Oman Insurance Company - Oman Max - Plan 3

Oman Insurance Company
Yearly Cover
AED 500,000.00
Deductible
10% co-insurance on all out-patient treatment
Coverage
Worldwide ex-USA
Chronic Conditions
Covered
Pre-Existing Conditions
Not Covered

In-Patient

Ambulance Coverage
Covered; pre-authorization required for in-patient treatment
Hospital Accomodation
Private Room with pre-authorization
Hospital Cash Benefit
Up to AED 500 per day
Parent Accomodation
Up to AED 500 per day with pre-authorization

Out-Patient

Vaccination
Covered for children up to 6 years
Physiotherapy
Covered with pre-authorization; up to a maximum of 10 sessions for out-patient treatment with 10% co-pay
Scans
Covered; pre-authorization required for in-patient treatment; 10% co-insurance on out-patient treatment
Health Checks
Covered up to AED 500 with 10% co-pay
Psychiatric Treatment
Not Covered
Alternative Medicine
Covered up to AED 3,000
Prescription Drugs
Not Covered
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Network
Network Coverage
113 Hospitals
998 Clinics
61 Laboratories
1670 Pharmacies
64 Dentals
97 Optics
Treatment Outside Area of Cover
Covered Worldwide for emergency treatment
Treatment Outside Network
Elective treatment covered 100% at actual with pre-authorization, if treatment is not available within the network; emergency treatment covered 100% at actual on reimbursement basis
Maternity
Pregnancy Cover
Covered with 10% co-pay on out-patient maternity treatment; up to AED 15,000 each for normal delivery, medically essential C-section & complications; preauthorization required for in-patient treatment
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Up to AED 15,000
Dental
Dental Coverage
Covered up to AED 1,000 with 20% co-pay
Accidental Damage to Teeth
Not Covered