Orient - Silk Road - Family Care

With Orient Silk Road - Family Care, your family's health insurance needs are fully taken care of. This plan encompasses a broad spectrum of medical services, including psychiatry, alternative medicines, physiotherapy treatment, hearing and vision aids, doctor's consultations, and more.

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AED 1 million Health cover starting @4/Day

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<span>Cover Up to 37 Critical Illnesses</span>
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Plan Summary
Plan NameSilk Road - Family Care
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 1,000,000
TPAMEDNET

Orient - Silk Road - Family Care Details

Maternity Cover
10% co-payment payable by the insured.
Waiting Period
Maternity Waiting Period
any pregnancy, which arises within forty calendar days from the date of policy issuance, shall not be covered under this policy under any condition
Chronic Condition Waiting Period
All medical underwritten conditions will have no waiting period. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.
Pre-existing diseases (PED)
Covered only if declared on additional payment
Hospital Access
Referral procedure to be followed:- Direct access to specialist in the clinics
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 With Specialist
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
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.)Covered (The cost of accomodating a person accompanying an insured child up to the age of 16 years.)
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 Silk Road
Other Services
Radiology diagnostic
10% Co Insurance20% Co InsuranceNil 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.)Nil co-payment (co-payment by the insured in respect of each and every prescription.)20% 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

93 Orient - Silk Road - Family Care Added Network Hospitals

Name
Address
***LIFECARE HOSPITAL (Out Patient) (Hospitals)
BANIYAS STREET WATHBA GATE NO. 6 AL RAHA VILLAGE - 02-5856333
***LLH HOSPITAL L.L.C./MF1954 (FORM LIFELINE HOSPITAL) (Out Patient) (Hospitals)
ELECTRA STREET AL MARWA BUILDING - 02-6335522
***LLH HOSPITAL AL MUSAFFAH LLC (Out Patient) (Hospitals)
MUSSAFAH ALI KAHBOUS AL ZAABI - 02-5557711
***SPECIALISED MEDICAL CARE HOSPITAL (Out Patient) (Hospitals)
AL JAHLI STREET NEAR AL AIN MUESUM - 03-7552291
***NMC SPECIALITY HOSPITAL (Out Patient) (Hospitals)
OUD AL HASAN STREET AL MUTAREDH AREA - 03-7555999
***LIFECARE HOSPITAL LLC-BRANCH 1-LIFELINE GROUP/MF2420 (Out Patient) (Hospitals)
MUSAFFAH - 02-5566666
***AL DANNAH HOSPITAL (prev. RUWAIS HOSPITAL) (Out Patient) (Hospitals)
RUWAIS - 8007267
HEALTHHUB BR.ALFUTTAIM HEALTHCARE SINGLE PERSON COMPANY L L C DUBAI FESTIVAL CITY (Out Patient) (Hospitals)
DUBAI FESTIVAL CITY NEXT TO IKEADUBAI - 04-5967100
ORIANA HOSPITAL (Out Patient) (Hospitals)
AL TAAWUN STREET - 06-5251000
CITY SPECIALTY HOSPITAL L.L.C SP (Out Patient) (Hospitals)
PULLMAN HOTEL AL TAAWUN STREET SHARJAH - 06-5918888

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