Mednet

About MedNet

MedNet is a Third-Party Administrator (TPA), which helps manage healthcare services on behalf of insurance companies, employers, and other organisations. It provides seamless healthcare solutions so that members get access to quality medical services while managing costs effectively.

With over two decades of experience, MedNet Insurance has built a strong reputation in health risk management across the region. It supports insurers by handling policy administration, claims processing, and healthcare provider network management. Additionally, it plays a key role in assessing medical risks, optimising healthcare utilisation, and offering consultancy services to improve healthcare efficiency.

As part of Munich Re, a global leader in reinsurance, MedNet combines medical expertise with financial risk management to create sustainable healthcare solutions. Through its extensive provider network and innovative healthcare management strategies, MedNet ensures that individuals and businesses receive high-quality, cost-effective medical care.

List of MedNet Networks 

MedNet provides a wide range of healthcare provider networks in the UAE. These networks offer different levels of coverage, access to hospitals, clinics and pharmacies, and specialised healthcare options. 

Here is a list of MedNet networks available in the UAE — 

Mednet Services and Specialists

​MedNet Insurance offers a comprehensive suite of services to address various healthcare management needs, focusing on four primary areas —

Third-Party Administration (TPA) Services 

MedNet UAE provides efficient TPA services to optimise expense ratios for private health insurance companies, self-funded schemes, and government health plans. 

Their core expertise includes — 

1. Claims and Cost Management: Ensuring effective processing and management of healthcare claims to control costs​
2. Policy Administration: Managing insurance policies efficiently to maintain accurate records and smooth operations​
3. Process Optimisation and Re-engineering: Continuously improving processes to improve efficiency and service quality.
4. Business and Knowledge Process Outsourcing: Offering outsourcing solutions for various business processes to streamline operations ​

Managed Care Services

To ensure access to high-quality healthcare while optimising costs, MedNet Dubai offers a range of managed care services, including — 

1. Medical and Care Management: Coordinating medical services to provide appropriate and timely care
2. Prospective and Retrospective Medical Review: Evaluating medical cases before and after treatment for necessity and efficiency.
3. Case and Discharge Management: Managing patient cases and discharge processes to promote optimal recovery and resource use​
4. Utilisation and Outcome Management: Monitoring the use of medical services and outcomes to improve healthcare quality​
5. Healthcare Provider Network Management: Maintaining and managing a network of healthcare providers

Health Risk Assessment

MedNet specialises in health risk management, working with clients to provide access to high-quality healthcare while achieving better outcomes within optimised costs. 

Their services include — 

1. Product Design and Pricing Support: Assisting in creating and pricing health insurance products that meet market needs​
2. Medical Risk Evaluation: Assessing medical risks to inform underwriting and policy decisions.
3. Data Management: Handling healthcare data to support informed decision-making and strategy development ​

Consultancy Services

Leveraging over two decades of experience, MedNet in UAE offers training and consultative services in health insurance, managed care, and TPA services. These services are tailored for private health insurance companies, self-funded groups, and government institutions and include — 

1. Consultative Reinsurance: Providing expert advice on reinsurance strategies to mitigate risks
2. In-House TPA Setup: Assisting organisations in establishing their own TPA operations
3. Healthcare Network Consultancy: Offering guidance on developing and managing healthcare provider networks​
4. Managed Care and Call Center Solutions: Developing managed care strategies and call centre operations to improve service delivery

MedNet Health Insurance Providers in the UAE

It’s worth noting that MedNet is a TPA. So when we say MedNet Insurance, it’s rather the TPA’s network of partners, which includes some of the most well-known and trusted health insurance providers. Through these collaborations, you can access a wide range of medical services with financial security. 

Here are some of the health insurance providers linked with MedNet — 

MedNet Claim Process

​MedNet Insurance simplifies the reimbursement claim process by offering an online submission system. For a smooth process, please follow these steps — 

Steps for MedNet Direct Billing Process

With the Direct Billing system, MedNet members can receive medical services without immediate out-of-pocket expenses at network providers. Here's how it works:​

1. Present Your MedNet Card: When visiting a healthcare provider within the network, show your valid MedNet Health Card along with a photo ID at the reception
    
2. Treatment and Documentation: After your consultation or treatment, the healthcare provider will complete a claim form detailing the services rendered
    
3. Payment of Applicable Fees: You are responsible for any co-payments, deductibles, or charges for non-covered services as specified in your policy
    
4. Provider Billing: The healthcare provider submits the claim directly to the TPA for settlement

Steps for MedNet Reimbursement Claim

If you receive medical services outside the MedNet network or need to pay upfront for any reason, you can file a reimbursement claim. 

For this, follow these steps — ​

1. Access the Online Portal: Visit MedNet's reimbursement submission page ​
    
2. Complete the Online Form: Enter all the required personal and treatment details.
    
3. Upload Supporting Documents: Attach the collected documents in the specified formats.
4. Submit the Claim: After reviewing your information, submit the claim through the portal.
5. Reimbursement: Once approved, the reimbursement will be processed according to your policy's terms and conditions

Documents Required for the MedNet Claim Process

When you submit the reimbursement form, you will have to provide the following documents to MedNet UAE — 

1. 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
2. Original Itemised Invoices/Receipts: Submit the original invoices or receipts for the claimed amount — note that these receipts must show the cost per individual service
3. Diagnostic Test Results: Provide copies of the results from any diagnostic tests that were performed
4. Referral Letter: If physiotherapy was prescribed, a referral letter from the treating physician is required
5. Valid Prescription: A valid prescription from the treating physician for any prescribed medication is necessary
6. Discharge Summary/Operative Notes: In case of hospitalisation or surgery, submit the discharge summary or operative notes
7. Police Report/Firsthand Information Report: In case of claims related to accidents, a police report or firsthand information report is required

Submission Guidelines for MedNet Claim

1. Timely Submission: Submit your claim within 60 days from the treatment date for services within the UAE and 90 days for treatments outside the UAE
2. Online Submission: Use MedNet’s online portal to submit your claims so that all required documents are included

Processing Timeline of MedNet Claim

1. Complete Claims: Claims with all necessary documents are processed within 7 working days from the date of receipt
2. Incomplete Claims: If documents are missing or information is insufficient, the TPA will notify you within 2 working days
   1. In this case, you then get 30 days to provide the required information

For more detailed information and to access the online submission portal, please visit MedNet’s official website.

How to Track the Status of Your Reimbursement Claim?

Mednet Insurance assigns a Unique Claims Reference Number (UCRN) to each claim submitted by a policyholder. The UCRN plays a crucial role in the management of your claim, facilitating smooth interactions between you and the TPA’s claims team. 

When your claim is registered with the TPA, 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 this number to monitor its progress at every stage.

You can visit the official website of Mednet Insurance, go to the ‘track your claim’ section, enter the UCRN number and 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?

​In case of an emergency, it's important to have immediate access to MedNet's contact information to receive prompt assistance. 

The TPA operates a 24/7 helpline, staffed by experienced, qualified, and multilingual healthcare professionals. The team is ready to assist you with clarifying health insurance benefits, selecting healthcare providers, coordinating treatments, and addressing other healthcare-related issues. 

Here is a table summarising the key contact details — 

For personalised assistance, you can also refer to the contact number provided on the back of your MedNet access card, which is available 24/7 for all in-hospital treatment inquiries. 

FAQs

1. How can I locate a healthcare provider within the MedNet network?

You can find a list of accredited healthcare providers by visiting MedNet's official website and using the ‘Locate Provider’ feature. This tool allows you to search for hospitals, clinics, and specialists within the TPA’s network so that you receive care from approved providers. ​

1. What should I do if I need medical assistance while traveling outside the UAE?

If your insurance plan includes international coverage, you can seek medical treatment abroad. For inpatient services, contact the number on the back of your MedNet access card for assistance. For outpatient services, you may need to pay upfront and later submit a reimbursement claim with all necessary documents. ​

1. How can I submit feedback or complaints about MedNet services?

You can submit complaints or suggestions through the ‘Complaint form’ available on their website. A representative will review your submission and contact you if necessary. 

1. Are dental services covered under my MedNet plan?

Coverage for dental services depends on the specifics of your insurance policy. To confirm if dental benefits are included, please refer to your policy documents or contact MedNet's customer service for clarification.

1. How can I access MedNet's forms and guides?

MedNet provides various forms and guides, such as reimbursement forms and SOAP forms for network providers, on their website. You can download these documents from the ‘Forms and Downloads’ section. 

1. What is the process for obtaining a second medical opinion through MedNet?

MedNet offers referral management services, also known as ‘second opinion’ referrals. This service establishes the appropriateness and medical necessity of your planned treatment, providing you with an opportunity to discuss the treatment with another specialist. This gives assurance on the planned course of treatment and exploring other available options. ​

Health Insurance Popular Searches

Health Insurance Dubai | Dubai Health Insurance Cost | Health Insurance for Kids | Health Insurance Plans for Family | Dental Insurance | Individual Health Insurance | Health Insurance Abu Dhabi | Medical Insurance Sharjah | How to check Medical Insurance status with Emirates ID | Best Medical Insurance in UAE | Health Insurance for Parents | Maternity Insurance UAE