Medical Service Access

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

Annual Limits

Plan

Annual Limit

Plan 150

Kshs. 150,000

Plan 100

Kshs. 100,000

Plan 75

Kshs. 75,000

Plan 50

Kshs. 50,000

Plan 35

Kshs. 35,000

Features and Benefits

Includes the following outpatient services which are:   

  • 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                   
  • Post and antenatal care                   
  • Minor trauma treatment                   
  • Well baby checkups at our selected well baby clinics                   
  • KEPI Immunization Programme (only accessible at our selected well baby clinics only)

HIV services

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

These are accessed at our selected HIV Programme Centres (List available)

Additional Benefits

Additional Benefits for Corporate Groups

  • Shared Outpatient products are available for corporate with limits of Kshs 50,000 and above.
  • Corporate outpatient cover is inclusive of a dental benefit with a sub-limit of Kshs 10,000 (if the outpatient is shared per family then the dental benefit is also shared up to the sub-limit of Kshs 10,000)                        

                        
                        
                        

Notes

  • Sub-Limit for HIV and Declared Pre-existing conditions is 50% of member’s outpatient cover
  • Declared Pre-existing, Congenital & Maternity conditions are covered if covered on in-patient cover benefits   

Happy Ending to Acid Problems

Have you ever had ever-present burning sensations when you eat certain foods? For some, even our traditional healthy foods such as sweet potatoes, sukuma wiki, brown bread and some not so healthy foods such as chips could also bring the same feeling. Once in a while it can feel soo bad that once can actually think that one may be suffering from ulcers. The feeling is often referred as heartburn or acid ingestion.

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