Introduction
Daman insurance company is a health insurance but non-life insurance government owned company. The head office of this organization is situated at Abu Dhabi, United Arab Emirates. This is the first and largest company to be formed in UAE that specializes national health insurance. The company is operated by the experienced professional, the diverse range of products offered and the personalized services with the help of the latest information system that permits the customers and the employees to perform on international standards and using the benefits of the services perfectly. The company provides the improved quality of health insurance embedded in everything that the customer does (Bayt.com, 2011).
The company is committed to confirm that the customers are provided with the best services to satisfy their needs in the fields of health security. The company provides the wide range of product portfolio from multiple customers’ insurance coverage at once to individual health security and insurance plans that offers the exceptional stages of protection and support. The services of the company are designed over the estimation of the overall risk of health care and expenses in comparison with all targeted group and bringing the customer’s financial factors such as monthly premium or investment on the tax to make sure that the customer must stay in a condition for payment of the health insurance plan to ensure the maximum benefit for the customers. The benefits are administrated and managed by the central group in the company that also deals with the other affairs like government policies, private business and the group has the policy that is not for profit entity (Michelle A. Green, 2010).
History
The company was formed and established on 26th September, 2005 and was the first national health insurance company. The motive behind the establishment of the company was to provide the services to the customers in the developing health insurance market in United Arab Emirates and at the same time managing the limited direct access to the multi public suppliers in Abu Dhabi. The company formed and registered in 2005 but came to the situation that offers services to the customer and functioning condition in 2006. Initially the company was started with over 1000 employees in May 2006. The company was started with recruiting some of the best professional minds of the world; Dr. Michael Bitzer was announced as the CEO of the company and Khaled Abdullah Al Qubasisi as the Chairman. The company offers a wide range of technical and non technical products and services which includes added advantages, and a range of policy limits and wider and better geographical coverage. Since beginning the companies offered its services and fulfill them as per the requirements and desires of the customers with the help of wide researches and the broad international supplier’s network that provides all the essential data, information and the goods to compromise the basic needs. The company offers the complete wide ranging solutions to the customers as required by the adjoining technologies and the basic products (Damanhealth.ae, 2011).
The performance and growth of the company since the time the company was started has increased to global level with the help of it’s mainly customers supporting strategies and the strategic partners that shares the net revenue of the company. Daman nominated Munich Re which is one of the globally leading companies with an excellent reputation outstanding performance and over 125 years of global experience as the strategic partner. The company so far as gained a position of the best health insurance and security provides in the Middle East. The company has since growing and reached to a point that it has developed a well known name in leading companies in the health insurance industry in the Middle East Asian region (Damanhealth.ae, 2011).
Regional Plan
Products and services
“Daman was initially established to cater to the growing health insurance market in the UAE, whilst maintaining exclusive direct access to the many public providers in Abu Dhabi. Daman offers a wide range of technical products with added benefits, extended policy limits and wider geographical coverage. Through a broad global provider network, Daman offers its clients complete comprehensive solutions as required by combining technical and basic products” (Damanhealth.ae, 2011).
The company offers a range of products and services that encloses all kinds of users and their needs to satisfy the customers. The plans offered by the company are designed to match the needs of the customers and giving them peace of mind to make sure that the customers have the coverage of their needs and further improved customer care services. The service plans offered by the company are as follows (Damanhealth.ae, 2011):
Premier Plan
The premier plan provides up to AED 5 million as the annual benefit limit per person. In this plan the patients are provided the private room (Standard Suite) that covers the 100% expenses for any kind of non emergency situations, in emergency conditions the treatment expanses can be redeemed up to 80% of the actual cost. This plan offers the services best in UAE, if the holder of this plan is not staying in UAE that the plan does not permit the customers to increase the treatment period more than 180 days.
“Annual limit: AED 5,000,000
Geographical limit: Worldwide
Maternity covered up to the plan limit within UAE and AED 75,000 outside UAE
Dental benefits-covered with a maximum annual limit per person AED 15,000
Optical benefits covered with a maximum annual limit per person AED 500
Global emergency service provided by Assist America
100% coverage within network, 100% reimbursement outside network
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network” (Damanhealth.ae, 2011)
Geographical limit: Worldwide
Maternity covered up to the plan limit within UAE and AED 75,000 outside UAE
Dental benefits-covered with a maximum annual limit per person AED 15,000
Optical benefits covered with a maximum annual limit per person AED 500
Global emergency service provided by Assist America
100% coverage within network, 100% reimbursement outside network
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network” (Damanhealth.ae, 2011)
Global Plan
The global plan provides up to AED 5 million as the annual benefit limit per person. In this plan the patients are provided the private room (Standard Suite) that covers 100% expanses at the network providers and 80% in case of non-network providers. This does not provide the home nursing services. The plan does not permit the customers to increase the treatment period more than 90 days overseas.
“Annual limit: AED 5,000,000
Geographical limit: Worldwide
Maternity covered up to the plan limit within UAE and AED 15,000 outside UAE
Dental benefits-optional
Global emergency service provided by Assist America
100% coverage within network, 80% reimbursement outside network
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network)” (Damanhealth.ae, 2011).
Geographical limit: Worldwide
Maternity covered up to the plan limit within UAE and AED 15,000 outside UAE
Dental benefits-optional
Global emergency service provided by Assist America
100% coverage within network, 80% reimbursement outside network
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network)” (Damanhealth.ae, 2011).
International plan
This plans provides same services as the global plan but the annual benefit limit per person is halved in this plan from AED 5 million to AED 2.5 million and the patients gets the accommodation at private room that is deluxe suit.
“Annual limit: AED 2,500,000
Geographical limit: Worldwide excluding USA, Canada
Emergency cases covered Worldwide
Maternity covered up to the plan limit within UAE and AED 10,000 outside UAE
Dental benefits-optional
100% coverage within network, 80% reimbursement outside network
Global emergency service provided by Assist America
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network)” (Damanhealth.ae, 2011).
Geographical limit: Worldwide excluding USA, Canada
Emergency cases covered Worldwide
Maternity covered up to the plan limit within UAE and AED 10,000 outside UAE
Dental benefits-optional
100% coverage within network, 80% reimbursement outside network
Global emergency service provided by Assist America
Second Opinion service provided by VIPmed almeda (In cooperation with Mercur Assistance)
Annual Breast Cancer Screening (applicable for females >35 years in designated network)
Annual Prostate Cancer Screening (applicable for males >45 years in designated network)” (Damanhealth.ae, 2011).
Regional Plan
This plan provides the annual benefit limit per person up to AED 1 million for the standard group and AED 500,000 for the small groups and individuals. The accommodation in this plan provides the private room (first class). The territory for this plan is worldwide excluding Canada, USA and Europe and rest of the services are same as the Global Plan.
UAE Plan
The plan provides the annual benefits limits per person as AED 500,000 for the standard group and AED 250,000 for small groups and individuals. This plan has the territorial limits only in UAE and outside only emergency cases is considered up to 90 days. The accommodation provided is Shared room and 100% expanses can redeem by the customers at the network providers but this plan does not hold for the non network providers.
Abu Dhabi Plan
This plan has the eligibility limit of monthly income of the user up to AED 5,000. The annual benefits limit per person is AED 250,000. This plan has the territorial limits in Abu Dhabi and outside only emergency cases are covered. The accommodation in this plan is in general ward. This plan is applicable to the following pre existing medical conditions:
· Diabetes
· Neurosurgery
· Maternity
· All cancers
· Chronic Obstructive Pulmonary Disease
· Cerebral vascular disease
Visitor Plan
The eligibility for this plan is as per the eligibility for the visitors according to the Ministerial Decision No. 322/2008. These plans are only for the visitors it considers only the emergency cases with the territorial limits of UAE only. The benefit limit per person is AED 100,000 all the other services are same as the Abu Dhabi plan.
Size of the company
The operations of the company started in May 2006 with around 1000 employees. Today, company has the highest market share in non-life health insurance industry in Abu Dhabi with the market share of around 85%. Currently, company has coverage to over 2,000,000 members as per the records of September 2010 (Damanhealth.ae, 2011).
Location
The headquarters of Daman National Insurance Company is situated in Abu Dhabi, United Arab Emirates. The company widely operates inside the boundaries of whole of UAE while maintaining the direct access to several of the public providers in Abu Dhabi (Damanhealth.ae, 2011).
Suppliers and Partners
The company has currently contracted with over 450,000 providers around the world which includes 1,700 providers in UAE that have the direct billing services for United Arab Emirates which includes the names like Abu Dhabi Knee and Sports Medicine Centre, Al- Karama Medical Clinic, American Center For Psychiatry & Neurology, Al Farhan Medical Centre - L L C, Dar Al- Mouasah Diagnostic Centre, Annab Laboratory, Gulf Radiology and Laboratories, etc (Damanhealth.ae, 2011).
Customer/Consumer Base
The customers or consumer base of Daman Insurance Company is extremely extensive with a wide coverage of customers in UAE and rest of the world. The company has been extremely successful in deploying the fast growing healthcare sector of UAE. The company has insured more than 2 million customers till September 2010. The regional offices of the company are located all across the UAE to serve the customers with all their healthcare insurance needs (Damanhealth.ae, 2011).
