COVER LIMIT-SHARED PER FAMILY

INPATIENT

OUTPATIENT

DENTAL

OPTICAL

KES 3,000,000

KES 200,000

KES 75,000

KES 50,000

MATERNITY COVER
LIMIT- KES 200,000
MATERNITY SPECIFICATIONS
I)
II)
III)
IV)

Cesarean Section to max(2),

Absorption of existing pregnancies immediately the cover comes into effect,
Post- Natal care
Immunization KEPI/Baby friendly

DENTAL COVER
-Accidental Dental cover up to full inpatient amount,
-Inpatient Non Accidental Dental Cover up to Kes 100,000 per family within the inpatient limit,
-Post Hospitalization Visits/Follow-Ups period after discharge and cover,
-The Dental cover to cater for;
-Filling costs
-Root canal
-X-rays,
-Polishing and scaling necessitated by a prevailing medical conditions and authorized by a doctor
-Tooth extractions including surgical extraction together with anesthetics fees
LODGER FEE
Lodger Fee for children below 8 years,
BED LIMIT
Standard Private Room up to Bed Limit of Kes 12,500

OPTICAL COVER
-Supply of eyeglasses and fitting of frames (Limit frames to Kes 10,000)

-The prescribed spectacles will be acquired from an approved optician,

-Eyeglasses limit be one pair per year

QUESTIONS TO BE RESPONDED TO:

1) Can a member be allowed to use his/her preexisting medical specialist in the cover?
2) Are there reimbursements for each cover in a situation where by your preferred specialists are
out of reach?
3) Can members access the list of medical practitioners?
4) Does the cover entail accident cover? Kindly elaborate of accident cover.
NB.
NO CO-PAY IN THE FOLLOWING HOSPITALS:
1.
2.
3.
4.

AGAH KHAN HOSPITAL

GETRUDES HOSPITAL
KAREN HOSPITAL
NAIROBI HOSPITAL

List of members
1. Ambasa Okech (P)
Gordon Muswa

29 Years
5 Years

2. Eunice Fedha (P)

Joash Barack Ogombe
Tehillar Wazalla Ogombe

33 Years
34 Years
3 Years

3. Martin Atuti (P)

Diana Nyanchama (S)

31 Years
28 Years

4. Rosemary Njaramba (P)

27 Years

5. Migdad Hussein Ferunzy (p)

Miriam Ali Juma (S)
Jaabir Middad (D)

27 Years
27 Years
2 Years

6. David Wanjohi(P)

23 Years

7. Duncan Kibani(P)

29 Years

8. Maritina Ngira(P)
Brian Ngira Mugendi (D)
Faith Andera (D)
Clinton Oyuga (D)
Janet Willy Ngira (D)
Irene Rose Akello (D)

37 Years
17 Years
13 Years
8 Years
19 Years
5 Years

9. Sharon Makena(P)
Ken Oyugi (S)

33 Years
34 Years