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 requirements and affordability with its flexible features.read more
Regulatory credentials
Licensed by the Central Bank of the UAE (Registration No. 123)
DHA Health Insurance Intermediary Permit No. BRK-00041
Emirates Insurance Federation Membership No. B81
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 insured.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 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.)
Waiting Period
Maternity
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
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
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 periodAny new Chronic condition will have a waiting period of 6 months.
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
84 Orient - D-Med (HSB) Added Network Hospitals
Name
Address
National Hospital - AUH (RN3 - Specialist + In-patient) (Hospitals)
P.O.Box 30666, Najda, Eldorado Cinema, Electra Street, Najda Area - 26711000
Al Dhannah Hospital (Ex Al Ruwais Hospital - AUH) (RN3 - Specialist + In-patient) (Hospitals)
Abu Dhabi, Ruwais, Near Ruwais Mall - 28007267
Das Hospital (RN3 - Specialist + In-patient) (Hospitals)
Al Dhannah Island, P.O Box11876 - 2601031
Ahalia Hospital (RN3 - Specialist + In-patient) (Hospitals)
Ahalia Hospital, Hamdan Street, P.O. Box - 2419 - 26262666
Al Ahli Hospital Company Llc-Branch 1 (RN3 - Specialist + In-patient) (Hospitals)
Ahalia Hospital, Tariff Road , M-24, Mussafah, P.O. Box - 2419 - 28119119
Magrabi Speciality Hospital (Day Care Surgeries,Eye,Ear,Nose And Throat (RN3 - Specialist + In-patient) (Hospitals)
Al Nakheel Tower, National bank of Oman, Hamdan Street, Baniyas street, Al Najda - 26345000
Magrabi Specialized Hospital Daycare Surgeries Eye,Ear,Nose, Throat Branch - Auh (RN3 - Specialist + In-patient) (Hospitals)
Al Kheel Tower, Tiol Bank Of Oman, Hamdan Street, Baniyas Street, Al Jda - 22434064
Bareen International Hospital (RN3 - Specialist + In-patient) (Hospitals)
Near Fatema Bent Mubark Mousque, Hamdan Street, Muroor Road, Mohammad Bin Zayed Area - 25545555
New Medical Centre Specialty Hospital Llc (Ex Nmc Specialty Hospital L.L.C Al Ain) (RN3 - Specialist + In-patient) (Hospitals)
Opp. Police Head Quarter, Near Zayed School - 37555999
Nmc Specialty Hospital - Auh (RN3 - Specialist + In-patient) (Hospitals)
Sheikh Zayed 2Nd Street (Electra Road) - 26332255
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