Aetna (Al Ain Ahlia Insurance) - Pioneer Dubai 5000 - Area 2 - Tier 1 - Nil ded - With Den

Aetna (Al Ain Ahlia Insurance)
Available in dubai
Yearly Cover
AED 18,350,000.00
Deductible
Nil Co-insurance
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 3,670 (combined limit with routine health checks)
Physiotherapy
Covered; pre-authorization required for in-patient treatment
Scans
Covered in full
Health Checks
Covered for adults & children up to AED 3,670 (combined limit with vaccinations); up to AED 918 for one sight test & one hearing test
Psychiatric Treatment
Covered in full for in-patient treatment (maximum 30 nights); up to AED 36,700 for out-patient treatment; pre-authorization required; up to AED 150,470 for emergency IP & OP treatment
Alternative Medicine
Up to AED 14,680 for alternate medicine & up to AED 5,505 for traditional Chinese medicine
Prescription Drugs
Not Covered
Apply
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 183,500 for in-patient & up to AED 1,835 each for out-patient and ambulance
Treatment Outside Network
100% of covered cost on reimbursement basis
Maternity
Pregnancy Cover
Covered under DHA sub-limit (AED 150,470) with 10% co-pay; out-patient maternity covered in full; up to AED 10,093 for normal pregnancy, complications & medically necessary C-section with pre-authorization
Newborn Baby Cover
Covered for 30 days from birth under DHA sub-limit (AED 150,470); lifetime in-patient benefit for newborn's acute conditions up to AED 550,500 (natural conception) & under DHA sub-limit (assisted conception)
Natal Complications
Up to AED 10,093 (combined limit with normal pregnancy & medically necessary C-section) with pre-authorization & 10% co-pay under DHA sub-limit
Dental
Dental Coverage
Up to AED 5,505 for routine & major restorative dental with 25% co-insurance & waiting period of 182 days
Accidental Damage to Teeth
Up to AED 5,505 for out-patient treatment; covered in full when OP treatment can only be provided after your hospital stay for the accident