Adamjee - Pearl
Adamjee Pearl ensures health insurance coverage for families, encompassing a wide range of medical services such as maternity care, outpatient/inpatient services, diagnostics costs etc. Adamjee offers flexibility and customizable features to tailor-fit your families’ needs and your budget.
4.6/5
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Reviews
AED 1 million Health cover starting @4/Day
Self Only
Both Self and Family
Family without Self
Domestic Workers
Investor
Worldwide Coverage
Wide Choices
Expert Advice
Plan Summary
Plan NamePearl
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 1,000,000
TPAMEDNET
Adamjee - Pearl Details
Maternity Cover
Maternity Cover
- Normal Delivery expenses are covered up to a sub limit of AED 10,000/- - Medically necessary Caesarean Section and complication expenses are covered up to a sub limit of AED 10,000/- - Any Medical Emergency expenses related to Maternity will be covered
Waiting Period
Maternity Waiting Period
Maternity Waiting Period 40 days No waiting period for maternity coverage upon payment of an additional premium, as per underwriting guidelines – coverage begins from Day 1.
Chronic Condition Waiting Period
New chronic condition will be covered from Day One
Pre-existing diseases (PED)
Pre-existing diseases (PED) Covered only if declared on additional payment
Additional Information
No waiting period applies to the above cases upon payment of an additional premium, as per underwriting guidelines—coverage begins from Day 1. Also, for renewals, no waiting period is applicable.
Dental and Gum Treatment
Dental
Covered subject to the following: • Sub-limit: AED 3,500 • Coinsurance: 20%
Hearing and Vision Aids
Covered only in cases of medical emergencies
Coverage Type
Full Access
Out-Patient Services
New Born Cover
As per DHA benefit guidelines.
Laboratory Tests
Covered with 0% co-pay per invoiceCovered with 20% co-pay per invoice
Covered with 10% co-pay per invoice
Physiotherapy Treatment
Fully Covered - 0% Co-paymentFully Covered - 20% Co-paymentFully Covered - 10% Co-payment
Dental
Free Access - Covered with 20% Co-Payment with an annual Sub-Limit of AED 3,500, Reimbursement - Additional 20% co-payment applicable over free access with annual sub limit of AED 3,500
Vaccinations (Adults)
Covered both on Free Access & reimbursement basis
Physician Consultation
Covered with Co-pay of 20% max 50 per consultation
In-Patient Services
Room Type
Private Room
Ambulance Service
Covered
Pre-existing conditions
All pre-existing medical conditions should be declared in the Medical Application Form and is subject to medical underwriting. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.
Parent Accommodation for child under 18 years
For children upto 16 Years of Age - Covered maximum up to 100 AED per night
Repatriation of Mortal Remains to Home Country
Covered up to AED 7,500/-
Network
Network List
Pearl
Essential Vaccines & Preventive Services
Alternative Medicine
Covered up to AED 1,600/- PMPY
31 Adamjee - Pearl Added Network Hospitals
Name
Address
SEHA EMIRATES HOSPITAL (Hospitals)
AL LEDEEM STREET - 02-4438999
***LIFECARE HOSPITAL (Hospitals)
BANIYAS STREET, WATHBA, GATE NO. 6 AL RAHA VILLAGE - 02-5856333
***LLH HOSPITAL L.L.C./MF1954 (FORM LIFELINE HOSPITAL) (Hospitals)
ELECTRA STREET, AL MARWA BUILDING - 02-6335522
***LLH HOSPITAL AL MUSAFFAH LLC (Hospitals)
MUSSAFAH, ALI KAHBOUS AL ZAABI - 02-5557711
BURJEEL FARHA HOSPITAL L.L.C. (formerly MEDEOR 24X7 INTERNATIONAL HOSPITAL L.L.C.) (Hospitals)
ASHAREJ COMMERICAL & RESIDENTIAL CENTER, BIDA BIN AMMAR, ASHAREJ, AL AIN CITY - 03-7099000
***SPECIALISED MEDICAL CARE HOSPITAL (Hospitals)
AL JAHLI STREET, NEAR AL AIN MUESUM - 03-7552291
MEDEOR 24X7 HOSPITAL LLC (Hospitals)
MUROOR ROAD, OPP EMPOST, MADINAT ZAYED AREA - 02-6900600
***LIFECARE HOSPITAL LLC-BRANCH 1-LIFELINE GROUP/MF2420 (Hospitals)
MUSAFFAH - 02-5566666
PHOENIX HOSPITAL LLC (prev. AL BUSTAN SPECIALTY HOSPITAL AUH AHALIA GROUP) (Hospitals)
PLOT 1 SHABIA 10 MUSSAFAH - 02-6151515
AMINA HOSPITAL LLC (Excluding Dr. Naim Satme and Dr. Sohair Mohammed El Ameen Ibrahim Ali) (Hospitals)
NEAR EMIRATES NBD BANK, AL QUDS STREET - 06-7114444
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