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Question:

How is deductible applied in health insurance policies?

Answer

The deductible amount is applied based on the specific terms and conditions of the insurance policy. The co-pay amount is paid out-of-pocket by the member/insured when they claim coverage for outpatient visits and/or diagnostic tests, as per the policy terms and conditions.

Most comprehensive insurance plans in the UAE typically offer the following co-pay options:

  • ·       0% (Nil) co-pay
  • ·      10% co-pay
  • ·       20% co-pay (AED 50 or 20% co-pay, whichever is lower)

For group insurance plans, you have the options to choose from such as 20% with a CAP.

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  • Coverage Benefits
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