This is one of the plans under the First Assurance medical insurance policy. The Plan provides for medical and surgical expenses reasonably incurred by the insured members as a direct result of their sustaining accidental bodily injury and/or illness and/or a disease within the period of insurance.It is designed to cover individuals and their nuclear families.
[mks_toggle title=”What does the Plan cover?” state=”open”]
The main cover of the plan is in-patient .The benefits covered under the include:
- Pre-existing, Chronic and HIV cover (Year 2), Cancer treatment (Year 3)
- Lodger fee for parent accompanying child below 6 Years
- Air Evacuation through AMREF
- Psychiatric treatment (Year 2)
- Internal prosthesis
- Local emergency road ambulance which is medically necessary
Other benefits:
- Outpatient
- Maternity
- Last expense benefit
NB: Waiting period before cover commences for a new member is 60 days.
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[mks_toggle title=”Who is eligible for the cover?” state=”open”]
- Adults between the age of 18 years and 60 years.A member already in the scheme can have cover extended up to 65 years of age provided that he/she remains in active service and subject to underwriting
- Children between the age of 1 months and 17 years
NB.Members above 45 years are subjected to mandatory medical exams; Acceptance is subject to underwriting.This is at the applicant’s cost
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[mks_toggle title=”What plans does First Assurance have?” state=”open”]
Insurance is usually paid in premiums and to make it easier for payment and comparison,plans sold to individuals are grouped in standardized tiers.First Assurance medical core plan or individuals/family has the following plans:
- Core plan
- Econo care
- Status care
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[mks_toggle title=”Limits of the Core plan?” state=”open”]
[table class = “table table-striped”]Cover;Core plan 200k; Core plan 300k;Core plan 500k;Core plan 1m
Plan Limits;200,000;300,000;500,000;1,000,000
Air Evacuation; 250,000;150,000,250,000,300,000
Cancer treatment;50,000;250,000;75,000;100,000
Psychiatric Limits;100,000;100,000;100,000;100,000
Internal prosthesis; 100,00;100,000;100,000; 150,000[/table][/mks_toggle]
