Yearly Cover
AED 150,000.00
Deductible
20% co-pay for some in-patient treatments up to a maximum of AED 500 (annual cap of AED 1,000); 20% co-insurance per out-patient consultation up to a maximum of AED 25
Coverage
GCC
Chronic Conditions
Covered up to AED 150,000 (with pre-existing conditions)
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Up to AED 500; 20% co-pay for in-patient treatment up to a maximum of AED 500 (annual cap of AED 1,000)
Hospital Accomodation
Semi-Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per night
Out-Patient
Vaccination
Covered for children up to 6 years as per DHA
Physiotherapy
Covered with pre-authorization; up to 6 sessions per condition for out-patient treatment with 20% co-pay
Scans
Covered with 20% co-pay for out-patient treatment; pre-authorization required for non-emergency CT & MRI scans
Health Checks
Not Covered
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
Elective treatment is not covered; emergency treatment covered 100% subject to network rates on reimbursement basis
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity with 10% co-pay; up to AED 7,000 per normal delivery & AED 10,000 for medically necessary C-section, complications & medically necessary termination (including 10% co-pay); preauthorization required for all services
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Up to AED 10,000 (combined limit with medically necessary C-section & termination) with pre-authorization & 10% co-pay
Dental
Dental Coverage
Not Covered