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Why Comprehensive Health Insurance is a Must-Have in UAE

Comprehensive health insurance- medical insurance- Gargash Insurance brokers 22 Feb, 2024

Protect yourself and your loved ones with comprehensive health insurance in UAE. Learn why it's necessary & how it can safeguard your well-being.

In today's unpredictable world, having health insurance coverage is crucial. In the United Arab Emirates (UAE), several insurance providers offer a range of comprehensive health insurance plans to safeguard individuals and their families against unexpected medical expenses. This article will help you navigate the world of comprehensive health insurance in the UAE, including its benefits, inclusions, exclusions, top plans in Dubai, and associated costs.

 

Quick Read Section

  • Comprehensive health insurance is an extensive type of coverage that offers a broad range of medical benefits and financial protection.
  • Unlike basic health insurance, which covers only essential medical expenses, comprehensive health insurance provides enhanced coverage for outpatient care, specialist consultations, hospitalization, surgeries, medications, and other healthcare services.
  • Comprehensive health insurance may exclude certain conditions and treatments such as pre-existing conditions, cosmetic procedures, experimental treatments, and self-inflicted injuries.
  • When choosing comprehensive health insurance, it's important to consider factors like network coverage, policy limits and exclusions, premiums and deductibles, and additional services.

 

Basic vs. Comprehensive Health Insurance: The difference

In the UAE, there are two main types of health insurance: basic and comprehensive.

Basic health insurance plans are mandated by the government and are designed to cover only essential medical services, such as emergency care, inpatient care, and maternity care. However, they often have limited coverage for outpatient care, pre-existing conditions, and dental and vision care.

While basic health insurance plans in the UAE cover essential medical expenses, comprehensive health insurance offers superior coverage and additional benefits. Comprehensive health insurance provides a wider scope of coverage, including preventive care, diagnostics, specialist consultations, alternative therapies, and maternity services.

 

What does comprehensive health insurance cover- Inclusions & Benefits

Comprehensive health insurance plans in the UAE typically include a range of benefits, such as:

  • Inpatient Care: Insurance coverage for inpatient care addresses expenses related to hospitalization, including treatments, surgeries, consultations, and procedures that require an overnight stay. It covers costs such as room and board, nursing care, anesthesia, and medications administered during the hospital stay.
  • Outpatient Care: Outpatient care coverage includes medical treatments and consultations that do not require hospitalization. This type of coverage typically includes doctor visits, diagnostic tests, laboratory services, and prescribed medications.
  • Emergency Medical Care: This ensures you're covered for urgent medical attention, including ambulance services.
  • Worldwide Coverage: Some comprehensive health insurance plans offer coverage even when policyholders travel abroad. This is especially beneficial for frequent travelers or individuals with international business commitments.
  • Hospitalization: Coverage for expenses related to hospital stays, including room charges, surgical procedures, and intensive care.
  • Extensive Coverage: One of the primary advantages of comprehensive health insurance is its wide-ranging coverage. It provides protection against major medical expenses, including diagnostics, surgeries, hospital stays, rehabilitation, and more.
  • Access to Specialist Care: Comprehensive health insurance allows policyholders to consult with specialists and receive specialized medical care without the need for referrals. This ensures timely access to the best healthcare professionals in the UAE.
  • Maternity Coverage: Many comprehensive health insurance plans in the UAE include coverage for maternity services, including prenatal care, childbirth, and postnatal care. This is particularly important for individuals or couples planning to start a family.
  • Wellness Programs: Some insurance providers offer wellness programs as part of their comprehensive health insurance plans. These programs may include preventive screenings, health assessments, vaccinations, and lifestyle management services to promote overall well-being.
  • Dental Coverage: The dental coverage provided by comprehensive health insurance plans in the UAE includes coverage for regular check-ups, extractions, cleanings, root canals, filling, and orthodontics.
  • Optical Coverage: When it comes to optical care, most comprehensive insurance plans in the UAE typically cover routine eye examinations and the cost of prescription eyeglasses or contact lenses. Some plans may also provide coverage for treatments related to eye conditions, such as cataract surgery or laser eye surgery.
  • Mental Health Coverage: While coverage varies by plan, many comprehensive health insurance plans in Dubai offer some level of mental health coverage, including therapy, counselling, and even inpatient treatment for severe cases.

 

Exclusions in Comprehensive Health Insurance

While comprehensive health insurance covers a wide range of medical services, certain exclusions may vary depending on the insurance provider and policy. Common exclusions include:

  • Pre-existing Conditions: Certain policies have waiting periods for pre-existing conditions. Understanding how pre-existing conditions are handled is essential, so it is vital to thoroughly review the policy terms and conditions.
  • Cosmetic Procedures: Non-medically necessary cosmetic procedures may not be covered by comprehensive health insurance plans.
  • Experimental Treatments: Treatments that are still in experimental stages or not widely accepted may not be covered.
  • Treatment for Self-Inflicted Injuries: Comprehensive health insurance in the UAE typically excludes coverage for treatment of self-inflicted injuries.

 

Factors to Consider When Choosing Comprehensive Health Insurance

  • Network Coverage: Evaluate the network of hospitals, clinics, and healthcare providers associated with the insurance plan. Check if your preferred healthcare facilities are included in the network to ensure convenient access to quality medical services.
  • Policy Limits and Exclusions: Understand the policy limits, including annual coverage limits, waiting periods for specific treatments, and any exclusions for pre-existing conditions. Carefully review the policy terms and conditions to ensure they align with your healthcare needs.
  • Premiums and Deductibles: Compare the premiums and deductibles of different insurance plans. While lower premiums may be appealing, consider the overall coverage and benefits provided by the policy to ensure it meets your requirements.
  • Additional Services: Look for additional services offered by the insurance provider, such as 24/7 customer support, online claim submission, and access to a wide network of pharmacies.

 

How much does Comprehensive Health Insurance cost?

The cost of comprehensive health insurance in the UAE depends on various factors, including your age, medical history, coverage limits, deductible, and the network of providers you choose. It's advisable to compare different insurance plans and obtain personalized quotes to determine the best option that suits your budget and healthcare needs. Generally, comprehensive health insurance plans in Dubai can range from approximately AED 1,400 to AED 50,000 per year.

 

Top Comprehensive Health Insurance Plans in Dubai

Several insurance providers offer comprehensive health insurance plans in Dubai. Here are a few of the most popular plans:

  • Orient Insurance: Comprehensive Health Insurance provided by Orient Insurance offers extensive coverage for medical expenses, including hospitalization, doctor consultations, diagnostic tests, and medication. It also includes benefits like coverage for pre-existing conditions, maternity care, emergency medical evacuation, and dental and optical treatments.

 

Orient Family Care Product (MedNet)

Annual Limit:

AED 150,000 to AED 1,000,000

Area of Cover:

Worldwide (Limited to 90 days per treatment outside UAE)

Starting Rate:

(Age 31 to 35)

AED 1,994 (Male)

AED 3,937 (Female)

Networks:

Gold, Silver Classic, Silver Premium, Green Emerald, Pearl, Silk Road

Benefits and Inclusions:

Hospital Accommodation services

Physiotherapy

Chemotherapy

Ambulance Services

Consultants, Surgeon and Anesthetists’ fees

Companion Room

Emergency Mental Health Treatment

Outpatient Surgery

Daycare Treatment

Emergency Dental Treatment

Newborn Baby Coverage

Work-Related Injuries

Repatriation Costs

** Please take note that the rates mentioned above are specifically for individuals between the ages of 31 and 35 who do not have any pre-existing illnesses.

 

  • Sukoon Insurance (previously Oman Insurance): Sukoon Insurance provides a comprehensive health insurance plan that ensures you and your family are protected against unexpected medical expenses. The plan covers hospitalization expenses, doctor's fees, prescribed medication, and diagnostic tests. It also offers benefits such as coverage for pre-existing conditions, maternity care, and emergency medical evacuation. Sukoon Insurance aims to provide you with the security and peace of mind you need in times of health emergencies.

 

Sukoon HealthPlus

Plan Type:

Prime

Pro

Max

Home

HomeLite

Safe

Annual Limit:

5,000,000

3,000,000

500,000

250,000

250,000

150,000

Area of Cover:

Worldwide, excluding USA

Worldwide, excluding USA

Worldwide, excluding USA

UAE, Arab Countries & Southeast Asia

UAE, Arab Countries & Southeast Asia

UAE, Arab Countries & Southeast Asia

Starting Rate:

 

AED 2,586 (Safe plan)

Networks:

Premium, Edge, Signature + Medcare, Signature, Advance, Vital

Benefits and Inclusions:

Teleconsultations 24x7 with TruDoc

Access to wellness programmes

Personal Accident Cover

Worldwide Coverage

Maternity and newborn covers

Basic Vaccination

Airfare for treatments outside UAE

Organ Transplant

Home Nursing

Psychiatric Treatment

Repatriation of mortal remains

Alternative Medicine

Dental Coverage (with 20% copay)

Optical Coverage (with 20% copay)

**Note: The above-mentioned rates are applicable for an individual male aged 30 having no pre-existing illnesses.

 

  • Cigna Insurance: Cigna Insurance offers a comprehensive health insurance policy that provides extensive coverage for various medical expenses. The plan includes coverage for hospitalization, doctor consultations, diagnostic tests, prescribed medication, and surgical procedures. It also offers additional benefits like coverage for pre-existing conditions, maternity care, emergency medical evacuation, and wellness programs. Cigna Insurance strives to provide you with comprehensive healthcare coverage tailored to your specific needs.

 

Cigna Healthguard Plan

Plan Type:

Regional

International

International Plus

Annual Limit:

AED 2,750,000

AED 7,350,000

Unlimited

Area of Cover

GCC, Middle East and Asia

Worldwide coverage with the option to include cover in USA

Worldwide coverage with the option to include cover in USA

Starting Rate:

(Age 18 to 24)

AED 6,700

Networks:

General, General Plus, Comprehensive

Benefits and Inclusions:

Nursing Care and Private Room Accommodation Services

Recovery Room Services

Operating Theatre Charges

Prescribed Medicines

Specialist Consultation, Surgeon & Anesthetist’s fees

Transplant Services

Kidney Dialysis

Physiotherapy

Emergency dental and gum treatment

Emergency mental health care

Ambulance Services

Cancer Care

Companion Accomodation

Home Nursing

Non-emergency mental health care

Routine maternity, childbirth and elective caesarean (with 10% copay)

 Vision Care (contact lenses, spectacle lenses, frames, prescription sunglasses)

Orthodontic treatment

Alternative Medicine Treatments (Homeopathy, Ayurveda & Chinese Medicine)

Repatriation of mortal remains

 **Note: Please take note that the rates mentioned above are specifically for individuals between the ages of 18 and 24 who do not have any pre-existing illnesses.

 

  • GIG Insurance: GIG Insurance offers a comprehensive health insurance plan that covers a wide range of medical expenses. The plan includes coverage for hospitalization, outpatient treatments, doctor consultations, diagnostic tests, and medication. It also offers benefits like coverage for pre-existing conditions, maternity care, emergency medical evacuation, and dental and optical treatments. GIG Insurance aims to provide you with comprehensive coverage and financial protection during times of illness or injury.

 

GIG Smart Health Plan

Plan Type:

Global

Regional

Gold

Silver

Bronze

Annual Limit:

AED 7,500,000

AED 2,500,000

AED 150,000

AED 150,000

AED 150,000

Area of Cover:

Worldwide

excluding USA

G.C.C, Jordan, Iran, Lebanon, Syria, Egypt, Tunisia,

Morocco, Algeria, India, Pakistan, Sri Lanka,

Bangladesh, Korea, the

Philippines, Indonesia,

Nepal & Bhutan

UAE, India, Pakistan, Sri Lanka, Bangladesh,

Philippines,

Nepal & Bhutan

 

UAE, India, Pakistan, Sri Lanka, Bangladesh,  Philippines,

Nepal & Bhutan

UAE

Starting Rate:

 

AED 6000

Benefits and Inclusions:

Pre-existing and Chronic Conditions Coverage

Dental Coverage (with 20% copay)

Optical Coverage (with 20% copay)

Routine Outpatient Treatment

Inpatient Treatment

Psychiatric Treatment (with 30% copay)

Personal Accident

Teleconsultation

Wellbeing Counselling

**Note: The above-mentioned rates are applicable for an individual male aged 30 having no pre-existing illnesses.

 

  • Bupa Insurance: Comprehensive Health Insurance under Bupa Insurance provides extensive coverage for individuals and families, offering a wide range of benefits to ensure their health and well-being. With this insurance plan, policyholders gain access to a vast network of healthcare providers, including hospitals, clinics, and specialists, for a comprehensive range of medical services.

 

Bupa Comprehensive Plan

Plan Type:

Select

Premier

Elite

Ultimate

Annual Limit:

AED 6,239,000

AED 6,239,000

AED 18,717,000

Unlimited

Area of Cover:

Regional Middle East or Worldwide,

excluding U.S.

Worldwide, excluding U.S

Worldwide

Worldwide

Benefits and Inclusions:

Pre-existing & chronic condition coverage

Congenital and hereditary condition coverage

Outpatient day to day care

Specialist consultation fees

Emergency & chronic mental health treatments

Diagnostic tests and X-rays

Physiotherapy

Alternative Medicine

Cancer Screening

Transplant services

Dental and Optical Coverage

Maternity Coverage

Repatriation of mortal remains

 

  • RAK Insurance: RAK Insurance offers a comprehensive health insurance policy that ensures you have access to quality healthcare when you need it the most. The plan covers hospitalization expenses, doctor consultations, diagnostic tests, prescribed medication, and surgical procedures. It also includes benefits such as coverage for pre-existing conditions, maternity care, emergency medical evacuation, and dental and optical treatments. RAK Insurance is committed to providing you with comprehensive coverage and peace of mind in managing your healthcare expenses.

 

RAK Family Care Plan

Annual Limit:

150,000 AED to 1,000,000 AED

Area of Cover:

Worldwide

Starting Rate:

(Age 31 to 35)

AED 2,133 (Male)

AED 4,118 (Female)

Networks:

Gold, Silver Premium, Silver Classic, Green, Emerald, Pearl, Silk Road

Benefits and Inclusions:

Hospital Accommodation services

Physiotherapy

Chemotherapy

Ambulance Services

Consultants, Surgeon and Anesthetists’ fees

Companion Room

Emergency Mental Health Treatment

Outpatient Surgery

Daycare Treatment

Emergency Dental Treatment

Newborn Baby Coverage

Work-Related Injuries

Repatriation Costs

 **Note: Please take note that the rates mentioned above are specifically for individuals between the ages of 31 and 35 who do not have any pre-existing illnesses.

 

Why choose Gargash Insurance for your comprehensive health insurance needs?

An insurance broker serves as your trusted advisor when it comes to finding the right comprehensive insurance plan for you and your family. Our insurance experts offer personalized recommendations, access to multiple insurers, expertise in policy terms, negotiation skills, and claims assistance. By utilizing their services, you can have peace of mind knowing that you have the best insurance coverage to protect your family's needs.

 

Conclusion

Comprehensive health insurance in the UAE provides individuals and families with extensive coverage and financial protection against unexpected medical expenses. By understanding the key benefits, considering important factors, and comparing different insurance plans, you can make an informed decision and select the best comprehensive health insurance coverage that aligns with your healthcare needs and budget.

Contact us today for all your health insurance needs!

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