Orient Insurance P.J.S.C - Family Care - Emerald - AUH - AED 50 consultation ded & 10% on Pharmacy
Yearly Cover
AED 1,000,000.00
Deductible
AED 50 per OP consultation & 10% co-pay on pharmacy
Coverage
Worldwide
Chronic Conditions
Covered up to AED 250,000 (with pre-existing conditions)
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; up to 15 sessions with 10% co-pay for out-patient treatment
Scans
Covered; pre-authorization required for in-patient treatment; 10% co-pay for out-patient treatment
Health Checks
Not Covered
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
41 Hospitals
470 Clinics
27 Laboratories
1403 Pharmacies
8 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 20% co-apy max AED 50 deductible per out-patient consultation ; pre-authorization required for in-patient treatment
Newborn Baby Cover
Covered for 30 days from birth; preauthorization required for in-patient treatment
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