Mednet

Mednet is a leading third-party administrator (TPA) in the UAE that specialises in healthcare benefits management. Established to bridge the gap between healthcare providers and insurance companies, MedNet efficiently streamlines the process of claims management, policy issuance, and customer service. ...read more

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AED 1 million Health cover starting @4/Day
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The above plans and premiums are for AED 1,000,000 Sum insured for 1 Adult of 30 Years for Dubai city.

Utilising a robust digital platform and a thorough understanding of both the insurance and healthcare sectors, it provides an unparalleled level of service in managing healthcare policies. Over the years, Mednet has successfully earned a reputation as one of the most renowned TPAs in the UAE, consistently delivering superior value to its clients and contributing to the overall enhancement of the country's healthcare ecosystem.

The following article will provide the ins and outs of Mednet as a TPA, including its types of healthcare facilities, services, linked insurance companies, and more. 

Types of Mednet Healthcare Facilities

Given below are the types of networks available with MedNet – 

  • Mednet
  • Mednet Silk Road
  • Mednet Pearl

For more information on the networks provided by MedNet, you can visit the official website of Policybazaar UAE, head to the health insurance section, fill out the lead form, select a relevant plan, and click on the network list associated with the plan.

Mednet Services and Specialists

MedNet offers a comprehensive suite of health benefits management services through various insurance plans. These plans aim to ensure a broad range of medical needs are addressed.

  • Maternity Coverage: This benefit caters to the medical needs of expectant mothers. It includes prenatal care, delivery costs, and postnatal care, ensuring that both the mother and child receive the best possible healthcare.
  • Screening Tests as per DHA Antenatal Care Protocol: MedNet provides a complete range of antenatal screenings as guided by the Dubai Health Authority (DHA) protocol. These tests include Full Blood Count (FBC) and Platelets, Blood group, Rhesus status and antibodies, VDRL, MSU & urinalysis, Rubella serology, HIV testing, Hepatitis C testing (offered to high-risk patients), Glucose Tolerance Test (GTT, if high risk), Fasting Blood Sugar (FBS), Random Blood Sugar or HbA1C, and Ultrasonography, with provision for three scans.
  • Dental and Gum Treatment: MedNet dental coverage includes a broad range of services such as routine dental check-ups, preventive care, dental surgeries, and gum disease treatments.
  • Essential Vaccines and Preventive Services: As a part of its commitment to preventive healthcare, MedNet provides coverage for necessary immunisations and preventive services to help policyholders maintain optimum health and prevent the onset of diseases.
  • Out-patient Services: Mednet insurance plans also cover outpatient services, which include doctor's consultations, minor surgeries, diagnostic tests, and treatments that do not require an overnight stay at the hospital.

Important: Please note that the specific services and extent of coverage may vary according to the particular insurance plan. For the most accurate and up-to-date information about the services provided by MedNet and the details of their various insurance plans, it is best to contact MedNet directly or refer to their official website.

Insurance Providers Linked With Mednet

As a leading TPA, Mednet plays a crucial role in the industry by streamlining the oft-complex interface between healthcare providers and insurance companies. Leveraging its profound understanding of both the insurance and healthcare sectors, MedNet offers comprehensive healthcare benefits management services that bring unparalleled value to its clients and the wider healthcare ecosystem in the UAE.

Some of the prominent insurance partners of Mednet are listed below - 

  • Orient Insurance: As one of the leading insurance companies in the UAE, Orient Insurance provides a wide array of insurance products and services, ranging from health to motor and property insurance. Its strong market presence and commitment to service excellence make it a valued partner of MedNet.
  • Dubai Insurance: Established in 1970, Dubai Insurance Company is one of the oldest insurance companies in the UAE. It offers a diverse portfolio of insurance products, including health insurance. Their partnership with MedNet helps them deliver seamless healthcare benefit services.
  • Takaful Emarat: Takaful Emarat is an established Shariah-compliant insurance provider in the UAE, offering an extensive range of insurance products including health, life, and accident insurance. In collaboration with MedNet, Takaful Emarat offers comprehensive healthcare coverage that adheres to the principles of Islamic finance.
  • Watania Takaful: Watania Takaful is an Islamic insurance provider known for its ethical and customer-centric approach to insurance. Their collaboration with MedNet reinforces their commitment to providing efficient and effective healthcare benefits to their customers.
  • Adamjee Insurance: As part of one of the largest insurance groups, Adamjee Insurance offers a broad spectrum of insurance services. Their partnership with MedNet strengthens their healthcare benefits offering in the UAE.
  • Salama Insurance: As one of the world's largest and oldest Takaful and Re-Takaful operators, Salama Insurance offers a wide range of Sharia-compliant insurance solutions. MedNet's partnership with Salama Insurance enhances its capacity to deliver comprehensive, high-quality healthcare benefits to its clients.
  • RAK Insurance: Founded in 1974, RAK Insurance offers a variety of insurance services, including health, home, and motor insurance. Their association with MedNet allows them to effectively administer their health insurance policies and deliver premium customer service.

Claim Procedure of Mednet

MedNet has designed a seamless claim procedure for its policyholders, ensuring that they receive the benefits entitled to them in an efficient and straightforward manner. There are two main types of claims – Reimbursement Claims and Direct Claims.

Reimbursement Claims are when you pay for the medical services upfront, then file a claim with your insurance provider (in this case, MedNet) to get reimbursed for the eligible expenses. This is different from Direct Claims, where MedNet directly settles the bills with the healthcare provider, requiring no upfront payment from the policyholder.

To initiate a MedNet Reimbursement Claim Procedure, follow the steps below:

  • Contact the Mednet call centre at 800 4882 to confirm your coverage benefits. 
  • Visit the official Mednet website at www.MedNet-uae.com, navigate to the customer service section, and download the reimbursement claim form.
  • Fill out the form and attach all required documents. 
  • Upon submission, your claim will be reviewed. If approved, you'll be reimbursed for the eligible expenses as outlined in your policy's terms and conditions.

Note: Make sure to submit the claim within 60 days from the date of treatment if received within the UAE. For treatments obtained outside the UAE, claims must be submitted within 90 days from the date of treatment.

  • To resubmit the claim, visit http://MedNet-global.com/members/reimbursement.aspx, key in the UCRN number and all other required details to submit your claim.

When you submit the reimbursement form, you would be required to provide the following documents - 

  • Detailed Medical Report: These reports should clearly state the diagnosis, the date when the disease was first observed, any past occurrences of the same disease, details of previous and current treatments including prescribed medications, investigations undertaken, and the prognosis.
  • Original Itemised Invoices/Receipts: Submit the original invoices or receipts for the claimed amount. Keep in mind that these receipts must show the cost per individual service.
  • Diagnostic Test Results: Provide copies of the results from any diagnostic tests that were performed.
  • Referral Letter: If physiotherapy was prescribed, a referral letter from the treating physician is required.
  • Valid Prescription: A valid prescription from the treating physician for any prescribed medication is necessary.
  • Discharge Summary/Operative Notes: In case of hospitalisation or surgery, submit the discharge summary or operative notes.
  • Police Report/Firsthand Information Report: In case of claims related to accidents, a police report or firsthand information report is required.

Remember, it is essential to submit all necessary documents to ensure a smooth and swift reimbursement process.

How to Track the Status of Your Reimbursement Claim?

To ensure transparency and efficient tracking, Mednet assigns a Unique Claims Reference Number (UCRN) to each claim submitted by a policyholder. The UCRN serves as a pivotal tool in managing your claim, facilitating smooth interactions between you and MedNet's claims team. 

When your claim is registered with Mednet, the UCRN is automatically sent to you via email. This unique identification number is your key to tracking the status of your claim - from the moment it is submitted until its final resolution. Whether your claim is in the process of review, approval, or settlement, you can utilise the UCRN to monitor its progress at every stage.

You can visit the official website of Mednet, navigate to the track your claim section, enter the UCRN number and Google captcha, and submit the form. The status of your reimbursement claim form will appear on the screen. 

How to Contact MedNet In Case of Emergency?

Mednet is dedicated to providing continuous and effective support to its policyholders, ensuring that they can access assistance whenever necessary. Their 24/7 helpline service is staffed by experienced, qualified, and multilingual healthcare professionals who are readily accessible via telephone, email, and fax.

If you find yourself in a region covered by your insurance plan and require treatment assistance, you can reach out to MedNet directly by dialling the call centre number listed on the back of your MedNet access card. This number provides round-the-clock assistance for any in-hospital treatments.

For outpatient treatments, the payment is typically made upfront by the policyholder who can apply for reimbursement later. The necessary reimbursement claim form, along with a list of the required documents, is available for download from MedNet’s official website at www.MedNet-uae.com.

Here are the key contact details for Mednet - 

  • International Phone: +971 4 2757800
  • International Fax: +971 4 3908598
  • UAE Toll-Free Number: 800 4882 (800 MedNet)
  • UAE Toll-Free Fax: 800 4883

Check out the next section for some frequently asked questions related to Mednet.

FAQs

Q1. What is Mednet?

Ans: Mednet is a well-renowned third-party administrator (TPA) in the UAE specialising in healthcare benefits management. It streamlines claims management, policy issuance, and customer service to bridge the gap between healthcare providers and insurance companies.

Q2. What are the types of healthcare facilities offered by Mednet?

Ans: Mednet offers three types of networks: MedNet, MedNet Silk Road, and MedNet Pearl. These networks provide a range of healthcare facilities to cater to different medical needs.

Q3. What services does Mednet provide?

Ans: Mednet offers various services such as maternity coverage, screening tests as per DHA Antenatal Care Protocol, dental and gum treatment, essential vaccines and preventive services, and outpatient services.

Q4. Which insurance companies are linked with Mednet?

Ans: Mednet collaborates with various insurance partners in the UAE including Orient Insurance, Dubai Insurance, Takaful Emarat, Watania Takaful, Adamjee Insurance, Salama Insurance, and RAK Insurance.

Q5. What is the claim procedure for Mednet?

Ans: Mednet offers reimbursement claim procedures where policyholders pay upfront and file a claim for reimbursement afterwards. They also provide direct claims where MedNet settles the bills with healthcare providers directly.

Q6. How can I track the status of my reimbursement claim?

Ans: Each claim submitted to MedNet is assigned a Unique Claims Reference Number (UCRN), which is auto-mailed to you upon registration of the claim. You can make use of this number to track the status of your claim from submission to settlement.

Q7. What documents are required for a reimbursement claim?

Ans: When submitting a reimbursement claim, you need to include detailed medical reports, original itemised invoices or receipts, diagnostic test results, referral letters (if applicable), valid prescriptions, discharge summaries or operative notes (if hospitalised), and police reports or firsthand information reports (for accident-related claims).

Q8. How can I contact Mednet in case of an emergency?

Ans: Mednet provides round-the-clock helpline services. You can contact MedNet via telephone, email, or fax using the provided international phone number, international fax number, UAE toll-free number, or UAE toll-free fax number.

TPA - Third Party Administrator List in UAE

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