Jamii Plus - APA Medical Insurance

Medical Insurance

About this product

Entry age

- 38 to 80 years old (55+ medical report required) Enhanced family health cover

Plans

- 5 options

Flexible cover limits

- Kes 500,000 – Kes 10,000,000 inpatient - Kes.50,000 to Kes.150,000 on outpatient.

Budget

- The premiums are age banded and tied to the option (amount of cover) that you select. Kes. 8,352 - Kes. 96,788

Flexible cover on

Maternity Kes.50,000 - Kes.100,000
Dentist Kes. 10,000 - Kes. 30,000
Optical Kes. 10,000 - Kes. 30,000
Chronic, Cancer, Congenital, Pre-existing conditions & HIV/AIDs - Kes.1,000,000 to Kes.200,000
Covid-19 - covered upon doctor’s prescription both in & out-patient in accredited health centers
Accommodation - standard private room (Kes.25,000), Ensuite (Kes.18,000), SPR 12,500 & General ward . Bed limits net of (NHIF) rebates.
Overseas treatment - Treatment outside East Africa RESTRICTED TO INDIA
Emergency transportation - Local ambulance covered
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 reimbursement period on genuine claims

Last expense

- Covered

Brochure

Provider panel

APA Insurance

Social Share

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