Al Sagr National Insurance
What Flexi Care Bronze RN3 does and does not do, before you read the insurer's own Table of Benefits.
Annual limit
AED 250,000
Medical network
NEXTCARE — RN3
Consultation
AED 50/-
Pharmacy
AED 15,000, no co-pay
Get your price to download this plan's Table of Benefits and your quote.
Medical Network
NEXTCARE — RN3
Annual Limit per Person
AED 250,000
Area of Coverage
Worldwide Including USA & Canada
In-patient Services
Covered. Deductible for In-Patient Services: Nil
Out-patient Services
Covered
Hospital Accommodation
Semi Private
Consultation Deductible (Co-Pay)
AED 50/-
Diagnostics & Laboratory Services
Covered
Medicine Limit
RN3 - Nil Co pay on medicines - Limit 15,000/-
Maternity
In-patient: Covered with deductible of AED 500/- Treatment outside Abu Dhabi & Al Ain limited to AED 12,000/- (Delivery & baby charges). Out-patient: AED 50/-. Waiting period (row 32): the waiting period of 180 days applies to Inpatient treatment only for the following medical conditions; … All Delivery Cases(Maternity), this waiting period of 180 days shall not apply; if pre requisition of uninterrupted (pre-) coverage is fulfilled.
Abu Dhabi law excludes pregnancy and delivery cover for women enrolled as unmarried (Law 23/2005, Art. 13(5)).
Women and maternity on this plan
Married women pay an extra maternity premium on this plan; single women pay the standard price.
Get a quote to see the amount for your family.
Alternative Medicines
Not coveredPhysiotherapy
Covered
Psychiatric Treatment
Not coveredHome Nursing
Not coveredRoutine Dental Benefits
Not coveredRoutine Optical Benefits
Not coveredPre-existing / Chronic Conditions
Covered. (Where any condition develops which becomes an emergency, the medically necessary expenses will be covered up to the annual aggregate limit.) As per DOH law waiting period for medical conditions as defined in the Health insurance law of Abu Dhabi; the waiting period of 180 days applies to Inpatient treatment only for the following medical conditions; Diabetes mellitus, Arterial diseases, COPD(Chronic Obstructive Pulmonary Disease),All cancers cases, Neurosurgery, Cerebro Vascular diseases, All Delivery Cases(Maternity), this waiting period of 180 days shall not apply; if pre requisition of uninterrupted (pre-) coverage is fulfilled.
Emergency Road Ambulance Services
Covered (inside the emirate of Abu Dhabi only)
Vaccination for Children (as per MOH, UAE)
Inside the Network: 100% Actual Cost, Outside Network : UCR Basis
Repatriation of Mortal Remains
Not coveredWithin the Network (Direct Billing)
Direct Billing Basis
Outside the Network (Reimbursement)
Reimbursement Basis. Elective treatment outside the network: 20% Co-insurance subject to UCR Network Charges
Emergency Treatment
Emergency treatment Outside the Network within UAE or within geographical scope (Life threatening cases): Covered in full on Direct and or reimbursement basis
Air-Ticket for Insured Member
Covered Limit AED 5,000/-. Return Air Fare to Patient for Surgery in Home Country (if treatment is not available in the country of residence or the treatment expense is up to 50% of the cost in UAE ). Pre-approval from ASNIC required
Cancer Treatments
Covered
Cash indemnity for in-patient stays
Covered up to AED 200/- Per Day. When treatment is received as an In-Patient for an eligible Medical Condition in a Government Hospital, where no costs were incurred for accommodation and/or for treatment, then this benefit pays for a daily cash benefit for In-Patient stay more than 3 days.(Max 10 Nights) This benefit is not applicable for Accident & Emergency admissions.
Follow-up consultation co-pay (within 7 days)
Free follow up with the same doctor for the same ailment within seven days.
Elective Treatment
Elective Treatment Outside the Network within UAE / outside UAE within Geographical scope: 20% Co-insurance subject to UCR Network Charges (UCR charges are as per the discretion of the insurer) on Reimbursement.
Emergency dental (accidental damage)
Covered for Medical Emergency cases only
Hearing Emergencies
Covered for Medical Emergency cases only
New Born baby coverage
Covered till discharge.
Out Patient Surgery
Covered
Organ transplantation (recipient only)
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
This benefit gives members access through respective TPA mobile application to world renowned providers to re-evaluate their earlier diagnosis, medical history and treatment plan for non-emergency cases.
Vision Emergencies
Covered for Medical Emergency cases only
Benefits this plan adds beyond the rows compared above.
