Note: Where any condition develops which becomes life threatening to either

the mother or the new born, the medically necessary expenses will be
covered up to the annual aggregate limit.

Covered up to AED 10,000 PPPY with 10% Co-insurance payable by the

In patient maternity services (requires
insured.
prior approval from Insurance or
Maximum benefit AED 7,000 per normal delivery,
within 24 hours of emergency
AED 10,000 for medically necessary C-section, complications and for medically
treatment)
necessary termination (all limits included co-insurance).

Covered
• Cover for 30 days from birth.
• BCG, Hepatitis and neo-natal screening tests.
New Born Cover
Phenylketonuria (PKU), Congenital Hypothyroidism, sickle cell screening,
congenital adrenal hyperplasia)

Other Benefits
Essential vaccinations and inoculations
for new-borns and children as
stipulated in the DHA’s policies and its
Covered only for services administered at DHA facilities.
updates in the assigned facilities.
Adult Pneumococcal Conjugate
Vaccine (As per DHA)
Covered
Preventive services as stipulated by
Frequency restricted to:
DHA to initially include diabetes
Diabetes: - Every 3 years from age 30.
screening.
- High risk individuals annually from age 18.
Medical emergencies on diagnostic
and treatment services for dental and Covered with 20% Co-insurance
gum treatments.
Medical emergencies on hearing and
vision aids, and vision correction by Covered with 20% Co-insurance
surgeries and laser.
Emergency Local Road Ambulance Covered
Covered
Cancer Screening and Treatment To be followed as per the guidelines laid out in the Cancer support program.
(for Dubai Visa holders)
Covered
Hepatitis C Virus Screening and To be followed as per the guidelines laid out in the Hepatitis C support
treatment program.
(for Dubai Visa holders)
Day Care Services Covered

Claims Settlement Terms (what is Paid by the Insurer)

Free or Cashless
Access At Network 100% of Actual Covered Cost
(Network)
Elective Treatment
80% of actual covered cost subject to
Reimbursement At Government
maximum of 100% of applicable network
(Non-Network) Hospital in UAE
rates