Adamjee Pearl : Choose Best Health Insurance Plan From Adamjee

Plan Summary

Plan NamePearl

Cover AmountAED 1,000,000

Pharmacy LimitUpto AED 1,000,000

TPAMEDNET

Adamjee - Pearl Details

Maternity Cover

- Normal Delivery expenses are covered up to a sub limit of AED 10,000/- - Medically necessary Caesarean Section and complication expenses are covered up to a sub limit of AED 10,000/- - Any Medical Emergency expenses related to Maternity will be covered

Waiting Period

Maternity Waiting Period

Maternity Waiting Period 40 days

Chronic Condition Waiting Period

New chronic condition will be covered from Day One

Pre-existing diseases (PED)

Pre-existing diseases (PED) Covered only if declared on additional payment

Dental and Gum Treatment

Dental

Covered subject to the following: Ã¢â‚¬Â¢ Sub-limit: AED 3,500 Ã¢â‚¬Â¢ Coinsurance: 20%

Hearing and Vision Aids

Covered only in cases of medical emergencies

Coverage Type

Clinic + Hospital Access

Out-Patient Services

New Born Cover

As per DHA benefit guidelines.

Laboratory Tests

Covered with 0% co-pay per invoiceCovered with 20% co-pay per invoice Covered with 10% co-pay per invoice

Physiotherapy Treatment

Fully Covered - 0% Co-paymentFully Covered - 20% Co-paymentFully Covered - 10% Co-payment

Dental

Free Access - Covered with 20% Co-Payment with an annual Sub-Limit of AED 3,500, Reimbursement - Additional 20% co-payment applicable over free access with annual sub limit of AED 3,500

Vaccinations (Adults)

Covered both on Free Access & reimbursement basis

Physician Consultation

Covered with Co-pay of 20% max 50 per consultation

In-Patient Services

Room Type

Private Room

Ambulance Service

Covered

Pre-existing conditions

All pre-existing medical conditions should be declared in the Medical Application Form and is subject to medical underwriting. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.

Parent Accommodation for child under 18 years

For children upto 16 Years of Age - Covered maximum up to 100 AED per night

Repatriation of Mortal Remains to Home Country

Covered up to AED 7,500/-