Healthcare

AXA Healthcare plans

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Whatever the size of your business, AXA offers a range of medical insurance plans and healthcare solutions to suit your requirements and your budget. All plans have been designed to protect your business against the unexpected

Why AXA Insurance

  • Instant cover

  • Tailored options and extensions

  • Fastest possible claims settlement

  • Present in the region for more than 65 years

We offer three flexible plans

Product Summary

AXA Healthcare Series for AGCC residents

Whatever the size of your business, we offer a range of medical insurance plans and healthcare solutions tailor-made to suit your requirements and budget.

  • As a large corporate (with more than 50 employees) you may have your operations located in one of the Gulf countries or spread across the region. Similarly your employees may be residing and working in one or more of the Gulf countries but they may also be travelling across the world.
  • In any case, AXA offers tailor-made healthcare insurance plans that cater to your business needs whilst providing benefits & service of international standards.
  • AXA’s International Directory of Hospitals provides a worldwide network of 16,000+ hospitals for in-patient treatment.
  • AXA provides easy and convenient access to a comprehensive network (In-patient & outpatient) in the region with more than 1,300 hospitals, clinics and pharmacies in UAE, Saudi Arabia, Qatar, Oman, Bahrain, Kuwait, Lebanon, Syria & Jordan.
  • AXA is authorized by the health regulators - CCHI in the Kingdom of Saudi Arabia DHA in Dubai and HAAD in the Emirate of Abu Dhabi.
  • AXA values direct relations with members and does not use any Third Party Administrator. Our advanced in-house claims management capabilities gives you a single point of contact to ensure better coordination and faster delivery of service.
  • AXA’s automated services, web-based enrollment capabilities and integrated operations platform will help reduce the administrative burden on your human resource department.

The AXA Healthcare Series for AGCC residents

In order to understand your company requirements for healthcare and tailor make a plan to meet those requirements we will need the following details for your employees and their dependants:

  • Date of birth
  • Nationality
  • Gender
  • Country of work residence
  • Claims experience from your existing insurer
  • Salary information
  • Dependants details (if included under the plan)

 

Key Benefits

AXA Healthcare Series for AGCC residents

  • Area of cover :
    • Global Area 1 (GA1): Worldwide
    • Global Area 2 (GA2): Worldwide excluding USA
    • Regional Plus Elective (RPE): AGCC and coverage for elective treatment in home countries excluding USA. Regional Plus Elective cover allows any eligible member to be covered for elective treatment in his/her home country.
    • Regional: AGCC: Arabian Gulf Co-operation Council member countries being Saudi Arabia, Kuwait,  Bahrain, Qatar, UAE and Oman plus Iran, Lebanon, Jordan, Syria, Egypt, Tunisia, Morocco, Algeria, India, Pakistan, Sri Lanka, Bangladesh, Korea, the Philippines, Indonesia, Nepal, Bhutan.
    • Local: One of the AGCC Countries: Arabian Gulf Cooperation Council member Countries being Saudi Arabia, Kuwait, Bahrain, Qatar, UAE and Oman.
  • Networks: Star Plus / Star / Diamond / Crystal / Select ; along with the regional and International networks
  • In-patient/Daycare treatment:
    • Charges for accommodation(single en-suite room)
    • Diagnostic procedures
    • Operating theatre charges
    • Nursing care, drugs and dressings
    • Surgical appliances Internal prosthetics used during surgery (excl. external prosthesis or appliances)
    • Surgeons’ and anesthetists’ charges including pre and post-operative consultations
    • Intensive care unit charges
    • Consultations and physiotherapy while admitted for treatment of a related medical condition
    • Radiotherapy and chemotherapy
    • CT, MRI, x-rays and other such proven medical imaging techniques
  • Out-patient treatment (with deductible / coinsurance options)
    • Consultation charges for the medical practitioner
    • Diagnostic procedures
    • Prescription drugs (any prescription drug or medication required for more than 30 days must be pre-approved )
    • Physiotherapy received as an out-patient (subject to prior approval)
    • CT, MRI, PET and Gait scans received as an out-patient (subject to prior approval)
    • Radiotherapy and chemotherapy
    • Surgical procedures received as an out-patient
  • Part of ‘Core’ benefits/plan:
    • Pre-existing conditions & chronic conditions
    • Oral and maxillofacial surgery
    • Accidental damage to natural teeth
    • Ambulance transport
    • Passive War and terrorism risk
    • Organ transplant
    • Nursing at home
  • Bespoke benefits
    • International emergency medical assistance - evacuation and repatriation services (includes cost of an accompanying adult)
    • Alternative or complementary therapy (includes courses of Chiropractic, Acupuncture, Homeopathy  & Osteopathy)
    • Psychiatric treatment (IP and OP)
    • Children vaccination (0 to 6 years as per MOH)
    • Physiotherapy
    • Work related Injuries
    • Birth defects or congenital conditions
    • Prescribed medical aids
    • Hormone replacement therapy 
    • Pregnancy complications
    • In-patient rehabilitation (up to 28 days)
    • Reconstructive surgery
    • Deviated nasal septum (medically necessary)
    • Vitamins (when prescribed for a severe deficiency)
  • Benefits Extensions
    • Pregnancy and delivery
    • Routine dental care
    • Routine optical care
    • Health screen (Adult & child)

Please note that all product offerings will be inline with the local regulations