Orient Takaful - Emerald

With Orient Takaful Emerald, 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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Plan Summary
Plan NameEmerald
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 1,000,000
TPAMEDNET

Orient Takaful - Emerald Details

Maternity Cover
Normal Delivery expenses are covered up to a sub limit of AED 10,000/- , Medically necessary Caesarean Section and complication expenses are covered up to a sub limit of AED 10,000/- , Any Medical Emergency expenses related to Maternity will be covered up to a sublimit of AED 150,000/- , Out Patient eligible Maternity expenses are covered up to Annual limit - 10% co-payment applicable on all Maternity treatments, including out- patient Maternity consultation (no Deductible applies)
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
Direct access to hospital
Coverage Type
Clinic + Hospital Access
Out-Patient Services
New Born Cover
As per DHA benefit guidelines.
Dental
Free Access - Covered with 20% Co-Payment with an annual Sub-Limit of AED 3,500, Reimbursement - Additional 20% co-payment applicable over free access with annual sub limit of AED 3,500
Alternative Medicine
Covered up to AED 1,600/- PMPY
Vaccinations (Adults)
Covered both on Free Access & reimbursement basis
Physician Consultation
Covered with Co-pay of 20% max 50 per consultation
In-Patient Services
Room Type
Private Room
Ambulance Service
Covered
Emergency Treatment
100% of Actual Covered Cost
Parent Accommodation for child under 18 years
For children upto 16 Years of Age - Covered maximum up to 100 AED per night
Repatriation of Mortal Remains to Home Country
Covered up to AED 7,500/-
Pre-Existing and Chronic Conditions
All pre-existing medical conditions should be declared in the Medical Application Form and is subject to medical underwriting., All declared Pre-existing and Chronic conditions are covered with a sub limit of AED 150,000/- , Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.
Network
Emerald
Diagnostics (X-RAY, MRI, CT-SCAN)
Covered with 0% co-pay per invoiceCovered with 10% co-pay per invoiceCovered with 20% co-pay per invoice
Psychiatry
Covered In Case Of Emergency Only
Alternative medicine
Covered up to AED 1,600/- PMPY
Dental and gum treatment
Covered subject to the following: • Sub-limit: AED 3,500 • Coinsurance: 20%
Hearing and Vision Aid
Covered only in cases of medical emergencies
Physiotherapy Treatment
Covered up to 15 sessions/ Per member Per year - 20% Co-paymentCovered up to 15 sessions/ Per member Per year - 10% Co-paymentCovered up to 15 sessions/ Per member Per year - 0% Co-payment
Region Coverage
Worldwide

65 Orient Takaful - Emerald Added Network Hospitals

Name
Address
MEDICLINIC HOSPITALS L.L.C. (AIRPORT ROAD HOSPITAL) / MF2270 (Hospitals)
AIRPORT ROAD SHK. MOHD BIN BUTTI BLDG. - 02-4944813
SEHA EMIRATES HOSPITAL (Hospitals)
AL LEDEEM STREET - 02-4438999
***LIFECARE HOSPITAL (Hospitals)
BANIYAS STREET WATHBA GATE NO. 6 AL RAHA VILLAGE - 02-5856333
NMC SPECIALTY HOSPITAL (Hospitals)
ELECTRA STREET AL KAMAL TOWERS - 02-6332255
***LLH HOSPITAL L.L.C./MF1954 (FORM LIFELINE HOSPITAL) (Hospitals)
ELECTRA STREET AL MARWA BUILDING - 02-6335522
AHALIA HOSPITAL (Hospitals)
HAMDAN STREET OPPOSITE BANK OF BARODA. - 02-6262666
MEDICLINIC HOSPITALS L.L.C. (AL NOOR HOSPITAL) (Hospitals)
KHALIFA STREET KHALIFA STREET - 02-6139299
AL AHALIA HOSPITAL LLC - MUSAFFA BRANCH / MF3107 (Hospitals)
MUSSAFAH - 02-8119119
***LLH HOSPITAL AL MUSAFFAH LLC (Hospitals)
MUSSAFAH ALI KAHBOUS AL ZAABI - 02-5557711
ALMAZROUI MEDICAL CENTER ONE DAY SURGERY LLC-MF1327- ABU DHABI (Hospitals)
Najda Street Al Mazroui BuildingAbu Dhabi - 02-6723232

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