Le Thi Kim Ngoc Insurance

Certificate of Insurance
Inbound Travel - COVID-19
Policy Number: ITL/2544049/AE2022 Policy Issue Date: 01/02/2022

Plan Type: Single and Multiple Entry Validity Period: 90 days from date of entry into GCC (UAE, Oman, Bahrain, Kuwait, Qatar
Policy Holder: MS LE THI KIM NGOC & Saudi Arabia)
Email: [email protected] Date of Birth: 02/03/1996
Address: C9962744 Viet Nam, 108 1016 539, 3009020 Mobile: 97142522486
Cover Policy Coverage

Covid-19 Emergency Medical Expenses AED 25,000 limit per claim (ages 0-75 years at issue)
AED 20,00 limit per claim (ages 76-80 years at issue)
In all cases a 25% co-payment applies per claim
Important
All approved claims will be settled on a direct billing basis only. In order to have coverage under this policy, you must contact us immediately to be directed to the appropriate facility.
This policy provides coverage if you contract COVID-19 outside of your home area, during the period of insurance; it does not provide coverage for medical expenses or any other expenses that are not related to your positive
diagnosis of COVID-19.
This Certificate of Insurance contains a Summary of Cover - please refer to the full Terms and Conditions contained in the Master Policy Document issued to you for full details, including important information regarding co-payment and other
terms and conditions relating to your policy. If you were not provided with a copy of the Master Policy Document, please ask for a copy. You can also verify your cover by clicking here. This policy does not cover pre-existing medical conditions,
please refer to the Master Policy Document for full details of the terms and conditions to ensure this insurance meets your needs.
If any of your personal details shown in this Certificate of Insurance are incorrect please contact us immediately so your details can be updated.
Cover will automatically be extended by up to 10 days to provide cover during the 10-day grace period allowed by the local authorities unless you have a 96-hour policy where this does not apply.
IMPORTANT: the 10-day grace period of the policy may only be utilised if you are within the grace period of the visa at the date of a claim.
Your cover will be effective from the date you enter the GCC (UAE, Oman, Bahrain, Kuwait, Qatar & Saudi Arabia) as stamped on your passport and will apply for the Validity Period stated above (number of days) provided you enter the GCC
(UAE, Oman, Bahrain, Kuwait, Qatar & Saudi Arabia) within 70 days of the policy issue date shown on this certificate. If you become a GCC (UAE, Oman, Bahrain, Kuwait, Qatar & Saudi Arabia) resident of the country you are travelling to
during the policy period then you will not have coverage under this policy from the issue date shown on your residency visa.
Should the need arise to extend your policy cover period as a result of extending your visa, please reach out to the agent/broker that issued your policy who may be able to arrange an extension in accordance with the below conditions. The
option to extend the policy is not available if you have a 96-hour policy.
Policy extensions due to visa extensions

Please note that policy extensions are available under the following conditions.
1. The maximum duration for any policy extension is thirty (30) days.
2. The maximum number of policy extensions is two (2).
3. Any extension must carry the same coverage as the expiring policy (policy upgrades are not allowed).
4. If you wish to extend your policy, you must do so at the same time as the visa extension.
5. Coverage does not apply if, at the time of a claim, you are a GCC resident in the GCC country in which a claim occurs.
New policies due to change of visa status

Please note that you are eligible to purchase a new policy, due to a change of status, under the following conditions.
1. If you apply for a change of status visa, you are eligible to purchase a COVID-19 policy.
2. If you purchase a policy, other than a COVID-19 policy, due to a change of status, then you will not have coverage.
3. You must purchase a COVID-19 policy within 48hrs of the change of status approval, as shown on the change of status visa.
4. Coverage does not apply if, at the time of a claim, you are a GCC resident in the GCC country in which a claim occurs.
For Claims & 24hr Medical Assistance UAE 800 0357 02831 or +971 4 4365653 for emergency
All approved claims will be settled on a direct billing basis only. In order to have coverage under this policy, International: +962 6500 8287
you must contact us immediately to be directed to the appropriate facility. Mail: [email protected]
Whatsapp: +962 7768 11108 for non-emergency
The Travel Insurance is underwritten by Alliance Insurance PSC, with services provided by MAPFRE ASISTENCIA. It is very important that you read the policy wording carefully before you travel and make sure you understand exactly what is
covered and what is not covered and what to do if you need to claim.
Mr. K. Nadarajan
Senior Manager
General Insurance Underwriting
Warba Centre, P.O. Box 5501, Dubai,
United Arab Emirates
Phone: +971 4605 1111
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Certificate of Insurance

Inbound Travel - COVID-19

Policy Number: ITL/2544049/AE2022 Policy Issue Date: 01/02/2022

Email: [email protected] Date of Birth: 02/03/1996

Cover Policy Coverage

Policy extensions due to visa extensions

New policies due to change of visa status

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