Sukoon - Max

Your family's health is paramount, and Sukoon Max offers the ideal health insurance coverage to prove it. This Sukoon Max includes a plethora of medical services, such as maternity care, critical illness cover, dental and gum treatment, hearing and vision aids, and more. You can also make changes in your plan by including riders/ add-ons to make it more beneficial for your family. ...read more

4.6/5

23,923

google-logoReviews
next-icon

AED 1 million Health cover starting @4/Day

Selecting health insurance for
Self Only
Both Self and Family
Family without Self
Best Price Guaranteed
Worldwide Coverage
21+ Insurers to Select From
Claim Assistance
<span>Cover Up to 37 Critical Illnesses</span>
Cover Up to 37 Critical Illnesses
<span>Covid-19 Covered</span>
Covid-19 Covered
<span>Claim Assistance</span>
Claim Assistance
Plan Summary
Plan NameMax
Cover AmountAED 500,000
Pharmacy LimitUpto AED 1,000,000
TPASukoon

Sukoon - Max Details

Maternity Cover
Covered
Co-Payment
NilPost Natal Consultation Deductible/Coinsurance - 10% , Post Natal Investigations Coinsurance - 10%, Post Natal Procedures Coinsurance - 10%
Maternity Cover
Birth Defects, Genetic Disorders & Congenital Conditions - Not Covered
Out-patient Maternity Services
With 10% co-insurance
In-patient Maternity Services
Maternity complications (Life threatening maternity complications are covered up to indemnity limit) - Coverage upto 15,000, Normal Delivery - Coverage upto 15,000, Medically necessary C - Coverage upto 15,000, Legal Abortion/Miscarriage - Coverage upto 15,000Covered for Ante/Post-Natal Consultation, Ante/Post-Natal Investigations
Waiting Period
Maternity Waiting Period
any pregnancy, which arises within 6 months from the date of this application, shall not be covered under this policy under any condition.
Chronic Condition Waiting Period
With COC nil waiting period, without COC 6 months waiting period
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
Laboratory Tests
Covered
Pharmacy Limit
Prescribed Pharmaceuticals (Pre-approval is required for long term medication above 30 days) - Covered, ONLY Formulary products(Generic Medication) - Not Covered, Vitamins prescribed as replacement therapy for known vitamin deficiency conditions up to prescribed pharmaceutical limit only. - Covered
Consultant’s, Surgeon’s and Anaesthetist's Fees
Covered
In-Patient Services
Co-Payment
Consultation Deductible/Coinsurance - 10%, Outpatient procedures - 10%, Physiotherapy - 10%
Room Type
Private
Laboratory Tests
Covered
Pre-existing conditions
Covered up to 150,000 Outside UAE and Inside UAE (subject to exclusions)
Hospital Accommodation and related Services
Accommodation Costs for one parent staying with a child up to the age of 18 years. - 500 Per day, Accommodation Costs for one accompanying family member in case of critical medical conditions.* Subject to treating doctor recommendation - 100 Per Day, Daycare treatment including out-patient minor surgeries > 6 hours stay - Covered
Intensive care unit and coronary artery disease treatment
Internal Prosthetic devices implanted during covered surgeries. - Covered, External Prosthetic devices and medical equipment - Not Covered
Pre-Existing and Chronic Conditions
Covered up to 150,000 per person per year
Network
Signature+Medcare
Other Services
Co-Payment
Prescribed Pharmaceuticals - 10% and Maximum out of pocket limit - Not Applicable, Post-Natal Prescribed Pharmaceuticals - 10% and Maximum out of pocket limit - Not Applicable
New Born Cover
A New born delivered in UAE is covered up to 30 days as part of the mother’s insurance and shall share the same indemnity limit. Continuity of cover is subject to scheme opted for allows dependents, addition notification within 30 days and the newborn added to the policy. "If the scheme allows dependents addition, then 1. HAAD: A New born will be enrolled to the scheme from date of birth subject to the notification within 30 days from that date. 2. DHA: A New born will be enrolled to the scheme from date of birth subject to the notification within 7 days from that date. 3. When a baby is born outside UAE, he/she will be enrolled to the scheme only following their entry to the UAE, with a valid entry permit and entry stamp."
Ambulance Service
Covered
Laboratory Tests
10% co-insurance for Laboratory and 10% for Radiology
Physiotherapy Treatment
Covered up to 10 sessionsImmunotherapy & Immunomodulators - Covered if medically necessary
Emergency Treatment
Hepatitis A - Covered, Hormone replacement therapy. (Excluding growth hormone and excluded medical conditions) - Covered
Psychiatric Treatment
Covered up to 7500 per person per year with 30% Coinsurance
Home Nursing
Covered up to 15,000 per person per year
Cancer Treatment
As Per DHA for breast, colorectal or cervical cancer
Airfare Ticket
Covered (limited to geographical area specified)
Routine Health Checkup
Covered up to 500 per person per year
Repatriation of Mortal Remains to Home Country
Activated at 0 Kilometers
Preventive services
Diabetes screening is covered along with Basmah Initiative and Adult Pneumococcal Conjugate Vaccine
HCV Hepatitis C Virus Infection
Covered
Work Related Injuries
Not Covered
Elective Treatment
Covered
Accidental Injuries
Recreational non-hazardous sports activities (professional and hazardous sports activities even if recreational are not covered) - CoveredDeath due to Accident (Subject to terms & Conditions) - Covered Upto 100,000 AED, Permanent Total Disability due to Accident (Subject to terms & Conditions) - 100,000 AED
Circumcision
Not Covered
Assist America Package
Emergency Medical Evacuation - Activated at 120 Kms., Medical Repatriation- Activated at 120 Kms., Second Medical Opinion - Covered
Medication
Alternative Medicine
Enhanced Alternative Medicine - Covered up to 3,000 per person per year
Diagnostics (X-RAY, MRI, CT-SCAN)
Covered
Psychiatry
Covered up to 7,500 per person per year with 30% Coinsurance
Alternative medicine
Enhanced Alternative Medicine – Services To be performed only by a licensed practitioner :- Covered up to 3,000 per person per year
Dental and gum treatment
Covered
Hearing and Vision Aid
Covered only in cases of medical emergencies
Physiotherapy Treatment
Covered up to 10 sessions
Region Coverage
Worldwide excluding USA and Canada
Health Insurance in Other Emirates

Sukoon - Max Added Network Hospitals

Name
Address
No Network Hospital is available at this Location.

More From Health Insurance