DHA ESSENTIAL BENEFITS PLAN

DHA-compliant insurance from an authorised insurer with added benefits and advantages.

ENHANCING CARE FOR YOUR EMPLOYEES

Sukoon DHA Essential Benefits Plan is one of the few mandated healthcare solutions authorised for employees in Dubai earning AED 4,000 or less. Fully compliant with DHA requirements, it also includes selected additional benefits for broader protection. Designed to help organisations meet statutory obligations with confidence, the plan delivers reliable, no-frills coverage that supports both employers and employees. Access to a wide network of quality medical providers across the UAE, combined with dedicated in-house claims management and a customer-focused service model, ensures smooth administration and consistent care.

KEY BENEFITS

  • Access to care from a wide network of doctors and healthcare providers
  • Maternity care during pregnancy (prenatal care), throughout labour, delivery, and post-delivery
  • Referrals to specialists
  • Surgical procedures
  • Medical attention for emergency services or conditions that could lead to serious disability or death if not treated immediately, such as accidents or sudden illness. Prior authorisation is not required for such cases
  • Laboratory tests and investigations, radiology services, and physiotherapy sessions

YOUR QUESTIONS ANSWERED

We are here to help. Find the most commonly asked DHA Essential Benefits Plan questions.

Here's how it works. Non-network access is always subject to the terms and conditions of your policy. You will have to pay the whole cost of the treatment and then apply for reimbursement. Your claim shall be settled as per the terms and conditions of your policy, after applying any non-network deductibles.

In the case of elective hospitalisation, you need to make sure that you inform us before you get admitted.

If the procedures or investigations during any outpatient visit in a non-network hospitalisation might exceed AED 500, you will need to get the necessary prior approval from us.

In case of emergencies, please call our helpline 800 SUKOON (785666) as soon as possible for all required details.

That usually depends on the type of network cover allotted to you. It will be mentioned on your Sukoon Health card. Based on this, you can access the full list of healthcare providers through the Sukoon website - https://medicalnetwork.sukoon.com/ or with the insurance coordinator / HR dept. of your company.

The coinsurance or co-pay is the percentage or amount you will need to pay the hospital or healthcare provider for all services that are covered under your policy. In your case, you will need to pay 20% of the total bill from your side.

No, you don't. As it says, the deductible/co-pay is applicable only for consultation. Hence you need to pay the mentioned amount only for that service. You don't need to pay anything from your side for any of the other covered services.

ARE YOU AN EXISTING CUSTOMER?

  • Locate a provider

    Hospital, Pharmacy, or Medical Facility Near You

  • Download MySukoon App

    Access your eCard and manage your claims on the go

  • Make a Claim

    Manage claims reimbursement online and receive direct payments

  • Visit our Online Portal

    Manage your plan, check on claims, etc., online via the mySukoon App

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