Health Insurance System for Expats in the UAE:
A Comprehensive Guide

The United Arab Emirates has established one of the most comprehensive and mandatory health insurance systems in the Middle East, ensuring that all residents, including expatriates, have access to quality healthcare services.

Health Insurance in the UAE

As of January 1, 2025, the UAE has implemented a nationwide mandate requiring all private-sector employers to provide health insurance for their employees. This significant policy change aims to ensure that all residents, including expatriates, have access to essential healthcare services. While the mandate applies across all Emirates, there are notable differences in implementation and requirements between Dubai, Abu Dhabi, and the Northern Emirates. This guide provides foreign clients with a detailed overview of navigating these regulations effectively.

Table of Contents

Get in Touch with Us

Peter

Mr. Peter J. Heidinger

Chairman
united states flag germany flag

Legal Framework and Mandatory Requirements

Key Legal Requirements:

  • All private sector employees and domestic workers must have health insurance coverage
  • Employers are legally responsible for providing and paying for basic health insurance
  • International or foreign insurance plans are generally not accepted for residency or visa purposes
  • Health insurance is mandatory for visa applications and renewals

Emirate-Specific Regulations

Dubai

  • Employer Responsibility: Employers are required to provide health insurance for their employees. However, employees are responsible for covering their dependents.
  • Coverage Standards: The Dubai Health Authority (DHA) mandates that all health insurance policies meet the Essential Benefits Plan (EBP) criteria, ensuring a minimum level of coverage.
  • Regulatory Body: The Dubai Health Insurance Corporation, affiliated with the DHA, oversees the enforcement of health insurance laws in Dubai.
  • 2025 Update: Premiums are expected to rise by 5–20% due to expanded benefits, including dental, psychiatric care, and organ transplants.

Abu Dhabi

  • Employer Responsibility: Employers must provide health insurance for their employees and their immediate family members, including one spouse and up to three children under 18 years old.
  • Coverage Standards: The Department of Health – Abu Dhabi (DOH) oversees health insurance regulations, ensuring that policies meet the required standards.
  • 2025 Update: The Thiqa Program continues to offer comprehensive coverage for UAE nationals, with enhancements in pediatric and maternity care.

Northern Emirates (Sharjah, Ajman, Ras Al Khaimah, Fujairah, Umm Al Quwain)

  • Employer Responsibility: As of January 1, 2025, employers are required to provide health insurance for their employees and domestic workers as a condition for issuing or renewing residency permits.
  • Coverage Standards: The basic health insurance package starts at AED 320 per year, covering individuals aged 1 to 64, with no waiting period for those with chronic illnesses.
  • 2025 Update: The mandate applies to both mainland and freezone companies, ensuring uniformity across the Northern Emirates.

Coverage Comparison Across the UAE

Feature

Dubai

Abu Dhabi

Northern Emirates

Employer Responsibility

Employees only

Employees + immediate family

Employees + domestic workers

Minimum Coverage

Essential Benefits Plan

Thiqa Program

Basic Health Insurance Package

Annual Premium Range one person

AED 10K-20K

AED 10K-20K

AED 10K-20K

Regulatory Body

DHA

DOH

Varies by Emirate

Individual Plans vs. Group Insurance in the UAE

When securing health insurance in the UAE, one of the key decisions is choosing between an individual plan and a group insurance policy:

Individual Plans

Designed for single policyholders, these plans allow residents or expatriates to select coverage based on their personal medical needs and budget. Individual plans are often chosen by freelancers, small business owners, or employees whose companies do not provide health coverage. They offer flexibility in selecting benefits, but premiums can be higher compared to group coverage.

Group Insurance:

Typically provided by employers, group insurance covers employees—and often their dependents under a single policy. Group plans are generally more cost-effective, as the risk is spread across multiple people. In Dubai and Abu Dhabi, employers are legally required to provide health insurance for their staff, making group insurance the most common option. These plans ensure compliance with local laws while giving employees access to essential healthcare benefits.

Feature

Individual Plans

Group Insurance

Who it Covers

One person (policyholder); dependents can be added separately

Employees of a company (often includes dependents)

Cost

Premiums are paid by the individual; can be higher

Usually paid by employer; more cost-effective for employees

Flexibility

Customizable to personal needs and budget

Standardized coverage for the whole group; less customization

Legal Requirement

Suitable for freelancers or individuals without employer coverage

Mandatory for employers in Dubai & Abu Dhabi to provide for staff

Best For

Freelancers, small business owners, or dependents not covered by employer

Companies and employees seeking cost-efficient, compliant coverage

What is a “Minimum” or “Basic” Health Plan?

The UAE government introduced a new Basic Health Insurance Package priced at AED 320 per year in 2025. This affordable option provides essential coverage for individuals aged 1-64 years and includes:

Coverage Benefits:

·        Annual coverage limit of AED 150,000

·        Access to seven hospitals, 46 clinics, and 45 pharmacies across the UAE

·        Coverage for chronic diseases and pre-existing conditions without waiting periods

·        Telehealth services with no co-payments (except pharmacy services)

Co-payment Structure:

  • Inpatient care: 20% co-payment (capped at AED 500 per visit, AED 1,000 annually)
  • Outpatient services: 25% co-payment (maximum AED 100 per visit)
  • Medications: 30% co-payment with annual coverage up to AED 1,500
  • Follow-up visits within seven days for the same condition require no co-payment

Dubai — Essential Benefits Plan (EBP)

Who it targets: The Essential Benefits Plan serves as the minimum required health insurance coverage for Dubai residents earning less than AED 4,000 monthly. All employers in Dubai are legally required to provide their staff with at least the minimum level of health insurance coverage under a DHA-compliant plan.

What it covers (typical): Inpatient, outpatient, maternity, and emergency services within Dubai and across the UAE for emergency care. Coverage limits and co-payments are set by DHA-approved insurers, with annual benefit caps and defined exclusions under the EBP framework.

Why it matters: Dubai’s Essential Benefits Plan ensures that all residents have access to a basic level of healthcare while keeping premiums affordable for employers and individuals. Employers must confirm that their chosen policy is DHA-approved and matches the eligibility and salary criteria for EBP coverage.

Abu Dhabi — Basic Plan

Who it targets: The Basic Plan is designed for lower-income employees and those eligible under regulator rules; it also aligns with the Thiqa social scheme for nationals. Employers in Abu Dhabi are required to ensure their employees (and in many cases immediate family members) are insured under a compliant plan.

What it covers (typical): Inpatient, outpatient and emergency services within Abu Dhabi; emergency care is typically honored across the UAE (emergency stabilization outside Abu Dhabi), with caps and co-payments defined by DOH-approved plans.

Why it matters: Abu Dhabi’s Basic Plan provides a minimum standard of care while enabling lower premiums for targeted groups. Employers must verify that the chosen plan is DOH-approved for the relevant employee categories.

Northern Emirates — New Basic Packages (2025 rollout)

Who it targets: Beginning with the nationwide moves in 2025, Northern Emirates rolled out regulator-approved basic packages intended to provide minimum coverage for private sector employees and domestic workers in emirates like Sharjah, Ajman, RAK, Fujairah and Umm Al Quwain.

What it covers (typical): Core outpatient, inpatient and emergency care with modest annual caps and co-payment structures; the basic plan was designed to be affordable (marketed with premiums often in the AED 320–350 range for basic statutory packages).

Why it matters: The Northern rollout standardizes minimum coverage across emirates previously without uniform rules and improves access to care for low-income workers.

A standardized “Basic” or “Essential” plan framework underpins compliance, with affordable entry-level premiums positioned for lower-income workers and domestic staff.

In Dubai, the Essential Benefits Plan (EBP) sets minimum benefits for those under AED 4,000 salary and for dependents/domestic workers; higher-earning employees must still meet minimum standards even if not EBP-eligible.

Abu Dhabi’s Basic Plan covers inpatient, outpatient, and emergency care within the emirate, with emergency coverage across the UAE; plans are marketed with low annual premiums for regulator-defined lower-income members.

Premium range of Health Insurance in the UAE

Comprehensive Coverage Options

Beyond basic plans, expatriates can choose from various coverage levels :

Mid-Tier Plans: Cost between AED 3,000-7,000 annually, offering broader healthcare access with annual limits ranging from AED 187,268 to AED 500,000.

Premium Plans: Starting from AED 8,000 annually, these plans often include worldwide coverage (sometimes excluding USA/Canada), private hospital rooms, and specialized treatments.

Family Plans: Combine coverage for multiple family members under one policy, typically more cost-effective than individual policies.

Features of Premium Health Insurance Plans

  • High annual limits: Plans typically offer annual coverage ranging from AED 500,000 up to AED 5,000,000 or even unlimited coverage.
  • Worldwide coverage: The most expensive plans provide global coverage, ensuring you can access treatment anywhere in the world. Some plans offer worldwide coverage excluding the USA and Canada for a lower premium.
  • Extensive provider network: You get access to an extensive network of top-tier hospitals, specialized clinics, and experienced consultants, including premium facilities like the American Hospital Dubai.
  • Low or no co-insurance: Higher-tier plans often feature very low co-insurance rates (as low as 0–10%) or no co-insurance at all for most services, significantly reducing your out-of-pocket expenses.
  • Enhanced maternity benefits: Premium plans offer higher maternity coverage limits, ranging from AED 25,000 to AED 50,000 for delivery and associated care.
  • Comprehensive benefits: Standard coverage is expanded to include dental, optical, and alternative medicine, with specific annual limits for each.

Where to find premium plans

Many major international and local insurers, including Cigna, Bupa, MetLife, ADNIC, and Sukoon (formerly Oman Insurance), provide comprehensive and global plans to residents in the Northern Emirates. These high-quality plans often offer the same extensive coverage available in Dubai and Abu Dhabi to residents across the UAE.

Key differences between Basic and Premium plans

Comparison 

Basic Plan

Premium Plan

Annual Limit

AED 150,000.

Up to AED 5 million or unlimited.

Annual Premiums

Significantly lower, starting from as little as AED 320–550.

Much higher, starting from around AED 10,000 and up.

Co-payment

High, up to 20–30% depending on the service.

Very low or zero for most services.

Network

Restricted network of clinics and government-approved hospitals.

Extensive network of top-tier private hospitals and clinics.

Maternity

Specific sub-limits (e.g., AED 10,000 for delivery).

Higher limits (e.g., AED 25,000–50,000).

Extra Benefits

Minimal; no dental, optical, or alternative medicine.

Often includes dental, optical, wellness programs, and mental health coverage.

Key Considerations for Foreign Clients

Compliance with Local Regulations: Ensure that your health insurance policies align with the specific requirements of each Emirate to avoid penalties and ensure smooth visa and residency processes.

Tailored Coverage Plans: Consider the healthcare needs of your employees and their families. Opt for plans that offer comprehensive coverage, including outpatient, inpatient, maternity, dental, and mental health services.

Cost Implications: While the basic health insurance package is affordable, additional coverage options may incur higher premiums. Evaluate the cost-benefit ratio to provide optimal coverage without exceeding budget constraints.

Integration with Other Services: Collaborate with service providers like FMC Group to integrate health insurance with other HR services, such as payroll and visa processing, to streamline operations and ensure compliance.

2025 Summary: A Year of Transformation

Emirate / Region

Key Feature (2025 Updates)

Dubai

Mandatory employer coverage; 5–20% premium hikes with richer benefits under DHA guidance

Abu Dhabi

Employer covers employee + family (spouse + 3 kids); Thiqa enhancements and co-payment shifts

Northern Emirates

New nationwide mandate; low-cost basic plans (AED 320–350); improved healthcare access

Top 8 Health Insurance Providers in the UAE for 2025

1. Daman Health Insurance

  • Overview: As the largest health insurance provider in the UAE, Daman offers a wide range of plans catering to individuals, families, and corporate clients.
  • Strengths: Extensive network of healthcare providers, including partnerships with government hospitals. Offers both basic and premium coverage options.
  • Ideal For: Employers seeking comprehensive coverage for their employees and their families.

2. Abu Dhabi National Insurance Company (ADNIC)

  • Overview: Established in 1972, ADNIC provides health insurance solutions with a strong presence across the UAE.
  • Strengths: High claim settlement ratio, customizable plans, and a vast network of healthcare facilities.
  • Ideal For: Businesses looking for reliable and flexible health insurance options.

3. AXA Gulf (GIG Gulf)

  • Overview: AXA Gulf, now part of GIG Gulf, is a leading international insurer offering a range of health insurance plans.
  • Strengths: Global coverage, 24/7 medical support, and online claims processing.
  • Ideal For: Expatriates and multinational companies requiring international health coverage.

4. Cigna

  • Overview: A global health insurance provider known for its comprehensive health plans and wellness programs.
  • Strengths: Flexible plans, preventive care services, and a strong network of healthcare providers.
  • Ideal For: Individuals and families seeking personalized health insurance solutions.

5. Bupa Global

  • Overview: Bupa Global offers premium health insurance plans with extensive international coverage.
  • Strengths: Access to a wide range of medical facilities worldwide, including private hospitals and clinics.
  • Ideal For: High-net-worth individuals and expatriates requiring global health coverage.

6. MetLife

  • Overview: MetLife provides health insurance plans with a focus on critical illness coverage and comprehensive benefits.
  • Strengths: Structured plans, wellness programs, and a wide network of healthcare providers.
  • Ideal For: Employers seeking structured health insurance plans for their employees.

7. Sukoon Insurance (formerly Oman Insurance Company)

  • Overview: Sukoon Insurance offers a variety of health insurance plans tailored to individual and corporate needs.
  • Strengths: Competitive premiums, extensive network, and a range of coverage options.
  • Ideal For: Businesses and individuals seeking cost-effective health insurance solutions.

8. Orient Insurance

  • Overview: Orient Insurance provides health insurance plans with a focus on customer service and comprehensive coverage.
  • Strengths: Wide range of plans, including options for dental and optical care.
  • Ideal For: Individuals and families seeking comprehensive health insurance coverage.

Is Foreign Health Insurance Enough in the UAE?

  • Many expatriates relocating to the UAE or companies seconding staff often ask if existing foreign or international health insurance policies are sufficient for visa purposes and access to medical services.

    The short answer is: No, foreign health insurance alone is not enough to meet UAE requirements.

Why Foreign Insurance is Not Enough

Legal Compliance

UAE law requires all residents to be covered by a locally licensed health insurance provider.

In Dubai and Abu Dhabi, proof of compliant local health insurance is mandatory before issuing or renewing a residence visa

Limited Recognition

Hospitals and clinics in the UAE typically do not bill foreign insurers directly. This means expatriates may need to pay large amounts out-of-pocket and claim later, which can be financially risky.

Regulatory Minimums

Each Emirate enforces minimum plan frameworks (e.g., Dubai’s Essential Benefits Plan, Abu Dhabi’s Basic Plan) that foreign insurers rarely align with.

Even if an expat has global coverage, it may not meet the DHA (Dubai Health Authority) or DOH (Department of Health Abu Dhabi) criteria for minimum benefits.

Visa & Residency Requirements

Local health insurance is directly linked to visa issuance. Without proof of a compliant local policy, residence visas cannot be processed.

Can Foreign Insurance Still Be Useful?

Yes, international health insurance can be valuable as a supplement:

  • Covers medical treatment outside the UAE (e.g., home country, Europe, US, Asia).
  • Provides broader networks and higher annual limits than UAE basic plans.
  • Offers additional benefits like evacuation, repatriation, or maternity care at international hospitals.

Best Practice for Expats and Foreign Employers

  • Maintain a UAE-compliant local plan to meet regulatory and visa requirements.
  • Use foreign or global plans as top-up coverage, especially for senior executives, expatriate families, or staff requiring international mobility.
  • Check with HR or your EOR (Employer of Record) to coordinate dual coverage efficiently, avoiding overlaps or coverage gaps.

Employer of Record Services and Health Insurance

EOR Responsibilities

  • For companies using Employer of Record (EOR) services in the UAE, health insurance obligations remain critical:

EOR Health Insurance Duties:

  • Provide UAE-approved health insurance for all employees
  • Ensure compliance with local health insurance regulations
  • Handle visa sponsorship requirements including health insurance documentation
  • Manage group health insurance plans or facilitate individual coverage

Coverage Options through EOR:

  • Group health insurance plans offering comprehensive coverage at competitive rates
  • Individual health insurance plans tailored to specific employee needs
  • Family coverage typically negotiated separately with clients

Penalties and Compliance Consequences

Financial Penalties

The UAE imposes significant penalties for non-compliance with health insurance requirements:

Dubai Penalties:

  • Fines ranging from AED 500 to AED 150,000
  • Monthly fines of AED 500 for each uninsured person
  • Penalties can be doubled for repeat violations within one year (maximum AED 500,000)

Abu Dhabi Penalties:

  • Monthly fine of AED 300 per uninsured person
  • Employers face AED 10,000 fines for recovering insurance costs from employees
  • Additional penalties up to AED 20,000 for various compliance violations

Legal and Administrative Consequences

Visa and Residency Issues:

  • Visa application delays or denials
  • Emirates ID processing suspension
  • Difficulties with visa renewals

Legal Complications:

  • Potential lawsuits from healthcare providers for unpaid medical bills
  • License cancellation for employers
  • Practice suspension for up to two years

Your Trusted EOR Partner

At FMC Group, we specialize in providing tailored health insurance solutions for foreign clients operating in the UAE. Our services include:

  • Expert Consultation: Guidance on selecting the most suitable health insurance plans for your employees.
  • Compliance Assurance: Ensuring all plans meet UAE regulatory requirements.
  • Seamless Integration: Assistance with integrating health insurance into your HR and payroll systems.
  • Ongoing Support: Continuous support to manage renewals, claims, and policy updates.

For personalized assistance and to learn more about how we can support your business in navigating the UAE’s health insurance landscape, please contact us.

Get In Touch With Us

We are looking forward to hearing from you

Get In Touch With Peter

We are looking forward to hearing from you