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National Health Insurance Co (Daman) - Care Platinum DNE without Dental

National Health Insurance Co (Daman) - Care Platinum DNE without Dental

Available in Ras Al Khaimah , Dubai , Sharjah , Fujairah , Umm Al Quwain , Ajman

Max. Annual Coverage

AED 5,000,000

Deductible

AED 50 per out-patient consultation within Abu Dhabi Emirate; 20% co-insurance per out-patient consultation up to a maximum of AED 50 outside Abu Dhabi Emirate

Coverage

Worldwide

Chronic Conditions

Covered

Pre-Existing Conditions

Not Covered

In-Patient

Ambulance Coverage

Covered

Hospital Cash Benefit

Not Covered

Hospital Accomodation

Private Room (Standard Suite) with pre-authorization

Parent Accomodation

Up to AED 500 per day with pre-authorization

Out-Patient

Vaccination

Covered for children up to 6 years as per DHA on reimbursement basis

Psychiatric Treatment

Not Covered

Physiotherapy

Covered with pre-authorization

Alternative Medicine

Up to AED 1,500 on reimbursement basis for chiropractic services & alternative medicine

Scans

Covered; pre-authorization required for in-patient scans & out-patient specialized scans

Prescription Drugs

Not Covered

Health Checks

Diabetes screening as per DHA on reimbursement; Covered with pre-authorization: annual breast cancer screening (females above 35); annual prostate cancer screening (males above 45); colorectal cancer screening once every 2 years for FIT & once every 10 years for colonoscopy (males & females above 50); annual health check-up for a claim free year on renewal of policy

Network

Network Coverage

156 Hospitals
1386 Clinics
85 Laboratories
1175 Pharmacies
270 Dentals
0 Optics

Treatment Outside Area of Cover

Not Covered

Treatment Outside Network

80% of covered non-emergency cost subject to network rates on reimbursement basis; 100% of emergency cost on reimbursement basis

Maternity

Pregnancy Cover

Covered up to AED 50,000 within the UAE & up to AED 15,000 outside the UAE; AED 25 deductible per out-patient consultation within Abu Dhabi Emirate; 10% co-insurance (maximum AED 25) per out-patient consultation outside Abu Dhabi Emirate; pre-authorization required for in-patient treatment

Newborn Baby Cover

Covered with pre-authorization

Natal Complications

Covered up to AED 150,000; pre-authorization required for in-patient treatment

Dental

Dental Coverage

Not Covered