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Obstetric Ultrasound Coverage

Effective from April 1, 2019, Daman will cover up to a maximum of three (3) procedures within all three (3) trimesters of your pregnancy, with one (1) procedure performed per single trimester as long as the ultrasound procedure is part of your maternity benefits in your insurance policy. Please refer to the Schedule of Benefits as part of your Daman insurance plan, which you can find in your MyDaman.

Continue reading below for the frequent asked questions around Obstetric Ultrasounds.

As long as the ultrasound procedure is part of your maternity benefits in your insurance policy, Daman will cover up to three (3) procedures within all three (3) trimesters of your pregnancy, with one (1) procedure performed per single trimester.

This applies for thorough procedures conducted by qualified ultrasound technician or diagnostic medical sonographer in the Radiology, Medical Imaging or other specialized department of a clinic/hospital.

Important: please note, that quick bedside ultrasounds conducted by your doctor are considered as part of the consultation and these are not counted as part of the 3 thorough procedures described above. It is your doctor’s decision to perform a quick ultrasound as part of the consultation.

All health care providers have been informed about the new rules ahead of time, becoming effective from April 1, 2019.

Yes, the effective date of implementation is April 1st, 2019, any service performed before that won’t be counted as part of the new rule.

These rules are applicable to all Daman insurance plans such as Basic, Enhanced and Thiqa.

No, this is not true. Up to three pregnancy ultrasounds are covered by Daman as long as this benefit is part of the insurance policy. Please refer to the Schedule of Benefits as part of your Daman insurance.

There can be only two reasons why your ultrasound procedure has been rejected.

First, this procedure is not part of the maternity benefits included in your insurance policy. Please refer to the Schedule of Benefits as part of your insurance policy.

Second reason is that you have already performed an ultrasound procedure in the current trimester or have had reached the limited of three procedures in all your trimesters.

Your benefit includes one ultrasound procedure per one trimester. Any additional  ultrasound is not required as part of a normal pregnancy.

Yes, your health and the safety of your baby come first. Daman will cover obstetric ultrasounds for proven emergencies.

Multiple gestations will usually require extra care compared to singleton pregnancies. Your doctor may decide whether an additional ultrasound procedure is required and request for it.

Please share the previous ultrasound result with your new obstetrician. A new ultrasound procedure can be performed in the next trimester in case such a procedure has already been performed in the current trimester.

Pregnancy ultrasound is still covered, one procedure per trimester for a normal pregnancy. Daman is partnering with the local regulator to ensure that ultrasounds are only prescribed whenever medically necessary.

Yes, your baby is absolutely safe when three ultrasounds procedures are performed. As per international medical best practice three ultrasounds (1 per trimester) are fully sufficient during a normal pregnancy:

  • 1st trimester (0-14 weeks): confirm viable pregnancy inside uterus, estimate the age of gestation with/without Down’s syndrome screening
  • 2nd trimester (14-28 weeks): detailed scan of fetal anatomy
  • 3rd trimester (28-42 weeks): fetal growth surveillance, follow-up known problem with placenta, preparation for delivery

Your doctor may always request for pre-authorization for an additional ultrasound procedure, if it is truly medically necessary.

International best practice recommendations, as well as local health authority standards, do not support use of ultrasound in each antenatal visit. Ultrasounds should only be done whenever medically necessary, not just for keepsake photos.

  • 1st trimester (0-14 weeks): confirm viable pregnancy inside uterus, estimate the age of gestation with/without Down’s syndrome screening
  • 2nd trimester (14-28 weeks): detailed scan of fetal anatomy
  • 3rd trimester (28-42 weeks): fetal growth surveillance, follow-up known problem with placenta, preparation for delivery

Please note, that quick bedside ultrasounds conducted by your doctor are considered as part of the consultation and these are not counted as part of the 3 thorough procedures described above. It is your doctor’s decision to perform a quick ultrasound as part of the consultation.

Proven high-risk pregnancies may be permitted more than one ultrasound per trimester. Daman’s Authorization department will evaluate the case requested by your attending physician and allow for an additional scan, if medically necessary.

Daman has informed all healthcare providers ahead of time and raised the awareness among pregnant women in an awareness campaign. We are sorry to hear that this message has not reached you.