Sukoon Insurance PJSC - Oman Safe - Plan 5
Yearly Cover
AED 150,000.00
Deductible
20% co-pay for some in-patient treatments up to a maximum of AED 500 (annual cap of AED 1,000); 10% co-insurance on all out-patient treatment
Coverage
GCC, South East Asia
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered; pre-authorization required for in-patient treatment
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Up to AED 500 per day
Parent Accomodation
Up to AED 500 per day with pre-authorization
Out-Patient
Vaccination
Covered for children up to 6 years
Physiotherapy
Covered with pre-authorization; up to a maximum of 10 sessions for out-patient treatment with 10% co-pay
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
63 Hospitals
671 Clinics
32 Laboratories
1851 Pharmacies
17 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
Elective treatment covered 100% at actual with pre-authorization, if treatment is not available within the network; emergency treatment covered 100% at actual on reimbursement basis
Maternity
Pregnancy Cover
Covered with 10% co-pay on out-patient treatment; up to AED 7,000 for normal delivery and AED 10,000 each for medically essential C-section & complications; up to AED 150,000 in case of an emergency; preauthorization required for in-patient treatment
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Up to AED 10,000
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered