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Medical Insurance - Individual - Basic Plan

The document provides an overview of medical insurance plans, specifically focusing on individual and group health insurance options available in Dubai and Northern Emirates. It details the benefits, premiums, and documentation required for the basic plan, including coverage limits, co-pays, and waiting periods. The document also outlines the criteria for eligibility based on visa types and salary brackets.

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hosseinkarmi1977
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4 views11 pages

Medical Insurance - Individual - Basic Plan

The document provides an overview of medical insurance plans, specifically focusing on individual and group health insurance options available in Dubai and Northern Emirates. It details the benefits, premiums, and documentation required for the basic plan, including coverage limits, co-pays, and waiting periods. The document also outlines the criteria for eligibility based on visa types and salary brackets.

Uploaded by

hosseinkarmi1977
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Introduction to

Medical
Insurance
A Basic Plan Overview
Slide 2 TYPES OF
HEALTH
INSURANCE

Individual Group Health


Health
For either an individual For a company
or family
Slide 2 INDIVIDUAL
HEALTH
INSURANCE

Basic Plan Standard


Entry level plan with basic Health
Customized plan with
benefits as per DHA mandate enhanced benefits
BASIC PLAN –
Slide 2 BENEFITS – DUBAI
BENEFITS BASIC PLAN
Annual Limit AED 150,000
Waiting period 6 month waiting period for all declared condition
Network Clinic only network
Inpatient (IP) 20% co-pay max AED 500
Outpatient (OP) - Specialist via GP referral
Consultation 20% co-pay
Lab test 20% co-pay
Medicine 30% co-pay – limit AED 1,500
Maternity 10% co-pay – AED 7,000-10,000
Dental Not covered
Optical Not covered

Criteria – Dubai visa only


BASIC PLAN –
Slide 2 PREMIUM – DUBAI
CATEGORY PREMIUM
Male/Female employee – Salary below AED 590
4k
Male/Female employee – Salary above AED 775
4k

Basic Plan Female dependent – Age 18-45 AED 1,773

Female dependent – Age 0-17 & 45-64 AED 697


Entry level plan with basic
Male dependent – Age 0-64 AED 697
benefits as per DHA mandate
Parent AED 4,200
Note – Premium is incl. of Basmah &
VAT

Criteria – Dubai visa only


BASIC PLAN –
Slide 2 BENEFITS –
NORTHERN
BENEFITS
Annual Limit
BASIC
AED 75,000
Network EMIRATES
Waiting period
Clinic only network
12 month waiting period
Inpatient (IP) 20% co-pay max AED 500
Outpatient (OP) - Specialist via GP referral
Consultation 20% co-pay
Lab test 20% co-pay
Medicine 30% co-pay – limit AED 1,500
Maternity 10% co-pay – AED 7,000-10,000
Dental Not covered
Optical Not covered

Criteria – NE visa
BASIC PLAN –
Slide 2 PREMIUM –
NORTHERN
EMIRATES CATEGORY PREMIUM
BASIC

0-45 – Salary below 15k AED 510


Basic Plan
46-64 – Salary below 15k AED 840
Entry level plan with basic
benefits Note – Premium is incl. of VAT

Criteria – NE visa only


Slide 2 DOCUMENTATION

TYPE BASIC PLAN


Quote PP and Visa of insured

Issuance PP, Visa and EID of insured


PP, Visa and EID of sponsor
Filled credit authorization form
Previous insurance (if any)
Declared medical conditions(if any)
Slide 2 TURN AROUND
TIME -
QUOTATION

Basic Plan

Self / Immediate
Slide 2 TURN AROUND
TIME - ISSUANCE

Basic Plan
1 working day
Slide 11

THANK YOU

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