Takaful Emarat - Marjan
With Takaful Emarat Marjan, your family's health insurance needs are fully taken care of. This plan encompasses a broad spectrum of medical services, including psychiatry, alternative medicines, physiotherapy treatment, hearing and vision aids, doctor's consultations, and more.
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AED 1 million Health cover starting @4/Day
Self Only
Both Self and Family
Family without Self
Best Price Guaranteed
Worldwide Coverage
21+ Insurers to Select From
Claim Assistance
Cover Up to 37 Critical Illnesses
Covid-19 Covered
Claim Assistance
Plan Summary
Plan NameMarjan
Cover AmountAED 1,000,000
Pharmacy LimitUpto AED 5,000
TPANAS
Takaful Emarat - Marjan Details
Maternity Cover
Covered subject to 10% coinsurance, and a maximum of 10 visits and 4 ante-natal
ultrasound scans.
In-patient Maternity Services
Covered subject to 10% coinsurance, up to AED 10,000. In case of any condition developping into an emergency, the medically necessary expenses will be covered up to the annual aggregate limit.
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
Hospital Access
Referral procedure to be followed:- Direct access to specialist in the clinincs
Coverage Type
Clinic With Specialist
In-Patient Services
Room Type
Private
Ambulance Service
Covered
Parent Accommodation for child under 18 years
AED 150 / day
Accommodation of an accompanying person in the same room
AED 150 / day
Home Nursing
Not Covered
Pre-Existing and Chronic Conditions
- This is the time span during which you cannot claim specified benefits from the insurer
Pre-existing & Chronic Conditions Subject to Medical Application Form (MAF)Where a pre-existing or chronic condition develops into an emergency within the 6 month exclusion period this must be covered up to the annual aggregate limit.Covered up to a limit of AED 150,000 per member per year.No waiting period applies if evidence of continuity of coverage is provided; otherwise a waiting period of 6 months applies to the first scheme membership. All pre-existing medical conditions should be declared in the medical application form and is subject to medical underwriting. Newly diagnosed medical condition during the policy period will not have a waiting period. Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.Coverage of Pre-existing & Chronic Conditions is subject to policy terms, conditions, benefits, and exclusions
Network
NAS - VN (OP restricted to Clinics)
Other Services
Vision
Not Covered
In-patient (IP Services)
Covered on Reimbursement up to AED 200 per night and a maximum of 10 nights. The Cash Indemnity claim must be submitted within 15 days after discharge from the hospital with a proof of hospitalization including a discharge summary.
Deductible per Consultation
10% up to AED 15/- for General Practitioners20% up to AED 25/- for Specialists
Prescribed Drugs & Medicines
Covered up to AED 5,000 subject to 15% Co-Insurance
Cancer Treatment
Covered as per terms, conditions and exclusions of the program defined by DHA
Vaccinations (Adults)
Covered as per DHA Adult Pneumococcal Conjugate Vaccination guidelines
Organ transplant
Organ transplantation shall cover the organ transplantation as recipient excluding any cost related to donor and excluding the acquisition and organ cost Organs covered are: heart, lung, kidney, pancreas, liver, Allogeneic & autologous bone marrow.
Second Medical Opinion
Not Covered
Repatriation of Mortal Remains to Home Country
Not Covered
Preventive services
As per DHA Regulations
Vaccination for Children
Inside Network: 100% of Actual Cost Outside Network : Covered on Network UCR Rates
HCV Hepatitis C Virus Infection
Covered as per terms, conditions and exclusions of the program defined by DHA
Within the Network
Direct billing available. Reimbursement is also possible but will be settled at 80% of the usual & customary rates of the selected Network.
Outside the Network in Countries where NAS is not present
Reimbursement at 100% of actual costs (subject to be reasonable) or 100% of the usual & customary rates of the network, whichever is less
Outside the Network in Countries where NAS is present
Reimbursement at 80% of actual costs (subject to be reasonable) or 80% of the usual & customary rates of the network, whichever is less
Diagnostics (X-RAY, MRI, CT-SCAN)
Covered subject to 10% Co-pay
Psychiatry
Not Covered
Alternative medicine
Not Covered
Dental and gum treatment
Only in emergency Cases
Hearing and Vision Aid
Only in emergency cases
Physiotherapy Treatment
6 sessions per member per annum
Region Coverage
Worldwide
42 Takaful Emarat - Marjan Added Network Hospitals
Name
Address
ADNOC - AL DHANNAH HOSPITAL - ABU DHABI (AL RUWAIS HOSPITAL) (Hospitals)
Al Ruwais, Al Dhafra Region - 97126020535
Al Ahalia Hospital (Hamdan St) Abu Dhabi (Hospitals)
Hamdan Street, Abu Dhabi - 97126262666
Al Ahalia Hospital (Mussafah) Abu Dhabi (Hospitals)
M-24,Mussaffah, Near BMW Show Room - 97128119119
BURJEEL ROYAL HOSPITAL ASHAREJ (BID BIN AMMAR) AL AIN (PRE BURJEEL FARHA HOSPITAL) (Hospitals)
Ashraj District, Bida Bin Ammer Road, 17th Street, Al Ain - 97137099000
Bareen International Hospital (M.B.Z. City) Abu Dhabi (Hospitals)
Next to Shaikah Fatima Bint Mubarak Mosque, Z-15, Mohammad Bin Zayed City - Abu Dhabi - 97125545554
Emirates International Hospital (Al Jimi) Al Ain (Hospitals)
Al Jimi, Al-Ain - 97137637252
LLH HOSPITAL (ELECTRA ST) ABU DHABI (Hospitals)
Al Marwa Tower, Electra Street - 97126335522
LLH HOSPITAL (MUSAFFAH) ABU DHABI (Hospitals)
16th, Street, SANAYYA – 7, Industrial Area, Sector 43, M1 Musaffah, Abu Dhabi, UAE - 97125557711
Lifecare Hospital (Mafraq) Abu Dhabi (Hospitals)
Gate 6, Al Raha Workers Village, Al Wathba, Baniyas, Al Mafraq - 97125856333
Lifecare Hospital (Mussafah) Abu Dhabi (Hospitals)
M-24,Musaffah,Near Village Mall - Abu Dhabi - 97125557747
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