Physiotherapy treatment services
Covered with 20% Co-insurance (up to 6 sessions PPPY)
(Require pre-authorization)
Drugs and Other Medicines
Maternity Benefits
Maternity Services (Outpatient ante-
natal services) (requires prior approval
from Insurer Insurance)
In patient maternity services (requires
prior approval from Insurance or
within 24 hours of emergency
treatment)
New Born Cover
Other Benefits
Essential vaccinations and inoculations
for new-borns and children as
stipulated in the DHA’s policies and its
updates in the assigned facilities.
Adult Pneumococcal Conjugate
Vaccine (As per DHA)
Preventive services as stipulated by
DHA to initially include diabetes
screening.
Covered up to AED 1,500 PPPY with 30% co-insurance
Covered up to the above annual limit subject to co-insurance for each and
every prescription (restricted to a list of formulary products to be published by
DHA).
Covered 10% co-insurance
• 8 visits to Primary Health Care Centre.
• All care provided by Primary Health Care Centre obstetrician for low risk
or specialist obstetrician for high risk referrals.
• Initial investigations to include:
• FBC and platelets
• Blood group, Rhesus status and antibodies
• VDRL
• MSU & urinalysis
• Rubella serology
• HIV
• Hep C offered to high risk patient
• GTT if high risk
• FBS, randoms or A1c for all due to high prevalence of diabetes in
• UAE.
• Visits to include reviews, checks and tests in accordance with DHA ante-
natal care protocols.
• 3 ante-natal ultrasound scans.
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
insured. Maximum benefit AED 7,000 per normal delivery, AED 10,000 for
medically necessary C-section,
complications and for medically necessary termination (all limits
included co-insurance).
Covered
• Cover for 30 days from birth.
• BCG, Hepatitis and neo-natal screening tests.
Phenylketonuria (PKU), Congenital Hypothyroidism, sickle cell screening,
congenital adrenal hyperplasia)
Covered
Only available for services administered at DHA facilities.
Covered
Frequency restricted to:
Diabetes: - Every 3 years from age 30.
- High risk individuals annually from age 18.