FirstMed – KES 1,000,000 cover

Illnesses do not book appointments but we will cover you if and when they visit you and your family

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FirstMed – KES 1,000,000 cover

Bed Limit -Standard Ward

Main Benefits:

Inpatient Benefits

  • Prescription drugs and dressing upon discharge-Maximum of 30 days supply
  • Surgical appliances
  • Internal prostheses -Sublimit of Kshs. 200,000
  • Nursing care
  • Physiotherapy as part of treatment
  • Physical fees, Specialist fees, Procedure fees and anesthetist fees-Paid according to the fees guideline of the Kenya Medical Practitioners and Dentist Board
  • Gynecological illness and treatment
  • Pre-existing, chronic and HIV cover (Year 2) Cancer treatment (Year 3) Organ Transplant (Year 2) Theatre charges, ICU & HDU – Sub limit of Kshs. 100,000
  • Lodger fee for parent accompanying child below 6 years
  • Day surgery under general anesthesia or heavy sedation
  • Local emergency road ambulance medically which is neceessary- Kshs. 5,000 per event
  • Air evacuation through International air ambulance – Up to Kshs. 300,000
  • Non elective (Emergency) within applicable treatment outside Kenya-Preauthorization compulsory (INDIA,PAKISTAN & S.AFRICA) Cost of airfare Excluded-Within applicable limits
    Psychiatric treatment (Year 2) – Sublimit of Kshs. 100,000
  • Pathology, Radiology and paid in full other necessary diagnostic tests
  • Accidental related optical treatment
  • Maternity Expenses-delivery Complications, caesarean sections, pre and post natal expenses(Year 2)-Sub-limit of Kshs. 75,000
  • Funeral Expenses -Sub-limit of Kshs.50,000

 

Benefits

  • Out patient Benefits -Limit Kshs. 50,000
  • Consoltation fees(Doctors on panel)
  • Pathology, x-rays, MRI, CT scan and other necessary diagnostic tests
  • Prescription drugs and dressing up to a maximum of 30 days Dosage
  • Gynecological illness and treatment**
  • Pre-existing and chronic cover (Year 2) Cancer treatment (Year 3)
  • Psychiatric treatment (Year 2)
  • Physiotherapy- Upon approval by First Assurance
  • 24 hours help line: 0709 122 000.
  • General office lines (8am to 5pm):0709 544 000
  • Email: medunderwriting@firstassurance.co.ke

Features

  • Members actively in service from age 18 to age 59 are eligible for cover. A member already in the scheme can have cover extended up to 65 years of age provided that he/she remains in active service and subject to underwriting.
  • Dependent Children are eligible for cover from 3 Months (term Baby of 38 Weeks) of age up till the age of 18 years
  • Members above 45 years are subjected to mandatory medical exams; Acceptance is subject to underwriting

FAQS

Can I add my dependants In between the cover? Will be required to pay full year premiums?
Yes, you can add. You will pay prorated premiums base on the number of days the dependants will be on cover.
Will my dependants be subjected to waiting period?
No, their cover commences immediately.
Minimum number of Employees
10.
Waiting period for marternity
10.
All bills are settled net of NHIF