Sehteq (ASNIC) - Care Plus Dubai
Yearly Cover
AED 150,000.00
Deductible
10% co-insurance for in-patient treatments up to a maximum of AED 500 (maximum AED 1,000 per year); 10% co-insurance up to a maximum of AED 25 for out-patient consultation; 10% co-insurance on prescriptions
Coverage
GCC
Chronic Conditions
Covered; pre-authorization required for in-patient treatment
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered; pre-authorization required for in-patient treatment
Hospital Accomodation
Semi-Private 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 pre-authorization
Physiotherapy
Covered with pre-authorization; up to 6 sessions for out-patient treatment with 10% co-insurance
Scans
Covered; pre-authorization required for in-patient treatment; 10% co-insurance on out-patient treatment
Health Checks
Not Covered
Psychiatric Treatment
Not Covered
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
41 Hospitals
436 Clinics
27 Laboratories
690 Pharmacies
12 Dentals
1 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
Covered 100% for emergency treatment subject to UAE network rates on reimbursement basis; pre-authorization is required within 24 hours; Non-emergency treatment outside the network is not covered
Maternity
Pregnancy Cover
Covered with 10% co-insurance; up to AED 10,000 for in-patient maternity (up to AED 7,000 for normal delivery and up to AED 10,000 for medically essential C-section & complications); preauthorization required for in-patient treatment; covered 100% for out-patient treatment
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Covered up to AED 10,000 (combined limit with caeserean) with 10% co-insurance and pre-authorization
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered