Nextcare

The above plans and premiums are for AED 1,000,000 Sum insured for 1 Adult of 30 Years for Dubai city.

Established in 1999, Nextcare has been a part of Allianz for over 14 years, solidifying its position as a trusted player in the industry. With a steadfast commitment to excellence, Nextcare boasts an extensive network of healthcare providers regionally and globally, having collaborated with over 120 partners.

Recognising the importance of a comprehensive health ecosystem, Nextcare actively engages in building alliances with multicultural healthcare partners capable of navigating the complexities of the healthcare system and meeting the evolving requirements of insured members.

In this article, we will cover all the key details of Nextcare, its healthcare partners, insurance partnerships, and more. With all these details, you will have a comprehensive understanding of its role and contributions to the UAE health insurance landscape.

Types of Nextcare Healthcare Facilities

Nextcare distinguishes between two different types of healthcare facilities: Nextcare PCP Clinics and Nextcare RN3 Hospitals, as mentioned below -

Nextcare PCP Clinics: Nextcare PCP Clinics are outpatient facilities that focus on providing primary care and general medical services. These clinics are typically staffed by primary care physicians (PCPs) or general practitioners who serve as the main point of contact for patients' routine medical needs. Nextcare PCP Clinics offer services such as preventive care, health screenings, treatment for common illnesses and injuries, vaccinations, and general consultations. Patients can visit these clinics for non-emergency medical issues and ongoing healthcare management.
Nextcare RN3 Hospitals: Nextcare RN3 Hospitals, on the other hand, are specialised facilities that cater to inpatient and emergency services. These hospitals are equipped to handle more complex medical cases and emergency situations that require hospitalisation or immediate medical attention.

These medical institutions have a wider range of medical specialities available, including surgical departments, intensive care units, specialised diagnostic services, and other advanced medical technologies.

Nextcare Services and Specialists

Nextcare offers a comprehensive range of healthcare services and access to a diverse team of specialists. Some of the services and specialities provided by Nextcare in the UAE include -

Diagnostic Services: Nextcare facilitates various diagnostic procedures such as laboratory testing, imaging services (X-rays, CT scans, MRI scans), and pathology services. These services help with the accurate diagnosis and monitoring of health conditions.
Emergency Care: Nextcare operates emergency departments in select locations, providing urgent medical care for emergencies and critical conditions. These departments are equipped to handle acute injuries, accidents, and medical emergencies.
Surgical Procedures: Nextcare collaborates with renowned surgeons and hospitals to offer a wide range of surgical procedures. This includes both minor and major surgeries across various specialities.
Dental Care: Nextcare may also include dental services such as routine check-ups, preventive care, restorative procedures, and dental surgeries. Dental specialists and general dentists may be available within the Nextcare network.
Hearing and Vision Aids: It provides hearing and vision aids in case of emergencies.
Maternity Cover: Nextcare also provides coverage during the maternity period (after approval from the insurance company).

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 their official website for the most up-to-date information.

Insurance Providers Linked With Nextcare

Insurance providers play a crucial role in the partnership between third-party administrators like Nextcare, as they ensure that individuals and their families have access to quality healthcare services. Nextcare, as a leading healthcare provider, is connected with a vast network of more than 120 insurance partners and facilitates medical care and services for policyholders.

Here are some of the prominent insurance partners linked with Nextcare:

Orient Insurance: Orient Insurance, a well-established insurance company in the UAE, offers a wide range of insurance products and services. With a focus on customer satisfaction and comprehensive coverage, Orient Insurance collaborates with Nextcare to provide policyholders with access to a diverse network of healthcare providers.
Takaful Emarat: Takaful Emarat is a leading Sharia-compliant insurance company in the UAE. Committed to ethical and transparent practices, Takaful Emarat partners with Nextcare to deliver healthcare services aligned with Islamic principles and ensures that policyholders receive the necessary medical care and support.
Orient Takaful Insurance: Orient Takaful Insurance, a subsidiary of Orient Insurance, specialises in providing Takaful insurance solutions. Through its collaboration with Nextcare, Orient Takaful Insurance offers policyholders access to a wide range of healthcare providers, catering to their specific needs within the framework of Islamic principles.
Al Sagr Insurance: Al Sagr Insurance is a prominent insurance company known for its comprehensive range of insurance solutions and services. By partnering with Nextcare, Al Sagr Insurance enhances its offerings by providing policyholders access to an extensive network of healthcare providers and quality medical care when needed.

Claim Procedure of Nextcare

When it comes to the claim procedure, Nextcare offers two types of claims: direct settlement and reimbursement. Let's explore each of these types in detail:

Direct Claim

A direct claim is a convenient and seamless process that allows you to receive medical services without being required to make upfront payments. Prior to visiting your chosen healthcare provider, it is advisable to call and schedule an appointment with the physician or specialist of your choice. During the booking process, make sure to confirm whether your policy is accepted by the physician.

Once you visit the healthcare provider and consult with the physician or specialist, the provider will submit a request for services directly to Nextcare, especially if pre-approval is required. Nextcare will then provide approval directly to the provider within the agreed-upon turnaround time.

The healthcare provider will inform you about the amount that you may need to pay directly to the facility, which may include copay, co-insurance, deductible (if applicable), or any non-covered services according to your policy's terms and conditions. They will also provide you with information about any further treatment needed, including the date and time.

Reimbursement Claim

In the case of a reimbursement claim, the process involves submitting the claim to Nextcare after you have made the payment to the healthcare provider.

Here are the steps to follow for a reimbursement claim:

Registration & Login - Visit the MyNextcare portal (https://mynextcarev2.nextcarehealth.com/Account/Index) and register or log in using your username and password. If you are a first-time user, registration can be done using your Emirates ID and date of birth. Alternatively, you can use the e-card number provided by the insurer for login purposes.
Go to Claims - Once logged in, go to the ‘Submit New Claim’ section. Make sure you have all the necessary details such as the name of the healthcare provider, service date, description, and the physician's name.
Gather Supporting Documents - Make sure that you have all the supporting documents for the claim submission. This includes the medical form signed by your doctor and stamped by the clinic or hospital, which should contain the history of the current illness, past medical history, clinical history, and prescribed medical tests or medicines. Additionally, submit any medical results, such as test results and radiology reports, as well as the medical invoice from the clinic or hospital.
Complete the Claim Submission - Fill in all the required claim information and upload or capture the supporting documents mentioned above. Once everything is complete, click ‘Submit Claim’ to finalise the process
Confirmation and Reimbursement - After submitting your completed claim form, you will receive a confirmation email indicating that your claim has been successfully submitted. The reimbursement claim should be submitted within 30 days from the date of the treatment, whether inside or outside the UAE. If you encounter any difficulties, you can contact the provider or email Nextcare PB (Policy Benefits) department for assistance.

The reimbursement process takes approximately 15 working days to process. Once the claim reimbursement is approved, the insurer will provide a Payment Order (PO) with the necessary details.

How to Track the Status of Your Reimbursement Claim with Nextcare?

To ensure transparency and keep track of your reimbursement claim, Nextcare offers convenient methods for following up on your claim status. You can easily monitor the progress of your claim by using the MyNextcare app or by contacting the call centre number provided on the back of your insurance card.

Here's how you can track the status of your reimbursement claim:

MyNextcare App

Access the MyNextcare app on your mobile device and navigate to the Claims section. Select the "View Claims" option, where you can search for any submitted reimbursement claim to know its status. Here are the possible statuses and their meanings -

Registered: This status indicates that the claim has been submitted to Nextcare but has not yet been reviewed by the Nextcare team.
Authorised: If the status shows as Authorised, it means that the claim has been reviewed and approved by the Nextcare team.
Pending for Beneficiary Response: If the status is marked as Pending for Beneficiary Response, it indicates that the claim has been received by the Nextcare team, but certain mandatory documents are missing and have to be submitted by you. You are required to provide the necessary documents to proceed with the claim review.
Processed: When the status is Processed, it means that the claim has been reviewed and either partially or fully approved by the Nextcare team. The claim is now ready for settlement.
Settled: If the status shows as Settled, it means that the claim has been processed and the approved amount has been wired either to your direct account or your designated beneficiary.
Declined: A status of Declined indicates that the claim has been denied, as it does not meet the eligibility criteria specified in your insurance policy's terms and conditions.
Not Used: If the status is displayed as Not Used, it means that the claim was initially authorised but was later cancelled.

Call Centre

As an alternative to the above options, you can dial the call centre number provided on the back of your insurance card to enquire about the status of your reimbursement claim. The call centre representatives will assist you and provide the necessary information regarding your claim's progress and current status.

How to Contact Nextcare In Case Of Emergency?

If you find yourself in an emergency (covered by your policy), you can easily contact Nextcare using the following methods -

Call Centre Assistance - You can locate the local call centre number available on the back of your insurance card. By calling on this number, you can directly connect with the Nextcare call centre where trained representatives will provide immediate assistance and guidance during your emergency. They can address any concerns, clarify procedures, and offer support based on your policy terms and conditions.
WhatsApp Contact - Nextcare also offers the convenience of contacting them through WhatsApp. Depending on your location, you can use the appropriate WhatsApp contact number listed below -
- For Bahrain, Oman, Kuwait, Egypt, and the UAE: +971 56 344 8951
- For Lebanon: +961 81 504 015
- For Qatar: +974 55 066 687

By reaching out via WhatsApp, you can connect with Nextcare for emergency assistance, receive guidance, and have your queries promptly addressed.

Mobile App Support - If you require support or have questions related to the Nextcare mobile app, you can contact their dedicated support team via email at mynextcaresupport@nextcarehealth.com. This email address is specifically available for mobile app-related queries.
Member Care - For general enquiries or assistance with your Nextcare membership, you can reach out to the member care team by sending an email to membercare@nextcarehealth.com. They will provide the required support, address any concerns, and assist you with matters related to your membership and policy.

How to Find Hospitals, Diagnostic Centres, Pharmacies, and Doctors with Nextcare?

When you need to locate a healthcare provider such as a hospital, diagnostic centre, pharmacy, or doctor, you can use any of the convenient options offered by Nextcare to find the right healthcare facility. Here's how you can easily access this information -

Nextcare Website and Mobile App - To begin your search, you can visit the Nextcare website at www.nextcarehealth.com or use the Nextcare Mobile App, available for download on Google Play and the Apple Store. These platforms provide comprehensive access to the Nextcare network of healthcare providers.
MyNextcare Application - To view the list of network providers applicable to your specific policy, log in to the MyNextcare application. Within the app, navigate to the Healthcare Providers section, where you can explore the network providers available to you. The app also offers tutorial videos to guide you through its features and functionalities.
Search Filters - When using the Nextcare website or the mobile app, you can utilise various search filters to find healthcare providers that meet your specific requirements. These filters include searching by provider name, country, city, area, type, and network. By entering the relevant details, you can narrow down your search and find suitable healthcare options.
Location-Based Search - Nextcare also offers the option to locate healthcare providers near your home, workplace, or current location. This feature can be of great help in finding providers in close proximity for added convenience and accessibility.

Given below are some frequently asked questions related to Nextcare.

Health Insurance Popular Searches

FAQ's

Ans: Nextcare distinguishes between Nextcare PCP Clinics and Nextcare RN3 Hospitals based on the services they offer. Nextcare PCP Clinics focus on providing outpatient primary care and general medical services, while Nextcare RN3 Hospitals specialise in providing inpatient and emergency services.

Ans: Nextcare offers a wide range of healthcare services and access to various specialists. Some of the services provided by Nextcare include diagnostic services, emergency care, surgical procedures, dental care, hearing and vision aids, and maternity cover. The availability of specific services may vary across Nextcare facilities.

Ans: To find a healthcare provider within the Nextcare network, you can visit the Nextcare website or use the Nextcare Mobile App. These platforms allow you to search for providers by name, country, city, area, type, and network. You can also locate providers near your workplace, home, or your current location for added convenience.

Ans: To track the status of your reimbursement claim, you can use the MyNextcare app. Within the app, go to the Claims section and access the "View Claims" page. Here, you can search for your submitted reimbursement claim and view its status. The statuses include Registered, Authorised, Pending for Beneficiary Response, Processed, Settled, Declined, and Not Used.

Ans: In case of an emergency, you can contact Nextcare through their local call centre number, which can be found on the back of your insurance card. The call centre representatives are trained to provide immediate assistance and guidance during emergencies, clarify procedures, and offer support based on your policy terms and conditions. Nextcare also offers WhatsApp contact for emergency assistance.

TPA - Third Party Administrator List in UAE