Daman - Care Bronze DNE with Dental

Daman Care Bronze DNE with Dental ensures health insurance coverage for families, encompassing a wide range of medical services such as maternity care, outpatient/inpatient services, diagnostics costs etc. Daman offers flexibility and customizable features to tailor-fit your families’ needs and your budget. ...read more

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Plan Summary

Plan NameCare Bronze DNE with Dental

Cover AmountAED 500,000

Pharmacy LimitUpto AED 10,000

TPADaman

Daman - Care Bronze DNE with Dental Details

Maternity Cover

Waiting Period

40 Days waiting period Non Decalared Pre existing condition will not be covered

Out-patient Maternity Services

Within Abu Dhabi Emirate - 10% coinsurance applicable in Cleveland Clinic Abu Dhabi and deductible of AED 50 for other providers; Outside Abu Dhabi Emirate, 20% coinsurance applicable with max AED 50)Other Outpatient services 10% coinsuranceRequires prior approval from the insurance company.10% coinsurance payable by the policy holder8 visits to Primary Health Centre (PHC); (2) All care provided by PHC obstetrician for low risk or specialist obstetrician for high risk referrals;FBC and Platelets, Blood group, Rhesus status and antibodies, VDRL, MSU & urinalysis, Rubella serology, HIV, Hep C offered to high risk patients, GTT if high risk, FBS, random s or A1c for all due to high prevalence of diabetes in UAE Visits to include reviews, checks and tests in accordance with DHA Antenatal Care Protocol3 ante-natal ultrasound scans. Prescribed Drugs for the Outpatient Maternity benefit shall be covered as part of Outpatient Pharmaceuticals.Maximun Limit for In-patient and Out-patient Maternity. AED 150,000 , Within UAE: AED 25,000, Outside UAE: AED 10,000, Within and Outside UAE: Complications are covered up to AED 150,000.

In-patient Maternity Services

10% coinsurance payable by the insuredMaximun Limit for In-patient and Out-patient Maternity. AED 150,000 , Within UAE: AED 25,000, Outside UAE: AED 10,000, Within and Outside UAE: Complications are covered up to AED 150,000.

New Born Cover

Coverage Upto 30 days from birth, New Born care to include, BCG, Hepatitis B and neo-natal screening tests : Phenylketonuria (PKU), Congenital Hypothyroidism, Sickle cell screening, congenital adrenal hyperplasia.

Dental and Gum Treatment

Co-Payment

20% coinsurance

Covered

a) X-Rays; b) Extractions; c) Amalgam / Composite Fillings; d) Root Canal Treatments; e) Consultations; f)Prescribed Drugs for the above mentioned services(covered as part of Outpatient Pharmaceuticals)

Hearing and Vision Aids

Co-Payment

20% coinsurance

Covered

Hearing and vision aids, and vision correction by surgeries and laser (Medical emergency cases)

Coverage Type

Full Access

Out-Patient Services

Co-Payment

Within Abu Dhabi Emirate - 10% coinsurance applicable in Cleveland Clinic Abu Dhabi and deductible of AED 50 for other providers; Outside Abu Dhabi Emirate 20% coinsurance applicable with max AED 50)

Laboratory Tests

10% coinsurance

Radiology diagnostic

10% coinsurance

Physiotherapy Treatment

Maximum 15 sessions per year.Pre-authorization required to avail this benefit.10% coinsurance

Coverage

Direct Access

Alternative Medicine

10% coinsuranceAED 2,500 per person per yearChiropractic, Herbal Medicine, Homeopathy medicine, Acupuncture, Osteopathy, Chinese Medicine and Ayurvedic treatment only.

Medication

10% coinsuranceLong term medications to be dispensed up to 90 days without pre- authorizationAnnual Limit Per Person of AED 10,000 inclusive of Coinsurance