Medgulf
Plan 4 RN2
The short version
NEXTCARE — RN2What Plan 4 RN2 does and does not do, before you read the insurer's own Table of Benefits.
Annual limit
AED 1,000,000
Medical network
NEXTCARE — RN2
Consultation
Nil copay
Pharmacy
AED 5,000 with no co-pay
What is good
Good to know
Nothing we would flag on this plan — but read the Table of Benefits before you buy.
Get your price to download this plan's Table of Benefits and your quote.
Everything in the policy
Medical Network
NEXTCARE — RN2
Annual Limit per Person
AED 1,000,000
Area of Coverage
Worldwide
In-patient Services
Covered
Out-patient Services
Covered
Hospital Accommodation
Private
Consultation Deductible (Co-Pay)
Nil copay
Diagnostics & Laboratory Services
Nil copay
Medicine Limit
AED 5,000 with Nil Co-Pay
Maternity
AED 12,500
Women and maternity on this plan
Women's premiums on this plan are higher than men's, whether or not they are married.
Get a quote to see the amount for your family.
Alternative Medicines
AED 2,500 with 20% Co-Pay
Physiotherapy
10 sessions per member per annum
Psychiatric Treatment
AED 10,000
Home Nursing
AED 5,000
Routine Dental Benefits
AED 1,500 with 20% Co-Pay
Routine Optical Benefits
AED 1,000 with 20% Co-Pay
Pre-existing / Chronic Conditions
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 undewriting Undeclared pre-existing conditions will not be covered during the policy period and will be underwritten at renewal.
Emergency Road Ambulance Services
Covered
Vaccination for Children (as per MOH, UAE)
Inside Network: 100% of Actual Cost Outside Network : Covered on Network UCR Rates
Repatriation of Mortal Remains
AED 10,000
Within the Network (Direct Billing)
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 (Reimbursement)
Outside the Network in Countries where NEXtCARE is present: Reimbusement at 80% of actual costs (subject to be reasonable) or 80% of the usual & customary rates of the network, whichever is less Outside the Network in Countries where NEXtCARE 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-80%
Adult Pneumococcal Conjugate Vaccine
As per DHA Adult Pneumococcal Vaccination guidelines
Cancer Treatments
Covered as per terms, conditions and exclusions of the program defined by DHA
Cash indemnity for in-patient stays
Covered on Reimbursement up to AED 250 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.
Follow-up consultation co-pay (within 7 days)
will not be applicable for follow-up within 7 days for same treatment and with same doctor
Dental, hearing & vision aids, vision correction
Covered subject to 20% coinsurance
Hearing Emergencies
Covered subject to 20% coinsurance
Hepatitis B Virus Screening and treatment
Covered as per terms, conditions and exclusions of the program defined by DHA
Hepatitis C Infection
Covered as per terms, conditions and exclusions of the program defined by DHA
Influenza Vaccine
Covered once per Annum on reimbursement only Limited to the cost of the vaccine and its administration only
New Born baby coverage
Cover for 30 days from birth. BCG, Hepatitis B and neo-natal screening tests (Phenylketonuria (PKU), Congenital Hypothyroidism, sickle cell screening, congenital adrenal hyperplasia)
Preventive services (members over 18)
As per DHA Regulations
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
Not coveredSymptom Checker
This benefit gives members access through the Lumi mobile application to a tool that uses artificial intelligence algorithms to anonymously analyze the member’s symptoms and medical history to suggest the most probable diagnosis and route of care.
Accompanying person accommodation
AED 250 / day
Vision Emergencies
Covered subject to 20% coinsurance
Only on this plan
Benefits this plan adds beyond the rows compared above.
Everyday care
Out-patient care you are likely to use in a normal year- Dental, hearing & vision aids, vision correction
- Covered subject to 20% coinsurance
- Hearing Emergencies
- Covered subject to 20% coinsurance
- Symptom Checker
- This benefit gives members access through the Lumi mobile application to a tool that uses artificial intelligence algorithms to anonymously analyze the member’s…
- Vision Emergencies
- Covered subject to 20% coinsurance
Prevention & screening
Checks and vaccinations, before there is anything wrong- Adult Pneumococcal Conjugate Vaccine
- As per DHA Adult Pneumococcal Vaccination guidelines
- Hepatitis B Virus Screening and treatment
- Covered as per terms, conditions and exclusions of the program defined by DHA
- Hepatitis C Infection
- Covered as per terms, conditions and exclusions of the program defined by DHA
- Influenza Vaccine
- Covered once per Annum on reimbursement only Limited to the cost of the vaccine and its administration only
- Preventive services (members over 18)
- As per DHA Regulations
- Herpes Zoster (Shingles) Vaccine
- Covered only for members satisfying the eligibility criteria set by DHA. Limited to the cost of the vaccine and its administration only
Cash back and waived fees
Money paid back to you, and charges this plan does not make- Cash indemnity for in-patient stays
- Covered on Reimbursement up to AED 250 per night and a maximum of 10 nights. The Cash Indemnity claim must be submitted within 15 days after discharge from the…
- Follow-up consultation co-pay (within 7 days)
- will not be applicable for follow-up within 7 days for same treatment and with same doctor
Hospital and recovery
What the plan does around a hospital stay- Cancer Treatments
- Covered as per terms, conditions and exclusions of the program defined by DHA
- New Born baby coverage
- Cover for 30 days from birth. BCG, Hepatitis B and neo-natal screening tests (Phenylketonuria (PKU), Congenital Hypothyroidism, sickle cell screening, congenital…
- 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…
- Accompanying person accommodation
- AED 250 / day
- Kidney Dialysis Treatment
- Covered up to AED 60,000 with 20% Co-Pay Covered up to Maximum AED 60,000 per person per annum, inclusive of 20% coinsurance
- Parent Accommodation for child under 18 years of age
- AED 250 / day
Named exclusions
Written into this plan's own document, so you do not find out later- Second Medical Opinion
- Not Covered