Takaful Emarat - TE Ecare Blue Plan 1
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); 20% co-pay on out-patient consultation
Coverage
South East Asia, GCC
Chronic Conditions
Covered up to AED 150,000 (with pre-existing conditions)
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Semi-Private room with pre-authorization
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per day
Out-Patient
Vaccination
Covered for children up to 6 years as per DHA
Physiotherapy
Covered with pre-authorization & 20% co-pay; up to 6 sessions per condition for out-patient treatment
Scans
Covered with 20% co-pay; pre-authorization required for non-emergency CT & MRI scans
Health Checks
Diabetes screening as per DHA; covered for Hepatitis C virus screening & treatment, Pneumococcal conjugate vaccine & Cancer screening & treatment
Psychiatric Treatment
Not Covered
Alternative Medicine
Covered for Chiropractic, Osteopathy, Homeopathy and Ayurvedic up to AED 2,500
Prescription Drugs
Not Covered
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Network
Network Coverage
27 Hospitals
366 Clinics
10 Laboratories
630 Pharmacies
2 Dentals
0 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; up to AED 7,000 per normal delivery & AED 10,000 for medically necessary C-section, complications & medically necessary termination; covered with 10% co-pay; preauthorization required for all services
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Up to AED 10,000 (combined limit with medically necessary C-section & termination) with pre-authorization & 10% co-pay
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered