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Gulf Insurance Group (Gulf) B.S.C Closed - Smart Health Silver - AUH
Yearly Cover
AED 250,000.00
Deductible
AED 50 deductible on all out-patient services
Coverage
GCC
Chronic Conditions
Covered up to AED 250,000 within the Emirate of Abu Dhabi (up to AED 1,500 outside the Emirate of Abu Dhabi with pre-existing conditions)
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Up to AED 500 per night
Parent Accomodation
Up to AED 500 per night
Out-Patient
Vaccination
Not Covered
Physiotherapy
Covered; covered for a maximum of 5 out-patient visit with pre-authorization
Scans
Covered; MRI, CT, PET scans & Gait scans covered with preauthorization; AED 50 deductible on out-patient treatment
Health Checks
Not Covered
Psychiatric Treatment
Up to AED 5,000 with 30% co-pay
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
83 Hospitals
404 Clinics
18 Laboratories
1517 Pharmacies
80 Dentals
202 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
Covered subject to network rates with direct billing where possible
Maternity
Pregnancy Cover
Covered with AED 50 deductible on out-patient maternity treatment; up to AED 250,000 for normal delivery within the Emirate of Abu Dhabi (not covered outside the Emirate of Abu Dhabi); preauthorization required for in-patient treatment
Natal Complications
Covered; waiting period of 12 months outside the Emirate of Abu Dhabi
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Covered with pre-authorization