Aetna (Al Ain Ahlia Insurance) - Pioneer 4000 - Area 2 - 20% ded - With Den - Non Dubai
Yearly Cover
AED 14,680,000.00
Deductible
20% co-pay on out-patient treatment (up to a maximum of AED 14,680)
Coverage
Worldwide ex-USA
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Standard Single Room with private bathroom; pre-authorization required
Hospital Cash Benefit
Up to AED 459 per night for a maximum of 20 nights
Parent Accomodation
Covered with pre-authorization
Out-Patient
Vaccination
Covered for adults & children up to AED 1,835 (combined limit with routine health checks)
Physiotherapy
Covered in full for in-patient treatment with pre-authorization & up to AED 7,340 for out-patient treatment (combined limit with alternate medicine)
Scans
Covered in full for in-patient scans & out-patient PET and CT scans; up to AED 55,050 for out-patient scans including MRI scans (combined limit with consultations, diagnostics, prescriptions & kidney dialysis)
Health Checks
Covered for adults & children up to AED 1,835 (combined limit with vaccinations)
Psychiatric Treatment
Up to AED 36,700 for in-patient treatment (maximum 30 days); up to AED 7,340 for out-patient treatment; pre-authorization required
Alternative Medicine
Up to AED 7,340 for alternate medicine (combined limit with OP physiotherapy) & up to AED 2,753 for traditional Chinese medicine
Prescription Drugs
Not Covered
ReviewsView all plan reviews
nice
Joe
Really nice natal care. MUST-HAVE for mothers to be.
Jaina Proudmore
Prescription medication should be covered.
Ali Akhbar
Claims are really good and speedy here. Much better than other insurance companies I have used. I like this plan for its Physiotherapy - it is covered in full.
George Frank
Claims are really good and speedy here. Much better than other insurance companies I have used. I like this plan for its Physiotherapy - it is covered in full.
George Frank
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Network
Network Coverage
144 Hospitals
1342 Clinics
81 Laboratories
1666 Pharmacies
166 Dentals
191 Optics
Treatment Outside Area of Cover
Covered for emergency treatment; up to AED 110,100 for in-patient & up to AED 1,835 each for out-patient and ambulance
Treatment Outside Network
100% of covered non-emergency cost subject to network rates and on reimbursement basis
Maternity
Pregnancy Cover
Not Covered
Newborn Baby Cover
Lifetime in-patient benefit for newborn's acute conditions up to AED 550,500 (natural conception)
Dental
Dental Coverage
Up to AED 2,753 for routine & major restorative dental with 25% co-insurance & waiting period of 182 days
Accidental Damage to Teeth
Up to AED 2,753 for out-patient treatment; covered in full when OP treatment can only be provided after your hospital stay for the accident