First Assurance

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First Afya Biashara

Overview

SME medical cover with extensive benefits locally and overseas; focuses on preventive care, critical illnesses, and employee wellbeing.

• Minimum group sizes (e.g., 3–19)
• No waiting periods
• Options for copay/waiver; superior sublimits
• Mental health & substance dependency management

  •  Inpatient/outpatient, maternity, dental/optical, emergency evacuation; wellness benefits

• Productivity and retention benefits
• Financial protection for employers

First Afya Biashara FAQs

What is First Afya Biashara?

First Afya Biashara is a comprehensive healthcare plan designed specifically for small and medium-sized enterprises (SMEs), offering extensive medical coverage both locally and overseas.

Who is eligible for First Afya Biashara?

Adults aged between 18 and 65 years at the time of joining, with coverage extendable to 75 years. Children up to 18 years or 25 if in full-time education, and there is no age restriction for children with mental or physical impairments.

What medical services are covered under First Afya Biashara?

The plan covers a wide range of services, including: Superior sublimits for specific medical services. Mental health management and treatment. Substance abuse and dependency management. Management of attempted suicide and intentional self-injury. Infertility treatment, including IVF. Annual health check-ups up to Kshs. 50,000.

Is there a waiting period before coverage begins?

No, there are no waiting periods; coverage begins immediately upon enrollment.

Are there any options for outpatient service payments?

Yes, you have the flexibility to choose between paying a copay for outpatient services or opting for a waiver to eliminate the copay.

Are medical checks required for enrollment?

No, medical checks are not required for enrollment in the plan.

What documents are required for onboarding?

To onboard, you need to provide:

  1. Certificate of registration/incorporation.
  2. KRA PIN certificate.
  3. CR12 form.
  4. ID of directors and shareholders (with more than 10% shareholding).
  5. Member list.
  6. Proof of payment.
  7. Employee application/company authorization form.
What is the coverage for newborns?

Newborns are covered immediately from birth if they are notified within 14 days.

Can children with impairments be covered under this plan?

Yes, there is no age restriction for children with mental or physical impairments.

How does First Assurance ensure quality service?

First Assurance has a long history of providing secure, professional, and quality insurance and financial services, being part of the reputable Absa Group Limited.

How can I contact First Assurance for more information?

You can contact First Assurance through our customer service channels listed (0709 544 000 or email :medicalunderwriting@firstassurance.co.ke) or visit our offices for personalized assistance.

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