Orient Individual Health Insurance

Orient Insurance Company, a distinguished member of the renowned Al-Futtaim Group, has been a prominent figure in the UAE insurance market since its establishment in 1982. Throughout its history, the company has consistently demonstrated impressive growth and established itself as a leader in the industry. With an impressive paid-up capital of AED 500 million, reportedly the highest among UAE insurance companies, the company has demonstrated solid financial stability. ...read more

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AED 1 million Health cover starting @4/Day

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Self Only
Both Self and Family
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Orient Insurance specialises in crafting individual health insurance plans tailored to meet the diverse needs of its customers. These plans offer a wide range of benefits and coverage options to provide comprehensive protection to policyholders.

Let's explore the details of Orient's individual health insurance plans.

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Orient Individual Health Insurance Plans

Check out the table below for the major Orient individual health insurance plans -

Plan Details

PCP/RN3 I-Med

  • Maternity Cover: 10% co-payment by the insured
  • PED & Chronic Condition Waiting Period — 6 months
  • Hospital Access
  • In-Patient Services
    • Ambulance Service for medical emergencies
    • Companion Accommodation
  • Pre-Existing and Chronic Conditions: Covered up to AED 150,000 if declared
  • Radiology Diagnostic
  • Physiotherapy Treatment
  • Emergency Treatment
  • Medication: Annual limit AED 1,500 (30% co-payment)
  • Diagnostics (X-Ray, MRI, CT-Scan): Covered with 20% co-payment for emergencies
  • Psychiatry: Not Covered.
  • Alternative Medicine: Not Covered
  • Dental and Gum Treatment: Covered in emergencies only
  • Hearing and Vision Aid: Covered in emergencies only
  • Region Coverage: UAE and Home Country

NEXTCARE RN 3 Health Plus - Plan 5

  • Out-patient and In-Patient Maternity Services: Covered with 10% coinsurance
  • Dental and Gum Treatment: No co-payment.
  • Hearing and Vision Aids: Covered with 20% coinsurance
  • Out-Patient Services
    • Tests, Diagnoses, and Hospital Surgeries: Covered with 10% Co-pay
    • Pre-existing Conditions: Must be declared in the medical application form
  • Deductible per Consultation: 20% up to AED 50
  • Prescribed Drugs and Medicines: Covered up to AED 5,000 with 15% Co-Insurance
  • In-Patient Services: Semi-Private room.
    • Ambulance Service: Covered.
    • Parent Accommodation for Child
    • Accompanying Person's Accommodation
  • Organ Transplantation: Covered for recipient — excluding donor and acquisition costs
  • Cancer Treatment: Covered as per the DHA program
  • Essential Vaccines and Preventive Services

MEDNET Silk Road - Family Care

  • Maternity Cover: 10% co-payment by the insured
  • PED and Chronic Condition Waiting Period: No waiting period for medical underwritten conditions — undeclared pre-existing conditions not covered
  • Hospital Access: Direct access to specialists in clinics
  • Dental and Gum Treatment: Sub-limit AED 3,500, 20% co-payment
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance service for medical emergencies
    • Companion accommodation
  • Territorial Scope Of Coverage: Worldwide
  • Pre-Existing and Chronic Conditions: Declared conditions covered up to AED 150,000 — undeclared conditions not covered
  • Radiology Diagnostic: 10% Co-Insurance
  • Physiotherapy Treatment
  • Tests, Diagnoses, and Hospital Surgeries
  • Emergency Treatment
  • Medication: 10% co-payment — up to policy annual limit
  • Diagnostics (X-Ray, MRI, and CT-Scan): Covered with 20% co-payment
  • Psychiatry: Not Covered
  • Alternative Medicine: Covered up to AED 1,600 per member per year
  • Dental and Gum Treatment: Sub-limit AED 3,500, 20% co-payment
  • Hearing and Vision Aid: In case of emergency only
  • Physiotherapy Treatment: Up to 15 sessions per year
  • Region Coverage: Worldwide

MEDNET Pearl - Family Care

  • Maternity Cover: 10% co-payment by the insured
  • Dental and Gum Treatment: 20% co-payment, sub-limit AED 3,500
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance Service for medical emergencies
    • Companion Accommodation
  • Territorial Scope Of Coverage: Worldwide
  • Pre-Existing and Chronic Conditions: Declared conditions covered up to AED 150,000 — undeclared ones not covered
  • Radiology Diagnostic
  • Physiotherapy Treatment
  • Tests, Diagnoses, and Hospital Surgeries
  • Emergency Treatment
  • Medication: Up to the policy annual limit (10% co-payment)
  • Diagnostics (X-Ray, MRI, and CT-Scan): Covered with 20% co-payment
  • Psychiatry: Not Covered
  • Alternative Medicine: Covered up to AED 1,600 per member per year
  • Dental and Gum Treatment: 20% co-payment, sub-limit AED 3,500
  • Hearing and Vision Aid: Only in case of emergency only
  • Physiotherapy Treatment: Up to 15 sessions per year
  • Region Coverage: Worldwide

NEXTCARE RN2 Health Plus - Plan 4

  • Maternity Cover: Out-patient - 10% coinsurance, In-patient - Up to AED 12,500 (10% coinsurance)
  • Dental and Gum Treatment: 20% co-payment
  • Hearing and Vision Aids: Covered with 20% coinsurance
  • Out-Patient Services
    • Tests, Diagnoses, and Hospital Surgeries: Covered with 10% Co-pay
    • Pre-existing Conditions: .
    • Prescribed Drugs & Medicines: Covered up to AED 5,000 with 15% Co-Insurance
  • In-Patient Services
    • Ambulance Service: Covered
    • Parent Accommodation for Child
    • Accompanying Person's Accommodation
    • Home Nursing
  • Organ Transplantation: Covered for recipient — excluding donor and acquisition costs
  • Repatriation of Mortal Remains: Covered up to AED 10,000 per person per year
  • Dental: Covered, if selected, up to AED 1,500 with 20% Co-pay
  • Vision: Covered, if selected, with 20% Co-pay, up to AED 1,000 in total with sub-limits
  • Psychiatric Treatment: Out-patient - up to AED 1,500; In-patient - up to AED 6,000 per person per year
  • Alternative Medicine: Limited to AED 1,000 per person per year
  • Cancer Treatment: Covered as per the DHA program
  • Essential Vaccines and Preventive Services

MEDNET Emerald

  • Maternity Cover: 10% co-payment
  • Dental and Gum Treatment: 20% co-payment with sub-limit AED 3,500
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance Service: Covered for emergencies in the UAE
    • Companion Accommodation
  • Territorial Scope of Coverage: Worldwide
  • Pre-Existing and Chronic Conditions: Declared covered up to AED 150,000; Undeclared conditions not covered
  • Other Services: 
    • Radiology diagnostic - 10% Co-insurance
    • Physiotherapy - Up to 15 sessions per year
    • Surgeries - Prior approval 
    • Emergency Treatment - Approval within 24 hours.
  • Medication: 10% co-payment up to policy annual limit
  • Diagnostics (X-Ray, MRI, CT-Scan): Covered with 20% Co-pay
  • Psychiatry: Not Covered
  • Alternative Medicine: Covered up to AED 1,600 per person per year
  • Dental and Gum Treatment: Sub-limit AED 3,500 (subject to 20% co-payment)
  • Hearing and Vision Aid: Covered only in case of emergency 
  • Physiotherapy Treatment: Up to 15 sessions per year

NEXTCARE RN Health Plus - Plan 3

  • Maternity Cover: Out-patient - 10% coinsurance, In-patient - 10% coinsurance, up to AED 12,500.
  • Dental and Gum Treatment: 20% co-payment
  • Hearing and Vision Aids: 20% coinsurance
  • Out-Patient Services: 10% Co-pay for surgeries
  • Pre-existing conditions
  • Prescribed Drugs and Medicines: Covered up to AED 7,500, 15% Co-Insurance
  • In-Patient Services
  • Home Nursing: Covered up to AED 5,000 per person per annum
  • Organ transplantation: Covered only for the recipient — no coverage for donor or acquisition
  • Repatriation of Mortal Remains: Covered up to AED 10,000 per person per annum
  • Dental and Vision: Covered, if selected, with 20% Co-pay
  • Psychiatric Treatment: 
    • Out-Patient - Up to AED 1,500
    • In-Patient - Up to AED 6,000
  • Alternative Medicine: Limited to AED 1,500 per person per annum
  • Cancer Treatment: As per DHA program terms
  • Essential Vaccines and Preventive Services

MEDNET GREEN - Family Care 

  • Maternity Cover: 10% co-payment
  • Waiting Period: 
    • Maternity - 40 days from application
    • PED and Chronic - None, undeclared conditions underwritten at the time of renewal
  • Hospital Access: Direct access to hospitals
  • Dental and Gum Treatment: AED 3500 sub-limit with 20% Co-pay
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance Service for emergencies
    • Companion Accommodation
  • Territorial Scope Of Coverage: Worldwide
  • Pre-Existing and Chronic Conditions: 
    • Declared - AED 150,000 sub-limit
    • Undeclared not covered
  • Other Services
    • Radiology - 10% Co-Insurance
    • Physiotherapy - Up to 15 sessions
    • Prior approvals for surgeries and emergencies
  • Medication: Nil co-payment, limited by annual policy limit
  • Diagnostics (X-Ray, MRI, and CT-Scan): Covered with 20% Co-pay
  • Psychiatry: Not covered
  • Alternative Medicine: Covered up to AED 1,600 PMPY
  • Dental and Gum Treatment: 20% Co-pay and AED 3,500 sub-limit
  • Hearing and Vision Aid: Emergency coverage only
  • Physiotherapy Treatment: Up to 15 sessions per year

MEDNET Silver Classic - Family Care

  • Maternity Cover: 10% co-payment
    • Waiting Period: Maternity - 40 days from application
    • Pre-Existing Disease & Chronic Conditions - None, undeclared conditions underwritten at the time of renewal
  • Hospital Access: Direct hospital access 
  • Dental and Gum Treatment: 20% Co-pay, AED 3,500 sub-limit
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance Service for emergencies
    • Companion Accommodation
  • Territorial Scope Of Coverage: Worldwide.
  • Pre-Existing and Chronic Conditions: Declared - AED 150,000 sub-limit; undeclared not covered
  • Other Services
    • Radiology - 10% Co-Insurance
    • Physiotherapy - Up to 15 sessions
    • Prior approvals for surgeries and emergencies
  • Medication: 10% co-payment, subject to the annual policy limit
  • Diagnostics (X-Ray, MRI, and CT-Scan): Covered with 20% Co-pay
  • Psychiatry: Not covered
  • Alternative Medicine: Covered up to AED 1,600 PMPY
  • Dental and Gum Treatment: 20% Co-pay and AED 3,500 sub-limit
  • Hearing and Vision Aid: Emergency coverage only
  • Physiotherapy Treatment: Max 15 sessions per year

NEXTCARE GN Health Plus - Plan 2

  • Maternity Cover: 10% co-payment
  • Out-patient Maternity Services 
    • 10% co-insurance
    • Up to 15 visits
    • 8 ultrasound scans
  • In-patient Maternity Services: 10% co-insurance, up to AED 20,000
  • Dental and Gum Treatment: 20% co-payment
  • Hearing and Vision Aids: 20% co-insurance
  • Out-Patient Services
    • Tests, Diagnoses, and Surgeries: 10% co-pay
    • Pre-existing Conditions: Declaration required
    • Prescribed Drugs and Medicines: Covered up to AED 10,000 and subject to 15% co-insurance
  • In-Patient Services: Private room
    • Ambulance Service: Covered
    • In-patient (IP Services)
    • Parent Accommodation
    • Accommodation of Accompanying Person
  • Home Nursing: Covered up to AED 7,500 per person per year
  • Organ Transplantation: Covered for recipient only — excludes donor costs
  • Repatriation of Mortal Remains: Covered up to AED 15,000.
  • Second Medical Opinion
  • Dental: Covered up to AED 3,000, 20% Co-pay
  • Vision: Covered up to AED 1,500, 20% Co-pay, sub-limits for frames and lenses
  • Psychiatric Treatment: 
    • Out-patient up to AED 3,000
    • In-patient up to AED 10,000
  • Alternative Medicine: Limited to AED 2,000 per person per year
  • Cancer Treatment: Covered as per the DHA program
  • Essential Vaccines and Preventive Services

MEDNET Silver Premium - Family Care

  • Maternity Cover: 10% co-payment
  • Pre-Existing Disease & Chronic Condition Waiting Period: No waiting period for medical underwritten conditions — undeclared pre-existing conditions not covered
  • Hospital Access: Direct hospital access
  • Dental and Gum Treatment: 20% co-payment, AED 3,500 sub-limit
  • Hearing and Vision Aids: 20% co-payment
  • Out-Patient Services
  • In-Patient Services
    • Ambulance Service: Covered for medical emergencies in the UAE
    • Companion Accommodation
  • Territorial Scope Of Coverage: Worldwide 
  • Pre-Existing and Chronic Conditions: Declared conditions covered up to AED 150,000; undeclared ones not covered
  • Other Services: Radiology diagnostic has 10% co-insurance
  • Physiotherapy Treatment
  • Tests, Diagnoses, and Surgeries: Prior approval required
  • Emergency Treatment
  • Healthcare services for emergency cases
  • Medication: Nil co-payment, subject to the policy annual limit
  • Diagnostics (X-Ray, MRI, and CT-Scan): Covered with 20% co-pay
  • Psychiatry: Not Covered
  • Alternative Medicine: Covered up to AED 1,600 per year
  • Dental and Gum Treatment: 20% co-payment and AED 3,500 sub-limit
  • Hearing and Vision Aid: Emergency coverage only
  • Physiotherapy Treatment
  • Region Coverage: Worldwide policy coverage

NEXTCARE GN+ Health Plus - Plan 1

  • Maternity Cover: 10% co-payment
  • Out-patient Maternity Services: 10% co-insurance
  • In-patient Maternity Services: Up to AED 20,000 — 10% co-insurance, 
  • Dental and Gum Treatment: 20% co-payment, max AED 15,000
  • Hearing and Vision Aids: 20% co-insurance
  • Out-Patient Services
    • Tests, Diagnoses, and Surgeries: 10% Co-pay
    • Pre-existing Conditions: Declared conditions covered, subject to underwriting.
  • Deductible per Consultation: 10% up to AED 35 for GPs, 20% up to AED 75 for Specialists
  • Prescribed Drugs & Medicines: Up to AED 15,000 — 15% Co-insurance
  • In-Patient Services
    • Ambulance Service: Covered.
    • In-patient (IP Services)
    • Parent Accommodation for Child under 18
    • Accommodation of an Accompanying Person
  • Home Nursing: Max AED 7,500 per person per year
  • Organ Transplantation: Recipient coverage; no coverage for donor or acquisition 
  • Repatriation of Mortal Remains: Up to AED 20,000 per person per year on a reimbursement basis, no co-pay
  • Second Medical Opinion: Access to renowned providers via NEXTCARE app for non-emergency cases
  • Test, Diagnosis, Surgeries: 20% co-insurance
  • Dental: Max AED 3,000 — 20% Co-pay In-Network, Reimbursement Out of Network
  • Vision: Up to AED 1,500, 20% Co-pay; sub-limits for frames, lenses, and contact lenses
  • Psychiatric Treatment: 
    • Out-patient – up to AED 3,000 
    • In-patient – up to AED 10,000
  • Alternative Medicine: Annually limited to AED 2,500 per person
  • Cancer Treatment: As per the DHA program terms
  • Essential Vaccines & Preventive Services

MEDNET Gold - Family Care

  • Maternity Cover: 10% co-payment.
  • Pre-Existing Disease and Chronic Condition Waiting Period: No waiting period for declared conditions 
 

Undeclared pre-existing conditions not covered during the policy period

  • Direct hospital access.
  • Dental and Gum Treatment: 20% co-payment, up to AED 3,500
  • Hearing and Vision Aids: 20% co-payment
  • In-Patient Services: Private room
  • Ambulance Service: Covered for UAE medical emergencies
  • Companion Accommodation: Covered for children under 16
  • Territorial Scope Of Coverage: Worldwide coverage
  • Pre-Existing and Chronic Conditions: Declared conditions covered up to AED 150,000 sub-limit; undeclared ones not covered.
  • Other Services
    • Radiology diagnostic - 10% co-insurance
    • Physiotherapy - Up to 15 sessions in a year 
    • Tests, diagnoses, and surgeries – Prior approval required
  • Emergency Treatment
  • Healthcare services for emergency cases
  • Medication: 10% co-payment, restricted to formulary products within the annual limit
  • Diagnostics: Covered with 20% co-payment
  • Psychiatry: Not covered
  • Alternative Medicine: Covered up to AED 1,600 per year
  • Dental and Gum Treatment: 20% co-payment — max AED 3,500
  • Hearing and Vision Aid: Emergency coverage only
  • Physiotherapy Treatment: Up to 15 sessions per year
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Key Benefits of Orient Individual Health Insurance

Having explored the range of Orient individual health insurance plans, let’s take a look at their key benefits -

  • Comprehensive Coverage: Orient health insurance plans cover a wide range of conditions and diseases.
  • Customizable Plans: With various add-ons available, you can easily customise your plan to match your specific requirements.
  • Co-Payment Option: Most of the plans have a co-payment option for almost all the services.
  • Decades of Expertise: With over 40 years in the UAE insurance market, Orient Insurance Company brings a wealth of experience to the table.

Eligibility Criteria for Orient Individual Health Insurance

You can buy Orient individual health insurance if you fulfil the following eligibility criteria -

Categories Eligibility Criteria
Minimum Entry Age 18 years

Inclusions of Orient Individual Health Insurance

Listed below are the general inclusions of Orient individual health insurance -

  • In-Patient Services
  • Out-Patient Services
  • Alternative medicine
  • Organ Transplant
  • Hospital accommodation
  • Parent accommodation
  • X-rays, diagnostics, and so on
  • Pre-existing and chronic conditions

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Exclusions of Orient Individual Health Insurance

The general exclusions of Orient individual health insurance are as follows -

  • Cosmetic procedures 
  • Self-inflicted injuries
  • Drug abuse
  • Conditions due to nuclear radiation or wars

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FAQ's

Q1. Is there a waiting period for pre-existing conditions?

Ans: There is usually no waiting period for declared pre-existing conditions. However, keep in mind that undeclared pre-existing conditions are not covered during the policy period and require underwriting at the time of renewal.

Q2. What types of Hospital Access are available?

Ans: Orient health insurance plans provide direct hospital access, allowing you to access hospitals without intermediaries.

Q3. How many sessions of Physiotherapy Treatment are available per annum?

Ans: You can have coverage for up to 15 sessions per year under most Orient individual health insurance plans.

Q4. Is there a waiting period for In-Patient Maternity Services?

Ans: In-Patient Maternity Services have a 10% co-payment, and coverage is provided up to AED 20,000 without a waiting period (if declared).

Q5. Are there any limits on the coverage for Prescribed Drugs & Medicines?

Ans: Prescribed drugs and medicines are covered up to AED 15,000 with a 15% co-insurance.

Q6. What is the coverage for Organ Transplantation?

Ans: Organ Transplantation covers the recipient — excluding donor and acquisition costs — for organs like heart, lung, kidney, pancreas, liver, allogeneic & autologous bone marrow.

Q7. How is the Repatriation of Mortal Remains covered?

Ans: Repatriation of Mortal Remains is covered up to AED 20,000 per person per year, settled on a reimbursement basis with no copay.

Q8. What services are provided under the Second Medical Opinion benefit?

Ans: The Second Medical Opinion benefit grants access to renowned providers for re-evaluation of earlier diagnoses, medical histories, and treatment plans for non-emergency cases. Certain terms and conditions apply to this benefit.

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