“The program” made adjustments to the card’s services

Suspending coverage of "Thiqa" in hospitals outside Abu Dhabi

"Thiqa" gave patients in hospitals outside Abu Dhabi a 3-month grace period.

From the source

The health insurance program “Thiqa” announced amendments to the insurance coverage for all “Thiqa” subscribers, whereby the coverage of medical services for its subscribers is limited to the geographical borders of the Emirate of Abu Dhabi, indicating that emergency services outside the Emirate of Abu Dhabi will be covered in the private sector through compensation until the health condition stabilizes. For the patient, after which the subscriber is transferred to a hospital within the new medical network.

The "Thiqa" program affirmed on its official website that inpatients in hospitals outside the Emirate of Abu Dhabi have been granted a three-month grace period for continuing care since the commencement of implementing the amendments, that is, until January 13, 2021 as a maximum, or when the patient is medically safe (whichever is closer), to hospitals. Others within the new medical network.

The program indicated that for cases that were approved to receive treatment outside Abu Dhabi before October 13, 2020 in the Northern Emirates or Dubai for citizens of the country from the Emirate of Abu Dhabi, they will be covered as part of the three-month deadline period, and the approvals will be canceled if treatment does not begin, and they are replaced with treatment within the Emirate of Abu Dhabi. , While emergency coverage will continue throughout the country.

Among the amendments to the program is that if the insured (joint) resides in his private property in the Emirate of Abu Dhabi, he is eligible to benefit from the services of the "Thiqa" network and health care providers in the private sector in the Emirate of Abu Dhabi.

The program explained that the amendments to the eligibility of the network of private medical facilities for "trust" subscribers inside Abu Dhabi for citizens of other emirates residing in the emirate include four categories: the first category is for citizens employed in Abu Dhabi and includes coverage for the employee, wife and children, and only the employee's parents are covered with the requirement to prove the place of residence, And a personal acknowledgment of this, and the second category is the owner of the private property residing in it, and the coverage includes the owner, wife and children, and the coverage of the parents of the owner of the property only with the requirement to prove the place of residence, and a personal acknowledgment of that, and the third category is for the student studying in Abu Dhabi, and the coverage includes the student only, with a requirement to have A letter from the educational institution in the emirate confirming that the student is enrolled in full-time study, while the fourth category concerns tenants in the Emirate of Abu Dhabi who are not employed or studying, and their coverage is available in government facilities in the Emirate of Abu Dhabi.

The program indicated that if the house is owned by the husband who owns the family book and does not work and the wife is the one who works, in this case the two are qualified in case the wife works or not, and if she works, she can cover her parents also when they fulfill the conditions for parental coverage.

The program pointed out that if the student is married, the coverage will be in private medical facilities for him alone, and the wife and children will be able to access government facilities, such as those of the Sehha and Mubadala Healthcare Company.

Covering emergency services outside Abu Dhabi in the "private" basis through compensation until the patient's condition stabilizes.

Cancellation of approvals to receive treatment outside the emirate issued before the 13th of this month, in case treatment does not start.

Follow our latest local and sports news, and the latest political and economic developments via Google news