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Orient Insurance P.J.S.C - Secure Care Plan 6 - NAS VN AUH - AED 50 consultation - 30% - 10%
Yearly Cover
AED 250,000.00
Deductible
AED 50 per OP consultation & 30% co-pay on Pharmacy & 10% copay on diagnostics
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
Semi-private room
Hospital Cash Benefit
Up to AED 200 per night for a max of 10 nights
Parent Accomodation
Covered up to AED 150 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 with 10% co-pay on out-patient treatment
Health Checks
Not Covered
Psychiatric Treatment
Not covered
Alternative Medicine
Not covered
Prescription Drugs
Not Covered
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Network
Network Coverage
2 Hospitals
545 Clinics
23 Laboratories
1950 Pharmacies
34 Dentals
55 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
Not covered
Accidental Damage to Teeth
Not Covered