ADNIC Critical Illness Health Insurance

When it comes to health insurance providers in the UAE, Abu Dhabi National Insurance Company (ADNIC) stands out as a reliable and prominent name. With a strong presence in the region since its establishment in 1972, ADNIC has been dedicated to offering a diverse range of insurance solutions to cater to the unique needs of individuals and families alike. ...read more

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While ADNIC may not provide specific standalone critical illness health insurance plans, it boasts a series of comprehensive health insurance policies that extend coverage for certain critical illnesses.

In this write-up, we will learn more about critical illness health insurance in general and shed light on the top ADNIC health insurance plans that may provide coverage for some critical illnesses.

What is Critical Illness Health Insurance?

Critical illness health insurance policies, as the name suggests, typically offer coverage for chronic diseases such as cancer, organ transplant, kidney failure, heart attack, paralysis, renal failure, stroke, and more. These plans provide a lump sum amount to cover additional medical expenses related to the critical illnesses specified in the insurance plan.

However, it's crucial to note that the list of covered illnesses can differ between plans, making it essential to verify whether the specific critical illness is included in the policy before making a decision.

General Features of Critical Illness Health Insurance

The following are the general features of critical illness health insurance -

  • Comprehensive Coverage Benefits - A critical illness health insurance policy typically provides coverage for over 30 critical diseases — the list includes cancer, stroke, and more. If the insured individual is diagnosed with a life-threatening illness, they can utilise the benefits offered by the insurance cover. These benefits encompass pre and post-hospitalisation coverage, dialysis coverage, organ donor coverage, and more.
  • Get Lump Sum Amount - During treatment, individuals can receive a lump sum payment from the insurance company, eliminating the need for out-of-pocket payments.
  • Affordable Premium - Despite their comprehensive nature, critical illness covers are available at affordable premiums. This way, you can ensure adequate financial protection during health emergencies without draining your pocket.
  • Hassle-Free Process -. Insurance companies directly settle the bills with the concerned hospital and with minimal documentation, which ensures a hassle-free experience for the policyholder.
  • Monthly Income Replacement - In the event of being diagnosed with a critical illness, policyholders can claim a portion of the sum assured as a substitute for their monthly salary. This becomes particularly advantageous during times of financial strain or when there is a loss of regular income due to sick leave or an inability to work.

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Benefits of Having a Critical Illness Health Insurance Plan

Detailed below are the reasons to buy a critical illness health insurance plan -

  • Covers Medical Expenses and Treatment Costs - Treating critical illnesses such as cancer and others can be financially burdensome. Having an insurance policy that covers these illnesses makes it more manageable to handle the high costs of consultations and hospitalisations.
  • Recoup Loss of Income - When diagnosed with a life-threatening disease, seeking medical help becomes a priority. This, however, can also lead to mounting expenses and a considerable impact on savings. Critical insurance cover can be immensely beneficial in such cases as it can provide full or fixed payments to cover the loss of income during this period when the insured is unable to work.
  • Support for Monthly Expenses - As a working professional, you may have various responsibilities like loan payments and more. A critical insurance cover with fixed payouts can help you manage these monthly expenses without added strain.
  • Additional Support beyond Health Plan - Critical insurance covers offer financial aid beyond your primary health insurance. They cover a wide range of disorders and illnesses that are generally not included in your basic health insurance plan. This provides you with a better chance of dealing with medical conditions and rising expenses.
  • Affordable Premium Payments - Contrary to popular (mis)conception, critical illness insurance is now easily accessible and available at affordable rates due to technological advancements and government regulations.

While getting a critical illness health insurance plan, just make sure to explore different policies and their benefits so that you are able to find the most suitable plan that suits your requirements at affordable rates.

Common Illnesses Covered under Critical Illness Health Insurance

Listed below are the major critical illnesses covered under the critical illness health insurance plans -

  • Stroke
  • Heart attack
  • Kidney failure
  • Alzheimer’s disease
  • Parkinson’s disease
  • Muscle dystrophy
  • Encephalitis
  • Poliomyelitis
  • Brain surgery
  • Chronic lung disease
  • Chronic liver disease
  • Motor neuron disease
  • Coma
  • Loss of speech
  • Multiple sclerosis
  • Hepatitis
  • Cancer
  • Heart valve replacement due to defects in the body
  • Aorta surgery
  • Major organ transplantation 
  • Pulmonary arterial hypertension
  • Permanent or total blindness
  • Permanent or total deafness
  • Permanent loss of speech
  • Third-degree or severe burns
  • Benign brain tumor
  • Bacterial meningitis
  • Universal necrosis of the brain cortex or Apallic syndrome
read more

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General Exclusions Covered under Critical Illness Health Insurance

Given below are some of the common exclusions of critical illness health insurance, i.e., scenarios that insurance companies typically don’t cover during the claim settlement process -

  • Critical illnesses diagnosed during the waiting period are not covered
  • Congenital diseases are excluded from most critical illness covers
  • Critical conditions related to pregnancy or childbirth are not included
  • Conditions related to HIV/AIDS are not part of the coverage of the plans 
  • Dental care treatments and cosmetic surgeries are not covered under these plans
  • Illnesses or health conditions developed due to self-harm, suicide attempts, or intake of harmful substances like alcohol are not compensated for by the insurer
  • Infertility treatments and hormone replacement therapies are also excluded from the critical illness plan
  • Medical treatments received in countries outside the geographical coverage limit are not covered 
  • Illnesses or disorders resulting from war, civil war, terrorism, or military operations are not covered under critical illness plans

Comprehensive ADNIC Health Insurance Plans with Critical Illness Cover

Tabled below are the top comprehensive ADNIC health insurance plans that may cover critical illnesses -

Plans Benefits
Shifa Platinum Opt-4
  • Annual Medical Cover - AED 5,000,000
  • Geographical Coverage Scope - Worldwide
  • Medical Providers Network - Platinum (within the UAE), MSHI Network Worldwide (outside the UAE)
  • Organ transplant - Covered
  • Hepatitis C Virus Diagnostics and Treatment - Covered as per DHA’s guidelines
  • Cancer Diagnostics and Treatment - Covered as per DHA’s guidelines
  • Annual Screening (for prostate cancer and breast cancer) - Up to AED 2,500 per year
  • Kidney Dialysis Treatment - Covered up to AED 100,000 per year
  • Second Medical Opinion (if the insured individual opted for a second opinion from outside the UAE) - Covered
  • Routine Health Checkup - Up to AED 2,500 per year
  • Rehabilitation - Covered only if medically essential
Shifa Platinum Opt-3
  • Medical Cover Cap - AED 5,000,000
  • Geographical Coverage - Worldwide
  • Local Emergency Transportation (Ambulance) - Covered
  • Chronic Medical Conditions - Covered
  • Diagnostics (Lab Tests, Scans, and X-rays) - Covered
  • Physician’s Consultation - Covered
  • Network - Platinum (Within the UAE), MSHI Network Worldwide (outside the UAE)
  • Organ Transplantation - Covered
Shifa Gold Opt 16
  • Annual Medical Cover - Up to AED 2,000,000
  • Geographical Scope - Worldwide (excluding USA and Canada)
  • Radiotherapy/Chemotherapy - Covered
  • Emergency Ambulance Service - Covered
  • Kidney Dialysis Treatment - Up to AED 50,000 per person per year
  • Hepatitis C Virus Diagnostics  and Treatment - Covered as per DHA’s guidelines
  • Cancer Diagnosis and Treatment - Covered as per DHA’s guidelines
  • Second Medical Opinion - Covered
  • Organ Transplant - Covered
  • Annual Prostate Cancer and Breast Cancer Screening - Up to AED 1,000 per annum

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Things to Keep in Mind When Purchasing a Critical Illness Health Insurance Plan

Here are some factors to consider when planning to buy critical illness health insurance -

  • Increasing Age - As age advances, the risk of critical illnesses like heart stroke, diabetes, paralysis, and others increases. Medical expenses for such conditions are significantly higher, which makes insurance essential for financial security. Thus, seniors or families with senior members should consider a critical illness insurance policy.
  • Current Health Condition - Hectic lifestyles and work stress can lead to serious illnesses in the future. Those working in high-pressure environments should get insured for financial security. Similarly, your current health condition and family medical history should also be considered when making a decision on getting critical illness coverage.
  • Future Medical Expenses - With health care expenses rising rapidly, relying solely on your current earnings for medical emergencies may not be enough. Critical illness insurance offers maximum coverage against such conditions at an affordable premium, making it a wise investment for you and your loved ones.
  • Policy Premium - Critical illness insurance policies generally have affordable premiums, although the particular premium in your case will vary from one insurer to another. Comparing different policies allows you to find maximum coverage at the lowest premium, which can make a significant difference in the long run.
  • Insurance Company - Opt for a reputable insurance provider with a good track record for hassle-free claim settlements and customer-centric services. Check the customer reviews online and whether your provider’s network hospitals suit your preferences.
  • Convenience - Choose an insurance provider that has a seamless process for buying and renewing your critical illness insurance policy. Flexibility in policy changes is also valuable for adapting to changing family circumstances or lifestyles.
  • Exemptions and Terms - Lastly, keep in mind to thoroughly read the list of exclusions, exemptions, and policy terms before making the purchase. Make sure that any specific critical illnesses against which you seek financial protection are covered by the policy to avoid future disputes.

By being well-informed about your policy and its terms, you can not only make the right decision but also avoid claim rejections and other hassles when facing a critical illness.

Find out the answers to some popular queries related to critical illness health insurance in the following FAQ section.

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Frequently Asked Questions

Q1. How to determine the critical illness cover amount?

Ans: The critical illness cover amount depends on the insured individual’s age, lifestyle, residence, annual income, and other factors.

Q2. Do you need to undergo a medical examination when applying for the critical illness cover?

Ans: No, you won’t generally need to undergo any medical examination for a critical illness cover. However, you would be required to mention your medical history and personal details such as age, weight, height, and so on.

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