Takaful Emarat ECARE BLUE : Choose Best Health Insurance Plan From Takaful Emarat

Plan Summary

Plan NameECARE BLUE

Cover AmountAED 150,000

Pharmacy LimitUpto AED 3,500

TPAE CARE

Takaful Emarat - ECARE BLUE Details

Maternity Cover

• Normal Delivery expenses are covered up to AED 10,000 • C-Section and complication expenses are covered up to a sub limit of AED 10,000

Out-patient Maternity Services

Covered subject to 10% coinsurance, and a maximum of 8 visits and 3 ante-natal ultrasound scans.Pregnancy at time of application should be declared in the medical application form and is subject to medical underwriting.Undeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if needed.

In-patient Maternity Services

Covered subject to 10% coinsurance, up to AED 10,000 fornormal delivery and up to AED 10,000 for medically necessary C-Section, termination and complications.In case of any condition developing into an emergency, the medically necessary expenses will be covered up to the annual aggregate limit. Pregnancy at time of application should be declared in the medical application form and is subject to medical underwriting.Undeclared Pregnancy at time of application will not be covered during the policy period and will be underwritten at renewal if needed. New born CoverCoverage of a pregnant female is extended by the insurer to provide the same benefits for a new born child of that female for a period up to 30 days from its date of birth. This cover is provided regardless of whether or not the new born is eventually enrolled as a dependent member under the insurer’s policy Cover for 30 days from birth.BCG, Hepatitis B and neo-natal screening tests (Phenylketonuria (PKU), Congenital Hypothyroidism, sickle cell screening, congenital adrenal hyperplasia) prevent

Waiting Period

Maternity Waiting Period

any pregnancy, which arises within forty calendar days from the date of policy issuance, shall not be covered under this policy under any condition

Chronic Condition Waiting Period

All medical underwritten conditions will have no waiting period. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.

Pre-existing diseases (PED)

Covered only if declared on additional payment

Coverage Type

Clinic Only

Out-Patient Services

Repatriation of Mortal Remains to Home Country

Covered Up to AED 5000

Prescribed drugs and dressings

Covered up to AED 3,500 subject to 20% Co-InsuranceCovered up to AED 6500 subject to 10% Co-InsuranceCovered up to AED 7,500 subject to 0% Co-Insurance

In-Patient Services

Room Type

Semi-Private

Cash indemnity benefit

Not covered

Pre-Existing and Chronic Conditions

• All declared Pre existing and Chronic conditions are covered with a sub limit of AED 150,000/-

Network

E CARE Blue

Other Services

Alternative Medicine

Covered to a limit of AED 2500/- per year.

Home Nursing

Not Covered

Cancer Treatment

Covered as per terms, conditions and exclusions of the program defined by DHA

Local road and air ambulance services

Covered

Diagnostics (X-RAY, MRI, CT-SCAN)

Covered up to AED 3,500 subject to 20% Co-InsuranceCovered up to AED 5,000 subject to 10% Co-InsuranceCovered up to AED 6500 subject to 10% Co-InsuranceCovered subject to 0% Co-payCovered subject to 20% Co-payCovered subject to 10% Co-payCovered up to AED 7,500 subject to 0% Co-Insurance

Psychiatry

Not Covered

Alternative medicine

Covered to a limit of AED 2500/- per year

Dental and gum treatment

Covered subject to 20% coinsurance In case of Emergency Only

Hearing and Vision Aid

Covered subject to 20% coinsurance In case of Emergency Only

Physiotherapy Treatment

6 sessions per member per annum subject to 20% Copay

Region Coverage

UAE (Home country)

44 Takaful Emarat - ECARE BLUE Added Network Hospitals

Plan Name

Type

Name

Address

Hatta Hospital (Out Patient) (Hospitals)

HATTA,NEAR HATTA HILL PARK-DUBAI - 04-814 7000

Sheikh Khalifa Hospital Ajman (In Patient) (Hospitals)

AJMAN-AL JURF 1 - UNIVERSITY STREET - 06-7117777

Sheikh Khalifa Maternity And Pediatric Hospital Ajman (In Patient) (Hospitals)

AJMAN-AL JURF 1 - UNIVERSITY STREET - 06-711 7777

Rashid Center For Diabetes And Research (In Patient) (Hospitals)

AJMAN-AL JURF 1 - UNIVERSITY STREET - 06-7117777

Sheikh Khalifa Hospital Masfout Ajman (In Patient) (Hospitals)

AJMAN / MASFOUT - 04-8099999

Amina Hospital (In Patient) (Hospitals)

AL QUDS STREET, SAWAN AJMAN - 06-7114444

Burjeel Farha Hospital L.L.C.(Formerly Medeor 24X7 Internationl Hospital Llc-Al Ain) (In Patient) (Hospitals)

BIDA BIN AMMAR /ASHAREJ DISTRICT/ALAIN - 03-7099000

Specialized Medical Care Hospital (In Patient) (Hospitals)

NEAR TRANSPORT AUTHORITY,AL JAHILI AREA,AL AIN UAE - 03-7552291

Emirates International Hospital - Sole Proprietorship L.L.C. (In Patient) (Hospitals)

HAMDAN BIN MOHD STREET, LANDMARK: BEHIND JIMI MALL, AL KHABAISI, AL AIN, ABU DAHBI, UAE - 03-7637777

Llh Hospital Al Musaffah L.L.C (In Patient) (Hospitals)

PO BOX NO: 92313,16TH, STREET, SANAYYA – 7, INDUSTRIAL AREA, MUSAFFAH, ABU DHABI, UAE - 02-4126018

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