Orient Takaful - Plan 4
Orient Takaful Plan 4 ensures health insurance coverage for families, encompassing a wide range of medical services such as maternity care, outpatient/inpatient services, diagnostics costs etc. Orient Takaful offers flexibility and customizable features to tailor-fit your families’ needs and your budget.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 NamePlan 4
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 5,000
TPANextcare
Orient Takaful - Plan 4 Details
Maternity Cover
Waiting Period - This is the time span during which you cannot claim specified benefits from the insurer
40 Days ( any pregnancy, which arises within 40 calendar days from policy inception will be at the discretion of the insurer)
Out-patient Maternity Services
10% co-payment, and a maximum of 12 visits and 6 ante-natal ultrasound scansPregnancy at time of application should be declared in the medical application form and is subject to medical undewritingUndeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if neededCovered subject to 10% coinsurance, and a maximum of 12 visits and 6 ante-natal ultrasound scans Pregnancy at time of application should be declared in the medical application form and is subject to medical undewriting Undeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if needed.
In-patient Maternity Services
10% co-payment, up to AED 12,500In case of any condition developping into an emergency, the medically necessary expenses will be covered up to the annual aggregate limitPregnancy at time of application should be declared in the medical application form and is subject to medical undewritingUndeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if neededCovered subject to 10% coinsurance, up to AED 12,500. In case of any condition developping into an emergency, the medically necessary expenses will be covered up to the annual aggregate limit. Pregnancy at time of application should be declared in the medical application form and is subject to medical undewriting Undeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if needed.
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.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 Condition Waiting Period :- 6 monthsChronic Condition Waiting Period :- 6 months
Pre-existing diseases (PED)
Pre-existing diseases (PED) Covered only if declared on additional payment
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.
Hospital Access
Direct access to hospitalDirect access to hospital
Dental and Gum Treatment
Co-Payment
20% Co-payment
Hearing and Vision Aids
Co-Payment
20% Co-payment
Coverage Type
Full Access
Out-Patient Services
Co-Payment - This is what you'll pay your health provider when claiming with this policy
10% up to AED 25/- for General Practitioners. 20% up to AED 60/- for Specialists
In-Patient Services
Co-Payment - This is what you'll pay your health provider when claiming with this policy for hospitalization
Covered
Room Type
Private
Ambulance Service
Covered
Companion Accomodation
Accommodation of an accompanying person in the same room as per recommendation of attending physician : 450 per dayParent Accommodation for child under 18 years of age : 250 per day
Parent Accommodation for child under 18 years
AED 250 / day
Territorial Scope Of Coverage
Coverage
Worldwide
Pre-Existing and Chronic Conditions
Covered up to a limit of AED 150,000 per member per year. No waiting period applies if evidence of continuity of coverage is provided; otherwise a waiting period of 6 months applies to the first scheme membership. All pre-existing medical conditions should be declared in the medical application form and is subject to medical undewriting Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.
Waiting Period
6 months(subsequent coverage subject to declaration)
Network
NEXTCARE RN2NEXTCARE RN2NEXTCARE RN 2
Other Services
Laboratory Tests
10% Co-payment
Physiotherapy Treatment
10 sessions per member per annum
Emergency Treatment
Approval required from the insurance company within 24 hours of admission to the authorized hospital
Psychiatric Treatment
Out Patient Covered up to Maximum AED 1,500/- per person per annumIN Patient Covered up to Maximum AED 6,000/- per person per annum
Repatriation of Mortal Remains to Home Country
Covered up to Maximum AED 10,000 per person per annum settled on Reimbursement basis with no co-pay
Medication
Co-Payment
Covered up to AED 5,000 subject to 15% Co-payment
Essential Vaccines & Preventive Services
As per DHA Regulations
Diagnostics (X-RAY, MRI, CT-SCAN)
Covered subject to 10% Co-payCovered subject to 20% Co-payCovered subject to Nil Co-pay
Psychiatry
In-Patient, Out-Patient, and Emergency cover up to a maximum of AED 10,000/- per person per annum. 20% coinsurance payable by the insured per visit for Out Patient services. No coinsurance is applicable for follow up visits made within seven days.
Alternative medicine
Covered Upto AED 2,500 per person per annum with 20% coinsurance payable by the insured member.
Dental and gum treatment
Covered
Hearing and Vision Aid
Covered subject to 20% coinsurance
Physiotherapy Treatment
20 sessions per member per annum
Region Coverage
Worldwide
82 Orient Takaful - Plan 4 Added Network Hospitals
Name
Address
National Hospital - AUH (Hospitals)
P.O.Box 30666, Najda, Eldorado Cinema, Electra Street, Najda Area - 26711000
Al Dhannah Hospital (Ex Al Ruwais Hospital - AUH) (Hospitals)
Abu Dhabi, Ruwais, Near Ruwais Mall - 28007267
Das Hospital (Hospitals)
Al Dhannah Island, P.O Box11876 - 2601031
Ahalia Hospital (Hospitals)
Ahalia Hospital, Hamdan Street, P.O. Box - 2419 - 26262666
Al Ahli Hospital Company Llc-Branch 1 (Hospitals)
Ahalia Hospital, Tariff Road , M-24, Mussafah, P.O. Box - 2419 - 28119119
Global Care Hospital (Hospitals)
West 14-1, Building 419, Hazaa Bin Zayed The First Street, Al Manhal Area, Abu Dhabi,UAE - 2418 5100
Magrabi Speciality Hospital (Day Care Surgeries,Eye,Ear,Nose And Throat (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 (Hospitals)
Al Kheel Tower, Tiol Bank Of Oman, Hamdan Street, Baniyas Street, Al Jda - 22434064
Bareen International Hospital (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) (Hospitals)
Opp. Police Head Quarter, Near Zayed School - 37555999
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