Al Sagr - Diamond - Plan A

Embrace peace of mind with Al Sagr Diamond - Plan A, an all-encompassing health insurance solution curated for you and your family. From diagnostics and tests, to maternity care and outpatient/inpatient services, this plan covers it all. Customise this Al Sagr Diamond - Plan A according to your family's unique requirements and affordability with its flexible features. ...read more

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AED 1 million Health cover starting @4/Day

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<span>Cover Up to 37 Critical Illnesses</span>
Cover Up to 37 Critical Illnesses
<span>Covid-19 Covered</span>
Covid-19 Covered
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Plan Summary
Plan NameDiamond - Plan A
Cover AmountAED 500,000
Pharmacy LimitUpto AED 1,000,000
TPANextcare

Al Sagr - Diamond - Plan A Details

Maternity Cover
Maximum benefit AED 10,000 per normal delivery, AED 15,000 for medically necessary C-section, complications and for medically necessary termination (All limits include co-payment).
Out-patient Maternity Services
Requires prior approval from the insurance company.Covered (9 months waiting period for non-working married females without continuity of coverage who are confirmed pregnant after time of enrollment o Nil waiting period for employees & non-working married females with continuity of coverage)10% coinsurance payable by the insured. PHC Visits to include reviews. (All Care provided by Primary Health care obstetrician for low risk or specialist obstetrician for high risk referrals.)
New Born Cover
Cover from 30 days from birth BCD, Hepatitis B and neo-natal screening test. (Cover for 30 days from birth.)
Waiting Period
Maternity Waiting Period
any pregnancy, which arises within forty calendar days from the date of policy issuance, shall not be covered under this policy under any condition
Chronic Condition Waiting Period
Treatment for chronic Or pre-existing conditions excluded for first 6 months of first membership (DXB). Pre-existing Conditions Covered after 1 year of continuous cover with ASNIC (NE)
Pre-existing diseases (PED)
Covered only if declared on additional payment
Hospital Access
Direct access to hospital
Coverage Type
Clinic + Hospital Access
In-Patient Services
Room Type
Private Room
Ambulance Service
Ground transportation services in the UAE provided by an authorized party for medical emergencies.
Companion Accomodation
Maximum AED 200 per night. (The cost of accomodating a person accompanying an insured child up to the age of 16 years.)Maximum AED 200 per night. (The cost of accommodation of a person accompanying an in-patient in the same room in case of medical necessity at the recommendation of the treating doctor and after the prior approval of the insurance company providing coverage.)
Territorial Scope Of Coverage
Coverage
Worldwide Excluding USA & CanadaInsurance Coverage is only for Dubai visa holders.
Pre-Existing and Chronic Conditions
6 months waiting period is applicable for new entrants & members without continuity of coverage for the declared Pre-existing & the newly discovered Chronic conditions Nil waiting period for members with continuity of coverage for the declared Pre-existing & Chronic conditions.
Network
Nextcare - GN
Other Services
Radiology diagnostic
Covered in full
Test, diagnosis, treatments related to surgeries in hospitals
Prior approval required from the insurance company / TPA.
Emergency Treatment
Approval required from the insurance company within 24 hours of admission to the authorized hospital.
Healthcare services for emergency cases
Prior approval required from the insurance company (Prior approval required from the insurance company Where a pre-existing or chronic condition develops into an emergency within the 6-month exclusion preriod this must be covered up to the annual aggregate limit.)
Medication
Co-Payment
Nil co-payment. (co-payment by the insured in respect of each and every prescription.)
Limit
upto Policy annual limit
Description
No cover for drugs and medicines in excess of the annual limit. Restricted to a list of formulary products where available at the physician and the pharmacist.
Diagnostics (X-RAY, MRI, CT-SCAN)
Covered
Psychiatry
Not Covered
Alternative medicine
Not Covered
Dental and gum treatment
Not Covered
Hearing and Vision Aid
Emergency Treatment required to save or alleviate danger to life with 20% co-insurance
Physiotherapy Treatment
Covered up to 7 sessions per ailment/condition per person per year
Region Coverage
- Where this policy is applicable
Worldwide Excluding USA & Canada

139 Al Sagr - Diamond - Plan A Added Network Hospitals

Name
Address
Ahalia Hospital (Hospitals)
Ahalia Hospital, Hamdan Street, P.O. Box - 2419 - 26262666
Ain Al Khaleej Hospital - AAN (Hospitals)
Ain Al Khaleej Hospital Building,next to Al Jimi Mall,Al Jimi,AAN - 7133333
Al Ahli Hospital Company LLC-Branch 1 (Hospitals)
Ahalia Hospital, Tariff Road , M-24, Mussafah, P.O. Box - 2419 - 28119119
Phoenix Hospital L.L.C. (Ex Al Bustan Specialty Hospital L.L.C.) (Hospitals)
Plot - 1, M-10, Shabiyah, Musaffah, P.O. Box - 2419 - 26151515
Mediclinic Hospitals L.L.C. (Airport Road Hospital) Ex: Al Noor Hospital - Airport Branch (Hospitals)
Airport Road, Abu Dhabi, Uae - 8002000
Mediclinic Hospitals L.L.C. (Al Ain Branch Hospital) Ex: Al Noor Hospital-AAN (Hospitals)
Al Mada Complex, Khalifa St., Al Ain, Abu Dhabi - 8002000
Mediclinic Hospitals L.L.C. (Al Noor Hospital) Ex: Al Noor Hospital-AUH (Hospitals)
Mohammad Bin Butti Bldg., Khalifa St., Abu Dhabi, Uae - 8002000
Mediclinic Hospitals L.L.C. (Al Jowhara Hospital) Ex: Al Noor Medical Company - Al Noor Hospital LLC - Branch 4 (Hospitals)
Civic Center, Al Jimi, Al Ain, Abu Dhabi - 27051500
Al Ruwais Hospital - AUH (Hospitals)
Abu Dhabi, Ruwais, Near Ruwais Mall - 8007267
Al Salama One Day Surgery Center - AUH (Hospitals)
Al Salama One Day Surgery Center Bldg, Opposite Al Roashid Mosque, Sector-7, Baniyas East, Abu Dhabi - 5047900

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