Patient Care

SSMC’s Insurance Network

As part of the UAE’s largest healthcare network, Sheikh Shakhbout Medical City strives to deliver world-class health and medical services to its patients and customers.

Through its strong strategic alliances with major health insurance providers, Sheikh Shakhbout Medical City accepts the following insurance and care plans:

NEW
GlobeMed Gulf
GlobeMed Gulf

GlobeMed Gulf Healthcare Solutions is a healthcare benefits management company in the UAE. The company puts its expertise at all payers’ disposal to help improve access to healthcare within and outside the UAE while containing costs. As a subsidiary and franchisee of GlobeMed Group, GlobeMed Gulf draws on the Group’s 35 years of experience, serving more than 27 million insured members through 220+ payers in the public and private sectors across 12 MENA markets.

Almadallah
Almadallah

For assistance, contact Almadallah’s 24/7 member support team at 600 543 444 or email [email protected]

Inayah
Inayah

Accepted Networks Platinum & Diamond Networks for direct Billing Restricted Access: Emergency life-threatening only based on Guarantee of payment : other networks

Thiqa
Thiqa

Category 1, 2, 3, & 4

National Health Insurance Company - Daman
National Health Insurance Company - Daman

Direct Access: High-end, mid-range, Royal NW, Mubadala, SSMC, Seha Networks

ADNIC
ADNIC

Platinum, Gold& Gold + Networks for direct billing.

Silver, Bronze, Blue/Hala/Asasi Networks: Members will have access to SSMC for emergency treatment and conditions related to our centres of excellence.

American Life Insurance Company - Metlife
American Life Insurance Company - Metlife

VIP, excutive, Standard, Limited, Restricted Networks *Access subject to patient eligibility at the date of service

CIGNA
CIGNA

Administered by NAS Neuron: Comprehensive Network (CN) & General Network Plus (GN+)

Dubai Insurance Company
Dubai Insurance Company

Essential, Regular, Enhanced, Premium, Comprehensive, Platinum Networks *Access subject to patient eligibility at the date of service

Emirates Insurance Company
Emirates Insurance Company

Exclusive Network (EN), Comprehensive Network (CN)

GIG Gulf Insurance (AXA)
GIG Gulf Insurance (AXA)

AXA1 Plus EX CCAD/AHD/MCH, AXA1 Plus EX CCAD, AXA1 Plus, AXA1, AXA2, Star Plus

Global Medical Managament
International SOS
Mednet
Mednet

Gold network, Silver Premium network, N1, Exclusive N2

NAS Neuron Healthcare services
NAS Neuron Healthcare services

NAS Networks: Exclusive network (EN), Comprehensive network (CN) , General networks (GN)
Neuron Networks: Comprehensive network (CN) , General networks plus (GN+)

National General Insurance - NGI
National General Insurance - NGI

HN Exclusive network , HN Premier network

National Life & General Insurance - NLGI
National Life & General Insurance - NLGI

Administered by NAS : Exclusive network (EN), Comprehensive network (CN) , General Network (GN)
Administered by Next Care : General Network Plus (GN+) & General Network (GN
Administered by Inayah: Platinum Network & Diamond Network

National Takaful Company Watania
National Takaful Company Watania

Exclusive network (EN), Comprehensive network (CN) , General networks (GN)
Restricted Access: Emergency life-threatening only based on Guarantee of payment (GoP): other networks

Next Care
Next Care

General Network Plus (GN+)

Orient Insurance
Orient Insurance

Direct Access: General Network Plus (GN+), Comprehensive network (CN)
Restricted Access: Emergency life-threatening only based on Guarantee of payment (GoP): other networks

Saudi Arabian Insurance Company - SAICO
Saudi Arabian Insurance Company - SAICO

Gold Network

Sukoon Insurance (Oman Insurance Company)
Sukoon Insurance (Oman Insurance Company)

Premium Networks, Bupa Networks

Takaful Emarat Insurance
Takaful Emarat Insurance

Administered by NAS: Exclusive network (EN), Comprehensive network (CN)

WAPMED TPA services
* We will check the eligibility of your insurance and inform you regarding your coverage.

Frequently Asked Questions

Who can I contact for insurance-related inquiries?

Please contact your insurance partner directly for any policy or coverage inquiries. For general assistance, you may also reach the SSMC Call Center.

How long does insurance approval take?

Timelines vary based on insurer requirements and clinical review.

Can I change my insurance information after registration?

Yes. Inform the registration team before receiving services and provide updated documents.

What happens if my insurance authorization request is rejected?

You will be informed of the reason for rejection and any applicable patient responsibility.

Are all SSMC services covered by insurance?

Coverage is subject to policy terms and conditions.

What if my insurance is not contracted with SSMC?

You may receive services on a self-pay basis and request reimbursement directly from your insurer if applicable. However, referral may be required from a facility within your insurance network for unique services and other Centre Of Excellence services (COEs).

Are emergency services covered by insurance?

Emergency services are generally covered according to applicable regulations and policy terms and conditions.

Can SSMC verify my insurance benefits before my appointment?

Yes. Our team can assist in checking eligibility and available benefits; final determination remains subject to insurer approval.

How do I know if a service is not covered by my insurance?

You can verify whether a service is covered or non-covered by reviewing your insurance Schedule of Benefits (SOB), which is typically available through your insurance provider's member portal or mobile application. For further clarification regarding your coverage and eligibility, please contact your insurance provider directly.

Will I need to make any payment even if I have insurance?

Depending on your insurance policy terms and conditions, you may be responsible for co-payments, co-insurance, deductibles, or non-covered services.

What happens if my insurance authorization is pending?

You may directly follow up with your insurance company and or SSMC call center. Alternatively, you may be offered the option to reschedule or proceed as a self-pay until coverage is confirmed.

What should I bring to my appointment?

Emirates ID is the primary valid document for insurance eligibility verification, coverage validation, and patient authentication.

Do I need a referral or pre-authorization before my visit?

For contracted insurance networks, referrals/ pre-authorizations are not required unless otherwise specified in your insurance policy terms and conditions. Non-contracted network services require a referral from a facility within your insurance network, subject to insurer approval and policy coverage

Does acceptance of my insurance guarantee full coverage?

No. Coverage depends on your insurance policy terms and conditions.

How can I check if my insurance is accepted at SSMC?

You can review your Contracted Insurance details on our website by clicking on “See Details” tab to review the accepted networks and insurance contact details.

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