INTRODUCTION
ENAYA – The Government of Dubai Employees & Citizens Healthcare Benefits Scheme – is by far one of the finest programs developed in the Emirate of Dubai
The Government of Dubai cares for all its citizens, employees’ as well as their families’ health and wellbeing.
ENAYA provides a broad range of cover including treatment for almost all types of ailments (Chronic and/or acute).
The program encompasses 56 Government-owned departments in addition to Dubai citizens with more than 250 thousand beneficiaries (i.e. Dubai Government employees and their families, Dubai citizens) who receive high quality services through direct access to Dubai Health Authority facilities and over a three thousand service providers in the private sector within the Emirates of Dubai and beyond.
NEXTCARE
Nextcare is a leading third-party administrator (TPA) offering a wide range of administration and management services to clients globally. Established in 1999, Nextcare offers clients access to the largest network of healthcare providers in the region and the world.
Nextcare also provides access to advanced e-health solutions, offering a complete 360-degree approach to healthcare to meet the growing needs of our expanding membership.
Other services provided by Nextcare include a 24/7 helpline, member enrolment, medical assessment and claims processing, statistical data compilation and related services aimed at providing clients with a comprehensive range of benefits.
ELIGIBILITY CRITERIA
Citizens of the Emirate of Dubai who do not benefit from any other government insurance.
Employees of government departments in the Emirate of Dubai and their families. Criteria for eligibility coverage:
Emiratis:
- Wives.
- Sons up to 24 years.
- Daughter until marriage or work.
- Parents.
Expatriate Employees::
- If expatriate husband and wife are employees of the government of Dubai and are
covered under ENAYA with different categories, then the spouse and dependents will
follow spouse with the highest coverage.
Only three (3) children can be covered by ENAYA, under the following conditions:
- Employee’s sons will be covered only up to the age of 21 and as long as they are UAE residents and unemployed.
- Employee’s daughters will be covered only up to the age of 21 and as long as they are UAE residents, unemployed and unmarried.
- The ENAYA policy allows employees to exchange one child for another only once a year and it cannot be retroactive.
- Only one wife can be covered by ENAYA Insurance.
- Employee’s parents will not be included under ENAYA Insurance.
- If the employee and his family (Spouse/ Children) are covered under ENAYA, they are required to provide a written commitment that they are not covered with any other health insurance provided by the Government of Dubai.
- HR needs to get written commitment from employees that they follow all the above-mentioned rules.
ENROLLMENT
Citizens of the Emirate of Dubai who does not benefit from any other government insurance. Enrollment can be done through:
Online registration (Contact Nextcare’s call center for guidance at 800 4 ENAYA (800 4 36292).
Kiosk registration using Emirates ID through the following steps:
- Proceed to the nearest ENAYA Kiosk within Dubai in one of the following locations:
- Al Barsha Health Center
- Nad Al Hamar Health Center
- Al Mizhar Health Center
- Hatta Hospital
- Press ‘Start’ on the digital screen.
- Insert the Emirates ID card into the designated reader.
- Complete entry of required details
- Enroll remaining family members.
- Confirm registration.
Note: You can’t be enrolled in ENAYA without a valid original Emirates ID card.
ENAYA BENEFITS:
For Employees of government departments in the Emirate of Dubai and their family’s enrolment requests should be submitted by the HR at place of work.
ENAYA offers comprehensive coverage including:
- Maternity
- Under ENAYA, expectant mothers and their babies are cared for from the start of the pregnancy to birth and afterwards. And, unlike other policies, there is no waiting period for this benefit under ENAYA.
- Pre-existing and Chronic Diseases.
- Disease Prevention.
- Routine periodic check-ups and vaccinations are fully covered and may be availed at DAHC
facilities.
