HEALTH INSURANCE
HEALTH INSURANCE FORMS AND POLICIES
Name of Insurance: Qatar Insurance
Please refer to the link below for FMC Mobile App:
For Android users: https://play.google.com/store/apps/details?id=com.fmc.healthcare
For iOS users: https://apps.apple.com/ae/app/fmc-network/id1575177329
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GENERAL BENEFITS – CAT A |
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Maximum plan benefit per year |
AED 250,000 |
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Out-Patient |
In-Patient |
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Area of Coverage |
UAE for both elective & emergency treatments & cover is extended to Home Country (Excluding USA, Canada & Europe) for IP treatments only (elective & emergency) subject to prior approval |
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Provider Network |
RN (Including Al Zahra Hospital & Medcare Hospital) |
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Pre-existing & Chronic conditions |
Covered up to AED 150,000/- Treatment for chronic and pre-existing conditions excluded for first 6 months of first scheme membership of an individual’s first scheme entered into UAE (Here “scheme’’ includes all schemes providing cover for medical expenses whether on a self-funded or insured basis). In all other cases, pre- existing conditions must be covered from date of enrolment. |
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Reimbursement Outside Network |
Elective: 80% R&C of applicable network rates on reimbursement basis Emergency: 100% R&C of applicable network rates on reimbursement basis |
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Coverage Outside UAE within Territory of Cover |
Coverage outside UAE within territory of cover is covered on 100% reimbursement basis based on UCR charges of UAE designated network rates or 100% incurred claims cost whichever is lower. Any Elective or Emergency IP treatment outside UAE whilst insured is on vacation or business trip is covered for maximum of 30 days, subject to prior approval. |
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IN CASE OF EMERGENCIES
