Why Comprehensive Health Insurance is a Must-Have in UAE
22 Feb, 2024Protect 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 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 (previously AXA): 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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