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Oman Insurance Company Medical Insurance Review

Oman Insurance customers get great service that is based on 21st Century digital technology combined with tried and tested insurance broking knowhow. This service has seen the Oman Insurance Company grow into one of the largest insurance companies based in the Gulf.

The Oman Insurance Company provides health insurance for both international customers and Emirati citizens. The company is a Participating Insurer (PI) in Dubai Health Authority’s ISAHD programme that provides essential healthcare insurance for every Dubai resident. Their international health plans give you access to some of the best doctors and hospitals throughout the world and were created in partnership with Bupa Global, a huge global healthcare corporation.

Oman Insurance was founded in 1975 and, despite its name, is majority owned by the respected Emirati bank, Mashreq. The Oman Insurance CEO since 2018 has been Jean-Louis Laurent Josi, a Belgian executive who previously ran AXA Asia. Oman Insurance announced in March 2020 that it might bid for AXA in the Gulf, the GCC wing of the huge French insurance corporation AXA.

Oman Medical Insurance Contact Details

Opening Hours

08:00am to 05:00pm, Saturday – Thursday

Dubai (Head Office)

Al Maktoum Street

Al Maktoum Building Number 24

Deira, P.O. Box 5209

Dubai, UAE

+971 4 233 7777

[email protected]

Bur Dubai

Al Mankhool Area

Kuwait Street, Corporate Centre

Ground Floor

Opposite Aster Maternity Hospital

Bur Dubai, P.O. Box 31546

Dubai, UAE

+971 4 703 1000

Fax: +971 4 398 1987

Deira

Al Maktoum Street

Al Maktoum Building Number 24

Deira, P.O. Box 5209

Dubai, UAE

+971 4 233 7777

Sheikh Zayed Road

Gold and Diamond Park

Building Number 5

Ground Floor R5, Shop 019

Landmark: Near FAB Metro Station on Sheikh Zayed Road

Dubai, UAE

+971 4 233 7777

Abu Dhabi

Salam Street, Al Markaziyah

Sheikh Nahyan Bin Khalifa Bldg. 126

P.O. Box 3335

Abu Dhabi, UAE

 +971 2 612 8444

Fax: +971 2 626 8007

Sharjah Branch and Motor Claims Centre

Al Khan Corniche

Majestic Tower, Ground Floor

P.O. Box 1931

Sharjah, UAE

+971 6 593 4180

Fax: +971 6 525 7209

Ajman

Sheikh Rashid Bin Humaid Street

Near UAE Exchange Centre

Mashreq Bank Building

Ground Floor

P.O. Box 1732

Ajman, UAE

+971 4 233 7777

Fax: +971 6 744 3857

Ras Al Khaimah

Next to FAB

Al Corniche Road

Near Royal Medical and Dental Clinic

Al Dafan

P.O. Box 763

Ras Al Khaimah, UAE

+971 7 207 0800

Fax: +971 7 233 4609

Fujairah

Lulu Mall

G-02A, Ground Floor

Fujairah, UAE

+971 9 222 1104

Al Ain

Al Murabha Signal

Al Ghadeer Building, Floor M

P.O. Box 15898

Al Ain, UAE

+971 4 233 7777

Why buy Oman Insurance Company?

The Oman Insurance Company offers two broad categories of insurance, Dubai Health Authority Essential Benefits (or DHA EBP) and International plans. The DHA EBP cover the mandatory health insurance for both expats and UAE nationals who reside in Dubai. Their international health insurance plans allow customers to choose their treatment at any time and place, whether in the UAE or abroad.

The Oman Insurance DHA Easy plan offers medical insurance for your domestic staff and includes cover at more than 1,500 healthcare providers in the UAE. Their DHA Family plan is recommended for individuals with a salary below AED 4,000 and offers protection in the event of medical emergencies. The DHA Family Plus plan is recommended for individuals with a salary above AED 4,000 and tops up the basic DHA cover with some extra benefits.

The DHA plans has an annual maximum benefit limit of AED 150,000, it includes pre-existing and chronic conditions (with a 6 month waiting period for first scheme enrollment), full cover in Dubai and other Emirates but emergency cover only in Abu Dhabi, shared room accommodation (with 20% co-insurance), non-urgent tests and treatment (with 20% co-insurance), emergency treatment, emergency transport, accommodation for someone accompanying a child up to 16-years of age, accommodation for an accompanying person in the same room as per recommendation of attending physician, AED 7,000 maternity services (AED 10,000 medically necessary caesarian), outpatient diagnostic tests and examination, x-ray diagnostic services, 6 annual physiotherapy sessions, AED 1,500 cost of medicine, 8 antenatal care visits, emergency dental treatment, emergency hearing and vision aids, newborn cover for 30 days, vaccines and immunizations as stipulated by the DHA.

There are three Oman Insurance International plans: Premier, Elite and Ultimate. All three offer worldwide coverage, excluding the USA.

The Premier plan has an annual maximum benefit limit of GBP 1,000,000, and covers accommodation, operating room expenses, cancer treatment, mental health, rehabilitation, medical evacuation, diagnostic tests, out-patient prescribed drugs, health screening, osteopathy and physiotherapy, optical and dental care, maternity cover, and medical repatriation.

The Elite plan has an annual maximum benefit limit of GBP 3,000,000, and covers accommodation, operating room expenses, cancer treatment, mental health, rehabilitation, medical evacuation, diagnostic tests, out-patient prescribed drugs, health screening, osteopathy and physiotherapy, optical and dental care, maternity cover, medical repatriation, home nursing, vaccinations, and complementary therapies.

The Ultimate plan has an unlimited annual maximum benefit limit and covers accommodation, operating room expenses, cancer treatment, mental health, rehabilitation, medical evacuation, diagnostic tests, out-patient prescribed drugs, health screening, osteopathy and physiotherapy, optical and dental care, maternity cover, medical repatriation, home nursing, vaccinations, complementary therapies, and genetic cancer screening.

Value Added Benefits

The Oman Insurance Company gives their customers access to a network of over 1.3 million medical providers.

Their MembersWorld portal allows customers to manage their healthcare cover online, this includes submitting and tracking claims, applying for a second medical opinion, and seeking pre-authorization for treatment.

The OIC smartphone app (Apple and Android) allows you to access your policy information instantly, find medical providers such as clinics, pharmacies and doctors, and find those that are closest to you. You can also submit your claims and upload the necessary supporting documentation.

OIC members can take advantage of the LivFit wellness program, which uses an app (Apple and Android) to keep you healthy. You can use the app to create a personal fitness plan that will suit your body and personality, find nearby exercise classes, track the progress of your fitness journey and movement, and connect to other health and wellness apps such as Apple Health, Fitbit, MyFitnessPal, Polar, RunKeeper, MapMyFitness, Garmin, Strava, Swimtag and Withings.

Claims process

Before you make a claim, make sure you have:

  1. Registered for an OIC MembersWorld account
  2. Your policy details to hand, this includes your policy and membership numbers, as well as personal details
  3. Details about the health care provider you’ve seen, your claim reimbursement form, your invoice and proof of payment, as well as the treatment, consultation or service you received
  4. Documents that support your claim. If you’re going to submit online they should be in an electronic format
  5. Your credit or debit card, or other preferred method of payment

You can either make a claim online or by using the app, or by submitting a paper claim to your nearest OIC office in person, or by mail. If you are going to make a claim on paper, you must start by downloading the Oman Insurance Company claims form.

When submitting a claim, remember the following:

  • Submit one claim per person, in other words, you cannot submit a single claim on behalf of your entire family
  • Submit your claim within 90 days of the treatment. Both you and the doctor or surgeon must fill in the claim form for each treatment or appointment
  • Attach all the required supporting documentation that is laid out in the claim form under Summary Table of Invoices
  • Include your BAN number to hasten the payment of your claim
  • Retain a copy of all the documents, including the claims form, original medical reports and clinic invoices, and summary table

If you want to mail you claim to OIC, this is the address:

Medical Claims Department

Oman Insurance Company

Level 3, Al Rigga Business Centre

Al Rigga Street, Deira

PO Box 5209

Dubai, UAE

FAQS

Can I get medical treatment in the UAE without my OIC card?

You don’t have to have the physical card with you to get emergency medical treatment in the UAE. The Ministry of Health and Prevention for the UAE has a database that logs the insurance details of all citizens and residents in the Emirates.
To make things easier, OIC have an eCard that customers can download from their app or website onto their phone. This way you will always have your health insurance details – when you have your phone – even if you have forgotten your wallet or card.

How do I update my Emirates ID number on my account?

According the UAE Know Your Customer (KYC) regulations, all businesses need to maintain valid identity documents for their customers at all times. This means OIC need to have your most recent Emirates ID card number, and keep all your details up to date. Visit the OICare portal and click Update KYC to update your Emirates ID number.

How do claim medical expenses for a newborn with no Emirates ID (yet)?

You must buy new plan for your newborn, and once enrolled the primary insured person (one of the parents) can generate an eCard for the baby from her or her OICare account.

What does ‘20% Co-insurance’ mean?

This refers to the amount that you will have to pay towards your total bill. If your visit to the hospital costs AED 1,000, then with 20% co-pay (also known as co-insurance) you will have to pay AED 200 towards your total bill.

What is a ‘deductible’?

This is the total amount you have to pay towards your bill, before the insurance covers the rest. Similar to co-pay or co-insurance, a deductible often applies to a whole year rather than per treatment, and is more likely to be a fixed sum rather than a percentage.