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S.
Benefits Flexi - Platinum Flexi - Diamond Flexi - Gold Flexi - Silver Flexi - Bronze Flexi - Steel
No.
Aggregate Limit
Under the terms and conditions of the plan,
1 we will pay necessary, customary and AED 1,500,000/- AED 750,000/- AED 250,000/- AED 150,000/- AED 150,000/- AED 150,000/-
reasonable expenses up to an overall
maximum, per insured member per year.
S.
Benefits Flexi - Platinum Flexi - Diamond Flexi - Gold Flexi - Silver Flexi - Bronze Flexi - Steel
No.
In-Patient Treatment
Accidents and emergencies, intensive care
a Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
and theatre costs
Semi Private Room
Private Room Private Room Private Room Semi Private Room Semi Private Room
b Hospital Accommodation ( Room Charges ) Coveredup to aed 450 per
Covered Covered Coveredup to aed 750 per day Coveredup to aed 450 per day Coveredup to aed 450 per day
day
Nursing Fees, medical expenses and
c Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
ancillary charges
Surgeons', consultants, anaesthetist',
d Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
specialists' , General Practitioners' fees
e Prescribed Medicine and drugs Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
Reconstructive surgery following an
f accident or following surgery for an eligible Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
medical condition
Prostheses: artificial body parts surgically
g implated to form permanent parts of an Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
insured member's body
h MRI, PET, CT Scans Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
X-Rays, Pathology, diagnostic tests and
i Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
procedures
Oncology tests, drugs and consultants' fees
j including cover for chemotherapy and Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
radiotheraphy
Parent accommodation
Hospital accomodation cost in respect of a
Covered up to Covered up to
k parent or legal guardian staying with an Insured
AED 200/= per day AED 100/= per day
member who is under 18 years of age and is
admitted to a Hospital as an In-Patient.
Ground transportation services in the UAE
l provided by an authorized party for medical Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
emergencies
Accidental Damage to Teeth
Treatment recevied in an Emergency room in a
m Hospital within 48 hours of incurring Accidental Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
damage caused to sound, natural teeth as a
result of an Accident.
Hospital Cash Benefit
When treatment is received as an In-Patient for
an eligible Medical Condition in a Government
Hospital, where no costs were incurred for
Covered up to Covered up to
n accommodation and/or for treatment, then this
AED 300/= per day AED 200/= per day
benefit pays for a daily cash benefit for In-
Patient stay more than 3 days.
This benefit is not applicable for Accident &
Emergency admissions.
S.
Benefits Flexi - Platinum Flexi - Diamond Flexi - Gold Flexi - Silver Flexi - Bronze Flexi - Steel
No.
Medical emergencies on Hearing and vision
aids, and vision correction by surgeries and
p Cover : Emergency Treatment required to save or alleviate danger to life
laser.
Where any condition develops which becomes an emergency, the medically necessary expenses will becovered up to -Maximum limit AED 150,000 PPPY
S.
Benefits Flexi - Platinum Flexi - Diamond Flexi - Gold Flexi - Silver Flexi - Bronze Flexi - Steel
No.
Other Benefits
Pre-existing Conditions & Chronic Medical
Conditions ( Where any condition develops
which becomes an emergency, the medically
necessary expenses will be covered up to the
-Maximum limit AED 150,000 PPPY
ab
- Treatment for chronic Or pre-existing conditions excluded for first 6 months of first membership. Included thereafter
annual aggregate limit. )
- For declared cases only
- Maximum limit AED 150,000 PPPY ( life - threatening birth defects, deformities and
ae Life threatening congenital conditions
congenital diseases for new born children only )
Nursing at Home
Covered upto a limit of Covered upto a limit of Covered upto a limit of Covered upto a limit of Covered upto a limit of Covered upto a limit of
Immediately following Hospital discharge
AED 5,000/= AED 4,000/= AED 2,500/= AED 1,000/= AED 1,000/= AED 1,000/=
on the recommendation of a specialist and
af
must be provided by a qualified nurse. All
for a period not exceed 30 for a period not exceed 30 for a period not exceed 30 for a period not exceed 30 for a period not exceed 30 for a period not exceed 30
treatments under this benefit must be pre-
days in aggregate. days in aggregate. days in aggregate. days in aggregate. days in aggregate. days in aggregate.
authorized by us.
Reconstructive Surgery
Reconstructive surgery following an
Accident or following surgery for an eligible
ag medical conditions, which is not pre- Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full Covered in Full
existing and the incident has not occurred
prior to commencing this cover under the
policy.
Dental Cover
Below dental procedures excluding any Covered up to a limit of
surgeries. AED 2,000/= with AED 100/=
ah Not Covered Not Covered Not Covered Not Covered Not Covered
Root Canal, Fillings, Extractions, Antibiotics as deductible. Reimbursement
for Infection of Gums Consultation and X- basis only
ray.
Covered up to a limit of
Optical Cover
ai AED 200/= for a pair of lenses. Not Covered Not Covered Not Covered Not Covered Not Covered
Cover for a pair of lenses only.
on Reimbursement basis only
Preventive services
*Preventive services as stipulated by DHA to include initially diabetes and Papanicolaou test. *Frequency restricted to:
aj Diabetes: Every 3 years from age 30
High risk individuals annually from age 18 Papanicolaou: Every 3 years for married female
ANNEXURE : 1 FLEXI - DUBAI PLANS - OPTION 1
S.
Benefits Flexi - Platinum Flexi - Diamond Flexi - Gold Flexi - Silver Flexi - Bronze Flexi - Steel
No.
Vaccines and immunizations
Essential vaccinations and inoculations for Covered - according to DHA price list
ak newborns and children as stipulated in the on Reimbursement basis only
DHA’s policies and its updates in the assigned
facilities from age 0-6 years .
Return Air Fare to Patient for Surgery in AED 2,000/=
Home Country Plus AED 2,000/=
( if treatment is not available in the country of Insured patient only
al AED 2,000/= for
residence or the treatment expense is up to 50%
accompanying Family
of the cost in UAE ). Pre-approval from ASNIC
Member
required
Global Emergency services - Assist America
Key services:
Medical Consultation, Evaluation & Referral, Covered Covered Covered Covered
Hospital Admission Assistance, Emergency (Refer to Global Emergency (Refer to Global Emergency (Refer to Global Emergency (Refer to Global Emergency
Medical Evacuation, Medical Monitoring, Services brochure for Services brochure for Services brochure for Services brochure for
am Medical Repatriation, Prescription complete information on complete information on complete information on complete information on Not Covered Not Covered
Assistance, Compassionate Visit, Care of coverage, conditions and coverage, conditions and coverage, conditions and coverage, conditions and
Minor Children, Return of Mortal Remains, exclusions) exclusions) exclusions) exclusions)
Lost Luggage or Document Assistance,
Interpreter & Legal Referrals, Pre-trip
Information.