Group Medical Cover : For 10 or more members

A comprehensive policy for small business owners and your employees : 24 Hrs 0709 122 000 Medical Contact centre

Group Medical Cover : For 10 or more members

Main product- Inpatient cover
Our Inpatient cover ranges from benefit limits of 100,000 to 5,000,000

  • Wide range of providers including India
  • 90 days emergency cover whilst an insured is out of Kenya
  • Lodger fee for parents accompanying child to hospital
  • Post hospitalization cover
  • Air evacuation and local emergency road ambulance services
  • Congenital and Psychiatric covers
  • Free First CS cover
  • Cover for pre-existing, chronic and HIV conditions (including ARVs)

Note: No waiting period for group medical cover

OUR PROVIDER NETWORK

We have a wide range of medical practioners country wide and abroad

SERVICE-PROVIDERS.pdf

Benefits

  • Outpatient cover (routine outpatient, vaccines, medication, radiology and pathology)
  • Optical and Dental cover
  • Maternity cover
  • Group excess of loss cover
  • Last expense benefit payable within 48 hrsreporting of death

Features

  • Members actively in service from age 18 to age 65 are eligible for cover. A member already in the scheme can have cover extended up to 70 years of age provided that he/she remains in active service and subject to underwriting.
  • Dependent Children are eligible for cover from 0 Months (term Baby of 38 Weeks) of age up till the age of 18 years or to the age of 26 years if residing with their parents and enrolled full-time in a recognized post- secondary institution.

FAQS

How much does it cost to be a member?
Individual quote - Below are the options available. Insert the member’s age and relation(Principal Member/Spouse/Child) to get a quote.

For a group Quote- send your request to medunderwriting@firstassurance.co.ke and we will be happy to get back to you.

How can my claim be refunded?
First Assurance Claim forms must be completed by both the patient and attending doctor for each course of treatment and forwarded to First Assurance with the following documents attached:

Med-Claim-form.pdf

  • Original receipts
  • Prescription Copy for drugs dispensed
  • Lab/ X-ray requests
  • Referral letters where applicable
  • Invoices(itemized bill) where applicable e.g. for Inpatient reimbursement claims
How do I pay for my medical premiums?
Premiums can be paid either by cash, M-pesa or direct deposit to the company bank accounts and a receipt therefore issued.
What do I do if I lose my medical card?
Report immediately to your HR who will in turn notify First Assurance.Replacement fee for a medical card is Kshs 500 which can be paid via Mpesa or you can pay at any of our branches countrywide
How can I become a member?
Obtain a proposal form complete and forward to our office. Attach the following:
  • Copy if ID/ Passport ( principal/ spouse)
  • Copy of Birth certificate ( Child)
  • 1 Passport sized photo for each member
  • Medical proposal form