AED 150,000.00
Deductible
20% co-pay for in-patient treatments up to a maximum of AED 500 (maximum AED 1,000 per year); 20% co-pay with a maximum of AED 25 per out-patient consultation & 30% on out-patient prescriptions
Coverage
GCC
Chronic Conditions
Covered with a waiting period of 6 months
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered up to AED 500 with 20% co-insurance per treatment up to a maximum of AED 500 (maximum AED 1,000 per year) for in-patient treatment with pre-authorization
Hospital Accomodation
Semi-Private Room with pre-authorization; 20% co-insurance per treatment up to a maximum of AED 500 (maximum AED 1,000 per year)
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per night with pre-authorization
Out-Patient
Vaccination
Covered for children up to 6 years with 20% co-pay & pre-authorization
Physiotherapy
Covered up to 6 sessions per in-patient & out-patient treatment with pre-authorization; 20% co-pay on out-patient treatment
Scans
Covered with 20% co-pay; MRI, CT scan & endoscopies are covered with preauthorization
Health Checks
Diabetes screening as per DHA
Psychiatric Treatment
Not Covered
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
38 Hospitals
454 Clinics
23 Laboratories
1029 Pharmacies
2 Dentals
28 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
100% of covered cost for emergency treatment subject to network rates on reimbursement basis; pre-authorization is required within 24 hours
Maternity
Pregnancy Cover
Covered with 10% co-pay with pre-authorization; up to AED 7,000 for normal delivery and up to AED 10,000 for complications and life threatning cases; covered 100% for out-patient treatment
Newborn Baby Cover
Covered for 30 days from birth with pre-authorization
Natal Complications
Covered with 10% co-pay with pre-authorization; up to AED 10,000
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered