to the most commonly asked questions from coverage to claims.
How can I request a payment refund?
When policy refunds may be processed
Policy refunds can be initiated solely by the policyholder(s) and
are strictly governed by the terms and conditions outlined in your
policy concerning cancellations and refunds. Additionally, policy
refunds are subject to no outstanding premiums on the client account
with GIG Gulf.
How refunds are paid
Refunds are always issued to the policyholder or the original
payment source, typically the credit card or bank account used for the
initial payment.
In exceptional cases, subject to approval,
refunds may be directed to a third party with the authorization of the
policyholder, which is conveyed to GIG Gulf. In such instances, GIG
Gulf will require the completion of a Bank Transfer
Details Form
from the third party. This form enables GIG Gulf to conduct
compliance checks on the third party before initiating the transfer.
Payments to third parties will only be executed after successful
compliance clearances.
For payment of premiums, if the payee is different from the Policyholder (PH), what documentation is required to process the payment?
Family Member or Third Party as Payee:
1. Passport of both Policyholder and Payee
2. Visa and ID
(i.e. Emirates ID) copies of both policyholder and Payee
3.
Authorization letter from policyholder confirming GIG to settle the
refund to Payee
4. Proof of relationship between policyholder and payee
Company as Payee:
1. The visa of the Policyholder should be sponsored by the
Company; if not, an Employment Letter is required.
2.
Authorization letter from policyholder confirming GIG to settle the
refund to Payee
3. Valid Trade License of the company
4. Valid
VAT Certificate of the company (where applicable)
Supplying this
information does not automatically guarantee that payment will be
accepted. Such requests are subject to compliance checks and payment
shall be processed upon successful compliance clearance.
What are the factors that affect health insurance premium?
The price can be influenced by various factors, but is primarily based on:
- Choice of plan
- The individual client's profile, including existing or anticipated medical conditions
- Past claims history
Who is liable for taxes/VAT on policy contract?
As per the terms and conditions of your policy, it is the client's responsibility to cover all applicable taxes/VAT/fees in the respective policy country, in relation to the policy premiums invoiced by GIG Gulf. GIG Gulf does not hold the liability to reimburse the client for any portion or the entirety of these taxes/fees that are payable by the client.
- Regarding taxes on reimbursement claims: Members are accountable for settling any taxes/fees owed on their reimbursement claims. GIG Gulf is responsible for reimbursing only the cost of the claim itself.
-
In the case of taxes related to direct billing by healthcare
providers: When applicable taxes/fees are imposed by the
service provider on services rendered to GIG Gulf clients and
members, GIG Gulf will settle these taxes to the service provider or
regulator as dictated by regulations.
Does my policy include coverage for maternity?
To determine whether your policy includes maternity coverage, you can
refer to the "Maternity Benefit: Pregnancy and Childbirth"
section within your table of benefits. For guidance on accessing your
table of benefits and understanding the benefits provided by your
policy, please review the response to the question, "What
benefits does my policy provide, and where can I download my table
of benefits?"
What falls under `Outpatient Maternity` coverage?
Outpatient Maternity coverage encompasses consultations, tests, treatments, and pharmacy expenses. The application of Co-Insurance will be applied as per your policy benefits. It's important to refer to your Table of Benefits (TOB) as this coverage can vary by region and is subject to regulatory requirements.
The extent of coverage will be in line with both local regulations and international medical guidelines, and it's worth noting that a waiting period may be applicable in accordance with your TOB. If you seek Outpatient services outside the GCC region, they will be evaluated on a reimbursement basis.
What falls within the scope of `Inpatient Maternity` coverage?
Inpatient Maternity coverage encompasses the expenses associated with the delivery of your baby, whether it's a normal delivery or a medically necessary C-section. Additionally, this benefit also covers medically necessary legal abortions.
What do the "Pre/Post-Natal Complications" benefits entail?
The "Pre/Post-Natal Complications" benefits encompass unforeseen medical situations that may arise during pregnancy (antenatal), childbirth, or after delivery (postnatal). These situations necessitate additional care or interventions beyond what would typically be required for a normal pregnancy, as they pose a direct threat to the well-being of the mother and/or baby.
For a maternity claim to be considered a complicated pregnancy and
for coverage of a C-section up to the policy limit, it must meet
specific criteria, including the following conditions: Placenta
Previa, Pre-eclampsia, Fetal distress, Urine rupture, and Umbilical
cord prolapse. It's important to note that this benefit is exclusively
available to eligible married females per policy year.
Is medical insurance mandatory for employees in UAE?
The UAE is renowned for its forward-thinking approach to improving living standards, which also extends to its healthcare system. Both Abu Dhabi and Dubai have established legislation to ensure that all Emiratis and expatriates receive a specified level of healthcare coverage. According to these regulations, it is mandatory for employers to provide health insurance for their employees. In Abu Dhabi, this requirement also extends to cover spouses and up to three dependent children up to the age of 18.
It is crucial to have a clear understanding of your legal responsibilities in compliance with these laws. Our staff members are well-versed in the various intricacies and can provide you with the necessary guidance.
Does "Pre/Post-Natal Complications" benefits include coverage for C-Sections?
C-Section (when medically necessary) will be covered only under the maternity limit unless it is a complication as per diagnosis: Placenta Praevia, Pre-eclampsia and eclampsia, Fetal distress, Uterine rupture and Umbilical cord prolapse.
What are the next steps after the birth of my child?
We advise you to get in touch with us promptly to facilitate the
inclusion of your child in your policy. Please have the following
documents ready:
1. Completed application form
2. Birth
certificate
3. Passport and Visa (if applicable)
4. A signed
undertaking letter (if passport/visa is not available)
What is the insurance procedure for newborns born outside the UAE?
If your insurance policy permits the inclusion of dependents, and you have a newborn, it's crucial to inform us promptly about this new addition. Depending on the specific policy regulations and details, we may be able to backdate the coverage to the date of the newborn's birth.
Certain plans we offer include a 'Newborn Benefit,' which provides provisional coverage for the newborn under the mother's policy for up to 30 days within the defined geographical scope. For further information about this benefit and the prerequisites for adding a newborn, please refer your table of benefits and policy handbook.
What is the Health on Track Program?
A program offering a set of diverse healthcare solutions of wellness
and prevention, tailor-made for you and your loved ones.
Our goal
is to address and cater to your healthcare needs throughout all
stages, from being healthy to occasionally ill to chronically to
critically ill.
It is a comprehensive kit of mental and physical
management and prevention tools that will help you maintain a healthy
lifestyle and support you in case of illness.
What is Teleconsultation, how do I get started to avail this service?
Teleconsultation is a 24/7 virtual healthcare consultation with licensed GPs through audio and video calls, teleprescription, health guidance from a nutritionist, and chronic condition monitoring and coaching.
Service Benefits
- 24/7 access to GPs for medical advice
- Medication prescription
- Medication delivery (where approved by regulators)
- No Co-pay
- Wellness and prevention guidance from GPs and nutritionists
Access options
You can access the service through:
- MyGIG Gulf’ app. To speak to a doctor, select the ‘Call a doctor’ icon
- Alternatively dial in the toll-free number from a mobile or a landline. Please contact your HR or key account manager to have more information.
We recommend using this tool as soon as your insurance policy starts and throughout the year, whether you are looking for prevention guidance or fall sick and need immediate medical advice.
What is Mindset, how do I get started to avail this service?
Mindset is a confidential 24/7 access to emotional well-being counseling with licensed psychologists through voice calls. It is a service aiming at raising awareness about mental health by reducing the stigma, preventing mental distress by fostering resilience and empowering you towards a state of psychological safety at work and in your lives.
Service Benefits
- 24/7 access to psychologists through a hotline
- Available in 5 different languages: English, Arabic, Urdu, French & Hindi
- Access throughout the year to podcasts, seminars and workshops provided by professional coaches to inform, support and empower you toward a resilient mind
Access Points
Your employees and their dependents (above 17 years) can access the service through:
- ‘‘MyGIG Gulf’ app by selecting the ‘Speak to a Psychologist’ icon
- Alternatively, dial in the toll-free number from a mobile or a landline. Please contact your HR or key account manager to have more information.
We recommend you use this tool as soon as your insurance policy starts and throughout the year for any matters impacting your wellbeing or psychological health.
What is MyWellness Week and how can I access the sessions?
MyWellness Week is Health on Tracks' annual online educational event designed to empower participants with knowledge across multiple dimensions of holistic well-being, inspiring them to make positive life changes. This program offers a range of free classes and provides access to world-class experts in various well-being areas. It's an excellent opportunity to strike a balance between work and well-being, with attractive incentives for the highest engagement levels. To benefit from this program, access all previous sessions through the Health on Track section of the MyGIG Gulf Mobile App . Registration will be available when the program reopens.
What is GIG Gulf Health Talks and how can I access the sessions?
GIG Gulf Health Talks are a series of online webinars featuring experts discussing well-being topics such as stress management, mindfulness, heart health, and more. These webinars empower you with knowledge to enhance your quality of life and maintain a positive lifestyle. To access these sessions, you can find all previous sessions on the Health on Track section of MyGIG Gulf Mobile App and invitations are sent directly to members by the "GIG Health & Wellbeing" Team
What is GIG Gulf Health and Well-being Blog and how can I access the blog posts?
GIG Gulf Health and Well-being Blog consists of monthly posts that
share practical and actionable knowledge related to well-being. These
articles cover a variety of trending topics related to healthy living,
disease management and prevention. Access to all the blog posts
through the GIG Gulf Website
or Health on Track section of the MyGIG Gulf
Mobile App
.
What is Health on Track PodCast and how can I access the podcasts?
The Health on Track Podcast is a bi-weekly shot of wellness insights. We feature subject matter experts who address a wide range of health concerns and wellness challenges to support our members at all stages of their wellbeing journey. You can listen to the podcast on platforms like Spotify, Apple Podcasts, YouTube, Anghami or through the GIG Gulf Website .
How are Outpatient, Inpatient, and Daycare defined?
Outpatient: An outpatient refers to a patient who
does not stay overnight in a hospital but instead visits a hospital,
clinic, or related facility for diagnosis or treatment and is
subsequently sent home after the consultation.
Daycare: Daycare pertains to a patient or case that
enters a hospital for a medical treatment or surgical procedure and is
managed and discharged within a single day. This falls under the
category of outpatient care.
Inpatient: An inpatient denotes an insured member who
is formally admitted as a bed patient in a hospital. They incur daily
room and board charges, and the stay typically spans a minimum
duration of 24 hours.
What do co-pay, co-insurance and deductible mean?
When an employee health insurance plan includes co-insurance, members may be required to contribute a specific percentage of the treatment cost. The exact percentage hinges on two key factors:
- The co-insurance percentage specified for all Outpatient services, as indicated on the health insurance digital or physical card.
- Whether a member sought care from an In-Network Provider under a Direct Billing arrangement or from an Out-of-Network Provider, where they paid upfront and later sought reimbursement, in the case of an emergency.
In contrast, a co-pay or deductible refers to a fixed amount individuals must pay when they visit a doctor for a consultation. The specific amount is detailed on their medical card. It's important to note that the "co-pay" should not be charged for follow-up visits within 7 calendar days if the visit is related to the same condition and involves the same doctor.
For more comprehensive information about the particulars of your medical insurance plan, including any additional applicable co-insurances, it's advisable to consult your insurance provider directly.
How can I submit an Inquiry or a Complaint?
From GIG Gulf website
- Navigate to the GIG Gulf Website , choose your respective country, click on ` Contact Us ` on the main page, and you will find all the contact information you need to contact our Customer Service Team. Inquiry and complaint forms are also available on this page.
From MyGIG Gulf app
- Login to MyGIG Gulf Mobile App .
- Navigate to `Profile & App Settings`
- Navigate to the `Help & Support` menu in the `Queries and Complaint` section, and you can submit a query or a complaint from there.
How soon can I expect a response from GIG Gulf regarding a complaint?
Upon submitting your complaint, you can anticipate a response from us within one working day. We will promptly acknowledge your complaint and provide you with a reference number. Furthermore, we will outline the subsequent steps in the process and provide you with the means to get in touch with us for further discussion.
We are committed to conducting a thorough investigation and aim to communicate the outcome of your complaint within 7 working days for UAE, Oman and Bahrain, 5 days for Qatar. In the event that this timeline cannot be met, we will notify you and ensure you are kept informed throughout the process.
Please rest assured that your complaint will always be handled with fairness and confidentiality. Once your matter is resolved, your feedback will contribute to our efforts to enhance our services.
How should I proceed if there is a delay in my pre-approval request?
To inquire about the status of the pre-approval request, please reach out to us using the contact number provided on the back of your medical card.
I have reset my password but didn’t receive an e-mail with password reset instructions. What should I do to receive the e-mail?
- The email used for a password reset should be registered with the MyGIG Gulf Mobile App. Make sure that you enter the correct email address.
- If a personal email (such as Hotmail, Gmail, Yahoo, etc.) is used for reset, check your spam folder or junk mail if it is not received in your inbox.
- If the email still cannot be retrieved, then please contact us at mcs@gig-gulf.com .
I may require surgery; will I be covered under my medical insurance?
All inpatient services, including surgeries, necessitate pre-approval from GIG Gulf to check eligibility, suitability and limit availability. If you are consulting a healthcare professional within our network, your medical provider will initiate the pre-approval process on your behalf. However, if your medical provider is not within our network, you can arrange to send an email to intl@gig-gulf.com , including the following requirements:
- A pre-authorization request form detailing the treatment plan, signed and stamped by the treating doctor.
- An itemized cost estimate of the hospital bill, providing a breakdown of all charges.
- A comprehensive medical report.
- Diagnostic reports.
For healthcare providers within our network, pre-approval may take up to 4 hours, depending on the specific case. If you are consulting a provider outside our network, the pre-approval process may take up to 8 hours, again contingent on the individual case.
Whom should I reach out to if there are any discrepancies in the settlement?
If you encounter any disputes or discrepancies, we recommend contacting us via email at mcs@gig-gulf.com or the "Contact Us " option for assistance.
What documentation is necessary when applying for an individual or family health insurance plan?
The documentation needed for individual and family health insurance plans typically includes the following:
- A completed and signed Application Form
- A duly signed GIG Quotation Form
- Signed Underwriting Letters, Final Binding Acceptance Forms, and, in some cases, medical tests
- Proof of identity documents, such as a passport or Emirates ID
- Proof of payment
Please be aware that the required documents may vary depending on the country, and additional documents might be necessary to comply with each country's specific regulations. For a comprehensive list of the required documents, please visit our 'Contact Us' page to find the most convenient way to get in touch with us or visit one of our branches, where we can assist you further.
I am not currently employed but hold a Dubai visa as a dependent on my spouse's visa. How can I have insurance coverage?
If your spouse's employer does not provide insurance coverage for dependents, your sponsor will need to arrange a separate insurance plan for you. GIG Gulf offers a variety of individual insurance options to suit your needs. Please get in touch with us for further details and assistance.
What is health insurance?
Health insurance provides you with a safety net against unexpected medical expenses, including costs related to hospitalization, medications, or doctor visits.
I forgot my password for MyGIG Gulf Mobile App, how can I reset my password?
- If you forgot your MyGIG Gulf password, tap on "Don't remember your password" link on the log-in page.
- Enter your registered email with GIG to receive the password reset link. Once you entered your email, click on 'Send Email'.
- You will see a confirmation on the screen that the password reset email was sent to your email.
- Next, open your email inbox and check for an email from 'support-giggulf@gig-gulf.com '.
- You will receive the password reset link on the email address that you used to register on MyGIG Gulf. Once you receive the email, click on 'Reset Your Password'.
- Enter your new password, and repeat it for confirmation, then tap to save it. You can now go back to MyGIG Gulf entry page and log in using your new password.
Is it possible to utilize eCards for the stamping of a UAE residence visa?
Yes, eCards can be used for visa stamping purposes.
What benefits does my policy provide and where can I download my table of benefits?
To access the details of your policy benefits and download the table of benefits, please follow these steps using the MyGIG Gulf mobile app:
- Log in to the MyGIG Gulf Mobile App.
- On the dashboard, select 'View Details' for your active policy to access your policy specifics.
- Navigate to the 'Covers & Services' tab to view the list of services covered by your policy.
- To download your table of benefits, simply click on 'Download'.
What happens if I choose not to utilize my card within the network?
If you opt not to use your card within the network, all benefits and services submitted for claim reimbursement of claims will be evaluated based on the Reasonable and Customary rates. Reasonable and Customary Charges are equivalent to the average of our negotiated, discounted cost for the same treatment within the network shown in your plan. The coverage of cost incurred or customary charges (whichever is less) and the level of reimbursement will be determined based on the membership plan you have chosen.
This means there may be out-of-pocket expenses depending on how the charges align with this standard. For a detailed understanding of your healthcare policy, including potential out-of-pocket costs, access your table of benefits and membership handbook on the MyGIG Gulf Mobile App .
In which countries can I receive medical treatment outside of the UAE?
You can find specific information about the countries where you have coverage by referring to your Table of Benefits (TOB) which outlines your area of cover and lists the countries where you are eligible for medical treatment.
I am currently traveling and have been requested to provide an 'insurance certificate' as proof of insurance coverage. What are the steps to follow?
To access your insurance certificate, you can follow these steps:
- Log in to the MyGIG Gulf Mobile App .
- Navigate to the 'Active policy' section and click on 'View Details' to access your policy information.
- Select the 'Documents' tab.
- Under the 'Insurance / Travel Certificate' section, click on "View" to both view and download your Insurance Certificate.
- If needed, you can click on 'Share' to easily share the Insurance Certificate.
Please note that you will require Adobe Acrobat Reader or any other PDF viewer to open and view the certificate.
Whom should I get in touch with for medical treatment abroad?
If you need to be admitted to a hospital while abroad, please promptly reach out to us at least 7 days before the planned treatment. You can contact us via phone at +971 4 507 4000 or send an email to intl@gig-gulf.com . Ensure that you include all necessary information, such as your policy number, admission date, medical reports, doctor's details, hospital information, and cost estimates.
What is required to obtain pre-approval from network providers?
To secure pre-approval from network providers, you will need to provide either your Emirates ID or your e-Card accessible via the MyGIG Gulf Mobile App. The provider will handle the pre-authorization process in accordance with the service level agreement, eliminating the need for you to take any additional steps.
What are the steps to submit a claim through MyGIG Gulf Mobile App?
- Login to MyGIG Gulf Mobile App
- Initiate the straightforward online claims process by clicking on the 'Submit a claim' button.
- Your policy information will be automatically pre-filled. Proceed to enter your contact details by scrolling down on the same page.
- Complete the required contact information and agree to the Terms & Conditions by ticking the checkbox.
- Click on 'Next' to proceed to the document uploading stage.
- Provide claim details for either yourself or your dependents.
- Upload the necessary documents, including the claim form signed and stamped by your treating practitioner and yourself, as well as stamped invoices or receipts, along with any supporting documents such as medical reports, laboratory test results, ultrasound reports, and referral letters.
- Input your bank details or edit them if they are stored from previous submissions, and then click on 'Next' to review all the details before finally submitting your claim.
What are the steps to submit a claim through GIG Gulf Website?
- Navigate to the GIG Gulf Website and click on the MyGIG link. Alternatively, you can select `Submit a Claim` from the Health tab under the navigation bar and select `Submit a Claim` under Insured Members.
- Click on `Login` and enter your MyGIG Gulf credentials.
- Initiate the straightforward online claims process by clicking on the `Claims` menu.
- Click on the 'Submit a claim' button.
- Your policy information will be automatically pre-filled. Proceed to enter your contact details by scrolling down on the same page.
- Complete the required contact information and agree to the Terms & Conditions by ticking the checkbox.
- Click on 'Next' to proceed to the document uploading stage.
- Provide claim details for either yourself or your dependents.
- Upload the necessary documents, including the claim form signed and stamped by your treating practitioner and yourself, as well as stamped invoices or receipts, along with any supporting documents such as medical reports, laboratory test results, ultrasound reports, and referral letters.
- Input your bank details or edit them if they are stored from
previous submissions, and then click on 'Next' to review all the
details before finally submitting your claim.
What is the insurance process for newborns born in the UAE?
- For DOH-Compliant Plans: The eligible expenses related to newborn treatment are covered for up to 30 days from the date of birth (DOB) under the mother's insurance coverage. However, this coverage is contingent upon adding the newborn to the policy within 30 days from the DOB. Backdating is not permitted in this case.
- For DHA-Compliant Plans: Similar to DOH-Compliant plans, the eligible cost of newborn treatment is covered for up to 30 days from the DOB under the mother's insurance coverage. The condition for coverage is the addition of the newborn to the policy within 30 days from the DOB. Backdating is allowed for newborns up to 7 days from the DOB. If this 7-day limit is exceeded, enrollment will start from the date of GIG's receipt of complete documentation.
Please Note: Any medical treatment or services incurred prior to policy issuance will not be covered on a reimbursement basis.
How can I obtain a receipt following the payment of my policy(ies)?
Our GIG Gulf staff, available at our offices, points of sale, shops, and call center, will assist you in providing valid receipts for policy premiums paid through payment links, POS or any other payment methods.
Are there any co-payment and deductible fees associated with my policy, and where can I access this information?
You can find the details regarding co-payment and deductible fees for your policy in the table of benefits on the MyGIG Gulf app by following these steps:
- Log in to the MyGIG Gulf Mobile App .
- Go to the 'Active policy' section and select 'View Details' to access your policy information.
- Click on the 'Covers & Services' tab, where you'll find a list of the services covered by your policy.
- To review the complete details of your benefits, including
co-payment and deductible information, simply click on 'Download' to
download your table of benefits.
Which providers can I visit?
You have the option to consult with any healthcare professionals who are part of the direct billing network linked to your policy (please refer to your policy document for details). If you decide to see a provider outside of this network, you will need to cover the costs upfront and then submit a reimbursement claim (Pay & Claim). We will refund the expenses based on Reasonable and Customary rates that apply to your network. To find a list of direct billing network providers, you can access the GIG Gulf Medical Provider Locator through the MyGIG Gulf Mobile App or the GIG Gulf Website.
What are the “Unrecognized Providers”?
Unrecognized providers" essentially refers to healthcare professionals or facilities that GIG Gulf network does not acknowledge for direct billing and/or reimbursement. Hence, we highly advise you to access theGIG Gulf Unrecognized Providers List , which is available on the MyGIG Gulf Mobile App or the GIG Gulf Website and download the most up-to-date list. Doing so will help you avoid incurring out-of-pocket expenses.
I don’t know my policy number or membership number. How can I register on MyGIG Gulf Mobile App?
Your policy number and membership number can be found on your health insurance card which was shared as part of the onboarding email sent to you from e-boarding@gig-gulf.com. If you are unable to find it, kindly contact your HR or insurance coordinator. Alternatively, you can contact us providing your name and DOB on mcs@gig-gulf.com .
What is MyGIG Gulf Mobile App and how can I download it?
MyGIG Gulf is a mobile app available to all our customers. To
download the app Click Here
. The app allows you to view your individual and dependents'
Health e-cards; check your policy benefits & covers; find the
nearest medical providers; submit, manage and track your individual
and dependents' claims, view your offers and much more.
How can I access the Health e-Cards for both myself and my dependents?
You can conveniently access the Health e-Cards for yourself and your dependents through the MyGIG app by following these steps:
- Log in to the MyGIG Gulf Mobile App.
- To view your E-card, simply click on 'View E-card' under the 'How can we help you' section.
- Alternatively, you can click on 'View Details' to access your policy specifics.
- From the 'Overview' tab, you can easily view or share your Health e-Card.
- To view the Health e-Cards of your dependents, navigate to the 'Dependents' tab, select the relevant member policy, and then choose 'View Full Card.' To share the Health e-Cards of your dependents, you can select 'Share' on the same page.
Can I avail direct billing outside the UAE?
- For outpatient services outside the network, reimbursement will be the method of payment. (We will refund the expenses based on Reasonable and Customary rates that apply to your network)
- When it comes to inpatient services, you should reach out to us to obtain a Guarantee of Payment (GOP), which is contingent upon the provider's acceptance. GOP ensures that you won't need to make payments for eligible treatments.
- In specific situations, we can also facilitate direct billing for elective inpatient treatment with our affiliated partners, depending on the treatment location and provider's acceptance, provided that pre-approval is granted in advance.
- You can access your list of International Network Providers by using the GIG Gulf Medical Provider Locator on either the MyGIG Gulf Mobile App or the GIG Gulf Website.
Why should I buy health insurance?
Health insurance offers several advantages:
- Budget Planning: You can plan your finances better by knowing your upfront costs at the beginning of the year
- Access negotiated rates for medical expenses
- Benefit from claims management assistance
- Ensure insured individuals receive necessary treatment promptly,
aiding in a speedy recovery
What is not covered by health insurance?
It's crucial to thoroughly review and comprehend the benefits and exclusions outlined in the plan you choose, as coverage can vary. Typically, treatments that go beyond your plan's benefits are excluded. Services that are not medically necessary, such as cosmetic procedures, fertility investigations & treatments and supplements are also excluded. Conditions related to 'self-harm,' including suicide attempts, hazardous pursuits, experimental treatments and drug or alcohol-related conditions are not covered.
Additionally, some plans may require you to disclose pre-existing
conditions. Failure to do so may result in the exclusion of these
conditions and any related ones. If you have any uncertainties, please
provide us with the specifics of your situation and we can offer guidance.
What types of individual products do you provide, and where can I get additional information?
We provide a diverse range of healthcare solutions, and other insurance products like motor, home, travel, personal accident and pleasure craft insurance. Please visit our 'Contact Us ' page to discover the most convenient method for you to reach out to us, allowing us to assist you further.
How can I get a quote?
You can get a quote for Medical Insurance or any of our other insurance products by using one of the following methods:
- Contact us through the GIG call centre numbers. Our representatives will be happy to assist you.
- Visit the GIG website and complete the Quotation Form . One of our representatives will contact you within one working day using your contact details.
- Visit one of our branches. Our representatives will be happy to assist you.
- If you prefer to appoint a broker, our trusted partners can assist you with obtaining a quotation.
How can I transition to GIG Gulf from my current health insurance provider?
We recognize that transitioning between health insurance providers
may appear intimidating, especially when it involves something as
vital as your healthcare coverage. Nevertheless, please be reassured
that we are here to offer you comprehensive support and guidance
throughout this process. If there is a specific reason motivating you
to change insurers, we encourage you to share those details with us.
This way, we can provide you with a clear understanding of how we
would handle your situation, enabling you to make an informed
decision.
When contemplating switching to a new insurance
provider, it's essential to carefully assess how your pre-existing
conditions will be handled and whether there might be any interruption
in coverage between the end of your current policy and the start of
the new one.
Who is eligible to apply for the individual products you provide?
We offer a diverse range of products tailored to meet the varying needs of individuals residing in the UAE, Qatar, Bahrain, and Oman. It's important to note that there may be entry age restrictions in some countries. To get specific information and guidance based on your location and circumstances, please visit our 'Contact Us' page, where you can contact us conveniently, and we will be happy to assist you.
I am a UAE policy holder; how do I access medical care in the UAE?
Your GIG Gulf insurance plan offers a convenient method of accessing healthcare services without the need for a physical insurance card. Simply present your Emirates ID when visiting an in-network healthcare facility and mention 'GIG Gulf.' Alternatively, you can also utilize the MyGIG Gulf Mobile App and present your e-card to access medical care.
Am I able to utilize my medical insurance if my Emirates ID card is lost or in the process of being renewed?
Absolutely, you can easily access medical services by presenting a
copy of your Emirates ID or by displaying your GIG digital e-card
through the MyGIG Gulf
Mobile App
to the healthcare provider.
My table of benefits mentions "20% co-insurance on all outpatient services". What does it mean?
Coinsurance or co-payment refers to the portion of the expenses you
are responsible for paying to the hospital or healthcare provider for
any outpatient services covered by your insurance policy. This means,
you will be required to contribute 20% of the total bill.
For a
comprehensive understanding of your coverage, please refer to your
Table of Benefits and Policy Handbook. This will provide you with
complete details regarding your coverage.
My table of benefits mentions "Deductible: AED 40 on consultation", Do I have to pay anything for investigations/medicines?
To clarify, the deductible of AED 40 applies solely to consultation
services. You won't be responsible for any expenses related to other
covered services.
For a comprehensive understanding of your
coverage, please refer to your Table of Benefits and Policy Handbook.
This will provide you with complete details regarding your coverage.
Does my policy include coverage for dental and optical services?
To determine if your policy covers dental and optical services, please refer to your Table of Benefits and specifically look in the 'Routine Dental Benefit' and 'Optical Benefit' sections. You can find instructions on accessing your Table of Benefits in the answer to the question, `What benefits does my policy provide, and where can I download my table of benefits?`
Is it possible to receive medical treatment in the UAE if I don't have a medical card, and how will healthcare providers confirm my eligibility?
Healthcare providers have the capability to verify your insurance information through our online platform by utilizing your Emirates ID or e-Card. Your e-Card information is conveniently accessible on the MyGIG Gulf Mobile App or the GIG Gulf Website . You can easily download and store the e-Cards on your mobile device for quick access.
What should I do if my card is not accepted by a network provider?
If a network provider does not accept your card, please double-check that you are seeking services from a provider within your policy's network. You can easily access your list of Network Providers by using the GIG Gulf Medical Provider Locator on either the MyGIG Gulf Mobile App or the GIG Gulf Website. If the provider is indeed within the policy network but is still not accepting the card, we kindly request that you get in touch with our Call Center through the provided contact numbers or send an email to mcs@gig-gulf.com for assistance.
What should I do if I forget my insurance card during my visit to a healthcare provider?
If you find yourself without your insurance card when visiting a
healthcare provider, there are alternative solutions available. If you
are in the UAE, you can use your Emirates ID. Or, for all other
locations, you can access your E-card via the
MyGIG Gulf
Mobile App.
What is pre-approval, and when is it necessary?
Pre-approval is necessary for specific outpatient (OP) services and all inpatient (IP) services when you receive treatment from a provider within the network. You don't have to take any action yourself; the healthcare provider will initiate the pre-approval request directly to GIG Gulf for the services that require it.
How will I know if my pre-approval has been processed?
You will receive an SMS or email notification once the provider has submitted the approval request, and subsequently, when it has been processed. If you do not receive any notification, please reach out to GIG directly using the contact number provided on the back of your medical card.
Is pre-approval necessary in the event of an emergency?
No, pre-approvals are not necessary for emergencies.
What is the typical processing time for pre-approvals?
For outpatient services, the standard turnaround time is 1 hour, with
95% of cases processed within 60 minutes or less.
For inpatient
services, the standard turnaround time is 4 hours.
What is the process for requesting reimbursement for my claim?
You can register your claim request through either the
MyGIG Gulf
Mobile App or the
GIG Gulf Website.
This allows for a simple and convenient way to submit, monitor, and
manage claims for both yourself and your dependents.
How can I view and track my claims?
- Access the MyGIG Gulf Mobile App and log in.
- To access your submitted claims, simply tap on the 'Claims' icon.
- The claims list view will enable you to monitor the progress of your claim. You can conveniently download the claim report or tap the arrow for more detailed information about your claim.
- If you have the claim number, click on the 'Track & Update a Claim' button. Enter the claim number and select 'Submit' to view the claim details and status.
- To view claims for your dependents, switch to the dependent claim view and choose the desired policy to review.
- Recently submitted claims will be visible once they are received and the claim review process commences.
What documents are required to submit a claim?
You can access the claim form for download from this Link . Please ensure to include all pertinent documents, such as original invoices indicating the cost per item, payment receipts, laboratory report, medical report, and a filled, signed, and stamped claim form (endorsed by the treating doctor).
What does "proof of payment" refer to and is this document necessary for all claim submissions?
Yes, for claim submission, proof of payment is necessary. Acceptable proofs of payment may include a credit card receipt or a hospital receipt stamped as paid. This documentation serves as a guarantee that the member has settled the expenses for the services availed.
What is an "itemized invoice," and is this document required for every claim submission?
An itemized invoice provides a detailed breakdown of the medical services you have received, along with the specific cost for each service. It is essential for every claim submission as it clearly indicates the services taken, their respective dates, and the corresponding costs.
Is it possible to submit scanned copies of my claim documents?
GIG Gulf does indeed accept scanned copies of documents. However, it's important to note that in certain situations, we may request original documents. Therefore, we recommend that you retain all original documents pertaining to your treatment until the claim is finalized.
Please be aware that GIG Gulf retains the option to request original documents during the claims processing, so we strongly advise holding onto the original documents for a minimum of 12 months after the treatment date or until the claim has been successfully resolved.
I submitted a medical claim, what should I expect next?
After you submit your claim, we will send you a claim reference
number through email and SMS. You can use this reference number to
track the progress of your claim whenever needed.
We aim to review
your claim within 5 business days and settle eligible claims it
through a bank transfer within 10 business days, provided we receive
all the required documents.
In case the claim documents are
insufficient, we will inform you via email the incomplete information
or documents. Additionally, you can also check the status of your
claims by logging into the GIG Gulf Website
or using the MyGIG Gulf
Mobile App
What are Reasonable & Customary (R&C) charges? When do they apply?
All benefits and services submitted for claim reimbursement will be assessed according to the Reasonable and Customary Charges or as specified in your table of benefits, following the terms and conditions of your policy. The Reasonable and Customary Charges represent an average value based on our negotiated, discounted costs for similar treatments within the network indicated in your plan.
This means there may be out-of-pocket expenses depending on how the charges align with this standard. For a detailed understanding of your healthcare policy, including potential out-of-pocket costs, access your table of benefits and membership handbook on MyGIG Gulf Mobile App.
How long will it take for my reimbursement claim to be processed?
GIG Gulf's objective is to review your eligible claims within 5 business days and finalize the settlement within 10 business days, provided we receive all the required documentation.
Why is my reimbursement amount less than the amount I had claimed for?
The reimbursement amount you receive is subject to adjustments in accordance with the terms and conditions of your policy. These adjustments consider the following factors:
- Co-pay and co-insurance percentage deductions as outlined in your policy terms.
- Deductible amount, if applicable and as specified in your policy terms.
- If the claimed cost of services exceeds the average cost of
services within your GIG Gulf provider network, the excess amount
will be subtracted from the total bill.
If my reimbursement claim has been rejected, what steps can I take to resubmit my claim?
If you need to resubmit your claim or if you are asked to provide additional documents, please use the MyGIG Gulf Mobile App or GIG Gulf Website . These platforms allow you to conveniently resubmit your claim and keep track of its status.
What is the method of payment for reimbursement claims?
Reimbursement claims are paid through wire transfer. To ensure a smooth transaction, please update your bank details using the MyGIG Gulf Mobile App or GIG Gulf Website . For seamless receipt of funds, kindly provide complete and accurate bank account details.
Can I pay my outstanding policy premiums via e-payment?
Currently, the online payment link/POS option is available for paying
the premiums that are due on your quote. If you need to make payments
for different purposes, such as covering missed premiums from the
past, reinstating your policy, making excess payments or any other
payments that differ from your due premium, you can utilize the
e-commerce option through POS Machines at GIG offices or points of
sale. Payment links for such transactions will be generated and shared
by GIG staff or authorized representatives.
What are the secure and acceptable methods for paying my policy?
- Cash Payments: You can make cash payments at GIG offices or points of sale in Oman, Qatar, and the UAE. However, please note that cash payments are not an option in Bahrain. If your cash payment is equal to or exceeds AED 10,000, QAR 10,000, or OMR 1,000, you will need to provide supporting documents as part of the compliance process. Our Sales team will request these documents in such cases.
- E-commerce: You can use the e-commerce option via point-of-sale (POS) machines at GIG offices or points of sale and through payment links generated and shared by GIG staff or authorised representatives.
- Cheque Payments: Cheque payments for premium collection are accepted, subject to internal approvals. Policies will be issued upon clearance of cheques into GIG's bank account.
- Wire Transfer: You can make payments via wire transfer using the bank details mentioned on your invoice. It is important to ensure that GIG receives the total invoice or quotation amount, including applicable taxes/VAT and any bank charges or currency exchange differences incurred during the wire transfer process. The remitter should cover these additional costs.
- Online Payment: If you have obtained quotes from the GIG Website, you can pay the quoted premium using the "Pay online"option at the end of the quote process.
How can I pay via wire transfer?
- You can initiate a wire transfer using the bank details provided by our offices, points of sale, shops, or call centre staff.
- Ensure that GIG receives the total amount stated in your invoice or quotation, including any applicable taxes/VAT, bank charges and currency exchange differences that may apply during the wire transfer process. These additional costs should be covered by the remitter.
- Please mention the policy or invoice number for which you are making the premium payment at the start of your transaction. This will help us allocate the payment correctly to your policy.
- Once the wire transfer is completed, kindly inform us at info.accounts@gig-gulf.com and notify the GIG sales team member who assisted you with the quote. Customers in Bahrain should be aware that payment via wire transfer is subject to approval by the GIG Bahrain Finance team. We recommend contacting your Key Account Manager or GIG sales representative to secure this approval before initiating the transfer.
Is it possible to make online payments in a local currency if my policy is in USD / GBP / EURO?
In accordance with the terms and conditions of your policy, payments must be made in the currency specified by your policy. However, you can make local currency payments online to GIG Gulf through POS machines at GIG offices or points of sale or via payment links generated and shared by GIG staff or authorised representatives.
I paid via wire transfer, how can I confirm that my payment has been credited to my policy?
Please contact us at info.accounts@gig-gulf.com and also inform the GIG sales team that assisted you with the quote.
Who is eligible to make payments for my policy?
As the policy owner, you are responsible for paying the premium. Alternatively, an authorized third party can make the payment on your behalf, provided they are either an insured individual or a beneficiary listed on your policy. If you are unable to make the payment yourself or if the individual wishing to pay on your behalf is not a party to the contract outlined in your policy, you can authorize a third-party payer by fulfilling the following requirements:
- Provide Payer Details, including but not limited to Name, Relationship with the policy owner and Reason for settling the premium on behalf of the policy owner.
- Submit a Copy of the Valid Emirates ID Card, Passport, and Residence Visa of the Third-Party payer.
- Present Proof of relationship (such as a Birth Certificate, Marriage Contract, etc.).
- Offer documentation demonstrating the Source of funds of the
Third-Party payer for settling the policy owner's insurance premium.
How can I update my payment information?
To modify your payment details for reimbursement claims, you can make
the necessary changes through the MyGIG Gulf
Mobile App
when submitting your claim.
What are the consequences of a missed payment?
If a payment is not received within the agreed timeline, GIG Gulf reserves the right to suspend the policy and its associated benefits. This may be followed by issuing a policy cancellation notice, and if premiums are not paid in accordance with the contract, the policy may be officially canceled.
How can I access all my policy details and download documents related to my policy?
You can easily access your policy information and related documents through the MyGIG Gulf mobile app by following these steps:
- Log in to the MyGIG Gulf Mobile App.
- Your active policies will be prominently displayed on the dashboard.
- To view expired policies, swipe left.
- Swipe right and tap to access the following:
1. General information about your policy
2.
Policy information for dependents and Health e-Cards
3.
Coverage details and services provided by your policy
4. A history of previously submitted claims or the option to submit
a new one
5. Documents associated with your policy
- To access your policy-related documents, click on the 'Documents' tab.
- You will see a list of documents related to your policy.
- Click on 'View' to download your policy-related documents.
- If you wish to share these documents, click on the 'Share' option.
Can I pay the premium later?
Individual policies operate on a "Cash & Carry" basis. Therefore, the premium and all relevant taxes must be paid in full to GIG Gulf for policy issuance.
How will I receive reimbursement for my medical expenses?
- For direct billing claims: GIG Gulf will settle payments directly with the healthcare service providers who rendered services to our clients and members. Therefore, GIG Gulf is not responsible for making payments to clients or members in this regard. Please be aware that any applicable co-payments, as stipulated in your policy's terms and conditions, must be paid by the client or member and are not reimbursable by GIG Gulf.
- For reimbursement claims: Eligible reimbursement claims will be processed by GIG Gulf and settled directly with the respective member(s) after submitting the required valid claim documents, as outlined on our reimbursement portal, and subsequent adjudication and approval by the GIG claims team. To understand the specifics of claim settlement, including matters related to exchange rates, taxes, and bank charges, please refer to the terms and conditions of your policy.
How can I register/ log in MyGIG Gulf Mobile App?
From GIG Gulf Website
- Navigate to GIG Gulf Website and select the `Health` tab from the navigation bar, from here select `MyGIG Home `. You can also directly click on `MyGIG` link on top of the page.
- Existing users should click the `Login` button, then enter the registered email and password and click on `Login`. New users should click the `Register` button and fill out the required information.
- To register, enter your policy & membership details as they appear on your GIG card, then tap `Next`.
- If you have an email stored with GIG, it will be displayed here. To use this email for registration, select and tap 'Next'. In case you want to change your registered email with GIG, refer to `*How can I change my registered e-mail address/username on MyGIG Gulf Mobile App ?` question.
- Setup your password then tap on 'Next' to proceed to the verification step.
- Please check your in box for an email from GIG Gulf, follow the enclosed instructions to verify your email address.
- Click on the button "Verify your e-mail". You should be redirected back to MyGIG app web version.
- Now you can log in to your account on MyGIG Gulf, and instantly access policy details for you and your dependents, plus a wide variety of healthcare benefits from GIG Gulf.
From MyGIG Gulf Mobile App
- Launch the MyGIG Gulf Mobile App on your mobile and select your country.
- Next, select your policy type (Health Policy).
- Tap on `Register To` to create your account. If you already have an account, tap on `Sign In` and move directly to log in screen.
- To register, enter your policy & membership details as they appear on your GIG card, then tap `Next: Account Setup`.
- If you have an email stored with GIG, it will be displayed here. To use this email for registration, select and tap 'Next: Account Setup'. In case you want to change your registered email with GIG, refer to `*How can I change my registered e-mail address/username on MyGIG Gulf Mobile App?` question.
- Setup your password then tap on 'Next' to proceed to the verification step.
- Please check your in box for an email from GIG Gulf, follow the enclosed instructions to verify your email address.
- Click on the button "Verify your e-mail". You should be redirected back to MyGIG Gulf app web version.
- Navigate to the MyGIG Gulf App to login through mobile device and click on Login.
- Now you can log in to your account on MyGIG Gulf app, and instantly access policy details for you and your dependents, plus a wide variety of healthcare benefits from GIG Gulf.
How can I change my registered e-mail address/username on MyGIG Gulf Mobile app?
If you are a new user:
- At the time of registration, tap on "I want to change my e-mail" in the case of:
- 1. You or your dependents do not have access to any of the email addresses listed.
- 2. You cannot find your preferred or any other relevant email address.
- Fill out all the necessary details. If all data matches your record with GIG Gulf, your email will be updated immediately, then you can proceed to sign up with a new email.
- If any data does not match, our team will need 48 hrs to update your data, and then you can proceed to sign up with a new email.
- For dependents under 18 years of age, the email needs to be updated by contacting us at mcs@gig-gulf.com .
If you are already registered and logged in user:
- Login to MyGIG from GIG Gulf Website
- Navigate to `My Account`
- Click on `Change Login Email`
- Fill out the new email ID and reconfirm. Click on `Change email` option.
- The email/username will be changed immediately and a verification email is sent.
- Please check your in box for an email from GIG Gulf, follow the enclosed instructions to verify your new email address.
- Click on the button "Verify your e-mail". You should be redirected back to MyGIG app web version.
- Please navigate to the MyGIG App to login through mobile device and click on Login.
I currently hold an active GIG Gulf Insurance Policy; is it possible to include my dependents during the middle of the year?
Absolutely, you can add your dependents to your policy mid-year. To do so, kindly contact our Call Center through the provided contact numbers or send an email to mcs@gig-gulf.com to add your new dependents.
How can I request a payment refund?
When policy refunds may be processed
Policy refunds can be initiated solely by the policyholder(s) and
are strictly governed by the terms and conditions outlined in your
policy concerning cancellations and refunds. Additionally, policy
refunds are subject to no outstanding premiums on the client account
with GIG Gulf.
How refunds are paid
Refunds are always issued to the policyholder or the original
payment source, typically the credit card or bank account used for the
initial payment.
In exceptional cases, subject to approval,
refunds may be directed to a third party with the authorization of the
policyholder, which is conveyed to GIG Gulf. In such instances, GIG
Gulf will require the completion of a Bank Transfer
Details Form
from the third party. This form enables GIG Gulf to conduct
compliance checks on the third party before initiating the transfer.
Payments to third parties will only be executed after successful
compliance clearances.
For payment of premiums, if the payee is different from the Policyholder (PH), what documentation is required to process the payment?
Family Member or Third Party as Payee:
1. Passport of both Policyholder and Payee
2. Visa and ID
(i.e. Emirates ID) copies of both policyholder and Payee
3.
Authorization letter from policyholder confirming GIG to settle the
refund to Payee
4. Proof of relationship between policyholder and payee
Company as Payee:
1. The visa of the Policyholder should be sponsored by the
Company; if not, an Employment Letter is required.
2.
Authorization letter from policyholder confirming GIG to settle the
refund to Payee
3. Valid Trade License of the company
4. Valid
VAT Certificate of the company (where applicable)
Supplying this
information does not automatically guarantee that payment will be
accepted. Such requests are subject to compliance checks and payment
shall be processed upon successful compliance clearance.
What are the factors that affect health insurance premium?
The price can be influenced by various factors, but is primarily based on:
- Choice of plan
- The individual client's profile, including existing or anticipated medical conditions
- Past claims history
Who is liable for taxes/VAT on policy contract?
As per the terms and conditions of your policy, it is the client's responsibility to cover all applicable taxes/VAT/fees in the respective policy country, in relation to the policy premiums invoiced by GIG Gulf. GIG Gulf does not hold the liability to reimburse the client for any portion or the entirety of these taxes/fees that are payable by the client.
- Regarding taxes on reimbursement claims: Members are accountable for settling any taxes/fees owed on their reimbursement claims. GIG Gulf is responsible for reimbursing only the cost of the claim itself.
-
In the case of taxes related to direct billing by healthcare
providers: When applicable taxes/fees are imposed by the
service provider on services rendered to GIG Gulf clients and
members, GIG Gulf will settle these taxes to the service provider or
regulator as dictated by regulations.
Does my policy include coverage for maternity?
To determine whether your policy includes maternity coverage, you can
refer to the "Maternity Benefit: Pregnancy and Childbirth"
section within your table of benefits. For guidance on accessing your
table of benefits and understanding the benefits provided by your
policy, please review the response to the question, "What
benefits does my policy provide, and where can I download my table
of benefits?"
Is medical insurance mandatory for employees in UAE?
The UAE is
renowned for its forward-thinking approach to improving living
standards, which also extends to its healthcare system. Both Abu
Dhabi and Dubai have established legislation to ensure that all
Emiratis and expatriates receive a specified level of healthcare
coverage. According to these regulations, it is mandatory for
employers to provide health insurance for their employees. In
Abu Dhabi, this requirement also extends to cover spouses and up
to three dependent children up to the age of 18.
It is crucial to have a clear understanding of your legal
responsibilities in compliance with these laws. Our staff
members are well-versed in the various intricacies and can
provide you with the necessary guidance.
What is health insurance?
Health insurance provides you with a safety net against unexpected medical expenses, including costs related to hospitalization, medications, or doctor visits.
Why should I buy health insurance?
Health
insurance offers several advantages:
• Budget
Planning: You can plan your finances better by knowing
your upfront costs at the beginning of the year
•
Access negotiated rates for medical expenses
• Benefit
from claims management assistance
• Ensure insured
individuals receive necessary treatment promptly, aiding
in a speedy recovery
What are the factors that affect health insurance premium?
The price can be
influenced by various factors, but is primarily based on:
•
Choice of plan
• The individual client's profile, including
existing or anticipated medical conditions
• Past claims history
What is not covered by health insurance?
It's crucial to thoroughly review and comprehend the benefits and exclusions outlined in the plan you choose, as coverage can vary. Typically, treatments that go beyond your plan's benefits are excluded. Services that are not medically necessary, such as cosmetic procedures, fertility investigations & treatments and supplements are also excluded. Conditions related to 'self-harm,' including suicide attempts, hazardous pursuits, experimental treatments and drug or alcohol-related conditions are not covered.
Additionally, some plans may require you to disclose pre-existing conditions. Failure to do so may result in the exclusion of these conditions and any related ones. If you have any uncertainties, please provide us with the specifics of your situation and we can offer guidance.
How to make an informed choice for a suitable health insurance plan?
To assist you in
determining the most appropriate health insurance plan for your
needs, it is essential to consider the following factors:
•
Your budget: Evaluate what you can afford and your willingness
to contribute to co-insurance at the time of a claim.
• Your
requirements: Determine if you need specific features, such as
cashless billing at certain facilities, coverage in particular
countries, specific treatments like dental or maternity
benefits, coverage for pre-existing conditions, essential
services like teleconsultation, online claims submission, or
well-being support.
• Your values: Decide if it's crucial
for you to choose an insurer known for providing fair, prompt,
and reliable service.
Take your time to research thoroughly,
as switching insurers can potentially affect what is considered
a pre-existing condition. Making the wrong choice could lead to
a disruption in coverage when you need it most.
What healthcare insurance options are available for businesses looking to provide coverage for their employees?
We offer a wide
range of healthcare solutions designed to cater to the diverse
needs of various businesses. We understand that each business is
unique, and we're ready to help you create a customized solution
tailored to your specific requirements. Moreover, we provide the
flexibility to segment your policy into subcategories, allowing
you to personalize coverage based on your employees' seniority.
You also have the option to include spouses and dependent
children within the same plan, enhancing your employment
package.
Furthermore, we can address your other insurance
needs all in one place, including property, workers'
compensation, liability, marine, cyber insurance, and more.
To learn more about our offerings and explore the best options
for your business, please visit our 'Contact Us
' page to get in touch with us conveniently, and we'll
be happy to assist you.
How can I transition to GIG Gulf from my current health insurance provider?
We recognize that
transitioning between health insurance providers may appear
intimidating, especially when it involves something as vital as
your healthcare coverage. Nevertheless, please be reassured that
we are here to offer you comprehensive support and guidance
throughout this process. If there is a specific reason
motivating you to change insurers, we encourage you to share
those details with us. This way, we can provide you with a clear
understanding of how we would handle your situation, enabling
you to make an informed decision.
When contemplating
switching to a new insurance provider, it's essential to
carefully assess how your pre-existing conditions will be
handled and whether there might be any interruption in coverage
between the end of your current policy and the start of the new one.
What are the eligibility criteria to buy group health insurance plans?
We provide a range of solutions catering to various business types and while certain solutions may be tailored to specific client segments, we strive to offer options suitable for a wide range of clients. Depending on the country, there may be specific regulatory prerequisites, including compliance with Anti Money Laundering and 'Know Your Client' requirements that must be met before we can proceed. Please reach out to us to discover the solutions available for your particular business needs.
What is MyGIG Gulf Mobile App and how can I download it?
MyGIG Gulf is a mobile app available to all our customers. To download the app Click Here . The app allows you to view your individual and dependents' Health e-cards; check your policy benefits & covers; find the nearest medical providers; submit, manage and track your individual and dependents' claims, view your offers and much more.
How can I register/ log in MyGIG Gulf Mobile App?
From GIG Gulf Website
• Navigate to
GIG Gulf Website
and select the `Health` tab from the navigation bar, from
here select `MyGIG Home`. You can also directly click on `MyGIG
` link on top of the page.
• Existing users should
click the `Login` button, then enter the registered email and
password and click on `Login`. New users should click the
`Register` button and fill out the required information.
•
To register, enter your policy & membership details as they
appear on your GIG card, then tap `Next`.
• If you have an
email stored with GIG, it will be displayed here. To use this
email for registration, select and tap 'Next'. In case you want
to change your registered email with GIG, refer to `*How can
I change my registered e-mail address/username on MyGIG Gulf
Mobile App?` question.
• Setup your password then tap
on 'Next' to proceed to the verification step.
• Please
check your in box for an email from GIG Gulf, follow the
enclosed instructions to verify your email address.
• Click
on the button "Verify your e-mail". You should be
redirected back to MyGIG app web version.
• Now you can log
in to your account on MyGIG Gulf, and instantly access policy
details for you and your dependents, plus a wide variety of
healthcare benefits from GIG Gulf.
From MyGIG Gulf Mobile App
• Launch the
MyGIG Gulf Mobile App
on your mobile and select your country.
• Next, select
your policy type (Health Policy).
• Tap on `Register To` to
create your account. If you already have an account, tap on
`Sign In` and move directly to log in screen.
• To register,
enter your policy & membership details as they appear on
your GIG card, then tap `Next: Account Setup`.
• If you have
an email stored with GIG, it will be displayed here. To use this
email for registration, select and tap 'Next: Account Setup'. In
case you want to change your registered email with GIG, refer to
`*How can I change my registered e-mail address/username on
MyGIG Gulf Mobile App?` question.
• Setup your
password then tap on 'Next' to proceed to the verification
step.
• Please check your in box for an email from GIG Gulf,
follow the enclosed instructions to verify your email
address.
• Click on the button "Verify your
e-mail". You should be redirected back to MyGIG Gulf app
web version.
• Navigate to the MyGIG Gulf App to login
through mobile device and click on Login.
• Now you can log
in to your account on MyGIG Gulf app, and instantly access
policy details for you and your dependents, plus a wide variety
of healthcare benefits from GIG Gulf.
I don’t know my policy number or membership number. How can I register on MyGIG Gulf Mobile App?
Your policy number and membership number can be found your health insurance card which was shared as part of the onboarding email sent to you from e-boarding@gig-gulf.com . If you are unable to find it, kindly contact your HR or insurance coordinator. Alternatively, you can contact us providing your name and DOB on mcs@gig-gulf.com .
How can I change my registered e-mail address/username on MyGIG Gulf Mobile app?
If you are a
new user:
• At the time of registration, tap on "I want to
change my e-mail" in the case of:
1. You or your
dependents do not have access to any of the email addresses
listed.
2. You cannot find your preferred or any other
relevant email address.
• Fill out all the necessary
details. If all data matches your record with GIG Gulf, your
email will be updated immediately, then you can proceed to sign
up with a new email.
• If any data does not match, our team
will need 48 hrs to update your data, and then you can proceed
to sign up with a new email.
• For dependents under 18 years
of age, the email needs to be updated by contacting us at
mcs@gig-gulf.com
.
If you are already registered and logged in user:
• Login to
MyGIG
from GIG Gulf Website
• Navigate to `My Account`
•
Click on `Change Login Email`
• Fill out the new email ID
and reconfirm. Click on `Change email` option.
• The
email/username will be changed immediately and a verification
email is sent.
• Please check your in box for an email from
GIG Gulf, follow the enclosed instructions to verify your new
email address.
• Click on the button "Verify your
e-mail". You should be redirected back to MyGIG app web
version.
• Please navigate to the MyGIG App to login through
mobile device and click on Login.
I have reset my password but didn’t receive an e-mail with password reset instructions. What should I do to receive the e-mail?
• The email used
for password reset should be an already registered email to
MyGIG Gulf Mobile App. Make sure that you enter the correct
email address.
• If corporate email is used for reset,
please reach out to your local IT team to check whether any
security settings are blocking `@gig-gulf` domain to receive emails.
How can I access all my policy details and download documents related to my policy?
You can easily
access your policy information and related documents through the
MyGIG Gulf mobile app by following these steps:
• Log in to
the
MyGIG Gulf Mobile App.
• Your active policies will be prominently displayed on
the dashboard.
• To view expired policies, swipe left.
•
Swipe right and tap to access the following:
-General
information about your policy
-Policy information for
dependents and Health e-Cards
-Coverage details and services
provided by your policy
-A history of previously submitted
claims or the option to submit a new one
-Documents
associated with your policy
• To access your policy-related
documents, click on the 'Documents' tab.
• You will see a
list of documents related to your policy.
• Click on 'View'
to download your policy-related documents.
• If you wish to
share these documents, click on the 'Share' option.
What benefits does my policy provide and where can I download my table of benefits?
To access the
details of your policy benefits and download the table of
benefits, please follow these steps using the MyGIG Gulf mobile
app:
• Log in to the
MyGIG Gulf Mobile App.
• On the dashboard, select 'View Details' for your
active policy to access your policy specifics.
• Navigate to
the 'Covers & Services' tab to view the list of services
covered by your policy.
• To download your table of
benefits, simply click on 'Download'.
How can I access the Health e-Cards for both myself and my dependents?
You can
conveniently access the Health e-Cards for yourself and your
dependents through the MyGIG app by following these steps:
•
Log in to the
MyGIG Gulf Mobile App.
• To view your E-card, simply click on 'View E-card'
under the 'How can we help you' section.
• Alternatively,
you can click on 'View Details' to access your policy
specifics.
• From the 'Overview' tab, you can easily view or
share your Health e-Card.
• To view the Health e-Cards of
your dependents, navigate to the 'Dependents' tab, select the
relevant member policy, and then choose 'View Full Card.' To
share the Health e-Cards of your dependents, you can select
'Share' on the same page.
Are there any co-payment and deductible fees associated with my policy, and where can I access this information?
You can find the
details regarding co-payment and deductible fees for your policy
in the table of benefits on the MyGIG Gulf app by following
these steps:
• Log in to the
MyGIG Gulf Mobile App.
• Go to the 'Active policy' section and select 'View
Details' to access your policy information.
• Click on the
'Covers & Services' tab, where you'll find a list of the
services covered by your policy.
• To review the complete
details of your benefits, including co-payment and deductible
information, simply click on 'Download' to download your table
of benefits.
I currently hold an active GIG Gulf Insurance Policy; is it possible to include my dependents during the middle of the year?
Subject to your company's policy permitting inclusion of dependents, you have the flexibility to add your dependents mid-year. Please reach out to your insurance coordinator or HR department to initiate the process. If the policy does not allow inclusion of dependents we can offer alternative solutions on an individual basis. Please visit our ' Contact Us ' page to discover the most convenient method for you to reach out to us, allowing us to assist you further.
Is it possible to utilize eCards for the stamping of a UAE residence visa?
Yes, eCards can be used for visa stamping purposes.
Am I able to utilize my medical insurance if my Emirates ID card is lost or in the process of being renewed?
Absolutely, you can easily access medical services by presenting a copy of your Emirates ID or by displaying your GIG digital e-card through the MyGIG Gulf Mobile App to the healthcare provider.
My table of benefits mentions "20% co-insurance on all outpatient services". What does it mean?
Coinsurance or
co-payment refers to the portion of the expenses you are
responsible for paying to the hospital or healthcare provider
for any outpatient services covered by your insurance policy.
This means, you will be required to contribute 20% of the total
bill.
For a comprehensive understanding of your coverage,
please refer to your Table of Benefits and Policy Handbook. This
will provide you with complete details regarding your coverage.
My table of benefits mentions "Deductible: AED 40 on consultation", Do I have to pay anything for investigations/medicines?
To clarify, the
deductible of AED 40 applies solely to consultation services.
You won't be responsible for any expenses related to other
covered services.
For a comprehensive understanding of your
coverage, please refer to your Table of Benefits and Policy
Handbook. This will provide you with complete details regarding
your coverage.
Does my policy include coverage for dental and optical services?
To determine if your policy covers dental and optical services, please refer to your Table of Benefits and specifically look in the 'Routine Dental Benefit' and 'Optical Benefit' sections. You can find instructions on accessing your Table of Benefits in the answer to the question, `What benefits does my policy provide, and where can I download my table of benefits?`
Is it possible to receive medical treatment in the UAE if I don't have a medical card, and how will healthcare providers confirm my eligibility?
Healthcare providers have the capability to verify your insurance information through our online platform by utilizing your Emirates ID or e-Card. Your e-Card information is conveniently accessible on the MyGIG Gulf Mobile App or the GIG Gulf Website . You can easily download and store the e-Cards on your mobile device for quick access.
What should I do if my card is not accepted by a network provider?
If a network provider does not accept your card, please double-check that you are seeking services from a provider within your policy's network. You can easily access your list of Network Providers by using the GIG Gulf Medical Provider Locator on either the MyGIG Gulf Mobile App or the GIG Gulf Website. If the provider is indeed within the policy network but is still not accepting the card, we kindly request that you get in touch with our Call Center through the provided contact numbers or send an email to mcs@gig-gulf.com for assistance.
What happens if I choose not to utilize my card within the network?
If you opt not to
use your card within the network, all benefits and services
submitted for claim reimbursement of claims will be evaluated
based on the Reasonable and Customary rates. Reasonable and
Customary Charges are equivalent to the average of our
negotiated, discounted cost for the same treatment within the
network shown in your plan. The coverage of cost incurred or
customary charges (whichever is less) and the level of
reimbursement will be determined based on the membership plan
you have chosen.
This means there may be out-of-pocket expenses depending on
how the charges align with this standard. For a detailed
understanding of your healthcare policy, including potential
out-of-pocket costs, access your table of benefits and
membership handbook on the
MyGIG Gulf Mobile App
.
How will I know if my pre-approval has been processed?
You will receive an SMS or email notification once the provider has submitted the approval request, and subsequently, when it has been processed. If you do not receive any notification, please reach out to GIG directly using the contact number provided on the back of your medical card.
How can I view and track my claims?
• Access the
MyGIG
Gulf Mobile App
and log in.
• To access your submitted claims,
simply tap on the 'Claims' icon.
• The claims list view will
enable you to monitor the progress of your claim. You can
conveniently download the claim report or tap the arrow for more
detailed information about your claim.
• If you have the
claim number, click on the 'Track & Update a Claim' button.
Enter the claim number and select 'Submit' to view the claim
details and status.
• To view claims for your dependents,
switch to the dependent claim view and choose the desired policy
to review.
• Recently submitted claims will be visible once
they are received and the claim review process commences.
What is the process for requesting reimbursement for my claim?
You can register your claim request through either the MyGIG Gulf Mobile App or the GIG Gulf Website. This allows for a simple and convenient way to submit, monitor, and manage claims for both yourself and your dependents.
What are the steps to submit a claim through GIG Gulf Website?
• Navigate to the
GIG Gulf Website
and click on the
MyGIG
link. Alternatively, you can select `Submit a Claim` from
the Health tab under the navigation bar and select `Submit a
Claim` under Insured Members.
• Click on `Login` and enter
your MyGIG Gulf credentials.
• Initiate the straightforward
online claims process by clicking on the `Claims` menu.
•
Click on the 'Submit a claim' button.
• Your policy
information will be automatically pre-filled. Proceed to enter
your contact details by scrolling down on the same page.
•
Complete the required contact information and agree to the Terms
& Conditions by ticking the checkbox.
• Click on 'Next'
to proceed to the document uploading stage.
• Provide claim
details for either yourself or your dependents.
• Upload the
necessary documents, including the claim form signed and stamped
by your treating practitioner and yourself, as well as stamped
invoices or receipts, along with any supporting documents such
as medical reports, laboratory test results, ultrasound reports,
and referral letters.
• Input your bank details or edit them
if they are stored from previous submissions, and then click on
'Next' to review all the details before finally submitting your claim.
What are the steps to submit a claim through MyGIG Gulf Mobile App?
• Login to
MyGIG Gulf Mobile App
• Initiate the straightforward online claims process by
clicking on the 'Submit a claim' button.
• Your policy
information will be automatically pre-filled. Proceed to enter
your contact details by scrolling down on the same page.
•
Complete the required contact information and agree to the Terms
& Conditions by ticking the checkbox.
• Click on 'Next'
to proceed to the document uploading stage.
• Provide claim
details for either yourself or your dependents.
• Upload the
necessary documents, including the claim form signed and stamped
by your treating practitioner and yourself, as well as stamped
invoices or receipts, along with any supporting documents such
as medical reports, laboratory test results, ultrasound reports,
and referral letters.
• Input your bank details or edit them
if they are stored from previous submissions, and then click on
'Next' to review all the details before finally submitting your claim.
What documents are required to submit a claim?
You can access the claim form for download from this Link . Please ensure to include all pertinent documents, such as original invoices indicating the cost per item, payment receipts, laboratory report, medical report, and a filled, signed, and stamped claim form (endorsed by the treating doctor).
What does "proof of payment" refer to and is this document necessary for all claim submissions?
Yes, for claim submission, proof of payment is necessary. Acceptable proofs of payment may include a credit card receipt or a hospital receipt stamped as paid. This documentation serves as a guarantee that the member has settled the expenses for the services availed.
What is an "itemized invoice," and is this document required for every claim submission?
An itemized invoice provides a detailed breakdown of the medical services you have received, along with the specific cost for each service. It is essential for every claim submission as it clearly indicates the services taken, their respective dates, and the corresponding costs.
Is it possible to submit scanned copies of my claim documents?
GIG Gulf does
indeed accept scanned copies of documents. However, it's
important to note that in certain situations, we may request
original documents. Therefore, we recommend that you retain all
original documents pertaining to your treatment until the claim
is finalized.
Please be aware that GIG Gulf retains the option to request
original documents during the claims processing, so we strongly
advise holding onto the original documents for a minimum of 12
months after the treatment date or until the claim has been
successfully resolved.
I submitted a medical claim, what should I expect next?
After you submit
your claim, we will send you a claim reference number through
email and SMS. You can use this reference number to track the
progress of your claim whenever needed.
We aim to review
your claim within 5 business days and settle eligible claims it
through a bank transfer within 10 business days, provided we
receive all the required documents.
In case the claim
documents are insufficient, we will inform you via email the
incomplete information or documents. Additionally, you can also
check the status of your claims by logging into the
GIG Gulf Website
or using the
MyGIG Gulf Mobile App
Whom should I reach out to if there are any discrepancies in the settlement?
If you encounter any disputes or discrepancies, we recommend contacting us via email at mcs@gig-gulf.com or the " Contact Us " option for assistance.
How long will it take for my reimbursement claim to be processed?
GIG Gulf's objective is to review your eligible claims within 5 business days and finalize the settlement within 10 business days, provided we receive all the required documentation.
Why is my reimbursement amount less than the amount I had claimed for?
The reimbursement
amount you receive is subject to adjustments in accordance with
the terms and conditions of your policy. These adjustments
consider the following factors:
• Co-pay and co-insurance
percentage deductions as outlined in your policy terms.
•
Deductible amount, if applicable and as specified in your policy
terms.
• If the claimed cost of services exceeds the average
cost of services within your GIG Gulf provider network, the
excess amount will be subtracted from the total bill.
If my reimbursement claim has been rejected, what steps can I take to resubmit my claim?
If you need to resubmit your claim or if you are asked to provide additional documents, please use the MyGIG Gulf Mobile App or GIG Gulf Website . These platforms allow you to conveniently resubmit your claim and keep track of its status.
What is the method of payment for reimbursement claims?
Reimbursement claims are paid through wire transfer. To ensure a smooth transaction, please update your bank details using the MyGIG Gulf Mobile App or GIG Gulf Website . For seamless receipt of funds, kindly provide complete and accurate bank account details.
What are the secure and acceptable methods for paying my policy?
• Cash
Payments: SME customers can make cash payments at GIG
offices or points of sale in Oman, Qatar, and the UAE. However,
please note that, cash payments are not available as an option
in Bahrain for businesses. For cash payments of AED 10,000/QAR
10,000/OMR 1,000 or more, supporting documents will be required
as part of the compliance process, and our Sales teams will
request these documents.
• E-commerce: SME customers can utilize the e-commerce
option through POS machines at GIG offices or points of sale, as
well as payment links generated and shared by GIG staff or
authorized representatives.
• Cheque Payments: Both SME and corporate customers can
issue cheques to settle their premium payments to GIG.
• Wire Transfer: SME and corporate customers can make
payments via wire transfer using the bank details specified on
their invoices. It's essential to ensure that GIG receives the
full invoice or quotation amount, including applicable
taxes/VAT, and that the remitter bears any bank charges and
exchange differences incurred during the wire transfer process.
How can I obtain a receipt following the payment of my policy(ies)?
Our GIG Gulf staff, available at our offices, points of sale, shops, and call center, will assist you in providing valid receipts for policy premiums paid through payment links, POS or any other payment methods.
How can I pay via wire transfer?
• To pay via wire
transfer, you can obtain the bank details from our offices,
points of sale, shops, or call center staff.
• Just like
with individual policies, it is crucial to ensure that GIG
receives the full amount specified in your invoice or quotation,
including any applicable taxes/VAT, as well as any bank charges
and exchange differences that may arise during the wire transfer
process. The remitter should cover these additional
expenses.
• Please remember to mention the policy or invoice
number for which you make the premium payment. This will enable
us to allocate the payment accurately to your policy.
•
After completing the wire transfer, please share the transfer
details along with your policy or invoice details with
regional.creditcontrol@gig-gulf.com
and the respective GIG Key Account Manager assisting you
with your policy request.
I paid via wire transfer, how can I confirm that my payment has been credited to my policy?
Please communicate the transfer details along with the policy/Invoice details to regional.creditcontrol@gig-gulf.com and the respective GIG Key Account Manager supporting your policy request.
Can I pay my outstanding policy premiums via e-payment?
Currently, the
online payment link/POS option is applicable for settling the
due premiums on your quote. If you have other payment
requirements, such as covering overdue premiums from the past,
policy reinstatements, excess payments or any payments that do
not align with your due premium, please follow these steps:
• SME customers can use the e-commerce option through POS
Machines at GIG offices or points of sale. Payment links will be
generated and shared by GIG staff or authorized
representatives.
• Corporate customers can clear their
outstanding balances through bank transfers or by issuing
cheques payable to GIG.
Is it possible to make online payments in a local currency if my policy is in USD / GBP / EURO?
Payments for business policies must adhere to the policy's specified currency, as outlined in the policy Terms and Conditions.
Who is eligible to make payments for my policy?
As the policy
owner, you are responsible for paying the premium.
Alternatively, an authorized third party can make the payment on
your behalf, provided they are either an insured individual or a
beneficiary listed on your policy. If you are unable to make the
payment yourself or if the individual wishing to pay on your
behalf is not a party to the contract outlined in your policy,
you can authorize a third-party payer by fulfilling the
following requirements:
• Provide Payer Details, including
but not limited to Name, Relationship with the policy owner and
Reason for settling the premium on behalf of the policy
owner.
• Submit a Copy of the Valid Emirates ID Card,
Passport, and Residence Visa of the Third-Party payer.
•
Present Proof of relationship (such as a Birth Certificate,
Marriage Contract, etc.).
• Offer documentation
demonstrating the Source of funds of the Third-Party payer for
settling the policy owner's insurance premium.
What are the consequences of a missed payment?
If a payment is not received within the agreed timeline, GIG Gulf reserves the right to suspend the policy and its associated benefits. This may be followed by issuing a policy cancellation notice, and if premiums are not paid in accordance with the contract, the policy may be officially canceled.
Can I pay the premium later?
SME and corporate policy premiums can be settled in accordance with the agreed installments/credit period before policy issuance. The due dates for such payments will be indicated on the installment invoices provided by GIG Gulf to the client(s).
How will I receive reimbursement for my medical expenses?
- For direct billing claims: GIG Gulf will settle payments directly with the healthcare service providers who rendered services to our clients and members. Therefore, GIG Gulf is not responsible for making payments to clients or members in this regard. Please be aware that any applicable co-payments, as stipulated in your policy's terms and conditions, must be paid by the client or member and are not reimbursable by GIG Gulf.
- For reimbursement claims: Eligible reimbursement claims will be processed by GIG Gulf and settled directly with the respective member(s) after submitting the required valid claim documents, as outlined on our reimbursement portal, and subsequent adjudication and approval by the GIG claims team. To understand the specifics of claim settlement, including matters related to exchange rates, taxes, and bank charges, please refer to the terms and conditions of your policy.
How can I update my payment information?
To modify your payment details for reimbursement claims, you can make the necessary changes through the MyGIG Gulf Mobile App when submitting your claim.
How can I request a payment refund?
When policy
refunds may be processed
Policy refunds can be initiated solely by the
policyholder(s) and are strictly governed by the terms and
conditions outlined in your policy concerning cancellations and
refunds. Additionally, policy refunds are subject to no
outstanding premiums on the client account with GIG Gulf.
How refunds are paid
Refunds are always issued to the policyholder or the
original payment source, typically the credit card or bank
account used for the initial payment.
In exceptional cases,
subject to approval, refunds may be directed to a third party
with the authorization of the policyholder, which is conveyed to
GIG Gulf. In such instances, GIG Gulf will require the
completion of a
Bank
Transfer Details Form
from the third party. This form enables GIG Gulf to
conduct compliance checks on the third party before initiating
the transfer. Payments to third parties will only be executed
after successful compliance clearances.
For payment of premiums, if the payee is different from the Policyholder (PH), what documentation is required to process the payment?
Family Member
or Third Party as Payee:
1. Passport of both Policyholder and Payee
2. Visa and
ID (i.e. Emirates ID) copies of both policyholder and Payee
3. Authorization letter from policyholder confirming GIG to
settle the refund to Payee
4. Proof of relationship between
policyholder and payee
Company as Payee:
1. The visa of the Policyholder should be sponsored by the
Company; if not, an Employment Letter is required.
2.
Authorization letter from policyholder confirming GIG to settle
the refund to Payee
3. Valid Trade License of the
company
4. Valid VAT Certificate of the company (where
applicable)
Supplying this information does not
automatically guarantee that payment will be accepted. Such
requests are subject to compliance checks and payment shall be
processed upon successful compliance clearance.
Who is liable for taxes/VAT on policy contract?
As per the terms
and conditions of your policy, it is the client's responsibility
to cover all applicable taxes/VAT/fees in the respective policy
country, in relation to the policy premiums invoiced by GIG
Gulf. GIG Gulf does not hold the liability to reimburse the
client for any portion or the entirety of these taxes/fees that
are payable by the client.
• Regarding taxes on reimbursement claims: Members are
accountable for settling any taxes/fees owed on their
reimbursement claims. GIG Gulf is responsible for reimbursing
only the cost of the claim itself.
• In the case of taxes related to direct billing by
healthcare providers: When applicable taxes/fees are
imposed by the service provider on services rendered to GIG Gulf
clients and members, GIG Gulf will settle these taxes to the
service provider or regulator as dictated by regulations.
Does my policy include coverage for maternity?
To determine whether your policy includes maternity coverage, you can refer to the "Maternity Benefit: Pregnancy and Childbirth" section within your table of benefits. For guidance on accessing your table of benefits and understanding the benefits provided by your policy, please review the response to the question, "What benefits does my policy provide, and where can I download my table of benefits?"
What falls under `Outpatient Maternity` coverage?
Outpatient
Maternity coverage encompasses consultations, tests, treatments,
and pharmacy expenses. The application of Co-Insurance will be
applied as per your policy benefits. It's important to refer to
your Table of Benefits (TOB) as this coverage can vary by region
and is subject to regulatory requirements.
The extent of coverage will be in line with both local
regulations and international medical guidelines, and it's worth
noting that a waiting period may be applicable in accordance
with your TOB. If you seek Outpatient services outside the GCC
region, they will be evaluated on a reimbursement basis.
What falls within the scope of `Inpatient Maternity` coverage?
Inpatient Maternity coverage encompasses the expenses associated with the delivery of your baby, whether it's a normal delivery or a medically necessary C-section. Additionally, this benefit also covers medically necessary legal abortions.
Does "Pre/Post-Natal Complications" benefits include coverage for C-Sections?
C-Section (when medically necessary) will be covered only under the maternity limit unless it is a complication as per diagnosis: Placenta Praevia, Pre-eclampsia and eclampsia, Fetal distress, Uterine rupture and Umbilical cord prolapse.
What are the next steps after the birth of my child?
Reach out to your HR team without delay to initiate the process of adding your newborn to the medical coverage. Please make sure to provide the birth certificate and sign the undertaking letter (the format for which will be provided by GIG Gulf to your HR department). If their policy does not allow dependents to be included in the Group, you can contact us for an individual solution.
What is the insurance process for newborns born in the UAE?
- For DOH-Compliant Plans: The eligible expenses related to newborn treatment are covered for up to 30 days from the date of birth (DOB) under the mother's insurance coverage. However, this coverage is contingent upon adding the newborn to the policy within 30 days from the DOB. Backdating is not permitted in this case.
- For DHA-Compliant Plans: Similar to DOH-Compliant plans, the eligible cost of newborn treatment is covered for up to 30 days from the DOB under the mother's insurance coverage. The condition for coverage is the addition of the newborn to the policy within 30 days from the DOB. Backdating is allowed for newborns up to 7 days from the DOB. If this 7-day limit is exceeded, enrollment will start from the date of GIG's receipt of complete documentation.
Please Note: Any medical treatment or services incurred prior to policy issuance will not be covered on a reimbursement basis.
What is the insurance procedure for newborns born outside the UAE?
If your insurance
policy permits the inclusion of dependents, and you have a
newborn, it's crucial to inform us promptly about this new
addition. Depending on the specific policy regulations and
details, we may be able to backdate the coverage to the date of
the newborn's birth.
Certain plans we offer include a 'Newborn Benefit,' which
provides provisional coverage for the newborn under the mother's
policy for up to 30 days within the defined geographical scope.
For further information about this benefit and the prerequisites
for adding a newborn, please refer your table of benefits and
policy handbook.
What is the Health on Track Program?
A program
offering a set of diverse healthcare solutions of wellness and
prevention, tailor-made for you and your loved ones.
Our
goal is to address and cater to your healthcare needs throughout
all stages, from being healthy to occasionally ill to
chronically to critically ill.
It is a comprehensive kit of
mental and physical management and prevention tools that will
help you maintain a healthy lifestyle and support you in case of illness.
What is Teleconsultation, how do I get started to avail this service?
Teleconsultation
is a 24/7 virtual healthcare consultation with licensed GPs
through audio and video calls, teleprescription, health guidance
from a nutritionist, and chronic condition monitoring and coaching.
Service Benefits
• 24/7 access to GPs for medical advice
• Medication
prescription
• Medication delivery (where approved by
regulators)
• No Co-pay
• Wellness and prevention
guidance from GPs and nutritionists
Access options
You can access the service through:
•‘MyGIG Gulf’ app.
To speak to a doctor, select the ‘Call a doctor’ icon
•
Alternatively dial in the toll-free number from a mobile or a
landline. Please contact your HR or key account manager to have
more information.
We recommend using this tool as soon as
your insurance policy starts and throughout the year, whether
you are looking for prevention guidance or fall sick and need
immediate medical advice.
What is Mindset, how do I get started to avail this service?
Mindset is a
confidential 24/7 access to emotional well-being counseling with
licensed psychologists through voice calls. It is a service
aiming at raising awareness about mental health by reducing the
stigma, preventing mental distress by fostering resilience and
empowering you towards a state of psychological safety at work
and in your lives.
Service Benefits
•24/7 access to psychologists through a hotline
•Available in 5 different languages: English, Arabic, Urdu,
French & Hindi
•Access throughout the year to podcasts,
seminars and workshops provided by professional coaches to
inform, support and empower you toward a resilient mind
Access Points
Your employees and their dependents (above 17 years) can
access the service through:
•‘MyGIG Gulf’ app by selecting
the ‘Speak to a Psychologist’ icon
• Alternatively, dial in
the toll-free number from a mobile or a landline. Please
contact your HR or key account manager to have more
information.
We recommend you use this tool as soon as your
insurance policy starts and throughout the year for any matters
impacting your wellbeing or psychological health.
What is the typical processing time for pre-approvals?
For outpatient
services, the standard turnaround time is 1 hour, with 95% of
cases processed within 60 minutes or less.
For inpatient
services, the standard turnaround time is 4 hours.
What is GIG Gulf Health Talks and how can I access the sessions?
GIG Gulf Health Talks are a series of online webinars featuring experts discussing well-being topics such as stress management, mindfulness, heart health, and more. These webinars empower you with knowledge to enhance your quality of life and maintain a positive lifestyle. To access these sessions, you can find all previous sessions on the Health on Track section of MyGIG Gulf Mobile App and invitations are sent directly to members by the "GIG Health & Wellbeing" Team
I am currently traveling and have been requested to provide an 'insurance certificate' as proof of insurance coverage. What are the steps to follow?
To access your
insurance certificate, you can follow these steps:
• Log in
to the
MyGIG Gulf Mobile App
.
• Navigate to the 'Active policy' section and click on
'View Details' to access your policy information.
• Select
the 'Documents' tab.
• Under the 'Insurance / Travel
Certificate' section, click on "View" to both view and
download your Insurance Certificate.
• If needed, you can
click on 'Share' to easily share the Insurance Certificate.
Please note that you will require Adobe Acrobat Reader or any
other PDF viewer to open and view the certificate.
Whom should I get in touch with for medical treatment abroad?
If you need to be admitted to a hospital while abroad, please promptly reach out to us at least 7 days before the planned treatment. You can contact us via phone at +971 4 507 4000 or send an email to intl@gig-gulf.com . Ensure that you include all necessary information, such as your policy number, admission date, medical reports, doctor's details, hospital information, and cost estimates.
What do co-pay, co-insurance and deductible mean?
When an employee
health insurance plan includes co-insurance, members may be
required to contribute a specific percentage of the treatment
cost. The exact percentage hinges on two key factors:
• The
co-insurance percentage specified for all Outpatient services,
as indicated on the health insurance digital or physical
card.
• Whether a member sought care from an In-Network
Provider under a Direct Billing arrangement or from an
Out-of-Network Provider, where they paid upfront and later
sought reimbursement, in the case of an emergency.
In
contrast, a co-pay or deductible refers to a fixed amount
individuals must pay when they visit a doctor for a
consultation. The specific amount is detailed on their medical
card. It's important to note that the "co-pay" should
not be charged for follow-up visits within 7 calendar days if
the visit is related to the same condition and involves the same doctor.
For more comprehensive information about the particulars of
your medical insurance plan, including any additional applicable
co-insurances, it's advisable to consult your insurance provider directly.
Which providers can I visit?
You have the option to consult with any healthcare professionals who are part of the direct billing network linked to your policy (please refer to your policy document for details). If you decide to see a provider outside of this network, you will need to cover the costs upfront and then submit a reimbursement claim (Pay & Claim). We will refund the expenses based on Reasonable and Customary rates that apply to your network. To find a list of direct billing network providers, you can access the GIG Gulf Medical Provider Locator through the MyGIG Gulf Mobile App or the GIG Gulf Website.
I forgot my password for MyGIG Gulf Mobile App, how can I reset my password?
• If you forgot
your MyGIG Gulf password, tap on "Don't remember your
password" link on the log-in page.
• Enter your
registered email with GIG to receive the password reset link.
Once you entered your email, click on 'Send Email'.
• You
will see a confirmation on the screen that the password reset
email was sent to your email.
• Next, open your email inbox
and check for an email from 'support-giggulf@gig-gulf.com'.
• You will receive the password reset link on the email address
that you used to register on MyGIG Gulf. Once you receive the
email, click on 'Reset Your Password'.
• Enter your new
password, and repeat it for confirmation, then tap to save it.
You can now go back to MyGIG Gulf entry page and log in using
your new password.
I may require surgery; will I be covered under my medical insurance?
All inpatient
services, including surgeries, necessitate pre-approval from GIG
Gulf to check eligibility, suitability and limit availability.
If you are consulting a healthcare professional within our
network, your medical provider will initiate the pre-approval
process on your behalf. However, if your medical provider is not
within our network, you can arrange to send an email to
intl@gig-gulf.com
, including the following requirements:
• A
pre-authorization request form
detailing the treatment plan, signed and stamped by the
treating doctor.
• An itemized cost estimate of the hospital
bill, providing a breakdown of all charges.
• A
comprehensive medical report.
• Diagnostic reports.
For
healthcare providers within our network, pre-approval may take
up to 4 hours, depending on the specific case. If you are
consulting a provider outside our network, the pre-approval
process may take up to 8 hours, again contingent on the
individual case.
What should I do if I forget my insurance card during my visit to a healthcare provider?
If you find yourself without your insurance card when visiting a healthcare provider, there are alternative solutions available. If you are in the UAE, you can use your Emirates ID. Or, for all other locations, you can access your E-card via the MyGIG Gulf Mobile App.
In which countries can I receive medical treatment outside of the UAE?
You can find specific information about the countries where you have coverage by referring to your Table of Benefits (TOB) which outlines your area of cover and lists the countries where you are eligible for medical treatment.
What is pre-approval, and when is it necessary?
Pre-approval is necessary for specific outpatient (OP) services and all inpatient (IP) services when you receive treatment from a provider within the network. You don't have to take any action yourself; the healthcare provider will initiate the pre-approval request directly to GIG Gulf for the services that require it.
What is required to obtain pre-approval from network providers?
To secure pre-approval from network providers, you will need to provide either your Emirates ID or your e-Card accessible via the MyGIG Gulf Mobile App . The provider will handle the pre-authorization process in accordance with the service level agreement, eliminating the need for you to take any additional steps.
How should I proceed if there is a delay in my pre-approval request?
To inquire about the status of the pre-approval request, please reach out to us using the contact number provided on the back of your medical card.
What are Reasonable & Customary (R&C) charges? When do they apply?
All benefits and
services submitted for claim reimbursement will be assessed
according to the Reasonable and Customary Charges or as
specified in your table of benefits, following the terms and
conditions of your policy. The Reasonable and Customary Charges
represent an average value based on our negotiated, discounted
costs for similar treatments within the network indicated in
your plan.
This means there may be out-of-pocket expenses depending on
how the charges align with this standard. For a detailed
understanding of your healthcare policy, including potential
out-of-pocket costs, access your table of benefits and
membership handbook on
MyGIG Gulf Mobile App
.
Will I receive a notification about my payment deadline?
Certainly, GIG Gulf will send a reminder to the email address that is registered in the system for corporate and SME customers who have an approved credit facility.
What is MyWellness Week and how can I access the sessions?
MyWellness Week is Health on Tracks' annual online educational event designed to empower participants with knowledge across multiple dimensions of holistic well-being, inspiring them to make positive life changes. This program offers a range of free classes and provides access to world-class experts in various well-being areas. It's an excellent opportunity to strike a balance between work and well-being, with attractive incentives for the highest engagement levels. To benefit from this program, access all previous sessions through the Health on Track section of the MyGIG Gulf Mobile App . Registration will be available when the program reopens.
What is GIG Gulf Health and Well-being Blog and how can I access the blog posts?
GIG Gulf Health and Well-being Blog consists of monthly posts that share practical and actionable knowledge related to well-being. These articles cover a variety of trending topics related to healthy living, disease management and prevention. Access to all the blog posts through the GIG Gulf Website or Health on Track section of the MyGIG Gulf Mobile App.
What is Health on Track PodCast and how can I access the podcasts?
The Health on Track Podcast is a bi-weekly shot of wellness insights. We feature subject matter experts who address a wide range of health concerns and wellness challenges to support our members at all stages of their wellbeing journey. You can listen to the podcast on platforms like Spotify, Apple Podcasts, YouTube, Anghami or through the GIG Gulf Website.
How can I submit an Inquiry or a Complaint?
From GIG Gulf website
• Navigate to the
GIG Gulf Website
, choose your respective country, click on `
Contact Us
` on the main page, and you will find all the contact
information you need to contact our Customer Service Team.
Inquiry and complaint forms are also available on this page.
From MyGIG Gulf app
• Login to
MyGIG Gulf Mobile App.
• Navigate to `Profile & App Settings`
•
Navigate to the `Help & Support` menu in the `Queries and
Complaint` section, and you can submit a query or a complaint
from there.
How soon can I expect a response from GIG Gulf regarding a complaint?
Upon submitting your complaint, you can anticipate a response from us within one working day. We will promptly acknowledge your complaint and provide you with a reference number. Furthermore, we will outline the subsequent steps in the process and provide you with the means to get in touch with us for further discussion.
We are committed to conducting a thorough investigation and aim to communicate the outcome of your complaint within 7 working days for UAE, Oman and Bahrain, 5 days for Qatar.
Please rest assured that your complaint will always be handled with fairness and confidentiality. Once your matter is resolved, your feedback will contribute to our efforts to enhance our services.
What are the “Unrecognized Providers”?
"Unrecognized providers" essentially refers to healthcare professionals or facilities that GIG Gulf network does not acknowledge for direct billing and/or reimbursement. Hence, we highly advise you to access the GIG Gulf Unrecognized Providers List , which is available on the MyGIG Gulf Mobile App or the GIG Gulf Website and download the most up-to-date list. Doing so will help you avoid incurring out-of-pocket expenses.
Can I avail direct billing outside the UAE?
For outpatient
services outside the network, reimbursement will be the method
of payment. (We will refund the expenses based on Reasonable and
Customary rates that apply to your network)
• When it comes to inpatient services, you should reach out
to us to obtain a Guarantee of Payment (GOP), which is
contingent upon the provider's acceptance. GOP ensures that you
won't need to make payments for eligible treatments.
• In
specific situations, we can also facilitate direct billing for
elective inpatient treatment with our affiliated partners,
depending on the treatment location and provider's acceptance,
provided that pre-approval is granted in advance.
• You can
access your list of International Network Providers by using the
GIG Gulf Medical Provider Locator
on either the MyGIG Gulf Mobile App or the GIG Gulf Website.
Is pre-approval necessary in the event of an emergency?
No, pre-approvals are not necessary for emergencies.
What do the "Pre/Post-Natal Complications" benefits entail?
The
"Pre/Post-Natal Complications" benefits encompass
unforeseen medical situations that may arise during pregnancy
(antenatal), childbirth, or after delivery (postnatal). These
situations necessitate additional care or interventions beyond
what would typically be required for a normal pregnancy, as they
pose a direct threat to the well-being of the mother and/or baby.
For a maternity claim to be considered a complicated
pregnancy and for coverage of a C-section up to the policy
limit, it must meet specific criteria, including the following
conditions: Placenta Previa, Pre-eclampsia, Fetal distress,
Urine rupture, and Umbilical cord prolapse. It's important to
note that this benefit is exclusively available to eligible
married females per policy year.
How are Outpatient, Inpatient, and Daycare defined?
Outpatient:
An outpatient
refers to a patient who does not stay overnight in a hospital
but instead visits a hospital, clinic, or related facility for
diagnosis or treatment and is subsequently sent home after the consultation.
Daycare: Daycare pertains to a patient or case that
enters a hospital for a medical treatment or surgical procedure
and is managed and discharged within a single day. This falls
under the category of outpatient care.
Inpatient: An inpatient denotes an insured member who is
formally admitted as a bed patient in a hospital. They incur
daily room and board charges, and the stay typically spans a
minimum duration of 24 hours.
I am a UAE policy holder; how do I access medical care in the UAE?
Your GIG Gulf insurance plan offers a convenient method of accessing healthcare services without the need for a physical insurance card. Simply present your Emirates ID when visiting an in-network healthcare facility and mention 'GIG Gulf.' Alternatively, you can also utilize the MyGIG Gulf Mobile App and present your e-card to access medical care.
Is medical insurance mandatory for employees in UAE?
The UAE is
renowned for its forward-thinking approach to improving living
standards, which also extends to its healthcare system. Both Abu
Dhabi and Dubai have established legislation to ensure that all
Emiratis and expatriates receive a specified level of healthcare
coverage. According to these regulations, it is mandatory for
employers to provide health insurance for their employees. In
Abu Dhabi, this requirement also extends to cover spouses and up
to three dependent children up to the age of 18.
It is crucial to have a clear understanding of your legal
responsibilities in compliance with these laws. Our staff
members are well-versed in the various intricacies and can
provide you with the necessary guidance.
What is health insurance?
Health insurance provides you with a safety net against unexpected medical expenses, including costs related to hospitalization, medications, or doctor visits.
Why should I buy health insurance?
Health
insurance offers several advantages:
• Budget
Planning: You can plan your finances better by knowing
your upfront costs at the beginning of the year
•
Access negotiated rates for medical expenses
• Benefit
from claims management assistance
• Ensure insured
individuals receive necessary treatment promptly, aiding
in a speedy recovery
What are the factors that affect health insurance premium?
The price can be
influenced by various factors, but is primarily based on:
•
Choice of plan
• The individual client's profile, including
existing or anticipated medical conditions
• Past claims history
What is not covered by health insurance?
It's crucial to thoroughly review and comprehend the benefits and exclusions outlined in the plan you choose, as coverage can vary. Typically, treatments that go beyond your plan's benefits are excluded. Services that are not medically necessary, such as cosmetic procedures, fertility investigations & treatments and supplements are also excluded. Conditions related to 'self-harm,' including suicide attempts, hazardous pursuits, experimental treatments and drug or alcohol-related conditions are not covered.
Additionally, some plans may require you to disclose pre-existing conditions. Failure to do so may result in the exclusion of these conditions and any related ones. If you have any uncertainties, please provide us with the specifics of your situation and we can offer guidance.
How to make an informed choice for a suitable health insurance plan?
To assist you in
determining the most appropriate health insurance plan for your
needs, it is essential to consider the following factors:
•
Your budget: Evaluate what you can afford and your willingness
to contribute to co-insurance at the time of a claim.
• Your
requirements: Determine if you need specific features, such as
cashless billing at certain facilities, coverage in particular
countries, specific treatments like dental or maternity
benefits, coverage for pre-existing conditions, essential
services like teleconsultation, online claims submission, or
well-being support.
• Your values: Decide if it's crucial
for you to choose an insurer known for providing fair, prompt,
and reliable service.
Take your time to research thoroughly,
as switching insurers can potentially affect what is considered
a pre-existing condition. Making the wrong choice could lead to
a disruption in coverage when you need it most.
What healthcare insurance options are available for businesses looking to provide coverage for their employees?
We offer a wide
range of healthcare solutions designed to cater to the diverse
needs of various businesses. We understand that each business is
unique, and we're ready to help you create a customized solution
tailored to your specific requirements. Moreover, we provide the
flexibility to segment your policy into subcategories, allowing
you to personalize coverage based on your employees' seniority.
You also have the option to include spouses and dependent
children within the same plan, enhancing your employment
package.
Furthermore, we can address your other insurance
needs all in one place, including property, workers'
compensation, liability, marine, cyber insurance, and more.
To learn more about our offerings and explore the best options
for your business, please visit our 'Contact Us
' page to get in touch with us conveniently, and we'll
be happy to assist you.
How can I transition to GIG Gulf from my current health insurance provider?
We recognize that
transitioning between health insurance providers may appear
intimidating, especially when it involves something as vital as
your healthcare coverage. Nevertheless, please be reassured that
we are here to offer you comprehensive support and guidance
throughout this process. If there is a specific reason
motivating you to change insurers, we encourage you to share
those details with us. This way, we can provide you with a clear
understanding of how we would handle your situation, enabling
you to make an informed decision.
When contemplating
switching to a new insurance provider, it's essential to
carefully assess how your pre-existing conditions will be
handled and whether there might be any interruption in coverage
between the end of your current policy and the start of the new one.
What are the eligibility criteria to buy group health insurance plans?
We provide a range of solutions catering to various business types and while certain solutions may be tailored to specific client segments, we strive to offer options suitable for a wide range of clients. Depending on the country, there may be specific regulatory prerequisites, including compliance with Anti Money Laundering and 'Know Your Client' requirements that must be met before we can proceed. Please reach out to us to discover the solutions available for your particular business needs.
What is MyGIG Gulf Mobile App and how can I download it?
MyGIG Gulf is a mobile app available to all our customers. To download the app Click Here . The app allows you to view your individual and dependents' Health e-cards; check your policy benefits & covers; find the nearest medical providers; submit, manage and track your individual and dependents' claims, view your offers and much more.
How can I register/ log in MyGIG Gulf Mobile App?
From GIG Gulf Website
• Navigate to
GIG Gulf Website
and select the `Health` tab from the navigation bar, from
here select `MyGIG Home`. You can also directly click on `MyGIG
` link on top of the page.
• Existing users should
click the `Login` button, then enter the registered email and
password and click on `Login`. New users should click the
`Register` button and fill out the required information.
•
To register, enter your policy & membership details as they
appear on your GIG card, then tap `Next`.
• If you have an
email stored with GIG, it will be displayed here. To use this
email for registration, select and tap 'Next'. In case you want
to change your registered email with GIG, refer to `*How can
I change my registered e-mail address/username on MyGIG Gulf
Mobile App?` question.
• Setup your password then tap
on 'Next' to proceed to the verification step.
• Please
check your in box for an email from GIG Gulf, follow the
enclosed instructions to verify your email address.
• Click
on the button "Verify your e-mail". You should be
redirected back to MyGIG app web version.
• Now you can log
in to your account on MyGIG Gulf, and instantly access policy
details for you and your dependents, plus a wide variety of
healthcare benefits from GIG Gulf.
From MyGIG Gulf Mobile App
• Launch the
MyGIG Gulf Mobile App
on your mobile and select your country.
• Next, select
your policy type (Health Policy).
• Tap on `Register To` to
create your account. If you already have an account, tap on
`Sign In` and move directly to log in screen.
• To register,
enter your policy & membership details as they appear on
your GIG card, then tap `Next: Account Setup`.
• If you have
an email stored with GIG, it will be displayed here. To use this
email for registration, select and tap 'Next: Account Setup'. In
case you want to change your registered email with GIG, refer to
`*How can I change my registered e-mail address/username on
MyGIG Gulf Mobile App?` question.
• Setup your
password then tap on 'Next' to proceed to the verification
step.
• Please check your in box for an email from GIG Gulf,
follow the enclosed instructions to verify your email
address.
• Click on the button "Verify your
e-mail". You should be redirected back to MyGIG Gulf app
web version.
• Navigate to the MyGIG Gulf App to login
through mobile device and click on Login.
• Now you can log
in to your account on MyGIG Gulf app, and instantly access
policy details for you and your dependents, plus a wide variety
of healthcare benefits from GIG Gulf.
I don’t know my policy number or membership number. How can I register on MyGIG Gulf Mobile App?
Your policy number and membership number can be found your health insurance card which was shared as part of the onboarding email sent to you from e-boarding@gig-gulf.com . If you are unable to find it, kindly contact your HR or insurance coordinator. Alternatively, you can contact us providing your name and DOB on mcs@gig-gulf.com .
How can I change my registered e-mail address/username on MyGIG Gulf Mobile app?
If you are a
new user:
• At the time of registration, tap on "I want to
change my e-mail" in the case of:
1. You or your
dependents do not have access to any of the email addresses
listed.
2. You cannot find your preferred or any other
relevant email address.
• Fill out all the necessary
details. If all data matches your record with GIG Gulf, your
email will be updated immediately, then you can proceed to sign
up with a new email.
• If any data does not match, our team
will need 48 hrs to update your data, and then you can proceed
to sign up with a new email.
• For dependents under 18 years
of age, the email needs to be updated by contacting us at
mcs@gig-gulf.com
.
If you are already registered and logged in user:
• Login to
MyGIG
from GIG Gulf Website
• Navigate to `My Account`
•
Click on `Change Login Email`
• Fill out the new email ID
and reconfirm. Click on `Change email` option.
• The
email/username will be changed immediately and a verification
email is sent.
• Please check your in box for an email from
GIG Gulf, follow the enclosed instructions to verify your new
email address.
• Click on the button "Verify your
e-mail". You should be redirected back to MyGIG app web
version.
• Please navigate to the MyGIG App to login through
mobile device and click on Login.
I have reset my password but didn’t receive an e-mail with password reset instructions. What should I do to receive the e-mail?
• The email used
for password reset should be an already registered email to
MyGIG Gulf Mobile App. Make sure that you enter the correct
email address.
• If corporate email is used for reset,
please reach out to your local IT team to check whether any
security settings are blocking `@gig-gulf` domain to receive emails.
How can I access all my policy details and download documents related to my policy?
You can easily
access your policy information and related documents through the
MyGIG Gulf mobile app by following these steps:
• Log in to
the
MyGIG Gulf Mobile App.
• Your active policies will be prominently displayed on
the dashboard.
• To view expired policies, swipe left.
•
Swipe right and tap to access the following:
-General
information about your policy
-Policy information for
dependents and Health e-Cards
-Coverage details and services
provided by your policy
-A history of previously submitted
claims or the option to submit a new one
-Documents
associated with your policy
• To access your policy-related
documents, click on the 'Documents' tab.
• You will see a
list of documents related to your policy.
• Click on 'View'
to download your policy-related documents.
• If you wish to
share these documents, click on the 'Share' option.
What benefits does my policy provide and where can I download my table of benefits?
To access the
details of your policy benefits and download the table of
benefits, please follow these steps using the MyGIG Gulf mobile
app:
• Log in to the
MyGIG Gulf Mobile App.
• On the dashboard, select 'View Details' for your
active policy to access your policy specifics.
• Navigate to
the 'Covers & Services' tab to view the list of services
covered by your policy.
• To download your table of
benefits, simply click on 'Download'.
How can I access the Health e-Cards for both myself and my dependents?
You can
conveniently access the Health e-Cards for yourself and your
dependents through the MyGIG app by following these steps:
•
Log in to the
MyGIG Gulf Mobile App.
• To view your E-card, simply click on 'View E-card'
under the 'How can we help you' section.
• Alternatively,
you can click on 'View Details' to access your policy
specifics.
• From the 'Overview' tab, you can easily view or
share your Health e-Card.
• To view the Health e-Cards of
your dependents, navigate to the 'Dependents' tab, select the
relevant member policy, and then choose 'View Full Card.' To
share the Health e-Cards of your dependents, you can select
'Share' on the same page.
Are there any co-payment and deductible fees associated with my policy, and where can I access this information?
You can find the
details regarding co-payment and deductible fees for your policy
in the table of benefits on the MyGIG Gulf app by following
these steps:
• Log in to the
MyGIG Gulf Mobile App.
• Go to the 'Active policy' section and select 'View
Details' to access your policy information.
• Click on the
'Covers & Services' tab, where you'll find a list of the
services covered by your policy.
• To review the complete
details of your benefits, including co-payment and deductible
information, simply click on 'Download' to download your table
of benefits.
I currently hold an active GIG Gulf Insurance Policy; is it possible to include my dependents during the middle of the year?
Subject to your company's policy permitting inclusion of dependents, you have the flexibility to add your dependents mid-year. Please reach out to your insurance coordinator or HR department to initiate the process. If the policy does not allow inclusion of dependents we can offer alternative solutions on an individual basis. Please visit our ' Contact Us ' page to discover the most convenient method for you to reach out to us, allowing us to assist you further.
Is it possible to utilize eCards for the stamping of a UAE residence visa?
Yes, eCards can be used for visa stamping purposes.
Am I able to utilize my medical insurance if my Emirates ID card is lost or in the process of being renewed?
Absolutely, you can easily access medical services by presenting a copy of your Emirates ID or by displaying your GIG digital e-card through the MyGIG Gulf Mobile App to the healthcare provider.
My table of benefits mentions "20% co-insurance on all outpatient services". What does it mean?
Coinsurance or
co-payment refers to the portion of the expenses you are
responsible for paying to the hospital or healthcare provider
for any outpatient services covered by your insurance policy.
This means, you will be required to contribute 20% of the total
bill.
For a comprehensive understanding of your coverage,
please refer to your Table of Benefits and Policy Handbook. This
will provide you with complete details regarding your coverage.
My table of benefits mentions "Deductible: AED 40 on consultation", Do I have to pay anything for investigations/medicines?
To clarify, the
deductible of AED 40 applies solely to consultation services.
You won't be responsible for any expenses related to other
covered services.
For a comprehensive understanding of your
coverage, please refer to your Table of Benefits and Policy
Handbook. This will provide you with complete details regarding
your coverage.
Does my policy include coverage for dental and optical services?
To determine if your policy covers dental and optical services, please refer to your Table of Benefits and specifically look in the 'Routine Dental Benefit' and 'Optical Benefit' sections. You can find instructions on accessing your Table of Benefits in the answer to the question, `What benefits does my policy provide, and where can I download my table of benefits?`
Is it possible to receive medical treatment in the UAE if I don't have a medical card, and how will healthcare providers confirm my eligibility?
Healthcare providers have the capability to verify your insurance information through our online platform by utilizing your Emirates ID or e-Card. Your e-Card information is conveniently accessible on the MyGIG Gulf Mobile App or the GIG Gulf Website . You can easily download and store the e-Cards on your mobile device for quick access.
What should I do if my card is not accepted by a network provider?
If a network provider does not accept your card, please double-check that you are seeking services from a provider within your policy's network. You can easily access your list of Network Providers by using the GIG Gulf Medical Provider Locator on either the MyGIG Gulf Mobile App or the GIG Gulf Website. If the provider is indeed within the policy network but is still not accepting the card, we kindly request that you get in touch with our Call Center through the provided contact numbers or send an email to mcs@gig-gulf.com for assistance.
What happens if I choose not to utilize my card within the network?
If you opt not to
use your card within the network, all benefits and services
submitted for claim reimbursement of claims will be evaluated
based on the Reasonable and Customary rates. Reasonable and
Customary Charges are equivalent to the average of our
negotiated, discounted cost for the same treatment within the
network shown in your plan. The coverage of cost incurred or
customary charges (whichever is less) and the level of
reimbursement will be determined based on the membership plan
you have chosen.
This means there may be out-of-pocket expenses depending on
how the charges align with this standard. For a detailed
understanding of your healthcare policy, including potential
out-of-pocket costs, access your table of benefits and
membership handbook on the
MyGIG Gulf Mobile App
.
How will I know if my pre-approval has been processed?
You will receive an SMS or email notification once the provider has submitted the approval request, and subsequently, when it has been processed. If you do not receive any notification, please reach out to GIG directly using the contact number provided on the back of your medical card.
How can I view and track my claims?
• Access the
MyGIG
Gulf Mobile App
and log in.
• To access your submitted claims,
simply tap on the 'Claims' icon.
• The claims list view will
enable you to monitor the progress of your claim. You can
conveniently download the claim report or tap the arrow for more
detailed information about your claim.
• If you have the
claim number, click on the 'Track & Update a Claim' button.
Enter the claim number and select 'Submit' to view the claim
details and status.
• To view claims for your dependents,
switch to the dependent claim view and choose the desired policy
to review.
• Recently submitted claims will be visible once
they are received and the claim review process commences.
What is the process for requesting reimbursement for my claim?
You can register your claim request through either the MyGIG Gulf Mobile App or the GIG Gulf Website. This allows for a simple and convenient way to submit, monitor, and manage claims for both yourself and your dependents.
What are the steps to submit a claim through GIG Gulf Website?
• Navigate to the
GIG Gulf Website
and click on the
MyGIG
link. Alternatively, you can select `Submit a Claim` from
the Health tab under the navigation bar and select `Submit a
Claim` under Insured Members.
• Click on `Login` and enter
your MyGIG Gulf credentials.
• Initiate the straightforward
online claims process by clicking on the `Claims` menu.
•
Click on the 'Submit a claim' button.
• Your policy
information will be automatically pre-filled. Proceed to enter
your contact details by scrolling down on the same page.
•
Complete the required contact information and agree to the Terms
& Conditions by ticking the checkbox.
• Click on 'Next'
to proceed to the document uploading stage.
• Provide claim
details for either yourself or your dependents.
• Upload the
necessary documents, including the claim form signed and stamped
by your treating practitioner and yourself, as well as stamped
invoices or receipts, along with any supporting documents such
as medical reports, laboratory test results, ultrasound reports,
and referral letters.
• Input your bank details or edit them
if they are stored from previous submissions, and then click on
'Next' to review all the details before finally submitting your claim.
What are the steps to submit a claim through MyGIG Gulf Mobile App?
• Login to
MyGIG Gulf Mobile App
• Initiate the straightforward online claims process by
clicking on the 'Submit a claim' button.
• Your policy
information will be automatically pre-filled. Proceed to enter
your contact details by scrolling down on the same page.
•
Complete the required contact information and agree to the Terms
& Conditions by ticking the checkbox.
• Click on 'Next'
to proceed to the document uploading stage.
• Provide claim
details for either yourself or your dependents.
• Upload the
necessary documents, including the claim form signed and stamped
by your treating practitioner and yourself, as well as stamped
invoices or receipts, along with any supporting documents such
as medical reports, laboratory test results, ultrasound reports,
and referral letters.
• Input your bank details or edit them
if they are stored from previous submissions, and then click on
'Next' to review all the details before finally submitting your claim.
What documents are required to submit a claim?
You can access the claim form for download from this Link . Please ensure to include all pertinent documents, such as original invoices indicating the cost per item, payment receipts, laboratory report, medical report, and a filled, signed, and stamped claim form (endorsed by the treating doctor).
What does "proof of payment" refer to and is this document necessary for all claim submissions?
Yes, for claim submission, proof of payment is necessary. Acceptable proofs of payment may include a credit card receipt or a hospital receipt stamped as paid. This documentation serves as a guarantee that the member has settled the expenses for the services availed.
What is an "itemized invoice," and is this document required for every claim submission?
An itemized invoice provides a detailed breakdown of the medical services you have received, along with the specific cost for each service. It is essential for every claim submission as it clearly indicates the services taken, their respective dates, and the corresponding costs.
Is it possible to submit scanned copies of my claim documents?
GIG Gulf does
indeed accept scanned copies of documents. However, it's
important to note that in certain situations, we may request
original documents. Therefore, we recommend that you retain all
original documents pertaining to your treatment until the claim
is finalized.
Please be aware that GIG Gulf retains the option to request
original documents during the claims processing, so we strongly
advise holding onto the original documents for a minimum of 12
months after the treatment date or until the claim has been
successfully resolved.
I submitted a medical claim, what should I expect next?
After you submit
your claim, we will send you a claim reference number through
email and SMS. You can use this reference number to track the
progress of your claim whenever needed.
We aim to review
your claim within 5 business days and settle eligible claims it
through a bank transfer within 10 business days, provided we
receive all the required documents.
In case the claim
documents are insufficient, we will inform you via email the
incomplete information or documents. Additionally, you can also
check the status of your claims by logging into the
GIG Gulf Website
or using the
MyGIG Gulf Mobile App
Whom should I reach out to if there are any discrepancies in the settlement?
If you encounter any disputes or discrepancies, we recommend contacting us via email at mcs@gig-gulf.com or the " Contact Us " option for assistance.
How long will it take for my reimbursement claim to be processed?
GIG Gulf's objective is to review your eligible claims within 5 business days and finalize the settlement within 10 business days, provided we receive all the required documentation.
Why is my reimbursement amount less than the amount I had claimed for?
The reimbursement
amount you receive is subject to adjustments in accordance with
the terms and conditions of your policy. These adjustments
consider the following factors:
• Co-pay and co-insurance
percentage deductions as outlined in your policy terms.
•
Deductible amount, if applicable and as specified in your policy
terms.
• If the claimed cost of services exceeds the average
cost of services within your GIG Gulf provider network, the
excess amount will be subtracted from the total bill.
If my reimbursement claim has been rejected, what steps can I take to resubmit my claim?
If you need to resubmit your claim or if you are asked to provide additional documents, please use the MyGIG Gulf Mobile App or GIG Gulf Website . These platforms allow you to conveniently resubmit your claim and keep track of its status.
What is the method of payment for reimbursement claims?
Reimbursement claims are paid through wire transfer. To ensure a smooth transaction, please update your bank details using the MyGIG Gulf Mobile App or GIG Gulf Website . For seamless receipt of funds, kindly provide complete and accurate bank account details.
What are the secure and acceptable methods for paying my policy?
• Cash
Payments: SME customers can make cash payments at GIG
offices or points of sale in Oman, Qatar, and the UAE. However,
please note that, cash payments are not available as an option
in Bahrain for businesses. For cash payments of AED 10,000/QAR
10,000/OMR 1,000 or more, supporting documents will be required
as part of the compliance process, and our Sales teams will
request these documents.
• E-commerce: SME customers can utilize the e-commerce
option through POS machines at GIG offices or points of sale, as
well as payment links generated and shared by GIG staff or
authorized representatives.
• Cheque Payments: Both SME and corporate customers can
issue cheques to settle their premium payments to GIG.
• Wire Transfer: SME and corporate customers can make
payments via wire transfer using the bank details specified on
their invoices. It's essential to ensure that GIG receives the
full invoice or quotation amount, including applicable
taxes/VAT, and that the remitter bears any bank charges and
exchange differences incurred during the wire transfer process.
How can I obtain a receipt following the payment of my policy(ies)?
Our GIG Gulf staff, available at our offices, points of sale, shops, and call center, will assist you in providing valid receipts for policy premiums paid through payment links, POS or any other payment methods.
How can I pay via wire transfer?
• To pay via wire
transfer, you can obtain the bank details from our offices,
points of sale, shops, or call center staff.
• Just like
with individual policies, it is crucial to ensure that GIG
receives the full amount specified in your invoice or quotation,
including any applicable taxes/VAT, as well as any bank charges
and exchange differences that may arise during the wire transfer
process. The remitter should cover these additional
expenses.
• Please remember to mention the policy or invoice
number for which you make the premium payment. This will enable
us to allocate the payment accurately to your policy.
•
After completing the wire transfer, please share the transfer
details along with your policy or invoice details with
regional.creditcontrol@gig-gulf.com
and the respective GIG Key Account Manager assisting you
with your policy request.
I paid via wire transfer, how can I confirm that my payment has been credited to my policy?
Please communicate the transfer details along with the policy/Invoice details to regional.creditcontrol@gig-gulf.com and the respective GIG Key Account Manager supporting your policy request.
Can I pay my outstanding policy premiums via e-payment?
Currently, the
online payment link/POS option is applicable for settling the
due premiums on your quote. If you have other payment
requirements, such as covering overdue premiums from the past,
policy reinstatements, excess payments or any payments that do
not align with your due premium, please follow these steps:
• SME customers can use the e-commerce option through POS
Machines at GIG offices or points of sale. Payment links will be
generated and shared by GIG staff or authorized
representatives.
• Corporate customers can clear their
outstanding balances through bank transfers or by issuing
cheques payable to GIG.
Is it possible to make online payments in a local currency if my policy is in USD / GBP / EURO?
Payments for business policies must adhere to the policy's specified currency, as outlined in the policy Terms and Conditions.
Who is eligible to make payments for my policy?
As the policy
owner, you are responsible for paying the premium.
Alternatively, an authorized third party can make the payment on
your behalf, provided they are either an insured individual or a
beneficiary listed on your policy. If you are unable to make the
payment yourself or if the individual wishing to pay on your
behalf is not a party to the contract outlined in your policy,
you can authorize a third-party payer by fulfilling the
following requirements:
• Provide Payer Details, including
but not limited to Name, Relationship with the policy owner and
Reason for settling the premium on behalf of the policy
owner.
• Submit a Copy of the Valid Emirates ID Card,
Passport, and Residence Visa of the Third-Party payer.
•
Present Proof of relationship (such as a Birth Certificate,
Marriage Contract, etc.).
• Offer documentation
demonstrating the Source of funds of the Third-Party payer for
settling the policy owner's insurance premium.
What are the consequences of a missed payment?
If a payment is not received within the agreed timeline, GIG Gulf reserves the right to suspend the policy and its associated benefits. This may be followed by issuing a policy cancellation notice, and if premiums are not paid in accordance with the contract, the policy may be officially canceled.
Can I pay the premium later?
SME and corporate policy premiums can be settled in accordance with the agreed installments/credit period before policy issuance. The due dates for such payments will be indicated on the installment invoices provided by GIG Gulf to the client(s).
How will I receive reimbursement for my medical expenses?
- For direct billing claims: GIG Gulf will settle payments directly with the healthcare service providers who rendered services to our clients and members. Therefore, GIG Gulf is not responsible for making payments to clients or members in this regard. Please be aware that any applicable co-payments, as stipulated in your policy's terms and conditions, must be paid by the client or member and are not reimbursable by GIG Gulf.
- For reimbursement claims: Eligible reimbursement claims will be processed by GIG Gulf and settled directly with the respective member(s) after submitting the required valid claim documents, as outlined on our reimbursement portal, and subsequent adjudication and approval by the GIG claims team. To understand the specifics of claim settlement, including matters related to exchange rates, taxes, and bank charges, please refer to the terms and conditions of your policy.
How can I update my payment information?
To modify your payment details for reimbursement claims, you can make the necessary changes through the MyGIG Gulf Mobile App when submitting your claim.
How can I request a payment refund?
When policy
refunds may be processed
Policy refunds can be initiated solely by the
policyholder(s) and are strictly governed by the terms and
conditions outlined in your policy concerning cancellations and
refunds. Additionally, policy refunds are subject to no
outstanding premiums on the client account with GIG Gulf.
How refunds are paid
Refunds are always issued to the policyholder or the
original payment source, typically the credit card or bank
account used for the initial payment.
In exceptional cases,
subject to approval, refunds may be directed to a third party
with the authorization of the policyholder, which is conveyed to
GIG Gulf. In such instances, GIG Gulf will require the
completion of a
Bank
Transfer Details Form
from the third party. This form enables GIG Gulf to
conduct compliance checks on the third party before initiating
the transfer. Payments to third parties will only be executed
after successful compliance clearances.
For payment of premiums, if the payee is different from the Policyholder (PH), what documentation is required to process the payment?
Family Member
or Third Party as Payee:
1. Passport of both Policyholder and Payee
2. Visa and
ID (i.e. Emirates ID) copies of both policyholder and Payee
3. Authorization letter from policyholder confirming GIG to
settle the refund to Payee
4. Proof of relationship between
policyholder and payee
Company as Payee:
1. The visa of the Policyholder should be sponsored by the
Company; if not, an Employment Letter is required.
2.
Authorization letter from policyholder confirming GIG to settle
the refund to Payee
3. Valid Trade License of the
company
4. Valid VAT Certificate of the company (where
applicable)
Supplying this information does not
automatically guarantee that payment will be accepted. Such
requests are subject to compliance checks and payment shall be
processed upon successful compliance clearance.
Who is liable for taxes/VAT on policy contract?
As per the terms
and conditions of your policy, it is the client's responsibility
to cover all applicable taxes/VAT/fees in the respective policy
country, in relation to the policy premiums invoiced by GIG
Gulf. GIG Gulf does not hold the liability to reimburse the
client for any portion or the entirety of these taxes/fees that
are payable by the client.
• Regarding taxes on reimbursement claims: Members are
accountable for settling any taxes/fees owed on their
reimbursement claims. GIG Gulf is responsible for reimbursing
only the cost of the claim itself.
• In the case of taxes related to direct billing by
healthcare providers: When applicable taxes/fees are
imposed by the service provider on services rendered to GIG Gulf
clients and members, GIG Gulf will settle these taxes to the
service provider or regulator as dictated by regulations.
Does my policy include coverage for maternity?
To determine whether your policy includes maternity coverage, you can refer to the "Maternity Benefit: Pregnancy and Childbirth" section within your table of benefits. For guidance on accessing your table of benefits and understanding the benefits provided by your policy, please review the response to the question, "What benefits does my policy provide, and where can I download my table of benefits?"
What falls under `Outpatient Maternity` coverage?
Outpatient
Maternity coverage encompasses consultations, tests, treatments,
and pharmacy expenses. The application of Co-Insurance will be
applied as per your policy benefits. It's important to refer to
your Table of Benefits (TOB) as this coverage can vary by region
and is subject to regulatory requirements.
The extent of coverage will be in line with both local
regulations and international medical guidelines, and it's worth
noting that a waiting period may be applicable in accordance
with your TOB. If you seek Outpatient services outside the GCC
region, they will be evaluated on a reimbursement basis.
What falls within the scope of `Inpatient Maternity` coverage?
Inpatient Maternity coverage encompasses the expenses associated with the delivery of your baby, whether it's a normal delivery or a medically necessary C-section. Additionally, this benefit also covers medically necessary legal abortions.
Does "Pre/Post-Natal Complications" benefits include coverage for C-Sections?
C-Section (when medically necessary) will be covered only under the maternity limit unless it is a complication as per diagnosis: Placenta Praevia, Pre-eclampsia and eclampsia, Fetal distress, Uterine rupture and Umbilical cord prolapse.
What are the next steps after the birth of my child?
Reach out to your HR team without delay to initiate the process of adding your newborn to the medical coverage. Please make sure to provide the birth certificate and sign the undertaking letter (the format for which will be provided by GIG Gulf to your HR department). If their policy does not allow dependents to be included in the Group, you can contact us for an individual solution.
What is the insurance process for newborns born in the UAE?
- For DOH-Compliant Plans: The eligible expenses related to newborn treatment are covered for up to 30 days from the date of birth (DOB) under the mother's insurance coverage. However, this coverage is contingent upon adding the newborn to the policy within 30 days from the DOB. Backdating is not permitted in this case.
- For DHA-Compliant Plans: Similar to DOH-Compliant plans, the eligible cost of newborn treatment is covered for up to 30 days from the DOB under the mother's insurance coverage. The condition for coverage is the addition of the newborn to the policy within 30 days from the DOB. Backdating is allowed for newborns up to 7 days from the DOB. If this 7-day limit is exceeded, enrollment will start from the date of GIG's receipt of complete documentation.
Please Note: Any medical treatment or services incurred prior to policy issuance will not be covered on a reimbursement basis.
What is the insurance procedure for newborns born outside the UAE?
If your insurance
policy permits the inclusion of dependents, and you have a
newborn, it's crucial to inform us promptly about this new
addition. Depending on the specific policy regulations and
details, we may be able to backdate the coverage to the date of
the newborn's birth.
Certain plans we offer include a 'Newborn Benefit,' which
provides provisional coverage for the newborn under the mother's
policy for up to 30 days within the defined geographical scope.
For further information about this benefit and the prerequisites
for adding a newborn, please refer your table of benefits and
policy handbook.
What is the Health on Track Program?
A program
offering a set of diverse healthcare solutions of wellness and
prevention, tailor-made for you and your loved ones.
Our
goal is to address and cater to your healthcare needs throughout
all stages, from being healthy to occasionally ill to
chronically to critically ill.
It is a comprehensive kit of
mental and physical management and prevention tools that will
help you maintain a healthy lifestyle and support you in case of illness.
What is Teleconsultation, how do I get started to avail this service?
Teleconsultation
is a 24/7 virtual healthcare consultation with licensed GPs
through audio and video calls, teleprescription, health guidance
from a nutritionist, and chronic condition monitoring and coaching.
Service Benefits
• 24/7 access to GPs for medical advice
• Medication
prescription
• Medication delivery (where approved by
regulators)
• No Co-pay
• Wellness and prevention
guidance from GPs and nutritionists
Access options
You can access the service through:
•‘MyGIG Gulf’ app.
To speak to a doctor, select the ‘Call a doctor’ icon
•
Alternatively dial in the toll-free number from a mobile or a
landline. Please contact your HR or key account manager to have
more information.
We recommend using this tool as soon as
your insurance policy starts and throughout the year, whether
you are looking for prevention guidance or fall sick and need
immediate medical advice.
What is Mindset, how do I get started to avail this service?
Mindset is a
confidential 24/7 access to emotional well-being counseling with
licensed psychologists through voice calls. It is a service
aiming at raising awareness about mental health by reducing the
stigma, preventing mental distress by fostering resilience and
empowering you towards a state of psychological safety at work
and in your lives.
Service Benefits
•24/7 access to psychologists through a hotline
•Available in 5 different languages: English, Arabic, Urdu,
French & Hindi
•Access throughout the year to podcasts,
seminars and workshops provided by professional coaches to
inform, support and empower you toward a resilient mind
Access Points
Your employees and their dependents (above 17 years) can
access the service through:
•‘MyGIG Gulf’ app by selecting
the ‘Speak to a Psychologist’ icon
• Alternatively, dial in
the toll-free number from a mobile or a landline. Please
contact your HR or key account manager to have more
information.
We recommend you use this tool as soon as your
insurance policy starts and throughout the year for any matters
impacting your wellbeing or psychological health.
What is the typical processing time for pre-approvals?
For outpatient
services, the standard turnaround time is 1 hour, with 95% of
cases processed within 60 minutes or less.
For inpatient
services, the standard turnaround time is 4 hours.
What is GIG Gulf Health Talks and how can I access the sessions?
GIG Gulf Health Talks are a series of online webinars featuring experts discussing well-being topics such as stress management, mindfulness, heart health, and more. These webinars empower you with knowledge to enhance your quality of life and maintain a positive lifestyle. To access these sessions, you can find all previous sessions on the Health on Track section of MyGIG Gulf Mobile App and invitations are sent directly to members by the "GIG Health & Wellbeing" Team
I am currently traveling and have been requested to provide an 'insurance certificate' as proof of insurance coverage. What are the steps to follow?
To access your
insurance certificate, you can follow these steps:
• Log in
to the
MyGIG Gulf Mobile App
.
• Navigate to the 'Active policy' section and click on
'View Details' to access your policy information.
• Select
the 'Documents' tab.
• Under the 'Insurance / Travel
Certificate' section, click on "View" to both view and
download your Insurance Certificate.
• If needed, you can
click on 'Share' to easily share the Insurance Certificate.
Please note that you will require Adobe Acrobat Reader or any
other PDF viewer to open and view the certificate.
Whom should I get in touch with for medical treatment abroad?
If you need to be admitted to a hospital while abroad, please promptly reach out to us at least 7 days before the planned treatment. You can contact us via phone at +971 4 507 4000 or send an email to intl@gig-gulf.com . Ensure that you include all necessary information, such as your policy number, admission date, medical reports, doctor's details, hospital information, and cost estimates.
What do co-pay, co-insurance and deductible mean?
When an employee
health insurance plan includes co-insurance, members may be
required to contribute a specific percentage of the treatment
cost. The exact percentage hinges on two key factors:
• The
co-insurance percentage specified for all Outpatient services,
as indicated on the health insurance digital or physical
card.
• Whether a member sought care from an In-Network
Provider under a Direct Billing arrangement or from an
Out-of-Network Provider, where they paid upfront and later
sought reimbursement, in the case of an emergency.
In
contrast, a co-pay or deductible refers to a fixed amount
individuals must pay when they visit a doctor for a
consultation. The specific amount is detailed on their medical
card. It's important to note that the "co-pay" should
not be charged for follow-up visits within 7 calendar days if
the visit is related to the same condition and involves the same doctor.
For more comprehensive information about the particulars of
your medical insurance plan, including any additional applicable
co-insurances, it's advisable to consult your insurance provider directly.
Which providers can I visit?
You have the option to consult with any healthcare professionals who are part of the direct billing network linked to your policy (please refer to your policy document for details). If you decide to see a provider outside of this network, you will need to cover the costs upfront and then submit a reimbursement claim (Pay & Claim). We will refund the expenses based on Reasonable and Customary rates that apply to your network. To find a list of direct billing network providers, you can access the GIG Gulf Medical Provider Locator through the MyGIG Gulf Mobile App or the GIG Gulf Website.
I forgot my password for MyGIG Gulf Mobile App, how can I reset my password?
• If you forgot
your MyGIG Gulf password, tap on "Don't remember your
password" link on the log-in page.
• Enter your
registered email with GIG to receive the password reset link.
Once you entered your email, click on 'Send Email'.
• You
will see a confirmation on the screen that the password reset
email was sent to your email.
• Next, open your email inbox
and check for an email from 'support-giggulf@gig-gulf.com'.
• You will receive the password reset link on the email address
that you used to register on MyGIG Gulf. Once you receive the
email, click on 'Reset Your Password'.
• Enter your new
password, and repeat it for confirmation, then tap to save it.
You can now go back to MyGIG Gulf entry page and log in using
your new password.
I may require surgery; will I be covered under my medical insurance?
All inpatient
services, including surgeries, necessitate pre-approval from GIG
Gulf to check eligibility, suitability and limit availability.
If you are consulting a healthcare professional within our
network, your medical provider will initiate the pre-approval
process on your behalf. However, if your medical provider is not
within our network, you can arrange to send an email to
intl@gig-gulf.com
, including the following requirements:
• A
pre-authorization request form
detailing the treatment plan, signed and stamped by the
treating doctor.
• An itemized cost estimate of the hospital
bill, providing a breakdown of all charges.
• A
comprehensive medical report.
• Diagnostic reports.
For
healthcare providers within our network, pre-approval may take
up to 4 hours, depending on the specific case. If you are
consulting a provider outside our network, the pre-approval
process may take up to 8 hours, again contingent on the
individual case.
What should I do if I forget my insurance card during my visit to a healthcare provider?
If you find yourself without your insurance card when visiting a healthcare provider, there are alternative solutions available. If you are in the UAE, you can use your Emirates ID. Or, for all other locations, you can access your E-card via the MyGIG Gulf Mobile App.
In which countries can I receive medical treatment outside of the UAE?
You can find specific information about the countries where you have coverage by referring to your Table of Benefits (TOB) which outlines your area of cover and lists the countries where you are eligible for medical treatment.
What is pre-approval, and when is it necessary?
Pre-approval is necessary for specific outpatient (OP) services and all inpatient (IP) services when you receive treatment from a provider within the network. You don't have to take any action yourself; the healthcare provider will initiate the pre-approval request directly to GIG Gulf for the services that require it.
What is required to obtain pre-approval from network providers?
To secure pre-approval from network providers, you will need to provide either your Emirates ID or your e-Card accessible via the MyGIG Gulf Mobile App . The provider will handle the pre-authorization process in accordance with the service level agreement, eliminating the need for you to take any additional steps.
How should I proceed if there is a delay in my pre-approval request?
To inquire about the status of the pre-approval request, please reach out to us using the contact number provided on the back of your medical card.
What are Reasonable & Customary (R&C) charges? When do they apply?
All benefits and
services submitted for claim reimbursement will be assessed
according to the Reasonable and Customary Charges or as
specified in your table of benefits, following the terms and
conditions of your policy. The Reasonable and Customary Charges
represent an average value based on our negotiated, discounted
costs for similar treatments within the network indicated in
your plan.
This means there may be out-of-pocket expenses depending on
how the charges align with this standard. For a detailed
understanding of your healthcare policy, including potential
out-of-pocket costs, access your table of benefits and
membership handbook on
MyGIG Gulf Mobile App
.
Will I receive a notification about my payment deadline?
Certainly, GIG Gulf will send a reminder to the email address that is registered in the system for corporate and SME customers who have an approved credit facility.
What is MyWellness Week and how can I access the sessions?
MyWellness Week is Health on Tracks' annual online educational event designed to empower participants with knowledge across multiple dimensions of holistic well-being, inspiring them to make positive life changes. This program offers a range of free classes and provides access to world-class experts in various well-being areas. It's an excellent opportunity to strike a balance between work and well-being, with attractive incentives for the highest engagement levels. To benefit from this program, access all previous sessions through the Health on Track section of the MyGIG Gulf Mobile App . Registration will be available when the program reopens.
What is GIG Gulf Health and Well-being Blog and how can I access the blog posts?
GIG Gulf Health and Well-being Blog consists of monthly posts that share practical and actionable knowledge related to well-being. These articles cover a variety of trending topics related to healthy living, disease management and prevention. Access to all the blog posts through the GIG Gulf Website or Health on Track section of the MyGIG Gulf Mobile App.
What is Health on Track PodCast and how can I access the podcasts?
The Health on Track Podcast is a bi-weekly shot of wellness insights. We feature subject matter experts who address a wide range of health concerns and wellness challenges to support our members at all stages of their wellbeing journey. You can listen to the podcast on platforms like Spotify, Apple Podcasts, YouTube, Anghami or through the GIG Gulf Website.
How can I submit an Inquiry or a Complaint?
From GIG Gulf website
• Navigate to the
GIG Gulf Website
, choose your respective country, click on `
Contact Us
` on the main page, and you will find all the contact
information you need to contact our Customer Service Team.
Inquiry and complaint forms are also available on this page.
From MyGIG Gulf app
• Login to
MyGIG Gulf Mobile App.
• Navigate to `Profile & App Settings`
•
Navigate to the `Help & Support` menu in the `Queries and
Complaint` section, and you can submit a query or a complaint
from there.
How soon can I expect a response from GIG Gulf regarding a complaint?
Upon submitting your complaint, you can anticipate a response from us within one working day. We will promptly acknowledge your complaint and provide you with a reference number. Furthermore, we will outline the subsequent steps in the process and provide you with the means to get in touch with us for further discussion.
We are committed to conducting a thorough investigation and aim to communicate the outcome of your complaint within 7 working days for UAE, Oman and Bahrain, 5 days for Qatar.
Please rest assured that your complaint will always be handled with fairness and confidentiality. Once your matter is resolved, your feedback will contribute to our efforts to enhance our services.
What are the “Unrecognized Providers”?
"Unrecognized providers" essentially refers to healthcare professionals or facilities that GIG Gulf network does not acknowledge for direct billing and/or reimbursement. Hence, we highly advise you to access the GIG Gulf Unrecognized Providers List , which is available on the MyGIG Gulf Mobile App or the GIG Gulf Website and download the most up-to-date list. Doing so will help you avoid incurring out-of-pocket expenses.
Can I avail direct billing outside the UAE?
For outpatient
services outside the network, reimbursement will be the method
of payment. (We will refund the expenses based on Reasonable and
Customary rates that apply to your network)
• When it comes to inpatient services, you should reach out
to us to obtain a Guarantee of Payment (GOP), which is
contingent upon the provider's acceptance. GOP ensures that you
won't need to make payments for eligible treatments.
• In
specific situations, we can also facilitate direct billing for
elective inpatient treatment with our affiliated partners,
depending on the treatment location and provider's acceptance,
provided that pre-approval is granted in advance.
• You can
access your list of International Network Providers by using the
GIG Gulf Medical Provider Locator
on either the MyGIG Gulf Mobile App or the GIG Gulf Website.
Is pre-approval necessary in the event of an emergency?
No, pre-approvals are not necessary for emergencies.
What do the "Pre/Post-Natal Complications" benefits entail?
The
"Pre/Post-Natal Complications" benefits encompass
unforeseen medical situations that may arise during pregnancy
(antenatal), childbirth, or after delivery (postnatal). These
situations necessitate additional care or interventions beyond
what would typically be required for a normal pregnancy, as they
pose a direct threat to the well-being of the mother and/or baby.
For a maternity claim to be considered a complicated
pregnancy and for coverage of a C-section up to the policy
limit, it must meet specific criteria, including the following
conditions: Placenta Previa, Pre-eclampsia, Fetal distress,
Urine rupture, and Umbilical cord prolapse. It's important to
note that this benefit is exclusively available to eligible
married females per policy year.
How are Outpatient, Inpatient, and Daycare defined?
Outpatient:
An outpatient
refers to a patient who does not stay overnight in a hospital
but instead visits a hospital, clinic, or related facility for
diagnosis or treatment and is subsequently sent home after the consultation.
Daycare: Daycare pertains to a patient or case that
enters a hospital for a medical treatment or surgical procedure
and is managed and discharged within a single day. This falls
under the category of outpatient care.
Inpatient: An inpatient denotes an insured member who is
formally admitted as a bed patient in a hospital. They incur
daily room and board charges, and the stay typically spans a
minimum duration of 24 hours.
I am a UAE policy holder; how do I access medical care in the UAE?
Your GIG Gulf insurance plan offers a convenient method of accessing healthcare services without the need for a physical insurance card. Simply present your Emirates ID when visiting an in-network healthcare facility and mention 'GIG Gulf.' Alternatively, you can also utilize the MyGIG Gulf Mobile App and present your e-card to access medical care.