Plan 1 CN

Medical Network

NAS — CN

Annual Limit per Person

AED 1,000,000

Area of Coverage

Worldwide

In-patient Services

Covered

Out-patient Services

Covered

Hospital Accommodation

Private

Consultation Deductible (Co-Pay)

AED 50/- with AED 50 Co-Pay

Diagnostics & Laboratory Services

Covered without Co-pay and up to aggregate annual limit

Medicine Limit

AED 15,000 with Nil Co-Pay

Maternity

In-patient Maternity services: Inside Emirate of Abu Dhabi : Covered up to the Annual Limit of the policy ( In-Patient & Out-Patient) Delivery inside Emirate of Abu Dhabi is subject to a deductible of AED 500/- as per DoH law Outside Emirate of Abu Dhabi (within UAE): -Normal Delivery is covered up to AED 10,000/-, C-Section and maternity complications are covered up to AED 12,000/-, Medical Emergency related to Maternity is covered up to Annual Limit of the policy Out-patient Maternity services: covered up to the Annual Limit of the policy subject to the same deductible in the selected plan on consultation. 6-month waiting period for delivery on first membership, unless you show continuous cover

Alternative Medicines

AED 2,500

Physiotherapy

Covered

Psychiatric Treatment

Out Patient Covered up to Maximum AED 3,000/- per person per annum IN Patient Covered up to Maximum AED 10,000/- per person per annum

Home Nursing

AED 7,500

Routine Dental Benefits

AED 3,000 with 20% Co-Pay

Routine Optical Benefits

AED 1,500 with 20% Co-Pay

Pre-existing / Chronic Conditions

Covered up to annual Limit. All pre-exisiting conditions should be declared in the Medical Application Form and is subject to medical underwriting. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal No waiting period applies if evidence of continuity of coverage is provided; otherwise a waiting period of 6 months applies to the first scheme membership on Inpatient treatment for the following medical conditions: Diabetes mellitus, Arterial diseases, COPD , All cancers cases, Neurosurgery, Cerebro Vascular diseases, All delivery cases (Maternity).

Emergency Road Ambulance Services

Covered

Vaccination for Children (as per MOH, UAE)

Inside Network: 100% Actual Cost Outside Network : UCR Basis

Repatriation of Mortal Remains

AED 20,000

Within the Network (Direct Billing)

Direct billing available. Reimbursement is also possible but will be settled at 80% of the usual & customary rates of the selected Network.

Outside the Network (Reimbursement)

Outside the Network in Countries where NAS is present: Reimbusement at 80% of actual costs (subject to be reasonable) or 80% of the usual & customary rates of the network, whichever is less Outside the Network in Countries where NAS is not present: Reimbursement at 100% of actual costs (subject to be reasonable) or 100% of the usual & customary rates of the network, whichever is less-80%

Cash indemnity for in-patient stays

Follow-up consultation co-pay (within 7 days)

Dental, hearing & vision aids, vision correction

Covered

Hearing Emergencies

Covered

Organ transplantation (recipient only)

Second Medical Opinion

Symptom Checker

Accompanying person accommodation

AED 450 / day

Vision Emergencies

Covered

Work Related Injuries and Illness

Covered