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With a new take on healthcare, we are granting you and your family, access to quality and affordable healthcare from county hospitals across the country.
*This product is designed for individuals below 65 years of age.
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With a new take on healthcare, we are granting you and your family, access to quality and affordable healthcare from county hospitals across the country.
 |
Waiting Period |
Plan 1 Ksh 100,000 Overall | Plan 2 Ksh 250,000 Overall | Plan 3 Ksh 500,000 Overall | Plan 4 Ksh 1,000,000 Overall |
|---|---|---|---|---|---|
| Bed limits (net of NHIF rebate) | General Ward / Max Kes. 8,000 | General Ward / Max Kes. 8,000 | General Ward / Max Kes. 8,000 | Standard Private / Max Kes. 14,000 | |
|
Covid-19 Treatment (Critical cases requiring ICU/HDU) This is a cumulative amount that will be inclusive of any amounts already paid for in the treatment of moderate inpatient cases |
28 days illness claims/60days surgical claims | 100,000 | 250,000 | 500,000 | 1,000,000 |
| Covid-19 Treatment (moderate cases) | 28 days illness claims/60days surgical claims | 100,000 | 250,000 | 250,000 | 250,000 |
| Lodger Fee for Accompanying Parent/Guardian | 12 Years | 12 Years | 12 Years | 12 Years | |
| Accidents |
No waiting period |
To overall Limit | To overall Limit | To overall Limit | To overall Limit |
| Acute Conditions |
28 days illness claims/60days surgical claims |
To overall Limit | To overall Limit | To overall Limit | To overall Limit |
| Newly Diagnosed Chronic illnesses |
28 days illness claims/60days surgical claims |
50,000 | 50,000 | 300,000 | 400,000 |
| Gynecological surgery (one year waiting period) | 1 year | 40,000 | 100,000 | 200,000 | 300,000 |
| Illness related reconstructive/plastic surgery after the first year of cover (excludes cosmetic, obstetrics and gynecology related) | 1 Year | 50,000 | 75,000 | 100,000 | 120,000 |
| In patient non-accident related dental surgery/ treatment (after six months of cover and subject to written pre-authorization) | 1 Year | 30,000 | 60,000 | 100,000 | 120,000 |
| Accident Related Inpatient Dental and Ophthalmological treatment | No waiting period | 100,000 | 200,000 | 500,000 | 1,000,000 |
| Chronic, Pre-existing conditions, Congenital defects and genetic disorders &HIV/AIDS | 1 Year | 50,000 | 50,000 | 200,000 | 250,000 |
| Organ Transplant (cost of donor or securing the organ is excluded). This is in addition to the relevant condition’s benefit allocation | 1 Year | 50,000 | 50,000 | 200,000 | 250,000 |
| Maternity: Normal Delivery, Elective & subsequent Caesarean sections, First Ever Emergency Caesarean Section, Ectopic Pregnancy, Maternity Complications before & after delivery | 1 Year | Not Covered | 30,000 | 40,000 | 50,000 |
| Last Expense - Per Member | As per illness/Accidents Clause | 50,000 | 50,000 | 75,000 | 100,000 |
| Get Started | Get Started | Get Started | Get Started |
With a new take on healthcare, we are granting you and your family, access to quality and affordable healthcare from county hospitals across the country.
|
Overall Limit |
25,000 |
40,000 |
50,000 |
|
Dental Sub-limit |
Nil |
Nil |
10,000 |
|
Optical Sub-limit Frames can only be replaceable once in every 2 years up to a sublimit of KES 5,000. Optical exclusions: Plano, photochromatic, antiglare lenses |
Nil |
Nil |
10,000 |
|
Vaccines |
KEPI |
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Pre-existing conditions |
After 1 year waiting period, to the full limit |
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Supplements |
Covered subject to pre-authorization and medical necessity |
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Antenatal and postnatal up to 6 weeks from delivery (maximum of 2 ultrasounds) |
After 1 year waiting period |
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Co-Pays: |
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All Visits |
KES 200 |
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A. Inpatient is the primary option and is purchased before purchasing outpatient.
B. Outpatient is limited to the amount of inpatient and is restricted as below;
|
Inpatient Limit (in KES) |
Can Purchase Outpatient of: |
|
100,000 |
25,000 |
|
250,000 |
40,000 and below |
|
500,000 |
Any of the options provided |
|
1,000,000 |
| Fund Name | Currency | Daily Yield | Effective Annual Rate |
|---|---|---|---|
| Old Mutual Money Market Fund | Kenya Shillings | 6.98% | 7.21% |
| Fund Name | Currency | Buying Price | Selling Price |
|---|---|---|---|
| Old Mutual Equity Fund | Kenya Shilling | 355.01 | 355.01 |
| Old Mutual Balanced Fund/Toboa | Kenya Shillings | 144.74 | 144.74 |
| Old Mutual Bond Fund | Kenya Shillings | 101.08 | 101.08 |
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