Entry age
– 0-18 – 19+, 80+ (renewal)
Plans
– 5 options (Premier plus, premier plan, executive plan, superior plan, the advantage plan
- Flexible cover limits –
- Kes.1,500,000 – Kes.5,000,000 inpatient
- Kes.32,133 -Kes.126,104
Budget
– Premiums vary on age bracket from Kes.34,170 to Kes.172,908
Flexible cover on
- Maternity Kes.50,000 – Kes.5,000,000
- Dentist Kes.85,000
- Opthalmology Covered
- Chronic Kes.250,000 – Kes.2,500,000
- Pre-existing conditions, Congenital & HIV/AIDs – Covered Kes.150,000 – Kes.500,000
- Covid-19 – Covered in designated government medical centers.
- Accommodation – Standard en-suite, private room, General ward bed. Bed limits net of (NHIF) rebates.
- Overseas treatment – Covered (upto $100,000)
- Emergency transport – ambulance covered
- Waiting periods –
Claim process
- Co-pay structure Aga Khan University Hospital, Nairobi MP Shah Hospital, The Karen Hospital – Kes.1,000 (inpatient)
- Gertrude’s Garden Children’s Hospital, Mater Hospital, Nairobi
- Women’s Hospital, Aga Khan Hospital – Mombasa, Aga Khan Hospital – Kisumu, AAR Health Services Limited – Kes. 500 (Outpatient)
Last expense
– Funeral expenses cover Kes.100,000
