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National Health Insurance Co (Daman) - Enhanced Silver SG with Dental - AUH

National Health Insurance Co (Daman) - Enhanced Silver SG with Dental - AUH

Available in Abu Dhabi , Al Ain

Max. Annual Coverage

AED 1,000,000

Deductible

AED 50 per out-patient consultation

Coverage

Worldwide ex-North America

Chronic Conditions

Covered

Pre-Existing Conditions

Not Covered

In-Patient

Ambulance Coverage

Covered

Hospital Cash Benefit

Not Covered

Hospital Accomodation

Private Room (First class) with pre-authorization

Parent Accomodation

Up to AED 150 per day with pre-authorization

Out-Patient

Vaccination

Not Covered

Psychiatric Treatment

Not Covered

Physiotherapy

Covered with pre-authorization

Alternative Medicine

Not Covered

Scans

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

Prescription Drugs

Not Covered

Health Checks

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)

Network

Network Coverage

150 Hospitals
1342 Clinics
85 Laboratories
1174 Pharmacies
269 Dentals
0 Optics

Treatment Outside Area of Cover

Covered Worldwide for emergency treatment

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 in full (up to AED 10,000 outside the UAE); AED 50 deductible per out-patient consultation; pre-authorization required for in-patient treatment

Natal Complications

Covered; pre-authorization required for in-patient treatment

Dental

Dental Coverage

Up to AED 1,500 with 20% co-pay & pre-authorization

Accidental Damage to Teeth

Covered for emergency treatment & if treated within 72 hours of an accident