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Orient Insurance P.J.S.C - Secure Care Plan 1 - NAS CN AUH - AED 50 consultation
Yearly Cover
AED 1,000,000.00
Deductible
NIL
Coverage
Worldwide
Chronic Conditions
Covered; 6 month waiting period for new members without coc
Pre-Existing Conditions
Not Covered
In-Patient
Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Up to AED 300 per night for a max of 10 nights
Parent Accomodation
Covered up to AED 450 per day
Out-Patient
Vaccination
Covered as per MOH
Physiotherapy
Covered with pre-authorization
Scans
Covered for x-ray, MRI, CT-Scan, Ultra Sound & Endoscopy
Health Checks
Not Covered
Psychiatric Treatment
Up to AED 10,000 for in-patient treatment; up to AED 3,000 for out-patient treatment
Alternative Medicine
Up to AED 2,500 for Chiropractic, Homeopathy, chinese medicine and Ayurveda (on reimbursement basis only)
Prescription Drugs
Not Covered
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Network
Network Coverage
124 Hospitals
1255 Clinics
67 Laboratories
1852 Pharmacies
197 Dentals
148 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
80% of the reasonable actual costs or 80% of the reasonable & customary costs of the medical network, whichever is less on, reimbursement basis
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity treatment with AED 50 per consultation; covered 100% for in-patient treatment & in case of an emergency (within Abu Dhabi) with AED 500 deductible per delivery; up to AED 10,000 for normal delivery & up to AED 12,000 for C-section and complications (outside the Emirate of Abu Dhabi)
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Covered; up to AED 12,000 (combined limit with medically necessary C-section) outside Abu Dhabi
Dental
Dental Coverage
Up to AED 3,000 with 20% co-pay for consultation, x-ray, scaling, tooth extraction, amalgam fillings, temporary or permanent composite fillings and root canal treatment only
Accidental Damage to Teeth
Not Covered