Orient - D-Med (HSB)
Embrace peace of mind with Orient D-Med (HSB), 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 Orient D-Med (HSB) according to your family's unique ...read more
Plan Summary
Plan NameD-Med (HSB)
Cover AmountAED 150,000
Pharmacy LimitUpto AED 2,500
TPANextcare
Orient - D-Med (HSB) Details
Maternity Cover
10% co-payment payable by the Policy Holder. 8 Check-ups + 3 ante-natal ultrasound scans are covered at the Primary Health Care Centre. (All Care provided by PHC obstetrician for low risk or specialist obstetrician for high risk referrals.)40 Days ( any pregnancy, which arises within 40 calendar days from policy inception will be at the discretion of the insurer)10% co-payment payable by the insured.
Waiting Period
Maternity Waiting Period
Maternity Waiting Period 40 days No waiting period for maternity coverage upon payment of an additional premium, as per underwriting guidelines – coverage begins from Day 1.
Chronic Condition Waiting Period
Chronic Conditions waiting period 6 month
Pre-existing diseases (PED)
Pre-existing diseases (PED) waiting period 6 months
Additional Information
No waiting period applies to the above cases upon payment of an additional premium, as per underwriting guidelines—coverage begins from Day 1. Also, for renewals, no waiting period is applicable.
Hearing and Vision Aids
Co-Payment
20% co-payment.
Coverage Type
GP Clinic
In-Patient Services
Room Type
In-patient services will be received in rooms of two or more beds.
Ambulance Service
Ground transportation services in the UAE provided by an authorized party for medical emergencies.
Companion Accomodation
Maximum AED 100 per night. (The cost of accomodating a person accompanying an insured child up to the age of 16 years.)Maximum AED 100 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.)
Pre-Existing and Chronic Conditions
-
Any new Chronic condition will have a waiting period of 6 months.All declared Pre-existing and Chronic conditions are covered with a sub limit of AED 150,000/-, Undeclared pre-existing and Chronic conditions will not be covered during the policy period
Network
Network - PCP/RN3
Other Services
Radiology diagnostic
20% Co-payment is applicable alongwith a prior approval from the insurance company
Physiotherapy Treatment
Prior approval of the insurance company is required.Maximum 6 sessions per year.
Test, diagnosis, treatments related to surgeries in hospitals
Covered
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
30% co-payment (co-payment by the insured in respect of each and every prescription.)
Limit
AED 2500 Annually
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 up to 20% co-payment only in case of emergencies
Psychiatry
Not Covered
Alternative medicine
Not Covered
Dental and gum treatment
30% copayment, coverage up to AED 500
Hearing and Vision Aid
In case of emergency only.
Physiotherapy Treatment
Maximum 6 sessions per year.
Region Coverage
UAE & Home Country
93 Orient - D-Med (HSB) Added Network Hospitals
Name
Address
Ahalia Hospital (RN3) (Hospitals)
Ahalia Hospital, Hamdan Street, P.O. Box - 2419 - 26262666
Al Ahli Hospital Company Llc-Branch 1 (RN3) (Hospitals)
Ahalia Hospital, Tariff Road , M-24, Mussafah, P.O. Box - 2419 - 28119119
Al Ain Hospital (Seha) - Aan (RN3) (Hospitals)
Eastern Region, Al Ain Hospital Street/Al Ain Hospital round about,Jimmy Area, AAN - 37022589
Al Dhannah Hospital (Ex: Al Ruwais Hospital - AUH) (RN3) (Hospitals)
Abu Dhabi, Ruwais, Near Ruwais Mall - 28007267
Al Mafraq Hospital (Seha) - Auh (RN3) (Hospitals)
Mafraq area in Baniyas , Abu Dhabi - 25823100
Al- Rahba Hospital (Seha) - Auh (RN3) (Hospitals)
Middle Region, Al Shahama Street, Al Rahba, AUH - 25065000
Al Salama One Day Surgery Center - Auh (RN3) (Hospitals)
Al Salama One Day Surgery Center Bldg, Opposite Al Roashid Mosque, Sector-7, Baniyas East, Abu Dhabi - 25047900
Al Wagan Hospital (Seha) - Aan (RN3) (Hospitals)
Al Ain - 37352222
Bareen International Hospital (RN3) (Hospitals)
Near Fatema Bent Mubark Mousque, Hamdan Street, Muroor Road, Mohammad Bin Zayed Area - 25545555
Behavioral Sciences Pavilion (Seha)- Auh (RN3) (Hospitals)
Al Karama Street, beside Sheikh Khalifa Medical City, AUH - 28192000
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