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

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

Physiotherapy Treatment

Fully Covered - 20% Co-paymentFully Covered - 0% 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/-