Watania Takaful - Dependent Enhanced 1 - Aafiya

Embrace peace of mind with Watania Takaful Dependent Enhanced 1 - Aafiya, an all-encompassing health insurance solution curated for you and your family. From diagnostics and tests, to maternity care and outpatient/inpatient services, this plan covers it all. Customise this Watania Takaful Dependent Enhanced 1 - Aafiya according to your family's unique requirements and affordability with its flexible features. ...read more

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AED 1 million Health cover starting @4/Day

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<span>Cover Up to 37 Critical Illnesses</span>
Cover Up to 37 Critical Illnesses
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Plan Summary
Plan NameDependent Enhanced 1 - Aafiya
Cover AmountAED 150,000
Pharmacy LimitUpto AED 1,500
TPANAS

Watania Takaful - Dependent Enhanced 1 - Aafiya Details

Maternity Cover
Waiting Period - This is the time span during which you cannot claim specified benefits from the insurer
6 months( any pregnancy, which arises within 6 months from policy inception will be at the discretion of the insurer)
Out-patient Maternity Services
Requires prior approval from the insurance company.Covered with 10% co-takaful up to a maximum of 10 visits for low risk primiparas or 8 visits for multiparas10% co-payment (All Care provided by Primary Health care obstetrician for low risk or specialist obstetrician for high risk referrals.)
In-patient Maternity Services
Maximum benefit AED 7,000 per normal delivery, AED 10,000 for medically necessary C-section, complications and for medically necessary termination (All limits include co-payment).10% co-payment payable by the insured.
New Born Cover
Cover from 30 days from birth BCD, Hepatitis B and neo-natal screening test.
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
Waiting period of 6 months
Pre-existing diseases (PED)
Covered only if declared on additional payment
Hospital Access
Referral procedure to be followed:- Customer has to visit GP, after GP refers then customer can visit the specialist in clinics.
Dental and Gum Treatment
Co-Payment
20% co-payment.
Covered
In case of emergency only.
Hearing and Vision Aids
Co-Payment
20% co-payment.
Covered
In case of emergency only.
Coverage Type
Clinic Only
Out-Patient Services
Co-Payment - This is what you'll pay your health provider when claiming with this policy
20% (Max AED 25) (Services are provided in authorized out-patient clinics of hospitals, clinics and health centers)
In-Patient Services
Co-Payment - This is what you'll pay your health provider when claiming with this policy for hospitalization
20% co-payment upto AED 500. Aggregate Co-payment upto AED 1000 (In-patient treatment at authorized hospitals)
Room Type
Semi-Private Room
Ambulance Service
Ground transportation services in the UAE provided by an authorized party for medical emergencies.
Companion Accomodation
Maximum AED 100 per night. (The cost of accommodation of a person accompanying an in-patient in the same room in case of medical necessity at the recommendation of the treating doctor and after the prior approval of the insurance company providing coverage.)Maximum AED 100 per night. (The cost of accomodating a person accompanying an insured child up to the age of 16 years.)
Territorial Scope Of Coverage
Coverage
Insurance Coverage is only for Dubai visa holders.United Arab Emirates. Coverage Extended to South East Asia only for Inpatient Treatments as per 100% UAE customary rates
Pre-Existing and Chronic Conditions
Waiting Period
6 Months (Treatment for chronic and pre-existing conditions excluded for first 6 months of first scheme membership. After 6 months covered to the annual policy limit subject to declaration)
Network
AfiaaAfiaa
Other Services
Laboratory Tests
20% Co Pay
Radiology diagnostic
20% Co Pay In Case of non-medical emergiencies, the insurance company's prior approval is required for MRI, CT scans and endoscopies.
Physiotherapy Treatment
Maximum 6 sessions per year.Prior approval of the insurance company is required.20% co-payment.
Test, diagnosis, treatments related to surgeries in hospitals
Prior approval required from the insurance compay / TPA.
Emergency Treatment
Approval required from the insurance company within 24 hours of admission to the authorized hospital.
Healthcare services for emergency cases
Prior approval required from the insurance company (Prior approval required from the insurance company Where a pre-existing or chronic condition develops into an emergency within the 6-month exclusion preriod this must be covered up to the annual aggregate limit.)
Medication
Co-Payment
30% co-payment (co-payment by the insured in respect of each and every prescription.)
Limit
AED 1,500 Annually
Description
No cover for drugs and medicines in excess of the annual limit. Restricted to a list of formulary products where available at the physician and the pharmacist.
Essential Vaccines & Preventive Services
Co-Payment
Covered

152 Watania Takaful - Dependent Enhanced 1 - Aafiya Added Network Hospitals

Name
Address
Adnoc - Al Dhannah Hospital (Al Dhafra Region) Abu Dhabi (Hospitals)
Al Ruwais, Al Dhafra Region, Alternative E-Mail: ala.akkad@nmc.ae - 97126020535
Al Abeer Medical Center Day Surgery Unit Llc (Electra) Abu Dhabi (Hospitals)
BLDG. NO. 5022, FATIMA BINT MUBARAK ST., ABU DHABI, UAE - 97126330440
Ain Al Khaleej Hospital (Al Jimi) Al Ain (Hospitals)
Hamdan Bin Mohammad Street, Behind Al Jimi Mall, Al Jimi - Al Ain - 97137133333
Al Ahalia Hospital (Hamdan St) Abu Dhabi (Hospitals)
Hamdan Street, Abu Dhabi - 97126262666
Al Ahalia Hospital (Mussafah) Abu Dhabi (Hospitals)
M-24,Mussaffah, Near BMW Show Room - 97128119119
Ambulance And Public Safety Department- Abu Dhabi (Hospitals)
Al Muroor Road, P.O Box:: 253, Abu Dhabi, UAE - 97125131555
Burjeel Farha Hospital (Bid Bin Ammar) Al Ain (Hospitals)
Ashraj District, Bida Bin Ammer Road, 17th Street, Al Ain - 97137099000
Burjeel Medical City Llc-Abudhabi (Hospitals)
BURJEEL MEDICAL CITY,MOHOMMED BIN ZAYED CITY - 97127773333
Bareen International Hospital (M.B.Z. City) Abu Dhabi (Hospitals)
Next to Shaikah Fatima Bint Mubarak Mosque, Z-15, Mohammad Bin Zayed City - Abu Dhabi - 97125545554
Burjeel Hospital (Najdah St.) Abu Dhabi (Hospitals)
Beside Dar Al Shifa Hospital, Junction Fatima Bint Mubarak (Najdah) Street with Hazza Bin Zayed Street - Abu Dhabi - 97122222332

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