Oman Insurance Company - Oman Pro - Plan 2

Oman Insurance Company
Yearly Cover
AED 3,000,000.00
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 1,000 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
53 Hospitals
600 Clinics
30 Laboratories
1670 Pharmacies
10 Dentals
0 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 20,000 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 20,000
Dental
Dental Coverage
Covered up to AED 2,000 with 20% co-pay
Accidental Damage to Teeth
Not Covered