Individual Health Insurance Plans

Individual/Family Medical Insurance Scheme

Plan

Annual Limit

1 2

50,000 100,000

3

100,000

4

200,000

5

200,000

6

300,000

7

300,000

Area of Cover UAE Only. UAE Only. UAE, Arab Countries, and South East Asia (Excl. Singapore & Hong Kong) UAE, Arab countries, and South East Asia (Excl. Singapore & Hong Kong), Extended to Worldwide (excl. USA/Canada) * UAE, Arab Countries, and South East Asia (Excl. Singapore & Hong Kong), Extended to Worldwide (Incl. USA/Canada) * UAE, Arab Countries, and South East Asia (Excl. Singapore & Hong Kong), Extended to Worldwide (Excl. USA/Canada) * UAE, Arab Countries, and South East Asia (Excl. Singapore & Hong Kong), Extended to Worldwide (Incl. USA/Canada) *

Age Band (age as on last birthday) & Premium Rates per person per year (AED) 14 days – 17 years 1,765 2,600

18-25 years

26-30 years

31-35 years

36-40 years

41-45 years

46-50 years

51-55 years

1,650 2,420

1,765 2,600

1,880 2,780

2,125 3,130

2,365 3,480

2,600 3,850

2,980 4,370

3,575 5,250

2,820

2,630

2,820

3,010

3,385

3,770

4,150

4,730

5,675

4,350

4,050

4,350

4,640

5,230

5,800

6,410

7,280

8,750

5,020

4,680

5,020

5,350

6,025

6,700

7,400

8,390

10,100

4,560

4,250

4,560

4,870

5,480

6,100

6,720

7,640

9,200

5,270

4,900

5,270

5,620

6,325

7,050

7,750

8,800

10,575

* Treatments in the Extension Territory are allowed only in case of medically necessitated emergencies while traveling (aggregate max. 60 days in policy year)

Schedule of Benefits Plan 1

Plan 2 to 7 50% of yearly Max. Aggregate Restricted Comprehensive (*1)

Maximum Benefit per case(ailment/accident) Applicable Network INPATIENT - NETWORK Room & Board per day Intensive care Unit ,General Nursing Care, Surgeon’s and Anesthetist’s fees, Hospital Services, Expenses & supplies, Diagnostic tests & procedures ,Lab test and Analysis, Medicines, Surgical fees & Surgical procedures, Road ambulance

Semi-Private

Private At Actuals

OUTPATIENT BENEFITS - NETWORK Deductibles (on outpatient consultation fees. Free follow-up within 7 Maximum Benefit Per Person Per Year 3,500/General Practitioner & specialist fee(including home visit), Diagnostic tests & procedures, Medicines, Surgical Procedure (Day care),Hospital Services, Expenses and Supplies(Day care), Physiotherapy ORGAN TRANSPLANT per person per year (excluding Donor’s expenses)

AED 25/5,000/At Actual 50,000/- per person per year

INPATIENT - NON NETWORK Room & Board per day Intensive care Unit per day All Other Services Consultation General Practitioner per visit Consultation Specialist per visit All other Services

56-60 years

200/675/1,000/1,500/AT OIC NETWORK CUSTOMARY CHARGES OUTPATIENT BENEFITS - NON NETWORK 50/125/100/250/AT OIC NETWORK CUSTOMARY CHARGES