DNIRC Individual Health Insurance
Dubai National Insurance & Reinsurance P.S.C (DNI) is a UAE-based Public Shareholding company established in 1991. It is regulated by Federal Law 6 of 2007 and was one of the first firms listed on the Dubai Financial Market. DNIRC Individual Health Insurance has experienced consistent growth in ...read more
The company fosters mutual growth with its customers through innovative insurance solutions. Now let's explore more about DNIRC’s individual health insurance plans, which provide personalised healthcare protection for individuals in the UAE.
DNIRC Individual Health Insurance Plans
DNIRC Individual health insurance Plans offer comprehensive medical coverage and a range of other features. Let's explore the key coverage inclusions provided by different plan variants.
1- DNIRC Regional And Local Plans
| Plan Type | Coverage Level | Sum Insured | Key Features |
|---|---|---|---|
| Diamond | Regional | AED 750,000 per member | Essential regional coverage for employees and dependents. |
| The sum insured is AED 750,000 for each member. | |||
| Policy customisation based on specific needs. | |||
| Improved network coverage for healthcare. | |||
| Gold | Regional | AED 750,000 per member | Essential regional coverage for employees and dependents. |
| The sum insured is AED 750,000 for each member. | |||
| Policy customisation based on specific needs. | |||
| Improved network coverage for healthcare. | |||
| Silver | Regional | AED 750,000 per member | Essential regional coverage for employees and dependents. |
| The sum insured is AED 750,000 for each member. | |||
| Policy customisation based on specific needs. | |||
| Enhanced network coverage for healthcare. |
2- DNIRC Worldwide Plans
| Plan Type | Coverage Level | Sum Insured | Key Features |
|---|---|---|---|
| Worldwide Platinum Plus | Worldwide Coverage | Sum insured of AED 1.5 million for Each member. | Extensive worldwide coverage for employees and dependents. |
| Emergency coverage is available worldwide | |||
| Network Direct Billing: Enjoy the convenience of direct billing with healthcare providers in your home countries. | |||
| Customisable Policies: Tailor your policy to meet your specific requirements. | |||
| Family Care Plus | Worldwide Coverage | Sum insured of AED 1.5 million for every member. | Comprehensive worldwide coverage designed for family members. |
| Emergency coverage is available worldwide | |||
| Network Direct Billing: Enjoy the convenience of direct billing with healthcare providers in your home countries. | |||
| Customisable Policies: Tailor your policy to family members. | |||
| Sum insured of AED 1.5 million for each member. | |||
| Emergency coverage is available worldwide, excluding the USA & Canada. | |||
| Network Direct Billing: Enjoy the convenience of direct billing with healthcare providers tomeet your specific requirements. | |||
| Platinum | Worldwide Coverage (Excluding USA & Canada) | Sum insured of AED 1.5 million for every member. | Comprehensive worldwide coverage for employees and dependents, excluding the USA & Canada. |
| Emergency coverage is available worldwide, excluding the USA & Canada. | |||
| Network Direct Billing: Enjoy the convenience of direct billing with healthcare providers’ in your home countries. | |||
| Customisable Policies: Tailor your policy to meet your specific requirements. |
3- DNIRC Essential Benefits Plan
| Category | Designed For |
|---|---|
| Eligibility | LSB Employees under Dubai visa |
| Dependents under Dubai visa | |
| Network of Healthcare Providers | Wide range of healthcare facilities |
| Direct billing access | |
| Affordable Plans | EBP for Employees: AED 535.00 |
| EBP for Dependents: Starting from AED 805.00 | |
| (Excluding PSP fee (AED 37/-) and VAT (5%)) | |
| Additional Costs | PSP Fee: AED 37/- |
| VAT: 5% |
Key Features and Benefits of DNIRC Individual Health Insurance
Let's explore the key aspects of DNIRC'S health insurance policy:
- Aggregate Limit: The coverage amount per insured person annually varies depending on the selected plan.
- Area of Coverage: Their insurance spans across different regions, including the UAE, GCC, Middle East, Southeast Asia, and Subcontinent.
- Network Options: Plan options provide several choices when it comes to networks, such as the General Plus Network, Restricted Network, and Network of Clinics.
- Claims Processing: You have the convenience of either having your eligible treatments directly billed within the network reimbursed through your insurance plan.
- Preexisting Health Conditions: Insurance coverage for pre-existing health conditions may involve a waiting period and individual medical underwriting.
- Deductibles and Copays: Certain services or consultations may be subject to deductibles and copayment requirements in some plans.
- Family Inclusion: Their insurance plans provide coverage for the main member, their spouse, and children up to a specific age.
Eligibility Criteria for DNIRC Individual Health Insurance
Below are the qualifications for DNIRC Individual Health Insurance:
- UAE Residency: This insurance is open to all UAE residents, including UAE citizens and expatriates with a valid UAE residence visa.
- Age Criteria: Individuals aged between 18 and 99 years can avail of this coverage.
DNIRC Individual Health Insurance Inclusions
Let’s take a look at the general inclusions of DNIRC individual health insurance:
- Hospital Accommodation: The coverage includes options for both private room and shared room accommodation, depending on the selected plan.
- Prescribed Medicines and Drugs: Coverage for prescribed medicines and drugs.
- Diagnostic Tests and Procedures: Coverage includes X-rays, pathology tests, CT scans, MRI scans, and other essential diagnostic tests and procedures to ensure comprehensive healthcare.
- Coverage for maternity benefits: Includes normal delivery, medically necessary C-sections, complications, and medically necessary terminations. However, please note that there are specific limits and co-payment requirements associated with these benefits.
- Emergency Local Ambulance: Coverage provides financial support for the cost of road ambulance transportation in situations involving emergencies or medical necessity.
- Repatriation of Mortal Remains: Coverage for the cost of preparing and transporting the body or mortal remains of the insured person in the event of death
- Routine Dental Coverage: Limited coverage is provided for routine dental treatments, such as fillings, tooth extractions, root canal treatment, and scaling. The coverage operates on a reimbursement basis.
- Optical Coverage: Limited coverage for a pair of lenses for refractive errors, as per the doctor's prescription, on a reimbursement basis.
- Vaccinations and Screenings: Insurance coverage for necessary vaccinations, yearly screenings, and tests in accordance with relevant guidelines.
- Annual Medical Check-Up Coverage: You are eligible for an annual medical check-up after a certain period of having insurance coverage.
- Geographic Coverage: Coverage extends to the UAE, GCC countries, Middle East, Southeast Asia, and the Indian Subcontinent.
Exclusions of DNIRC Individual Health Insurance
These are the exclusions associated with DNIRC Individual Health Insurance:
- Undeclared Pre-existing Conditions: Any undisclosed pre-existing conditions will not receive coverage during the policy period and may be assessed during renewal.
- Vision: Vision surgeries and laser treatments are not part of the coverage.
- Cosmetic Procedures: Cosmetic surgeries and treatments are excluded, unless they are deemed medically necessary as a result of an accident or surgery for a qualifying medical condition.
- Organ Transplant Donor Expenses: Costs associated with organ transplant procedures, including organ procurement and donor expenses, are not included.
- Undeclared Pregnancy at the time of Policy Purchase
- Hearing and Vision Aids: This insurance does not cover hearing aids, vision aids, or procedures like vision correction surgeries and laser treatments.
- Experimental and Investigational Treatments: The insurance provider does not cover treatments that are classified as experimental or investigational.
- Alternative Therapies: Alternative therapies, including homoeopathy, acupuncture, and naturopathy, are not within the scope of coverage.
Learn more about DNIRC individual health insurance by knowing what people are asking in the following frequently asked questions section.
FAQ's
Q1. Do I get coverage for pre-existing or chronic conditions with individual insurance?
Ans: Pre-existing medical conditions, which are conditions you have received treatment for, experienced symptoms of, or were aware of before your insurance start date, are typically excluded from individual health insurance coverage.
Q2. Is seeking treatment from a provider outside of the network possible?
Ans: Absolutely, you have the flexibility to receive care from a non-network provider. In such cases, you'll cover the full charges upfront. Afterwards, you can submit a reimbursement claim for eligible expenses. Please refer to your contract to ensure it permits reimbursement for such instances.
Q3. What expenses does DNIRC Health Insurance typically includes?
Ans: DNIRC Health insurance typically encompasses the financial aspects of medical care, including doctor visits, emergency room visits, prescription medications, and various medical tests to diagnose and treat non-excluded medical conditions.
Q4. Is there any additional cost besides the premium?
Ans: Depending on your specific health insurance plan, you may be responsible for a portion of your medical expenses and the regular premium you pay for general coverage.
Q5. Can I extend my coverage beyond basic health insurance?
Ans: Yes, you can enhance your health insurance coverage by purchasing additional services that are not typically included. These services can range from pregnancy and childbirth support to dental treatments, optical care, vaccinations, and more.
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