Jamii Nafuu- APA Medical Insurance
Medical Insurance
About this product
Entry age
- 1 month to 75 years old Comprehensive family healthcare planPlans
- 5 options Affluent, Executive, Standard, Select, MwananchiFlexible cover limits
- Kes 100,000, Kes.300,000, Kes.500,000, Kes.750,000, Kes 1,000,000 inpatient - Kes.30,000, Kes.40,000, Kes.50,000, Kes.75,000, Kes.100,000 on outpatient.Budget
- The premiums are Kes.9,417 - Kes.42,350 inpatient and Kes.6,700 - Kes.26,200 outpatientFlexible cover on
- Maternity Kes.50,000 - Kes.100,000
- Dentist Kes. 10,000 - Kes. 40,000
- Optical Covered
- Chronic, Congenital, Cancer, Pre-existing conditions & HIV/AIDs - Kes.50,000 to Kes.250,000
- Covid-19 - covered upon doctor’s prescription both in & out-patient at accredited health centers
- Accommodation - General ward. Bed limits net of (NHIF) rebates.
- Overseas treatment - Not covered.
- Emergency transportation- Local ambulance covered
- The network of providers - See link 66 hospitals, 5 pharmacies
- Waiting periods - prior illness waiting days is 30, 90 days for surgery, no wait for accidents. Reimbursement on 6-weeks cover overseas.
Claim process
- Co-payment of Kes. 500 to Gertrude’s Garden Children’s Hospital/ Aga Khan University Hospital/ MP Shah/ AAR Healthcare - Nairobi Hospital/Mater Hospital. All others (refer to panel)-no co-pay - 90-day max wait time on reimbursement of genuine claimsLast expense
- Kes.20,000 - Kes.30,000Brochure
Provider panel
Reviews
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