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Health Perfect Plan benefits at a glance… Benefits INTERNATIONAL REGIONAL LOCAL Health Perfect 1 Health Perfect 2 Health Perfect 3 Health Perfect 4 Health Perfect 5 Health Perfect 6 Health Perfect 7 Area of cover Worldwide Worldwide Excluding USA A.G.C.C: Arabian Gulf Co-operation Council member countries being Saudi Arabia, Kuwait, Bahrain, Qatar, UAE, Oman and Jordan, plus Iran, Lebanon, Syria, Egypt, Tunisia, Morocco, Algeria, India, Pakistan, Sri Lanka, Bangladesh, Korea, the Philippines, Indonesia, Nepal & Bhutan UAE plus any one of India, Pakistan, Sri Lanka, Bangladesh, the Philippines, Nepal & Bhutan being your home country Yearly Maximum Dhs 10,000,000 Dhs 7,500,000 Dhs 5,000,000 Dhs 2,500,000 Dhs 1,000,000 Dhs 500,000 Dhs 250,000 Outside area of cover Not required for worldwide cover Worldwide, Up to Dhs 750,000 Worldwide, Up to Dhs 500,000 Worldwide, Up to Dhs 250,000 Worldwide, Up to Dhs 100,000 Worldwide, Up to Dhs 50,000 No benefit Daily accommodation charges Included Parent accommodation Dhs 1,000 per night Dhs 500 per night Companion accommodation in case of critical illness or in case of medical necessity at the recommendation of treating doctor with Prior Approval Dhs 100 per night Cash benefit Dhs 1,000 per night Dhs 500 per night In-patient Direct Billing Included Applicable inpatient direct billing network STAR Plus & International Directory of Hospitals STAR & International Directory of Hospitals Diamond GP and Specialist consultation charges Included Courses of physiotherapy Included Complementary therapy up to (Includes courses of chiropractic treatment and osteopathy/alternative treatment) Dhs 5,000 in aggregate Dhs 4,000 in aggregate No benefit Dhs 3,000 in aggregate No benefit Out-patient Co-insurance (applicable on all out-patient services) Nil 10% 10% 10% 10% 10% 10% Out-patient direct billing (only available within the A.G.C.C.) Included Applicable outpatient direct billing network STAR Plus STAR Diamond Crystal Health screen Dhs 3,000 Dhs 1,000 No benefit Dhs 500 No benefit Pre-existing conditions (including pre-existing chronic conditions) - Within UAE (overall limit inclusive of outside UAE shall not exceed Dhs 150,000) Dhs 150,000 Pre-existing conditions (including pre-existing chronic conditions) - Outside UAE restricted to Dhs 5,000 Dhs 5,000 Dhs 5,000 Dhs 2,500 Dhs 2,500 Dhs 2,500 Dhs 1,500 Note- Total limit for pre-existing conditions would in no case exceed Dhs 150,000 - both within UAE and outside UAE inclusive.

AXA Health Perfect Benefits 2015

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Page 1: AXA Health Perfect Benefits 2015

Health Perfect Plan benefits at a glance…

BenefitsINTERNATIONAL REGIONAL LOCAL

Health Perfect 1

Health Perfect 2

Health Perfect 3

Health Perfect 4

Health Perfect 5

Health Perfect 6

Health Perfect 7

Area of cover Worldwide Worldwide Excluding USA

A.G.C.C: Arabian Gulf Co-operationCouncil member countries being Saudi Arabia, Kuwait, Bahrain, Qatar, UAE, Oman and Jordan, plus Iran, Lebanon, Syria, Egypt, Tunisia, Morocco, Algeria, India, Pakistan, Sri Lanka, Bangladesh, Korea, the Philippines,

Indonesia, Nepal & Bhutan

UAE plus any one of India, Pakistan, Sri Lanka, Bangladesh, the Philippines, Nepal & Bhutan

being your home country

Yearly Maximum Dhs 10,000,000 Dhs 7,500,000 Dhs 5,000,000 Dhs 2,500,000 Dhs 1,000,000 Dhs 500,000 Dhs 250,000

Outside area of cover Not required for worldwide cover

Worldwide, Up to Dhs 750,000

Worldwide, Up to Dhs 500,000

Worldwide, Up to Dhs 250,000

Worldwide, Up to Dhs 100,000

Worldwide, Up to Dhs 50,000 No benefit

Daily accommodation charges Included

Parent accommodation Dhs 1,000 per night Dhs 500 per night

Companion accommodation in case of critical illness or in case of medical necessity at the recommendation of treating doctor with Prior Approval

Dhs 100 per night

Cash benefit Dhs 1,000 per night Dhs 500 per night

In-patient Direct Billing Included

Applicable inpatient direct billing network

STAR Plus & International Directory of Hospitals

STAR & International Directory of Hospitals Diamond

GP and Specialistconsultation charges Included

Courses of physiotherapy Included

Complementary therapy up to (Includes courses of chiropractic treatment and osteopathy/alternativetreatment)

Dhs 5,000in aggregate

Dhs 4,000 in aggregate

No benefitDhs 3,000

in aggregateNo benefit

Out-patient Co-insurance (applicable on all out-patient services)

Nil 10% 10% 10% 10% 10% 10%

Out-patient direct billing (only available within the A.G.C.C.) Included

Applicable outpatient direct billing network STAR Plus STAR Diamond Crystal

Health screen Dhs 3,000 Dhs 1,000 No benefit Dhs 500 No benefit

Pre-existing conditions (including pre-existing chronic conditions) - Within UAE (overall limit inclusive of outside UAE shall not exceed Dhs 150,000)

Dhs 150,000

Pre-existing conditions (including pre-existing chronic conditions) - Outside UAE restricted to

Dhs 5,000 Dhs 5,000 Dhs 5,000 Dhs 2,500 Dhs 2,500 Dhs 2,500 Dhs 1,500

Note- Total limit for pre-existing conditions would in no case exceed Dhs 150,000 - both within UAE and outside UAE inclusive.

Page 2: AXA Health Perfect Benefits 2015

BenefitsINTERNATIONAL REGIONAL LOCAL

Health Perfect 1

Health Perfect 2

Health Perfect 3

Health Perfect 4

Health Perfect 5

Health Perfect 6

Health Perfect 7

Pharmacy for Pre-existing conditions (including pre-existing chronic conditions)

Dhs 5,000 Dhs 5,000 Dhs 5,000 Dhs 2,500 Dhs 2,500 Dhs 2,500 Dhs 1,500

Pharmacy for Non Pre-existing conditions Dhs 100,000 Dhs 60,000 Dhs 40,000 Dhs 25,000 Dhs 15,000 Dhs 10,000 Dhs 5,000

Oral and maxillofacial surgery Included

Nursing at home Included

Ambulance transport Included

International Emergency Medical Assistance Included No benefit

Psychiatric treatment

Dhs 15,000(A co-insuranceof 30% appliesto this benefit)

Dhs 10,000 (A coinsuranceof 30% appliesto this benefit)

Dhs 10,000(A coinsuranceof 30% appliesto this benefit)

Dhs 5,000 (A coinsuranceof 30% appliesto this benefit)

Dhs 5,000 (A coinsuranceof 30% appliesto this benefit)

Dhs 5,000 (A coinsuranceof 30% appliesto this benefit)

Dhs 5,000(A coinsuranceof 30% appliesto this benefit)

Accidental damage to teeth Included

Pre and post-natal complications Included

Out-Patient Maternity Included

In-Patient Maternity Normal Pregnancy, Childbirth (Delivery) and medically necessary Caesarean section

Dhs 50,000 Dhs 40,000 Dhs 25,000 Dhs 25,000 Dhs 15,000 Dhs 15,000 Dhs 10,000

Vaccinations for childrenup to 6 years old Included as per MOH list

Routine Dental Care

Dhs 5,000,9 month

waiting period.A co-insurance of20% applies to

this benefit.

Dhs 4,000,9 month

waiting period.A coinsuranceof 20% appliesto this benefit.

No benefit

Dhs 3,000,9 month

waiting period.A coinsuranceof 20% appliesto this benefit.

No benefit

Ancillary equipment Dhs 1,000 Dhs 500 Dhs 500 Dhs 500 Dhs 500 No benefit

Wellbeing Included No benefit

Personal Accident Dhs 150,000 Dhs 125,000 Dhs 100,000 Dhs 75,000 Dhs 50,000 Dhs 40,000 Dhs 25,000

Preventive Services (as perDHA protocol)/Diabetes

Every 3 years from age of 30.High risk individual annual from age of 18

Preventive Services (as perDHA protocol)/Papanicolaou Every 3 years from becoming sexually active

Diagnostic and treatment services for dental and Gum treatment in emergency

Included

Hearing and vision aids and vision correction by surgeries and laser in emergency

Included