Frequently Asked Questions

Find the frequently asked questions for United Arab Emirates below. Please use the country selector at the top of the page for FAQs in your country.

• 1.Who is NEXtCARE?

  NEXtCARE is the leading Third Party Administrator in the region and member of the world leading Allianz Group.

• 2.Is NEXtCARE an Insurance Company?

  No, NEXtCARE is a Third Party Administrator who works closely with insurance companies and other types of Payers as an administrative support.

• 3.What role does NEXtCARE play?

  NEXtCARE specializes in providing complete Health Insurance management and Third Party Administration services to Insurers and other Payers of Healthcare.

• 4.How can I enroll with NEXtCARE?

  You can enroll with NEXtCARE through our insurance companies and self funded schemes, kindly visit our Business Partners page.

• 5.How do I use my health insurance card?

  You need to present your NEXtCARE Health Insurance card each time you visit a  health services provider within our network before service is obtained in order to qualify for direct billing.

• 6.Can I visit a non network provider?

  Yes you can, however NEXtCARE will not be able to pay your bills directly. You have to pay the charges in full and file a reimbursement claim for eligible expenses. Check your contract if it allows for reimbursement.

• 7.What is an ASOAP form?
  An “ASOAP form” is a claim form that should be filled by your treating physician and has information that is relevant to your medical illness and treatment.The ASOAP claim form is a triplicate form, the white copy is for the clinic and hospital, the pink copy is for the diagnostic center, the yellow copy is for the pharmacy.
• 8.How can I get an ASOAP form?
  The ASOAP form is available at all NEXtCARE providers. You can download a copy from the download section on this website. This copy cannot be used for claim purposes.
• 9.How can I get a reimbursement form?
  This form is available at the HR office in your company. You can download copy from the download section on this website. This copy cannot be used for claim purposes.
• 10.How can I submit my reimbursement claims?

  If you choose to visit a non network provider, you will be obliged to pay the bill and file a reimbursement claim for eligible expenses. Kindly follow the steps below to complete your reimbursement claim:

  • At the time of treatment pay the bill and request an itemized invoice which lists each detailed cost by individual service.
  • If the doctor has requested laboratory tests, x-rays, special tests or scans, obtain copies of the results and reports. Original valid prescriptions for medications are also needed.
  • For hospitalizations and same day procedures, please ask your doctor for a complete medical report, surgical report and discharge summary.
  • Official translation into English or Arabic is required for international claims. NEXtCARE will not arrange translation and will return non-translated claims to you.
  • Sign the declaration on the claim form and make sure you include your mobile telephone number. Attach all original receipts of payments, invoices and other relevant documents.
  • Keep a copy of the all documents for your records and to help you check claims payments.
  • Send a copy of the claim document in an envelope to the Human resources office in your company.
  • Reimbursement ASOAP Forms must be submitted within 60 days of the treatment date to be eligible for reimbursement.
• 11.How can I collect my money for direct reimbursement?
  After 21 working days from the date of receiving the complete reimbursement claim you will be able to collect your check from the human resource office at you company.
• 12.What do the abbreviations on my card stand for?

  Ded/D:	Deductible
  Copar:	Co participation
  C:	Consultation
  CAT:	Category
  YOB:	Year of birth
  Network:	GN: General Network excluding American hospital GN+: General Network with American hospital RN: Restricted Network RN2: Economic Network

  Membership # = 16 alpha-numeric digit unique to your membership.
  It is advisable to give this number when calling NEXtCARE.

• 13.How can I join NEXtCARE providers?

  Contact NEXtCARE Network department on +971 4 6056733 or email to network@nextcare.ae

  Visit the Providers page in our Business Partners section.

• 14.What is considered a preexisting condition?

  Any Beneficiary health condition known to the Beneficiary and/or to the Contractholder that exhibited symptoms or was a consequence of Injury or Illness for which medical, Surgical and/or pharmaceutical Treatment, medical diagnosis or other advice was provided prior to the Beneficiary's Enrollment Date.