Cover & Networks

Premium by default.
Personal by design.

Major medical cover, core to every plan. Networks, limits, coinsurance and electives — shaped around each client.

No compromise
where it matters.

Where most policies quietly fall short, OpenX delivers in full.

Cancer

Cancer treatment, in full.

Comprehensive coverage for diagnosis, treatment and follow-up — no unrealistic sub-limits, no exceptions for advanced therapies.

Transplants

Organ transplants, fully covered.

Inpatient procedures, donor costs and post-operative care included as standard. No restrictive sub-limits.

Dialysis

Kidney dialysis, no caps.

Long-term dialysis covered in full — no annual session limits, no benefit ceilings designed to push members out.

Congenital

Congenital conditions, covered.

Conditions present from birth — including those identified later in life — covered with no exclusions or exceptions.

Newborns

No newborn underwriting.

Every newborn added to the group policy at the going age-banded rate. No medical questionnaires, no day-30 cliff, no extra loading.

Lifestyle

No petty exclusions.

Road traffic accidents, sports and recreational injuries are all covered — not buried in a sub-clause.

Nine highlights.

Some of the benefits that stand out.

AED 25M annual limit
100% worldwide emergencies
Vast UAE network
Reconstructive surgery, extended
OTC medicines
Elective C-section top-up
Allergy testing & treatment
HRT, no sub-limits
AED 100K accidental death
OpenX first
Solid yet flexible.
Core benefits With every plan
Surgery, hospitalisation, ICUInpatient and day-patient care, direct-billed in network
Oncology — diagnosis, treatment, follow-upSurgery, radiation, chemotherapy, hormone therapy
Maternity, delivery, newborn (30 days)Pre-natal, delivery, complications, premature care
Mental health — psychiatry, psychotherapy, CBTIncluding inpatient and emergency stabilisation
Chronic disease managementDiabetes, hypertension, thyroid and more
Organ transplants, donor costsKidney, liver, heart, lung, bone marrow, cornea
Dialysis — no annual capsLong-term renal failure covered in full
Congenital and hereditary conditionsIncluding those identified later in life
Cancer screenings & preventive vaccinesMammogram, pap, colorectal, flu, pneumococcal, Shingrix
Ambulance, evacuation, repatriationLocal and worldwide — 24/7 Assist America
Wellx platformStandard on every plan, every network
Flexible Configured to fit
Annual policy limitAED 150,000 → unlimited
Area of coverRegional · Worldwide excl. USA · Worldwide
Network tier — including Open variantsSRN → RN → GN → CN, plus Open variants on each
Coinsurance levelsNil · 10% · 20% · 30% — per benefit
Pharmacy upliftAED 10K → AED 50K → unlimited
Dental coverRoutine only — or routine and complex
Vision & hearingSight tests, glasses, hearing aids
Alternative & complementary medicineAcupuncture, chiropractic, homeopathy
Wellness check-up (annual)AED 1,000 → AED 3,000+
Over-the-counter medicinesOpenX firstAED 100 · AED 250 · AED 500 per year
Allergy testing & treatmentOpenX firstAED 5,000 — clinically indicated
Elective C-sectionOpenX firstAvailable as an optional uplift

Local depth.
Global reach.

OpenX is built for choice. Four standard tiers — from value to top — plus three Open Network variants in between, all served by the NAS network across the UAE and the wider GCC.

Beyond the GCC, every plan extends through Medigo's global direct-billing network — providers across 128+ countries.

SRN
Super Restricted
Network

The most economic tier — value-band providers, the essentials handled, full IPMI cover at the gentlest premium.

Provider tierValue
HospitalsEssential panel
Best forCost-led SMEs
RN
Restricted
Network

A broader provider list — recognisable mid-band hospitals and clinics, without paying for the very top of the market.

Provider tierMid
HospitalsBroader panel
Best forMainstream UAE teams
GN
General
Network

Most of the leading hospitals and clinics — the names members already know and trust, without going to the very top tier.

Provider tierPremium
HospitalsMost leading providers
Best forEstablished businesses
CN
Comprehensive
Network

The full panel — the most premium hospitals and clinics, no rate-based restriction on which provider a member can choose.

Provider tierTop tier
HospitalsThe full panel
Best forC-suite & leadership
Mix & match

One policy. Different categories. Different access.

A single OpenX policy can place different staff cohorts on different network tiers — your C-suite on CN, your senior team on GN, your wider workforce on RN — all under one master contract. One renewal, one HR dashboard, the right tier of access for each part of the team. The policy bends to the org chart, not the other way round.

Bigger access.
Smaller bill.

How OpenX Open Network variants let members reach higher-tier providers — without paying higher-tier premiums.

The three Open Network variants

All three open direct-billed access in the higher-tier networks — at NAS-discounted rates, no upfront payment, no claim form.

SRN-Open
Super Restricted-Open
Use providers up to two tiers higher — 10% in RN, 20% in GN. Outpatient only.
RN-Open
Restricted-Open
Use providers up to two tiers higher — 10% in GN, 20% in CN. Outpatient only.
GN-Open
General-Open
Visit CN providers with 10% coinsurance. Outpatient only.

Open Network coinsurance applies to outpatient costs only.
Not applicable to inpatient, day-patient, pharmacy, dental or optical — those remain fully covered on every Open Network variant.

Access more. Pay less.

Outpatient scenario

A member on RN needs an outpatient consultation. Their doctor is at Kings College or Mediclinic — both GN providers, one tier above. Here is what each scenario costs.

In your network
An RN clinic or hospital
Direct billing — no cash upfront
AED0
Fully covered on direct billing. Your network. Full cover.
With RN-Open
Kings College / Mediclinic (GN)
Direct billing at NAS-discounted rates
AED45–50
10% coinsurance on the NAS-discounted rate (~AED 450–500). Insurer settles the rest. One tier up. Small coinsurance.
Without Open Network
Kings College / Mediclinic (GN)
Pay full upfront, claim back later
AED325–395
Member pays AED 675–745 cash. Reimbursement capped at the UAE Network Rate for RN (~AED 350). No Open Network. Significant out-of-pocket.
Up to 25% Premium saving · RN-Open vs GN

The things you'd expect to be optional.
Aren't.

Every OpenX plan — whatever the network, whatever the size — comes with the full stack of services, support and wellness as standard. Nothing here is an upsell.

Wellx platform

The full digital health platform — doctor 24/7, mental health, AI vitals, wearables, rewards. Standard on every plan.

CDMP

Chronic Disease Management Programme with personalised care pathways. Included on every network.

Mental health, unlimited

Unlimited sessions with qualified therapists via Wellx. No annual cap, no clinical hoops.

Telemedicine 24/7

Connect 24/7 with nothing to pay and get prescription medicines delivered to your door.

Medigo direct-billing

Cashless direct-billing for hospitalisations outside the GCC. No upfront payment, no claim forms.

Assist America 24/7

Emergency assistance, evacuation and repatriation worldwide. The call you hope to never make, answered every time.

Three teams.
Three recommendations.

Most groups fall into one of three shapes. Here is where we'd typically point them — though every quote is built around the actual demographic, budget and benefit ambitions of the team.

"A start-up with tighter budgets that still wants IPMI-quality cover and service."
Typical recommendation
RN-Open — or RN for further savings

A broad, recognisable provider list covers the day-to-day without paying for the top of the market. RN-Open lets a member reach a higher-tier provider when needed, with a small outpatient coinsurance.

"A mixed group of employees and dependants across different pay grades."
Typical recommendation
Mix & match — CN for leadership, GN, RN and/or SRN for everyone else

One master policy, different tiers per cohort. The leadership team gets the full panel; the wider workforce gets strong, value-led tiers. One renewal, one HR view, no policy fragmentation.

"A group of senior staff that do not want to compromise."
Typical recommendation
CN — the full panel, no rate-based restriction

Access to the most premium hospitals and clinics — no coinsurance, no tier mechanics, nothing for the member to think about at point of care.

Tables of Benefits

OpenX plans are highly customisable, with a full, tailored Table of Benefits included in every quote issued through your broker.

Your network.
Your card.
Your claims.

Find a provider with AI search. View insurance e-cards and contact support details. File a reimbursement claim. All in the same OpenX app that delivers the wellness layer below.

OpenX insurance in the app — network providers search and digital insurance card with claims
Built into every plan

Wellx is not an add-on.
It's the engine the policy runs on.

One platform. Daily engagement. Measurable outcomes. From doctor visits to mental health, care paths to rewards — Wellx turns a passive policy into a daily health companion for every member, every dependant.

Explore Wellx

Doctor on demand

24/7 telehealth with licensed UAE doctors. Free prescription delivery.

Unlimited mental health

Confidential 1:1 sessions with certified counsellors. No annual cap.

Care Paths

Personalised programmes for diabetes, hypertension, thyroid and more.

Care Concierge

Qualified nurses for nutrition, chronic care, weight, travel and more.

At-home health check

Annual blood panel, BMI, BP — booked in the app, results in the app.

AI vitals scan

30-second facial scan — heart rate, BP, breathing, BMI, anywhere.

Rewards that pay

Healthy choices earn rewards. Redeem for dining, shopping, lifestyle.

Wearable sync

Pair Apple Watch, Fitbit, Garmin, Oura — for sleep, recovery, activity.

85%
of members say Wellx improved their lives
93%
report strong satisfaction and trust
67%
engage with Wellx every month
Source: Wellx member data, 2026.
For HR

Visibility,
not just admin.

Every plan ships with an HR portal that turns benefits administration into something measurable. Run challenges. Nudge the team. Track outcomes — in real time.

  • Real-time engagement and health dashboards
  • Downloadable usage and outcomes reports
  • Create custom team challenges
  • Push notifications to motivate the team
  • Track logins, rewards and redemption trends

The cover is
half the story.

Wellx is the other half — the wellness engine built into every OpenX plan.