Sehteq (ASNIC) - NE Basic
Yearly Cover
AED 75,000.00
Deductible
AED 25 per out-patient consultation; sub-limit of AED 50,000 for all out-patient benefits combined; 20% co-insurance on prescriptions
Coverage
GCC
Chronic Conditions
Up to AED 15,000 for in-patient treatment & AED 5,000 for out-patient treatment (with pre-existing conditions)
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Up to AED 600 for in-patient treatment
Hospital Accomodation
Semi-Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Covered
Out-Patient
Vaccination
Not Covered
Physiotherapy
Covered with pre-authorization; up to 6 sessions for out-patient treatment with 20% co-insurance
Scans
Covered; pre-authorization required for in-patient treatment; 20% 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
37 Hospitals
430 Clinics
22 Laboratories
686 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
Not Covered
Newborn Baby Cover
Not Covered
Natal Complications
Not Covered
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Covered in medical emergency as a result of accident with 20% coinsurance