Abu Dhabi announces new fines for health insurance violations

This decision includes 43 violations

Image used for illustrative purpose. Close up of a medical insurance form.

Image used for illustrative purpose. Close up of a medical insurance form.

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UAE -  New fines have been announced in Abu Dhabi for misuse of health insurance. This also includes a Dh1,000 fine for the employer who fails to cover emergency costs for employees.

The Department of Health in Abu Dhabi on Tuesday, September 22, announced a decision concerning violations and administrative fines for health insurance.

"The decision emphasises the government's decision to secure the rights of all parties, and to provide continuous healthcare services to all community members," Abu Dhabi Media Office said on Twitter.

The decision replaces Schedule No (4) as part of the executive regulations of Law (23) of 2005 for health insurance in the emirate of Abu Dhabi.

This decision includes 43 violations, ranging from Dh100 to Dh20,000, which cover violations including allowing others to use their insurance policy, or failure by an insurance company or claims management company to cover the cost of health services.

Among the key violations and penalties include; is a Dh5,000 fine for allowing someone who is not the named policy holder to use a health insurance policy.

According to the new rules, the employer is fined Dh1,000 if they refuse to cover the cost of health services or medical services for emergency cases for employees who are supposed to be under their employer's health insurance but they (the employer) didn't provide them with valid health insurance cover.

The new decision also stipulates a fine of Dh20,000 if the insurance company or third party administrator (TPA) fails to pay or delays payment for an amount owed for healthcare services as stated in the contract signed by the insurance company/TPA with the healthcare provider.

"Violations and administrative fines imposed on companies and employers reflect the government's the government wishes to provide integrated and continuous healthcare to all segments of the community and to secure the rights of all parties," said authorities.


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