HAYAH Insurance Company P.J.S.C. - Hayah Tier 1

HAYAH Insurance Company P.J.S.C.
Yearly Cover
AED 1,000,000.00
Deductible
20% co-pay or AED 50 per OP consultation
Coverage
GCC
Chronic Conditions
Up to AED 150,000 (with pre-existing conditions); Covered after 6 month waiting period for new members
Pre-Existing Conditions
Not Covered

In-Patient

Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to AED 100 per day

Out-Patient

Vaccination
Covered for children up to age of 6 years as per MOH
Physiotherapy
Covered up to a maximum of 10 out-patient visit with 20% co-insurance
Scans
Covered with 10% co-insurance
Health Checks
Preventive services for diabetic screening covered once in 3 years from age 30 & for high risk individuals once a year from age 18
Psychiatric Treatment
Covered up to AED 1,000 with 20% co-insurance
Alternative Medicine
Not Covered
Prescription Drugs
Not Covered
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Network
Network Coverage
93 Hospitals
703 Clinics
47 Laboratories
1742 Pharmacies
12 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
100% of covered cost subject to network rates on reimbursement basis
Maternity
Pregnancy Cover
Covered up to AED 10,000 with 10% co-insurance; emergency treatment is covered up to AED 150, 000; covered after a waiting period of 40 days
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Covered
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered

Platform

Core HR

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