An enhanced medical insurance cover for Families.
General cover scope
AfyaImara Family cover is an enhanced medical insurance cover for Families. It covers day and inpatient hospitalization, maternity, outpatient treatment, optical and dental with enhanced limits for chronic conditions including cancer.
WHAT'S IN IT FOR YOU?
Key enhancements offered by AfyaImara Seniors Cover
a) Lifetime cover;
- Once you join, you can renew your cover for life.
b) Wide geographical coverage and Hospital Network
- Access to all of Old Mutual General Insurance Company Ltd’s comprehensive network of hospitals across East Africa.
- Overseas referral is available for conditions not covered locally on accredited overseas partners.
c) Convenient
- Air evacuation for cover limits above Kshs 1M
- Road evacuation for all cover limits
- Overseas emergency treatment cover of 60 days for limit on reimbursement for all cover limits.
d) Affordable
- No excess for inpatient cover
- Instalment premium payments for your inpatient cover
- No claim discount (NCD)
e) Critical Illness Cover Lumpsum cash pay-out of KES 750,000 upon first diagnosis of cancer, stroke, heart attack, kidney failure or paralysis
f) Comprehensive benefits
- Inpatient limits from Kes 500,000 to Kes 10,000,000.
- Optional outpatient cover from Kes 50,000 to Kes 200,000. This caters for;
- Routine outpatient services, consultations, diagnostics, drugs and dressings.
- Routine dental and optical services, including cost of frames, lenses.
- Well baby Clinics.
- Covers pre-existing, chronic conditions & HIV/AIDs
- Cover for prematurity, and neonatal conditions
- Maternity cover within inpatient.
- Negotiated attractive and comprehensive maternity packages that cover delivery.
- Dental & Optical benefits included within the outpatient cover
- Hospitalization expenses including surgeon, physician, theatre, ICU & HDU fees
- Home Nursing subject to pre-authorisation up to 90 days from discharge based on the applicable benefit sublimit.
- Diagnostics and physiotherapists fees, prescribed drugs, dressings, surgical
appliances - Accommodation costs for parent/guardian accompanying child of 12 years
and below - Covid-19 coverage.