Orient Takaful - Silk Road
Your family's health is paramount, and Orient Takaful Silk Road offers the ideal health insurance coverage to prove it. This Orient Takaful Silk Road includes a plethora of medical services, such as maternity care, critical illness cover, dental and gum treatment, hearing and vision aids, and more. ...read more
Plan Summary
Plan NameSilk Road
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 1,000,000
TPAMEDNET
Orient Takaful - Silk Road 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 No waiting period for maternity coverage upon payment of an additional premium, as per underwriting guidelines – coverage begins from Day 1.
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
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
Referral procedure to be followed:- Direct access to specialist in the clinincs
Coverage Type
Specialist Clinic
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
Mednet Silk Road
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
Orient Takaful - Silk Road 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 IKEA,DUBAI - 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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