Orient - Pearl - Family Care
Your family's health is paramount, and Orient Pearl - Family Care offers the ideal health insurance coverage to prove it. This Orient Pearl - Family Care includes a plethora of medical services, such as maternity care, critical illness cover, dental and gum treatment, hearing and vision aids, and ...read more
HEALTH INSURANCE
AED 1 million Health cover starting @4/Day
Selecting health insurance for
Self Only
Both Self and Family
Family without Self
Domestic Workers
Investor
4.6/5
22378
Reviews
Cover Up to 37 Critical Illnesses
Covid-19 Covered
Claim Assistance
Plan Summary
Plan NamePearl - Family Care
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 1,000,000
TPAMEDNET
Orient - Pearl - Family Care Details
Maternity Cover
10% co-payment payable by the insured.
Dental and Gum Treatment
Co-Payment
20% Copay Covered with sub-limit of AED 3500
Hearing and Vision Aids
Co-Payment
20% co-payment.
Coverage Type
Clinic + Hospital Access
Out-Patient Services
Description
Out Patient treatment restricted to Clinics Only. From 10 PM to 8AM Out Patient treatments access is
In-Patient Services
Room Type
Private Room
Ambulance Service
Ground transportation services in the UAE provided by an authorized party for medical emergencies.
Companion Accomodation
Covered (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.)
Territorial Scope Of Coverage
Coverage
Worldwide
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 period
Network
MEDNET Pearl
Other Services
Radiology diagnostic
Nil Co Insurance
Physiotherapy Treatment
Maximum 15 sessions per year.Prior approval of the insurance company is required.
Test, diagnosis, treatments related to surgeries in hospitals
Prior approval required from the insurance compay / TPA.
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
10% co-payment (co-payment by the insured in respect of each and every prescription.)
Limit
upto Policy annual limit
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)
Nil co-paymentCovered with 10% CopayCovered with 20% Copay
Psychiatry
Not Covered
Alternative medicine
Covered up to AED 1,600/- PMPY
Dental and gum treatment
20% Copay Covered with sub-limit of AED 3500
Hearing and Vision Aid
In case of emergency only
Physiotherapy Treatment
Maximum 15 sessions per year.
Region Coverage
- Where this policy is applicable
Worldwide
Related Health Insurance
43 Orient - Pearl - Family Care Added Network Hospitals
Name
Address
Seha Emirates Hospital (Hospitals)
AL LEDEEM STREET - 02-4438999
***Lifecare Hospital Covered for EBP OP Access for the following: Dhabi Contracting Co, AL RAKHA GEN CONT LLC, ABS Bus & car rental, Sultan Al Ghashmi Technical Works LLC, ALNASR CONTRACTING CO LLC, CITYTECH LLC, WORDSMART, C G TECHNOLOGY LLC; Silk Road OP Access for Non Abu Dhabi Al Futtaim card holders are covered at this facility. EFF: 03-SEPT-2018 - Provider not eligible to accept the members from Policy Group Code: 11782, Policy Group Name: Tornado Group Basic EFF: 06-SEPT-2018 - Provider not eligible to accept the members for Policy Number: 251264 , Policy Group Name: Eagle Environmental Services and Pest Control (Hospitals)
BANIYAS STREET, WATHBA, GATE NO. 6 AL RAHA VILLAGE - 02-5856333
***Llh Hospital L.L.C./Mf1954 (Form Lifeline Hospital) Covered for EBP OP Access for the following: Dhabi Contracting Co, AL RAKHA GEN CONT LLC, ABS Bus & car rental, Sultan Al Ghashmi Technical Works LLC, ALNASR CONTRACTING CO LLC, CITYTECH LLC, WORDSMART, C G TECHNOLOGY LLC; Silk Road OP Access for Non Abu Dhabi Al Futtaim card holders are covered at this facility. (Hospitals)
ELECTRA STREET, AL MARWA BUILDING - 02-6335522
***Llh Hospital Al Musaffah Llc Covered for EBP OP Access for the following: Dhabi Contracting Co, AL RAKHA GEN CONT LLC, ABS Bus & car rental, Sultan Al Ghashmi Technical Works LLC, ALNASR CONTRACTING CO LLC, CITYTECH LLC, WORDSMART, C G TECHNOLOGY LLC; Silk Road OP Access for Non Abu Dhabi Al Futtaim card holders are covered at this facility. EFF: 05-NOV-2018 - Provider not eligible to accept the members from Policy Group Code: 243931, 251002, 251004, 251005, 267939, Policy Group Name: Tornado Group Basic EFF: 13-NOV-2018 - Provider not eligible to accept the members for Policy Number: 251264 , Policy Group Name: Eagle Environmental Services and Pest Control (Hospitals)
MUSSAFAH, ALI KAHBOUS AL ZAABI - 02-5557711
Burjeel Farha Hospital L.L.C. (Formerly Medeor 24X7 International Hospital L.L.C.) (Hospitals)
ASHAREJ COMMERICAL & RESIDENTIAL CENTER, BIDA BIN AMMAR, ASHAREJ, AL AIN CITY - 03-7099000
***Specialised Medical Care Hospital (Hospitals)
AL JAHLI STREET, NEAR AL AIN MUESUM - 03-7552291
Medeor 24X7 Hospital Llc (Hospitals)
MUROOR ROAD, OPP EMPOST, MADINAT ZAYED AREA - 02-6900600
***Lifecare Hospital Llc-Branch 1-Lifeline Group/Mf2420 Covered for EBP OP Access for the following: Dhabi Contracting Co, AL RAKHA GEN CONT LLC, ABS Bus & car rental, Sultan Al Ghashmi Technical Works LLC, ALNASR CONTRACTING CO LLC, CITYTECH LLC, WORDSMART, C G TECHNOLOGY LLC; Silk Road OP Access for Non Abu Dhabi Al Futtaim card holders are covered at this facility. EFF: 03-SEPT-2018 - Provider not eligible to accept the members from Policy Group Code: 11782, Policy Group Name: Tornado Group Basic EFF: 06-SEPT-2018 - Provider not eligible to accept the members for Policy Number: 251264 , Policy Group Name: Eagle Environmental Services and Pest Control (Hospitals)
MUSAFFAH - 02-5566666
Amina Hospital Llc (Excluding Dr. Naim Satme And Dr. Sohair Mohammed El Ameen Ibrahim Ali) (Hospitals)
NEAR EMIRATES NBD BANK, AL QUDS STREET - 06-7114444
Sheikh Khalifa General Hospital Ajman (Hospitals)
AL JURF -UNIVERSITY STREET - 06-7117081
More From Health Insurance
- Recent Articles
- Popular Articles
