Nextcare, a prominent third-party administrator (TPA) in the health insurance sector, plays a crucial role in facilitating and managing healthcare services. As a TPA, Nextcare serves as a bridge between insurance companies and healthcare providers, ensuring seamless coordination and efficient ...read more
When it comes to health insurance, what really matters is how easily you can access care when you need it. That’s where Nextcare comes in. As a trusted third-party administrator (TPA), it works behind the scenes to make sure everything runs smoothly between insurance companies and healthcare providers — so that patients can focus on getting better, not the paperwork.
Founded in 1999 and part of the Allianz group for over 14 years, Nextcare has grown into a name people rely on. It has built relationships with over 120 healthcare partners — both locally and internationally — to help insured members find the right care fast.
In this blog, we’ll walk you through everything you need to know about Nextcare health insurance —from how it works to who its partners are and why it plays such a big role in the UAE’s insurance space.
Nextcare Insurance in Dubai offers two primary healthcare networks to ensure members receive appropriate medical care tailored to their needs. Let’s find out more about them —
This approach emphasises coordinated care, where the PCP manages routine health concerns and provides referrals to specialists within the network when necessary.
Note: Nextcare is a TPA, not an insurance provider. The term ‘Nextcare insurance’, thus, refers to the insurance services available with it.
Nextcare in the UAE offers a comprehensive range of healthcare services and access to a diverse team of specialists. Some of the services and specialities provided by Nextcare health insurance in the UAE include —
Important: The availability of specific services and specialists may vary across different Nextcare facilities and locations in the UAE. For detailed information about the services, specialists, and availability, it is recommended to contact Nextcare directly or refer to its official website for the most up-to-date information.
With more than two decades of experience in the healthcare industry, Nextcare medical insurance has become a name people trust when it comes to managing their health benefits. Over the years, the TPA has built strong relationships with some of the most respected insurance providers in the region and helped millions of members get easy access to quality healthcare.
Some of the well-known insurers working with Nextcare include:
Nextcare offers two types of claims in terms of procedures: direct settlement and reimbursement. Let's explore each of these types in detail —
When you visit a healthcare provider within Nextcare's extensive network, the billing is handled directly between the provider and Nextcare. This means you won't need to pay upfront for covered services — just present your insurance card and the provider will take care of the rest.
If you receive medical services outside of Nextcare's network or in situations where direct billing isn't available, you may need to pay the provider upfront and then seek reimbursement.
Here's how to do it —
Additionally, submit any medical results, such as test results and radiology reports, as well as the medical invoice from the clinic or hospital.
Note that the Nextcare medical insurance reimbursement claim should be submitted within 30 days from the date of the treatment, whether from inside or outside the UAE. If you encounter any difficulties, you can contact the provider or email the Nextcare PB (Policy Benefits) department for assistance.
The Nextcare medical claim reimbursement process takes around 15 working days to process. Once the claim reimbursement is approved, the insurer will provide a Payment Order (PO) with the necessary details.
Waiting to hear back on a claim can feel stressful. But with Nextcare health insurance, staying updated is easy and convenient.
Here are a few easy ways to check the status of your reimbursement claim —
This is the quickest way to stay informed.
If you prefer to speak with someone directly, you can dial the customer service number printed on your insurance card. A representative will guide you and answer any questions about your Nextcare medical insurance claim.
You can also contact Nextcare through WhatsApp. It’s a convenient way to ask questions or follow up on your claim without making a phone call.
In case of a medical emergency, it's important to know how to contact Nextcare promptly to receive the assistance you need.
The TPA provides several channels that you can use to reach out quickly and efficiently —
Here is a table with Nextcare's contact numbers for various regions—
Region |
Contact Number |
United Arab Emirates |
+971 4 270 8800 |
Lebanon |
+961 1 504 000 |
Egypt |
19154 |
Bahrain |
80001151 |
Oman |
800 777 57 |
Kuwait |
+965 2 200 8100 |
Morocco |
+212520486400 |
Tunisia |
+216 70 029 520 |
Saudi Arabia (KSA) |
920003055 |
Qatar |
+974 4 434 1057 |
Please note that these numbers are subject to change. Always refer to your insurance card or the official Nextcare website for the most up-to-date contact information.
You can locate hospitals, diagnostic centers, pharmacies, and doctors with this TPA through the following methods —
This allows you to find healthcare providers that best suit your needs and are covered by your insurance policy.
Download the Lumi app from the App Store or Google Play to access a range of services, including searching for healthcare providers. After logging in:
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Nextcare is a Third Party Administrator (TPA) that provides administrative services for insurers and other healthcare payers. It actually manages healthcare plans and facilitates access to medical services for insured members.
A Digital Insurance Card is an electronic version of your physical insurance card. You can view and download it from the ‘Coverage’ section of the Lumi app.
To update personal information such as your address, email, or phone number, log into the Lumi app, click on your profile icon at the top right corner, and make the necessary changes under the ‘Account Settings’ section.
Yes, you can access healthcare providers in other countries, depending on your policy's terms and conditions. Coverage for international providers is subject to the specifics outlined in your insurance policy.
You can submit a complaint through the Lumi app by clicking on ‘Need Help’ on the home screen, selecting ‘Complaint’ as the inquiry type, and starting a chat with a customer service representative. Alternatively, complaints can be submitted by email or through an online form available on Nextcare's official website.
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