First Assurance Medical Insurance – Core plan

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.

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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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  • 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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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:

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[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]

 

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Bakhita Michelle