Takaful Emarat
APN +
The short version
AAFIYA — APN PlusWhat APN + does and does not do, before you read the insurer's own Table of Benefits.
Annual limit
AED 500,000
Medical network
AAFIYA — APN Plus
Consultation
AED 50 with 20% co-pay
Pharmacy
AED 15,000 with 20% co-pay
What is good
Good to know
Get your price to download this plan's Table of Benefits and your quote.
Everything in the policy
Medical Network
AAFIYA — APN Plus
Annual Limit per Person
AED 500,000
Area of Coverage
Worldwide excl US/Canada
In-patient Services
Covered
Out-patient Services
Covered
Hospital Accommodation
Private
Consultation Deductible (Co-Pay)
AED 50 with 20% Co-Pay
Diagnostics & Laboratory Services
AED 15,000 with 20% Co-Pay
Medicine Limit
AED 15,000 with 20% Co-Pay
Maternity
In-patient up to AED 12,500 with 10% Co-Pay; if a condition develops into an emergency, the medically necessary expenses are covered up to the annual aggregate limit. Out-patient 10% Co-Pay, 12 visits and 6 ante-natal ultrasound scans. Pregnancy at the time of application should be declared in the medical application form and is subject to medical underwriting; for any undeclared pregnancy, the policy will be subject to re-underwriting to be able to avail the medical coverage.
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 1,500
Physiotherapy
15 sessions per member per annum
Psychiatric Treatment
AED 800
Home Nursing
AED 5,000
Routine Dental Benefits
AED 500 with 30% Co-Pay
Routine Optical Benefits
Not coveredPre-existing / Chronic Conditions
Covered up to AED 150,000 per member per year, with no waiting period
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 7,500
Within the Network (Direct Billing)
Direct Billing
Outside the Network (Reimbursement)
Reimbursement at 80% of UCR rates within the UAE, 100% outside the UAE
Adult Pneumococcal Conjugate Vaccine
Covered as per DHA regulations. Only for Dubai visa holders.
Air-Ticket for Insured Member
Return airfare for in-patient treatment is covered up to AED 2,000, economy class round trip, for in-patient only. It applies where the cost of treatment outside the UAE for the required medical procedures is less than 70% of UAE customary rates, with a minimum difference of AED 3,000.
Cancer Treatments
Cancer treatment screening, healthcare services, investigations and treatments are covered as per the terms, conditions and exclusions of the programme defined by DHA, only for members enrolled under the Patient Support Program.
Cash indemnity for in-patient stays
Covered on reimbursement up to AED 250 per night, for a maximum of 10 nights. The cash indemnity claim must be submitted within 15 days after discharge from hospital, with proof of hospitalisation including a discharge summary.
Follow-up consultation co-pay (within 7 days)
No consultation deductible applies to a follow-up within 7 days for the same treatment with the same doctor.
Dental, hearing & vision aids, vision correction
Diagnostic and treatment services for dental and gum treatments, emergency cases only, are covered subject to 20% coinsurance. A dental emergency is any injury to your teeth or gums that can put you at risk of permanent damage, such as chipped or broken teeth, a knocked-out tooth, or soft-tissue injuries.
Hearing Emergencies
Hearing and vision aids, and vision correction by surgery and laser, emergency cases only, are covered subject to 20% coinsurance. Hearing emergencies include an object or insect in the ear, a ruptured eardrum and sudden hearing loss.
Hepatitis B Virus Screening and treatment
Screening, healthcare services, investigations and treatments related to viral hepatitis and associated complications related to Hepatitis B and C are covered as per the terms, conditions and exclusions of the programme defined by DHA, only for members enrolled under the Patient Support Program. Only for Dubai visa holders.
Hepatitis C Infection
Screening, healthcare services, investigations and treatments related to viral hepatitis and associated complications related to Hepatitis B and C are covered as per the terms, conditions and exclusions of the programme defined by DHA, only for members enrolled under the Patient Support Program. Only for Dubai visa holders.
Influenza Vaccine
Covered as per DHA regulations.
New Born baby coverage
Coverage of a pregnant female is extended by the insurer to provide the same benefits for her newborn child for a period of up to 30 days from date of birth. This cover is provided regardless of whether the newborn is eventually enrolled as a dependent member under the insurer's policy. Cover for 30 days from birth includes BCG, Hepatitis B and neo-natal screening tests (phenylketonuria (PKU), congenital hypothyroidism, sickle cell screening, congenital adrenal hyperplasia).
Preventive services (members over 18)
Preventive services are covered as per DHA regulations.
Organ transplantation (recipient only)
Organ transplantation covers the transplantation as recipient, excluding any cost related to the donor and excluding the acquisition and organ cost. Organs covered are: heart, lung, kidney, pancreas, liver, and allogeneic and autologous bone marrow.
Second Medical Opinion
Covered.
Accompanying person accommodation
Accommodation of an accompanying person in the same room, as per the recommendation of the attending physician and subject to prior approval, is covered at AED 250 per day.
Vision Emergencies
Hearing and vision aids, and vision correction by surgery and laser, emergency cases only, are covered subject to 20% coinsurance. Vision emergencies include bleeding or discharge from or around the eye, double vision, and total or partial loss of vision in one or both eyes.
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
- Diagnostic and treatment services for dental and gum treatments, emergency cases only, are covered subject to 20% coinsurance.
- Hearing Emergencies
- Hearing and vision aids, and vision correction by surgery and laser, emergency cases only, are covered subject to 20% coinsurance.
- Vision Emergencies
- Hearing and vision aids, and vision correction by surgery and laser, emergency cases only, are covered subject to 20% coinsurance.
Prevention & screening
Checks and vaccinations, before there is anything wrong- Adult Pneumococcal Conjugate Vaccine
- Covered as per DHA regulations. Only for Dubai visa holders.
- Hepatitis B Virus Screening and treatment
- Screening, healthcare services, investigations and treatments related to viral hepatitis and associated complications related to Hepatitis B and C are covered as per…
- Hepatitis C Infection
- Screening, healthcare services, investigations and treatments related to viral hepatitis and associated complications related to Hepatitis B and C are covered as per…
- Influenza Vaccine
- Covered as per DHA regulations.
- Preventive services (members over 18)
- Preventive services are covered as per DHA regulations.
- Herpes Zoster (Shingles) Vaccine
- Covered as per DHA regulations.
Cash back and waived fees
Money paid back to you, and charges this plan does not make- Air-Ticket for Insured Member
- Return airfare for in-patient treatment is covered up to AED 2,000, economy class round trip, for in-patient only.
- Cash indemnity for in-patient stays
- Covered on reimbursement up to AED 250 per night, for a maximum of 10 nights. The cash indemnity claim must be submitted within 15 days after discharge from…
- Follow-up consultation co-pay (within 7 days)
- No consultation deductible applies to a follow-up within 7 days for the same treatment with the same doctor.
Hospital and recovery
What the plan does around a hospital stay- Cancer Treatments
- Cancer treatment screening, healthcare services, investigations and treatments are covered as per the terms, conditions and exclusions of the programme defined by…
- New Born baby coverage
- Coverage of a pregnant female is extended by the insurer to provide the same benefits for her newborn child for a period of up to 30 days from date of birth.
- Organ transplantation (recipient only)
- Organ transplantation covers the transplantation as recipient, excluding any cost related to the donor and excluding the acquisition and organ cost.
- Second Medical Opinion
- Covered.
- Accompanying person accommodation
- Accommodation of an accompanying person in the same room, as per the recommendation of the attending physician and subject to prior approval, is covered at AED 250…
- Dialysis
- Covered up to AED 60,000 with 20% Co-Pay Dialysis is covered up to AED 60,000 per year, subject to 20% co-payment per visit.
- Doctor, Surgeon, Anesthetist Fees
- Doctor, surgeon and anaesthetist fees are covered.
- Parent Accommodation for child under 18 years of age
- Parent accommodation for a child under 18 years of age is covered at AED 250 per day.
Other benefits
Named in this plan's document and not easily grouped- NRI Benefit
- For Indian nationals residing in the UAE: cashless in-patient-only benefit for planned treatment, with access to a 16,000-hospital network in India; and continuity…
- Value Added Services
- Teleconsultation through designated provider network clinics, medicine delivery, lab sample collection, member approvals and claims history on the Aafiya mobile app,…
