{"id":31829,"date":"2023-12-27T15:11:16","date_gmt":"2023-12-27T11:11:16","guid":{"rendered":"https:\/\/www.esanad.com\/sh\/?p=31829"},"modified":"2023-12-27T15:11:21","modified_gmt":"2023-12-27T11:11:21","slug":"uae-set-to-mandate-insurance-coverage-for-organ-donors-recipients","status":"publish","type":"post","link":"https:\/\/www.esanad.com\/sh\/articles\/uae-set-to-mandate-insurance-coverage-for-organ-donors-recipients","title":{"rendered":"UAE set to mandate insurance coverage for organ donors, recipients"},"content":{"rendered":"\n

Draft law calls for insurance provision in national organ donation, transplant programme<\/p>\n\n\n\n

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Dubai: The UAE is set to mandate medical insurance coverage for organ donors and recipients in the country, top officials have revealed to Gulf News.<\/p>\n\n\n\n

A draft law that will make amendments to legal provisions on organ donation and transplant has called for the inclusion of medical insurance provision in \u201cHayat,\u201d the National Programme for Organ and Tissue Donation and Transplantation, according to two senior officials.<\/p>\n\n\n\n

\u201cEarlier, the law was not clear about the role of insurance in organ donation and transplantation, but now it is clear,\u201d said Dr Ali Al Obaidi, chairman of the UAE National Transplant Committee.<\/p>\n\n\n\n

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Dr Ali Al Obaidi, chairman of the UAE National Transplant Committee.<\/p>\n\n\n\n

\u201cNow we know that health insurance support is also part of the new [draft] law and it is mandatory for everybody [insurance companies to comply].\u201d<\/p>\n\n\n\n

He said the proposed law says that all insurance companies can support the Hayat programme. \u201cIt actually calls on insurance firms to be strategic partners with the programme,\u201d Dr Al Obaidi explained.<\/p>\n\n\n\n

Dr Marwan Al Mulla, CEO of Health Regulation Sector at Dubai Health Authority (DHA), said the new draft law states that transplantation and donation is the right of the patient. \u201cSo it should be part of the insurance coverage.\u201d<\/p>\n\n\n\n

He said the DHA would work with the national committee to mandate it in Dubai.<\/p>\n\n\n\n

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Dr Marwan Al Mulla, CEO of Health Regulation Sector at Dubai Health Authority (DHA)<\/p>\n\n\n\n

Last week, the two officials and representatives of multiple health authorities in the UAE held a meeting with insurance companies in this regard.<\/p>\n\n\n\n

Various mechanisms were discussed to ensure accessibility and sustainability of the organ transplant programme for everyone, irrespective of nationality or gender.<\/p>\n\n\n\n

What is the current scenario?<\/h3>\n\n\n\n

According to healthcare insurance experts, insurance policies typically do not include coverage for transplant surgeries, except for certain high-end health insurance plans or International Private Medical Insurance products, which may offer limited transplant coverage.<\/p>\n\n\n\n

DHA\u2019s essential benefit plan\u2019s table of benefits currently excludes health services and associated expenses for organ and tissue transplants, irrespective of whether the insured person is a donor or a recipient. \u201cThis exclusion also applies to follow-up treatments and complications unless if left untreated will develop into an emergency,\u201d says the table of benefits.<\/p>\n\n\n\n

Insurance for recipient, donors<\/h3>\n\n\n\n

However, some critical insurance plans offer a significant level of coverage for transplant procedures. Yet, challenges arise when policy limits are insufficient for surgery costs and some policies have limited coverage for recipients but not for donors.<\/p>\n\n\n\n

\u201cIn scenarios where transplant procedures are covered, it is important to note that the insurance usually only accounts for the costs associated with the transplant and recipient, while excluding expenses incurred by the donor. However, there are government programmes and several charitable organisations that provide support for transplant surgeries,\u201d said one insurance expert.<\/p>\n\n\n\n

Challenges in coverage<\/h3>\n\n\n\n

Another expert said insurance companies generally avoid including transplant coverage in all types of policies. \u201cThis strategy is aimed at maintaining the affordability of health insurance premiums.<\/p>\n\n\n\n

“Transplant surgeries are often classified under expert quaternary care, which involves substantial costs. One of the significant challenges in transplant procedures is the rigorous and often arduous process of finding a medically suitable donor.\u201d<\/p>\n\n\n\n

Furthermore, he said, the spectrum of post-transplant complications can range from minimal to severe, with some cases unfortunately resulting even in loss of life. \u201cThese complications can have a considerable impact on the patient\u2019s lifestyle and overall well-being, even after the transplant procedure is completed,\u201d he pointed out.<\/p>\n\n\n\n

Hence, a health plan may cover the entirety of the cost of a transplant procedure, but not the cost of additional care needed in the post-transplant period.<\/p>\n\n\n\n

Addressing gaps<\/h3>\n\n\n\n

However, the upcoming law is expected to cover both donors and recipients, addressing the existing gaps, said Dr. Aliasger Bagasrawala, director of Revenue Cycle at King\u2019s College London in Dubai which has become the first liver transplant centre in Dubai.<\/p>\n\n\n\n

He said the implementation of mandatory coverage will encourage more organ donations. \u201cIn certain circumstances, costs associated with organ retrieval, transportation, surgeries, and post-transplant care can pose financial challenges.\u201d<\/p>\n\n\n\n

Once the new scheme becomes mandatory, he said, the transplant programme will become sustainable and accessible for both donors and recipients.<\/p>\n\n\n\n

\u201cOne thing is clear. The leadership and health authorities are committed to preventing financial constraints from hindering patients\u2019 access to transplantation procedures, offering support to all eligible residents. This is really a reassuring national policy for UAE residents.\u201d<\/p>\n\n\n\n

Incentivising donations<\/h3>\n\n\n\n

Fr Davis Chiramel, popularly known as the Kidney Priest from India, whose \u2018Green Life\u2019 campaign has been roped in to champion the message of organ donation among UAE residents, said insurance companies can also play a big role in spreading awareness about organ donation.<\/p>\n\n\n\n

Incentivising donations<\/h3>\n\n\n\n

Fr Davis Chiramel, popularly known as the Kidney Priest from India, whose \u2018Green Life\u2019 campaign has been roped in to champion the message of organ donation among UAE residents, said insurance companies can also play a big role in spreading awareness about organ donation.<\/p>\n\n\n\n

Reference: UAE set to mandate insurance coverage for organ donors, recipients | Health \u2013 Gulf News<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Draft law calls for insurance provision in national organ donation, transplant programme Dubai: The UAE is set to mandate medical insurance coverage for organ donors and recipients in the country, top officials have revealed to Gulf News. 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