Orient Insurance P.J.S.C - Family Care - AUH - Silver Classic - 10% co-pay (old)
Yearly Cover
AED 1,000,000.00
Deductible
AED 50 per OP consultation (including OP maternity consultation) & 10% co-pay on out-patient prescriptions
Coverage
Worldwide
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered for in-patient treatment with pre-authorization
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Covered with pre-authorization
Out-Patient
Vaccination
Covered for children up to age of 6 years with pre-authorization
Physiotherapy
Covered with pre-authorization
Scans
Covered; pre-authorization required for in-patient treatment
Health Checks
Diabetes screening covered once every year for members over 18 years
Psychiatric Treatment
Not Covered
Alternative Medicine
Up to AED 1,600 on reimbursement basis
Prescription Drugs
Not Covered
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Network
Network Coverage
110 Hospitals
780 Clinics
51 Laboratories
1742 Pharmacies
12 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
For elective treatment 80% of covered cost (100% for South-East Asia) subject to network rates on reimbursement basis
Maternity
Pregnancy Cover
Covered in full inside Abu Dhabi with AED 500 deductible per delivery; Covered up to AED 10,000 outside Abu Dhabi with AED 50 deductible per out-patient consultation ; pre-authorization required for in-patient treatment
Newborn Baby Cover
Covered; baby born outside UAE covered after acquiring UAE residency status
Natal Complications
Covered; pre-authorization required for in-patient treatment
Dental
Dental Coverage
Up to AED 3,500 with pre-authorization & 20% co-pay on direct billing (additional 20% co-payment on reimbursement)
Accidental Damage to Teeth
Covered if treated within 3 months