ENHANCING EMPLOYEE WELL-BEING, WHILE KEEPING YOUR BUSINESS STRONG AND COMPLIANT
Sukoon Enhanced Plus bridges the gap between mandatory minimum coverage and fully tailored group plans, offering enhanced medical protection for employees. Built on insights from over 50 years of experience in the Middle East, it is designed around the practical healthcare needs of regional businesses. The plan balances affordability with comprehensive care, giving employers a fully compliant solution while providing employees with valuable additional benefits that support everyday well-being. Pre-underwritten and ready to deploy, Enhanced Plus suits groups of 50 to 5,000 members and is particularly well-suited to construction, housekeeping, HR outsourcing, and other blue-collar workforce segments.
ADDED BENEFITS
- Access to a wider and stronger network across the UAE for direct billing services within the Vital network
- Cover for return airfare
- Various co-pay and deductible options available on all outpatient services, i.e., 10%, 20% co-pay, and AED 25 deductible on consultation only
- Include dependents, i.e., spouse and children, at the same premium
- Outpatient pharmaceutical limits from AED 2,000 - AED 7,500
- Relaxed pre-approval caps versus the market standards
- Free life rider cover includes Death due to any cause and Permanent Total Disability up to AED 50,000, and Repatriation of Mortal Remains up to AED 5,000
- Cover for elective inpatient treatments in the home country
YOUR QUESTIONS ANSWERED
We are here to help. Find the most commonly asked Enhanced Plus 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.
Product Resources
For more information, please refer to the product resources listed here.
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