Pediatrics & Child Health Accepting MetLife in Abu Dhabi.

About MetLife

MetLife — formerly Alico in the UAE — has one of the most heterogeneous policy bases in the market, spanning low-cost SME compliance schemes, mid-tier white-collar group cover, and a robust executive-tier individual line. The carrier's TPA partner is NEXtCARE (in-house since the GlobeMed acquisition), which is the most common claims platform GCC clinic receptions interact with — a structural advantage for direct-billing reliability that quietly differentiates MetLife from carriers using third-party TPAs. MetLife's UAE network is broad: ~1,800+ direct-billing providers including the major hospital groups (Mediclinic, NMC, Aster, Burjeel, Saudi German, Medcare, HealthPlus, Medeor), most UAE-licensed multi-specialty centres, and the standard pharmacy direct-billing network (Aster, Life, BinSina). The plan ladder is structured as Silver, Gold and Platinum (employer-funded group cover) plus a separate individual line for self-paying members. For MetLife Gold policyholders — the dominant employer tier — the structure is a 10–20% outpatient co-pay capped at AED 500–1,500 annually, 0% inpatient, an annual benefit limit between AED 1M and AED 3M, and direct billing at the entire UAE network. Maternity has the standard 10-month waiting period (sometimes waived on employer-paid upgrades). Dental is sub-limited at AED 2,000–4,000 with a 6-month qualifying period. Vision is included at AED 1,000–1,500 sub-limit. Pre-authorisation is required for inpatient elective procedures, MRI, CT, and specialty drugs. MetLife differentiates from AXA and Cigna on the SME segment. The carrier writes more sub-50-employee schemes than most international rivals, with simpler underwriting and more flexible plan-design tweaks for smaller employers. The trade-off is that the executive-tier individual line is less competitive than Cigna Global or Bupa Global at the high end — most senior expats at multinationals will be on Cigna or Bupa rather than MetLife. Submit claims through the MetLife member portal or NEXtCARE app; reimbursement claims typically settle within 10–15 working days. SME group renewals are negotiated annually with material premium movement when claims experience worsens — clinics frequently report MetLife direct-billing accuracy at >95% on first submission. Co-pay, annual benefit limits and pre-authorisation rules for pediatrics & child health depend on your MetLife plan tier. Confirm with the provider's insurance desk before your visit, and with MetLife or your employer's HR broker for plan-specific schedules.