Orient Insurance P.J.S.C - Healthplus Plan 2 Nextcare GN LTD - 20% Max AED 50 consultation ded & 20% on all OP
Yearly Cover
AED 1,000,000.00
Deductible
20% co-pay with a maximum of AED 50 per OP consultation & 20% co-pay on all OP services
Coverage
Worldwide
Chronic Conditions
Covered up to AED 150,000 (with pre-existing conditions); 6 month waiting period for new members except those who are under continuous cover
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Up to AED 300 per night for a max of 10 nights
Parent Accomodation
Up to AED 400 per day
Out-Patient
Vaccination
Covered for children up to age of 6 years
Physiotherapy
Covered up to 20 sessions per condition for out-patient treatment with pre-authorization
Scans
Covered; 20% co-pay for out-patient treatment
Health Checks
Diabetes screening as per DHA
Psychiatric Treatment
Up to AED 10,000; 20% co-pay on out-patient treatment
Alternative Medicine
Up to AED 2,500
Prescription Drugs
Not Covered
ReviewsView all plan reviews
Apply
Network
Network Coverage
95 Hospitals
822 Clinics
52 Laboratories
1539 Pharmacies
55 Dentals
96 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
80% of the reasonable actual costs or 80% of the reasonable & customary costs of the medical network, whichever is less on, reimbursement basis
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity treatment (15 visits to PHC, 8 ultra scans); up to AED 20,000 for in-patient treatment & covered 100% in case of an emergency; 10% co-pay
Newborn Baby Cover
Covered for 30 days from birth; preauthorization required for in-patient treatment
Natal Complications
Up to AED 20,000 (combined limit with delivery, medically necessary C-section & termination) & 10% co-pay
Dental
Dental Coverage
Up to AED 3,000 with 20% co-pay