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ANNUAL LIMITS:
Kshs. 10 Million

HOSPITALS:  

All hospitals in our panel of Medical Service Providers

CAPACITY:  

Private Room with Bath and Basin

Additional Benefits

  • Personal accident cover of Kshs. 2,000,000 for  adults
  • Critical illness cover of Kshs. 500,000
  • Child guard cover of Kshs. 100,000
  • Last expense of Kshs. 100,000
  • Maternity cover (normal and caesarean) up to Kshs. 100,000
  • 30 days cover for rehabilitation
  • Daily cash  of Kshs. 2,500 per day applicable after 3 days of admission up to 180 days
  • Annual Executive well person check-ups (Adults only)
  • Annual Nutritional Consultation.

Features

Includes the following while the member is hospitalized:

  • Surgical operations and procedures
  • Professional fees
  • Theatre fees
  • Anesthetics for surgery
  • Assistants at operations
  • Ward accommodation
  • Intensive care and high care units
  • Visits and consultation by a GP and / or Specialist (while hospitalized)
  • X-ray and pathology (while hospitalized)
  • Physiotherapy
  • Ultrasound scans (pregnancy related) maximum of 2 scans per pregnancy
  • Ultrasound scans (other than for pregnancy)
  • MRI and CT scan (while hospitalized)
  • Blood transfusion
  • Internal prostheses
  • Medicine dispensed and used in hospital
  • Medicine dispensed on discharge from hospital 100% of cost (maximum of 14 days' supply)
  • Organ transplants
  • Emergency evacuation and ambulance services

Optional Benefits

Outpatient Services

These are exclusively obtainable from our selected panel of outpatient Medical Service Providers dependent on in-patient cover. General practitioners and specialists are seen on referral


Outpatient services offered:

  • Outpatient consultations
  • Diagnostic examinations
  • Injections and procedures performed at a primary care level in a doctor's consultation room
  • Prescribed medicines
  • X-rays ,pathology, scans and MRI
  • ECG exams
  • Pre, post and antenatal care
  • Minor trauma treatment

Benefits specific to limits of Ksh 50,000 to Ksh 100,000
Well baby check-ups at our selected well baby clinics only
KEPI immunization programme(only accessible at at our selected well baby clinics only).

Dental Plan

ANNUAL LIMITS: Ksh. 10,000 Per Annum

This cover includes the following services:

  • Dental consultations and gum diseases
  • Routine dentistry
  • Extractions
  • Fillings (except precious metals)

Dental options can only be taken up by members with any of Resolution Health outpatient plans and are available at Resolution Health providers.

We see the need to cover your eyes.

Optical Plan

ANNUAL LIMITS: Ksh. 10,000 Per Annum

This cover includes the following services:

  • Optometrist consultations, eye examinations, spectacles, frames and contact lenses
  • Routine opthalomology / optical consultations
  • First prescription of frames
  • Prescribed lenses and replacement of lenses

Optical options can only be taken up by members with any of Resolution Health outpatient plans and are available at Resolution Health providers.

HIV Cover

Corporate product is enhanced and HIV services offered are:

  • Adherence and nutritional counseling
  • Follow up every 3months
  • Prevention of mother to child transmission (PMTCT)
  • ARV's and monitoring
  • Opportunistic infections
  • There is an option for individuals & family - CHOICE COVER
  • HIV is not a separate cover but by taking up this cover it allows you to get treatment for HIV related ailments
  • For corporate the HIV inpatient Sub-limit is dependant on your cover limit
  • If you have shared in patient limits the HIV cover sub-limit is also shared

Choice Cover - Eligibility: Individuals / family the benefits are:
OutPatient Services

  • Adherence and nutritional counselling
  • Follow-up every 3 months
  • Prevention of MotherTo Child Transmission (PMTCT)
  • ARV's and Monitoring
  • Opportunistic infections

Inpatient Services

  • Kshs. 250,000 for covers < Kshs 1,000,000
  • Kshs. 500,000 for covers > Kshs 1,000,000

Exclusions

  • Pre existing HIV infection

Service Provider

  • HIV Services are to be done at our selected programme centers.

Cost

  • Kshs. 5,667

Premium

 

Child

19-24 yrs

25-34 yrs

35-39 yrs

40-49 yrs

50-64 yrs

65 and above (Renewal only)

Premier Plus

26,467

33,307

39,968

44,403

53,291

79,936

93,259

Spouse

26,467

31,600

37,920

42,133

50,560

75,840

88,480

DID YOU KNOW?

PICA

Pica is the practice of craving substances with little or no nutritional value. Most pica cravings involve non-food substances such as dirt or chalk. The reason why some women develop pica cravings during pregnancy is not known for certain. Some speculate that pica cravings are the body’s attempt to obtain vitamins or minerals that are missing through normal food consumption. Eating non-food substances is potentially harmful to both the mother and the baby as it may interfere with the nutrient absorption of healthy food substances and actually cause a deficiency. Pica cravings are also a concern because non-food items may contain toxic or parasitic ingredients.