How much of a medical bill will you pay?
On a basic plan you pay a share of most bills, often 20% to 30%, with a cap on hospital stays.
What do you pay on each basic plan?
| Service | What you pay |
|---|---|
| Hospital stay | You pay 20%, up to AED 500 per encounter and AED 1,000 a year. Above those caps the insurer pays 100%. |
| Emergency | You pay 20% with the same AED 500 and AED 1,000 caps. |
| GP, specialist or consultant visit | You pay 20% per visit. A follow-up visit within seven days has no charge. |
| Laboratory tests and radiology | You pay 20%. Outside an emergency, an MRI, CT scan or endoscopy needs the insurer to approve it first. |
| Physiotherapy session | Up to 6 sessions a year. You pay 20% per session. The insurer must approve first. |
| Medicines | Up to AED 2,500 a year, including your share. You pay 30% of every prescription. Nothing is paid above the limit. |
| Maternity visit before the birth | You pay 10%. Covers 8 visits, a set list of first tests and 3 ultrasound scans. |
| Maternity, the birth | You pay 10%. Up to AED 10,000 for a normal delivery or a medically necessary caesarean. The limits include your share. |
| Mental health counselling | Up to AED 800 for outpatient counselling. You pay 30% per visit. |
| Dental | Up to AED 500 for the listed treatments. You pay 30% per visit. |
The full table is in the guide to this plan.
| Service | What you pay |
|---|---|
| Hospital admission or day case | AED 200 per admission, up to AED 500 a year. |
| Diagnostics, laboratory tests and radiology | 20%, up to AED 50 per visit. |
| Medicines | 30%. The plan covers medicines up to AED 1,500 a year, and that figure includes your 30%. |
The full table is in the guide to this plan.
| Service | What you pay |
|---|---|
| Hospital stay | 20%, up to AED 500 per stay and AED 1,000 a year. The insurer pays 100% above that. |
| GP or specialist visit | 25%, up to AED 100 per visit. Nothing for a follow-up within seven days for the same illness. |
| Laboratory tests and radiology | 25%. |
| Physiotherapy session | 25%. Up to 6 sessions a year, with prior approval. |
| Medicines | 30%. Up to AED 1,500 a year, from a set list of medicines. |
| Emergency dental treatment | 25%. Dental treatment is excluded except in a medical emergency. |
The full table is in the guide to this plan.
Sources
- GC 03/2024, Updated Table of Benefits for Essential Benefits PlanDubai Health Authority. Dated 23 July 2024. In force from 1 January 2025. Read 11 November 2026.
- National Health Insurance Company (Daman) reveals key updates to Basic Health Insurance PlanAbu Dhabi Media Office. Published 31 May 2024. Changes in force from 1 July 2024. Read 11 November 2026.
- Abu Dhabi Basic Health Insurance Plan FAQDaman. Undated page. Read 11 November 2026.
- WHI Basic Plan, Table of Benefits and PremiumsWorkers Health Insurance. Undated. Issued by Dubai Insurance Company PJSC as manager of the Insurance Pool. Read 11 November 2026.