Select Bronze Plan Summary
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Plan Summary - Select Bronze
Plan
Select Bronze Plan offers you health insurance coverage for all health services like inpatient, outpatient and emergency services. With a network of over 2,000 health service providers, you may be rest assured that the plan offers direct billing facility. You can also get a second opinion from medical experts globally, should the need arise to consult them.
Concept
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For services availed within the plan’s list of providers (Network) – 100% on Direct Billing For choice of doctor or hospital outside the network (Non-Network) 50% on Reimbursement
Some services may follow specific benefit limits, deductible or coinsurance. These conditions would be listed in your policy documents. Co-insurance will be applicable for services availed outside the Emirate of Abu Dhabi Deductible will be applicable for services availed within the Emirate of Abu Dhabi Annual Limit
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AED 500,000 Per Person
Emergency Treatment
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Worldwide Excluding USA, Canada and Europe For maternity in Non-Network – 50% on Reimbursement
Injuries and illnesses related to work -
Yes, included
Inpatient Benefits
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Hospital Fees (including room charges, meals, nursing, drugs, Operation Theatre charges) Diagnostic tests during your hospital stay Specialist’s or Physician’s Fees Childbirth and new born care Parent Accommodation – Accompanying an Insured Child under 16 years of age Companion Accommodation – On doctor’s recommendation, incase of medical necessity Emergency cases leading to inpatient treatment
Outpatient Benefits
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Physician’s Fees Drugs prescribed by a physician Diagnostic tests such as X-rays, blood tests, MRI Physiotherapy sessions
Additional Benefits
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Vaccinations Preventive services
Optional Benefits
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Flexibility to add Dental Cover option to the plan benefits Groups with more than 50 members have the flexibility to add additional coverage modules to the plan, including Optical Cover, Alternative Medicine and Chiropractic, Home Nursing, and Annual Health Check Ups.
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www.damanhealth.ae
800 4 DAMAN (32626) |
[email protected]
Plan Summary - Select Bronze
Specialized Services
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Annual screening for breast, prostate and colorectal cancer above certain age International Assistance services through our specified service provider Expert Medical Opinion Program gives access to the world’s most recognised medical experts when determining the best course of treatment for medical situation. An innovative telemedicine consultation service where highly qualified physicians provide you world-class healthcare around the clock, without having to visit a clinic or hospital. Access to 24/7 call center staffed with bi-lingual representatives – Arabic & English Easy and safe access to our online portal “My Daman” to submit and track claims, search for providers, and more ActiveLife Program is a community engagement platform designed to give members and the community at large a platform to support them in leading a healthier, more active life.
Territorial Limit
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UAE Ext. to SEA, ISC and AC for Inpatient treatment only
Network
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Network within UAE: Comprehensive 3 Network outside UAE: NA
Reimbursement
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50% Reimbursement in Non-Network Providers
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In case of Emergencies:
o 100% covered
Exclusions
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Refer to the Policy Wording
Specific Conditions
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The following benefits are covered with sub-limits: Dental Cover, Optical Cover, Pharmaceuticals, Parent and Companion Accommodation, Maternity benefits outside UAE, Repatriation of mortal remains Coverage outside UAE is limited to 90 days per trip and extended up to 180 days for Maternity
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Important Note: This product overview is for information purposes only. The complete list of benefits, definitions, exclusions, terms and conditions will be set out in the specific policy agreed between yourself and Daman. While every effort is made to ensure the accuracy of the content, Daman cannot be held liable for any typographical errors, errors of fact or any other error or inconsistency found in this document.
www.damanhealth.ae
800 4 DAMAN (32626) |
[email protected]
PM/E/0031/ScB/011117/V2R0/P
o 50% covered in Non-Network for Maternity
