Yearly Cover
AED 1,000,000.00
Deductible
AED 50 per OP consultation
Coverage
Worldwide
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per night
Out-Patient
Vaccination
Covered for children up to 6 years with pre-authorization
Physiotherapy
Covered with pre-authorization
Scans
Covered; pre-authorization required for in-patient treatment & out-patient CT & MRI scans
Health Checks
Not Covered
Psychiatric Treatment
Not Covered
Alternative Medicine
Up to AED 1,600 for Osteopathy, Chiropractic, Homeopathy, Acupuncture, Ayurveda and Herbal Treatments on reimbursement basis
Prescription Drugs
Not Covered
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Network
Network Coverage
47 Hospitals
597 Clinics
30 Laboratories
1726 Pharmacies
11 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
For elective treatment 80% of covered cost (100% for South-East Asia) subject to network rates on reimbursement basis; covered 100% actual costs for emergency tretament
Maternity
Pregnancy Cover
Covered in full within Abu Dhabi & Al Ain; up to AED 10,000 for in-patient & out-patient treatment outside Abu Dhabi & Al Ain; AED 50 deductible per out-patient consultation; pre-authorization required for in-patient treatment; AED 500 deductible per delivery within Abu Dhabi
Newborn Baby Cover
Covered for 30 days from birth; preauthorization required for in-patient treatment
Natal Complications
Covered; pre-authorization required for in-patient treatment
Dental
Dental Coverage
Up to AED 3,500 with pre-authorization & 20% co-pay on direct billing (additional 20% co-payment on reimbursement)
Accidental Damage to Teeth
Covered if treated within 3 months