In-patient Plan

HARMONY INDIVIDUAL INPATIENT PLANS

Limits: Kshs 2 million & Kshs 5 million shared per family

Hospital: Resolution Health Medical Service Provider List

Capacity: Ward Bed                        
                       
Includes the following while the member is hospitalized:                        

• Surgical operations and procedures                        
• First Emergency Caesarean Section up to Kshs 100,000                        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 (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)                        

Additional Benefits

• HIV, Declared Pre-existing and chronic conditions are included (upto sub limits specified below)
• Emergency Road rescue and evacuation services
• Last expense benefit Kshs 100,000 for principal member
• Psychiatric conditions covered up to Kshs 200,000 per family
• Congenital cover up to Kshs 50,000 per person
• 60 days emergency worldwide cover excluding North America                       

Total Sub Limit for Declared Pre-existing, HIV and Chronic Conditions is as follows:                        

Out-patient Plan

HARMONY INDIVIDUAL OUTPATIENT PLANS

Limits: Kshs 100,000 & Kshs 75,000 shared per family

Hospital: Resolution Health Medical Service Provider List

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                           
• Well baby check-ups at our selected well baby clinics only                           
• KEPI immunization programme (only accessible at our selected well baby clinics).                           

HIV services                           

• Adherence and nutritional counselling                           
• Follow-up every 3months                           
• Prevention of mother to child Transmission (PMTCT)                           
• ARV’s and Monitoring                           
• Opportunistic infections

Total Sub Limit for Declared Pre-existing, HIV and Chronic Conditions is as follows: 

Kshs. 30,000 of family’s outpatient cover

Premiums

HARMONY RATES 

Harmony In-patient plan rates

 Harmony Out-patient plan rates