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Qatar Insurance Company - NAS Plan 6 - Silver - 10% max AED 75 - 20% - 20%
Yearly Cover
AED 1,500,000.00
Deductible
10% co-pay with a maximum of AED 75 per OP consultation & 20% co-pay on pharmacy & diagnostics
Coverage
Worldwide
Chronic Conditions
Covered up to AED 150,000 (with pre-existing conditions); 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 for children up to 6 years
Physiotherapy
Covered with pre-authorization; up to 6 sessions for out-patient treatment
Scans
Covered for x-ray, MRI, CT-Scan, Ultra Sound & Endoscopy with 20% co-pay on out-patient treatment
Health Checks
Preventive services for diabetic screening covered once in 3 years from age 30 & for high risk individuals once a year from age 18
Psychiatric Treatment
Up to AED 800 with 30% co-pay
Alternative Medicine
Up to AED 1,000 for Chiropractic, Homeopathy, Osteopathy and Ayurveda (on reimbursement basis only)
Prescription Drugs
Not Covered
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Network
Network Coverage
34 Hospitals
546 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 (10 visits to PHC, 4 ultra scans); up to AED 10,000 for in-patient treatment & covered 100% in case of an emergency; 10% co-pay
Newborn Baby Cover
Covered for 30 days from birth
Natal Complications
Covered
Dental
Dental Coverage
Up to AED 500 with 30% 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