UAP SME Brochure

Medical Insurance
 

About this product

Health cover for your employees (3 to 100)

Plans

- 5 payment options with 3 inpatient levels

Flexible cover limits

Inpatient - Kes.500,000 to Kes.1M - Kes.1,500,000 to Kes.5M - Kes.6M to Kes.10M Outpatient - Kes.50,000, Kes.100,000, Kes.150,000, Kes.200,000, Kes.250,000

Budget

- Premiums vary from Kes.57,755 to Kes.113,565 (inpatient) and Kes.45,244 to Kes.61,566 (outpatient)

Flexible cover on

- Maternity 50,000 to 200,000 per family - Dentist 10,000 to 50,000 per family - Optical 10,000 to 50,000 - Hospital Cash 25,000 per year ● Chronic, pre-existing conditions & HIV/AIDs - Chronic, Cancer, Congential Kes 100,000 to Kes 400,000, Kes 200,000 to Kes 500,000 HIV ● Covid-19 - Covered up to Kes.250,000 ● Accommodation - General Ward (Kes 8,000 max) ● Overseas treatment - Cover to select hospitals in India on credit, Airfare not provided ● Emergency - Road and Air subject to overall limit ● The network of providers - Presence in all 47 counties ● Waiting periods - No waiting period

Claim process

- Co-payment of Kes 1000 at AAR - Co-payment of Kes 1500 at Nairobi, Aga Khan, Karen, MP Shah - Co-payment of Kes 500 at Mater and Gertrude’s - Co-payment Kes 300 (everywhere else) - Hospital cash Kes 3000 (12,000 annual) to Kes 4000 (16,000 annual) - Admission by non-panel doctor attracts 20% co-payment

Last expense

- Kes.50,000 to Kes.150,000

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