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NATIONAL LIFE & GENERAL INSURANCE
waives! depose
Table OF Bens 5
Name of cent [sane orcrraL TecHwoLocy
an Type [nae end OUTPATIENT
[vardwide exuding USA and Canada subject To reasonable nd cntomary arasr oF
lppicable network URE
[revit cnt Yor emergency weatmant wie on Hoda oon aca
ut taxman 4 dys during sige our)
|r subject to resonate and customary charges of applicable network in UAE
[Anns! Mokimum Unie per peron
[aco 150,000
| Maxinury tint per amnion ortweatment
[aco as0.000
Wosptat cost bana
NAS GN (Ecuding Gy Hosta / NASR
pve-eiting/chvonccondon mi for npaen and Otpatint
ewsting members / New aon with COC-Up to sual nit
"New Entrants to UAE 020% of anal it fr fer month nd upto an
ii thereter
Hostal accommodation and Serves
sng private room at network hospital but lined te AED ESD aude the network
[Maumumno. of days per admission or vestment
ra ttuna at Neowork Hospitals uly covered"
[conunanrs rpc, Surgeon's and neste eas
Dinos ray, WR Crean, Ura und He)
Fu cana at Network Hospitals uly cover] “*™**
Flt Retuna at Network Hosa uly covered) ==>
boston
rut etuna at Network oss uly covered) =
eseatone
ru Reuna at Network Hospitals uly covered) ="
oven ranepanation and ested expenses excadng dona’ expenses
[covereit insureds ace however the expats earedjnprocrement of organ
[sercuted
orang 2 Ho, fr recovery and ia ofan yup toe
asim of 18 days per admission o procedure
[aco 250 per person subject to pir approval"
ost cash senettfinpatient Treatments receved eel darn]
sovernment Hostal in UAE only
Parent! accommodation for chess han 1 years oF 68
[corres
ine cost of accommodation af parson acompanng an inpatient ne
-sne oom caer ofmasiealnecnsty ate recrsmendaton othe
Jreatng doctor and ater the prior approval f the surance company
rowing coverage
NaxinumnA€0 350 per day
[around ambulance seicesin UE
covers re reasonale opens ansparinghe sured member To We new
mecca fatty nthe evento metal morency
[covered over nd above mesial expenses payable under workmen compensation
|ransoration eens fr Input tentent abroad
Joasirwn Ac S00 per person per yar subject
Treatments taken mor economical these counties
obtaining prio approval ram th surance company?
A E ‘Out Patient Benefits
[constants Physician's Surgeons and Anesthett' Fees [Ft tand at Network Horta (uly ever"?
oisnortes ray MA Crean iva sound, ee) rut tana at Nework Hospitals (uly covered) =="?
[serra tt ctand at Rework Hosp (uly covered) =="
at tan at Network orp (ul cover =?
Prsotherapy charges
Futuna ac Newerk Hosp subect to prior approval (ul covered) ="frcssena aamage wo nari tect
[eoeredin wi
[ayuveds a Homeopathy
Proven srs, vatines and inmonistions
Ecentl vaccinaon ndinocuaton for newborns anderen stipulate by OH
In rskinividuas analy om age 8
[eavcubie per each and evry dam 2 Hee few up within 7 dos
Islstingo same snes and sve rouse
0% copay sublet t Max AED 5 par elim
I (Conditions covared for medical emergencies
REALE
Disgnostc and weatment services for dental and gum treatments
Hearing nd ion ie and vin crecin by surgeries and eer
overedin ul sje 10 20% copay
Compliatans sing om te maternity chi ih
r ‘Additional Benefits
=,
[eoeres em
best By Any Case (for members up tothe age 65 yea)
[ac s.00 per member
epatiaon Benet on Death By Any Case For membes upto he aera
sve)
[aco 10,00 based on acts
Der
tal Benefit
ene ines
(Consultations traction, Amalgam Flings, Composte flings lass
lonomer, ental ays, Rost Cana Teatment an Gum Treatment)
‘Comsuance for dental webtvant ater te other aplcabedecucblel]
unt AED 4000 for CAT A nd CAT. 20 COPAY apes
I Opt
tical Benefit
OEE EES)
"(Conutaton, Mesiations, Mo tess)
Coinsuranc or optical eaten afer he other ppicable
essuceve)
Maternity Benefit,
fo casuane payee by ered
al cae provides by PHC obstetrician fr low isk or specialist obstetrician for high sk
feteras
na eons nce
fod vp, hes sas ad anodes
i 8 uae
ets erly
ep Coffer to Wah it patents
orth sk
8 random ug or HoAte
hi sat cae reviews check an tvs in acordance wth OMA Anteota Core
reac
npn maternity sercer
io esnsrance aye by the sured
axmum bent 7000 AED pe orl alvery, 1,000 AED fer medialynecesaryC
scion complication and for mesial necesarytrmiatlon Al mts inde
esinsuranc)
cover for 30 ay tom bir,
bcc, Hepat 8 and neonatal xceening tet (Pheylstnula PRU, Congenital
rootveiisn, Sale ce sreningcongental adrenal pepsi)
jer Conditions
[coinsurance stron deensted pryer anc pn contro cove ew /Reewa Ca
resuoratonaurenere spersnenre
fxn acne
[ren peer warn focipon eee rt
[sin non rod ember tin aor ofeaine ie weno
i hows i aE
Fal Refund is jee wo annua mado init and ate pe person Maxum age at ery sal bet years fe
Fo or-emergeney inpatient treatments, atthe Gace of the aur and wc to preautoriatin.
f-Treaant or emergency condone thal oo aque pre wtariaton, Bat sh aes are be noid We COMpRRY win TOUS aT SETERAGT
pica for members visa hee based inthe eat of Abu Dhabi,
[zNavona ute & General insurance Campany os THAT aseves he ig a cud excel upyade bandglingiada bain of ay nica anv= TOM De
[desensted provider network et
Fr ie: iling sal provided aly athe ate spa network andthe im eeven at in esate Gece al be rested 0 easOne and
lustomary charges of apoleatleneterk
[The above terms are not appli or employees lng Doble Ravina goss mond say lesan AD AO0D Should Ws sUMpaN Bene
[nc resorn he right to withdraw this quotation cane he poy ified ne inept.
‘Addition Clause
[ensures may ad Primary insured andor thet Dependents othe Pac subject to
J campiance a epuatryrequemen,fany and ther timelines.
Submision of completed aston request form/tempae sued by insurer or ther mode acceptable tothe insur.
submission at ther document eg Heat decaration Paspot copy is opy et), wereveapplabe a infomed/equste by Be sures
+ the aden shat be eecte tom the dat of the recip of the request fr 2diton.
te premium peyble fo adions sabe on porated bast.
I Dafaton Cause Ee
[ve insurea may a any tne opon completing and randingthe insurer he relevant equer form a dls Panay insted an har Dependents om the Poly
= Submision of completed deletion request form, issued by nso other made acepabeto the insure
Return of Membership cade and ther materia fcatng Teste pir tothe dation date
[ne aeetion sna be tected rom the date ofthe recep of he aquest for deeton. nthe event of nt etuing the membership cae oss of membership
Jara, ne cured shall make god fhe loeablynered by nur in raepet fay chm osustng ert deaton dat of dv los of membership
he Pamivn refund elaine any sproved deletion shale cllated in acardance withthe following Condon
a) no refund wi be payable for deleted insured members who hve registered any ls under te poi.
bs irsuradmembers, who is notcepot ay aim pie other deletion dt, wll refunded proportionately forthe period emaining fom the deletion
nue apr date of he ess 20% of he anual premium
|. no vefins with payable Membership cards and other meter fitting Treatment ar ot tured
he amount fund wl be reduced proportionately ithe retunof Membership cards and other material Facitating Treatment delayed, nation, sured
wit oe esol ara ful abe party towards the frsder andor sure in respec of any expenses nue by the deleted sured member om hs deletion
date, unt the tember ars another materi otaing Treatment are etn.
= covered tents asin Hom Aaident or toes occuring during the Poy getiod fo your nsued member hal cease immediatly yon is deletion fom the
Jotcx
Ino: Wo aston enrolment / deletion salle accepted by the nsre fram the sured the date ffs / deletion under this pay ened 45 ays
(rome date of recep of seh nina