QLM Life & Medical Insurance Company QPSC - QLM Care

QLM Life & Medical Insurance Company QPSC
Available in dubai
Yearly Cover
AED 100,000.00
Deductible
20% co-pay for some in-patient treatments up to a maximum of QAR 500; 20% co-pay on out-patient consultation
Coverage
GCC
Chronic Conditions
Covered after a waiting period of 6 months; covered up to QAR 3,000 (with pre-existing conditions) with 25% co-pay
Pre-Existing Conditions
Not Covered

In-Patient

Ambulance Coverage
Covered
Hospital Accomodation
Private Room
Hospital Cash Benefit
Not Covered
Parent Accomodation
Up to QAR 200 per day

Out-Patient

Vaccination
Not Covered
Physiotherapy
Covered up to QAR 1,500 with 20% co-pay & with pre-authorization; up to 5 sessions per condition for out-patient treatment
Scans
Covered; 20% co-pay for 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
0 Hospitals
0 Clinics
0 Laboratories
0 Pharmacies
0 Dentals
0 Optics
Treatment Outside Area of Cover
Not Covered
Treatment Outside Network
Not Covered
Maternity
Pregnancy Cover
Covered 100% for out-patient maternity treatment (5 visits to PHC, 3 ultra scans); up to QAR 8,000 per normal delivery & QAR 10,000 for medically necessary C-section; up to QAR 10,000 for complications; 20% co-pay on out-patient treatment; covered with waiting period of 12 months
Natal Complications
Up to QAR 10,000 for complications
Dental
Dental Coverage
Not Covered
Accidental Damage to Teeth
Not Covered

Platform

Core HR

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