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Orient Insurance P.J.S.C - Family Care - AUH - Silver Classic - 10% co-pay (old)

Orient Insurance P.J.S.C - Family Care - AUH - Silver Classic - 10% co-pay (old)

Available in Abu Dhabi , Al Ain

Max. Annual Coverage

AED 1,000,000

Deductible

AED 50 per OP consultation (including OP maternity consultation) & 10% co-pay on out-patient prescriptions

Coverage

Worldwide

Chronic Conditions

Covered

Pre-Existing Conditions

Not Covered

In-Patient

Ambulance Coverage

Covered for in-patient treatment with pre-authorization

Hospital Cash Benefit

Not Covered

Hospital Accomodation

Private Room with pre-authorization

Parent Accomodation

Covered with pre-authorization

Out-Patient

Vaccination

Covered for children up to age of 6 years with pre-authorization

Psychiatric Treatment

Covered for emergency mental health treatments

Physiotherapy

Covered with pre-authorization

Alternative Medicine

Up to AED 1,600 on reimbursement basis

Scans

Covered; pre-authorization required for in-patient treatment

Prescription Drugs

Not Covered

Health Checks

Diabetes screening covered once every year for members over 18 years

Network

Network Coverage

102 Hospitals
718 Clinics
55 Laboratories
1452 Pharmacies
5 Dentals
0 Optics

Treatment Outside Area of Cover

Not Covered

Treatment Outside Network

For elective treatment 80% of covered cost (100% for South-East Asia) subject to network rates on reimbursement basis

Maternity

Pregnancy Cover

Covered in full inside Abu Dhabi with AED 500 deductible per delivery; Covered up to AED 10,000 outside Abu Dhabi with AED 50 deductible per out-patient consultation ; pre-authorization required for in-patient treatment

Newborn Baby Cover

Covered; baby born outside UAE covered after acquiring UAE residency status

Natal Complications

Covered; pre-authorization required for in-patient treatment

Dental

Dental Coverage

Up to AED 3,500 with pre-authorization & 20% co-pay on direct billing (additional 20% co-payment on reimbursement)

Accidental Damage to Teeth

Covered if treated within 3 months