Yearly Cover
AED 75,000.00
Deductible
20% co-pay for in-patient treatments up to a maximum of AED 1,000; 20% co-pay on out-patient consultation & 30% on prescriptions
Coverage
GCC
Chronic Conditions
Up to AED 7,500 (with pre-existing conditions); waiting period of 12 months
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered for in-patient treatment with pre-authorization
Hospital Accomodation
Shared room with pre-authorization
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 with pre-authorization; up to 8 sessions for in-patient treatment; up to 10 sessions for out-patient treatment with 20% co-pay
Scans
Covered with 20% co-pay for out-patient treatment; pre-authorization required
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
For elective treatment 75% of the reasonable & customary costs of the medical network on reimbursement basis
Maternity
Pregnancy Cover
Covered with 10% co-pay with pre-authorization; up to AED 7,500 for normal delivery and up to AED 50,000 for complications and life threatning cases; up to AED 25,000 for out-patient treatment
Natal Complications
Covered with 10% co-pay with pre-authorization; up to AED 50,000
Dental
Dental Coverage
Not Covered