Q1. What is the Indemnity Limit?
Ans: The Indemnity Limit refers to the maximum liability of the insurance company for all medical benefits combined. It includes any co-insurance and deductibles. For the Sanad and the Essential Benefits Plan of Union Insurance, this limit is AED 150,000.
Q2. What is the Geographical Territory covered by medical insurance?
Ans: While the coverage is primarily for the UAE, there is also an extended emergency coverage. However, it is essential to check the specifics of what's covered in that context.
Q3. How do I submit a claim for medical expenses within the UAE network of Union Insurance?
Ans: For medical expenses within the UAE network, you can avail of direct billing. This means that the medical provider directly coordinates with the insurance company for billing.
Q4. Are pre-existing or chronic conditions covered under Union health insurance?
Ans: Yes, declared pre-existing and chronic conditions are covered under Union health insurance. However, a waiting period of 6 months may apply from the start of the policy.
Q5. What preventive services are covered under Union health insurance?
Ans: The health insurance plans of Union Insurance cover essential vaccinations and inoculations for newborns and children as per DHA policies. They also include diabetes screening as well as various vaccinations for adults such as influenza, pneumococcal, and others as per DHA guidelines.
Q6. How is maternity covered by this insurance?
Ans: Maternity coverage includes both outpatient and inpatient services. Outpatient care has a 10% coinsurance, covers up to 8 visits, and follows DHA Antenatal Care Protocols. Inpatient care, meanwhile, has a 10% coinsurance and covers normal deliveries, medically necessary C-sections and terminations, complications, and others under specified limits.
Q7. Are work-related accidents covered under this insurance?
Ans: No, work-related accidents are not covered by this type of insurance.
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