Takaful Emarat - Marjan DXB NE (Plan 5) NAS WN
Yearly Cover
AED 1,000,000.00
Deductible
10% per GP consultation up to a maximum of AED 15 & 20% per SP consultation up to a maximum of AED 25
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
Semi-Private Room
Hospital Cash Benefit
Up to AED 200 per night for a max of 10 nights
Parent Accomodation
Up to AED 150 per day
Out-Patient
Vaccination
Covered for children up to age of 6 years
Physiotherapy
Covered up to 6 sessions per condition for out-patient treatment with pre-authorization
Scans
Covered; 10% co-pay for out-patient treatment
Health Checks
Diabetes screening as per DHA
Psychiatric Treatment
Not Covered
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
67 Hospitals
771 Clinics
48 Laboratories
1962 Pharmacies
44 Dentals
173 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 (10 visits to PHC, 4 ultra scans); up to AED 7,000 for normal delivery; up to AED 10,000 for medically necessary C-section, complications & medically necessary termination; covered 100% in case of an emergency; 10% co-pay
Natal Complications
Up to AED 10,000 (combined limit with medically necessary C-section & termination) & 10% co-pay
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered