Some Daman health insurance holders will have to pay higher premiums and co-payments for some services starting July 1. Coverage, however, shall be expanded to include top-tier health facilities in Abu Dhabi, it was announced on Friday.
For Emirati-sponsored domestic helpers under the age of 60, the premium for basic health insurance has been increased from Dh600 to Dh750. The basic plan for other categories has also been adjusted, according to the announcement. Other details on premiums, however, are yet to be confirmed.
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Some co-payments will increase, too. Currently, basic plan users don’t have to pay standard extra fees for in-patient services and one-day procedures — unless they go beyond the insurance coverage, a customer service executive said via Daman’s hotline.
Once the change takes place, however, those subscribed to the basic policy would need to shoulder a Dh200 fee for each in-patient service and one-day procedure — capped at Dh500 per year.
For diagnostic services and laboratory tests, those in this category are currently paying only Dh10, on top of the Dh20 co-payment for physical consultation, the Daman staff member said.
With the adjustment, a 20 per cent co-payment shall apply on these tests — with a maximum of Dh50 per visit.
Medication coverage is Dh1,500 per year, with a 30 per cent co-payment fee.
Access to world-class hospitals
These fee increases come as the National Health Insurance – Daman expands the basic plan coverage to include top-tier facilities.
Those using the plan will now have access to world-class hospitals where some of the most prominent leaders and royals get treatment. These include centres of excellence (CoE) such as:
- Cleveland Clinic Abu Dhabi, a CoE for adult cardiac surgery and stroke
- Sheikh Shakhbout Medical City (SSMC) a CoE for stroke
- Sheikh Khalifa Medical City (SKMC), a CoE for paediatric cardiac surgery
Residents subscribed to this plan will continue to receive an annual health insurance cover of Dh250,000, alongside access to healthcare and emergency services from more than 1,250 healthcare facilities spread across Abu Dhabi, Al Ain and Al Dhafra region.
The policy changes come as part of local government regulations that seek to ensure community members are getting access to the highest quality of care in the emirate.