Request for Submitting Health Insurance Complaint

CYCLE
TIME

Most complaints get resolved from 30-60 working days except for suspicion of fraud and abuse cases
which require 36-48 months

Start

Description

Through this service, you can file complaints related to health insurance programs:
Thiqa program - Basic program - Enhanced program - Aounak program.

Process

01. File a complaint through Department of health website

02. Receive complaint reference no. through SMS and email

03. Receive the complaint result through a phone call, SMS and email

Required Documents

Application Form

Form approved by DoH

Application Supporting Documents

Any related document

Clarification Letter

Rejection letter

Emirates ID

Residency Visa

Issued from Abu Dhabi

Valid Health Insurance Card

Health insurance policies approved by Department of Health

Fee Schedule

Complaints and appeals submitted against a violation decision by a patient or sponsor (natural person) AED 100
Complaints and appeals submitted by an employer, Healthcare Provider, Health insurance companies, broker or Health Insurance Third Party Administrator AED 2000
Review of complaints and appeals submitted against a violation decision by health insurance companies, healthcare service providers, brokers and health insurance third party administrator by a team AED 10,000