Global Plan
Global Plan

Plan Name
Global with Dental & Optical
Annual Benefit Limit per person
AED 5,000,000
Territorial Limit
Please note:
1) Coverage outside UAE is limited   to 90 days per treatment
2) A single holiday- or business trip     may not exceed 90 days
Worldwide
 
Network
(allowing direct billing at designated Providers)
In & Out-patient: UAE (Daman Network including American Hospital), GCC and Jordan
 
In Patient Only: Daman Network
 
Pre-existing conditions
Standard Group*: Fully Covered
 
Individuals & Small Group**: Fully Covered; subject to Individual Underwriting for Groups less than 10 employees.
Waiting Period of 180 Days for Maternity (No waiting period if pre-requisition of uninterrupted (pre-) coverage with governmental health card is fulfilled)
 
Inpatient & Day Treatment
(up to the relevant Annual Benefit Limit per person; per policy year with pre-approval only)
Accommodation Type
Private Room (Standard Suite)
 
Hospital Accommodation & Services
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
Consultant’s, Surgeon’s & Anesthetist’s Fees, etc
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
Home Nursing
AED 0
 
Ambulance (in Medical Emergency only, subject to Standard Exclusions)
100%
 
Parent Accommodation for accompanying an Insured Child under 10 years of age
Maximum AED 500 per day
 
Companion Accommodation for Critical Illness
Maximum AED 500 per day
 

 
 
 
 
 
 
 
 
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Outpatient Treatment
Physician Consultation
 
Standard Group: Deductible/consultation options AED 50/0
 
Individuals & Small Group: Deductible/consultation options AED 50//0
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
Deductible not applicable for follow up within 7 days
Diagnostics (X-Ray, MRI, CT-Scan, Ultra Sound, etc.), Laboratory
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
MRI, CT and Endoscopies with pre-authorization only
 
Pharmaceuticals
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
Long term medication above 60 days with pre-authorization only
 
Physiotherapy
(with pre-authorization only)
100% at Network Providers
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
 
 
Emergency Treatment
100% Emergency Cover Worldwide
 
Exception: For in- and outpatient maternity treatment at Non-Network Provider:
- 80% Emergency Cover Worldwide
 
 
Repatriation of Mortal Remains to the Country of Origin
AED 12,500 per policy year
Diagnostic and treatment services for dental and gum treatments
Medical Emergency cases
Hearing and vision aids, and vision correction by surgeries, and laser
Medical Emergency cases

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 




 
 
 
 
 

Maternity
All in-patient Maternity Treatments are subject to pre-authorization
Maximum annual limit per person out of UAE (Inpatient & Outpatient Maternity): AED 15,000
Inpatient Maternity
100% at Network Providers in UAE
 
80% at Non-Network Providers (equals a Co-insurance of 20%)
 
Outpatient Maternity
 
Standard Group: Deductible/consultation options AED 50/0
 
Individuals & Small Group: Deductible/consultation options AED 50//0
100% at Network Providers
 
80% at Non-Network Providers
(Equals a Co-insurance of 20%)
 
Deductible not applicable for follow up within 7 days
 
 
Dental
 
(Optional)
80% with pre-authorization only
(Equals a Co-insurance of 20%)
 
Maximum annual limit per person AED 5,000
Covered services are restricted to the following:
a) X-Rays
b) Extractions
c) Amalgam / Composite Fillings
d) Root Canal Treatments
e) Prescribed Drugs for the above mentioned (a,b,c,&d)
    covered dental services
 
(Accidental dental treatment covered at 100%)
 
 
Optical
(Optional) 
(Available only in combination with Dental)
(Applicable only for Standard Group)
Limited to 2 vision tests per year and maximum coverage AED 500 PPPY including Prescribed Eye glasses, Frames and /or contact lenses
 
 
Other Services
International Assistance Service
Second Opinion facility through Europ Assistance GCS
Annual Screening
(applicable for females >35)
 
(At designated Providers with pre- approval only)
Breast cancer screening
For females above 35 years, including
a)     Clinical Exam
b)    Mammogram
c)     Pelvic Sonogram (if medically indicated) and
d)    CA 15.3 (if medically indicated)
Annual Screening
(applicable for males>45)
 
(At designated Providers with pre- approval only)
Prostate cancer screening
For males above 45 years, including
      a) Clinical exam
      b) PSA
      c) Rectal sonogram

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

     
 
 
 
 
 
 
 
     
   *
Group comprising of more than 10 employees.
   ** Group comprising of less than or equal to 10 employees.

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