FirstMed KES 200,000 cover

Protect your family with affordable health insurance

FirstMed KES 200,000 cover

  • Hospitalization-OAL ( Overall Annual Limit)
  • Prescription drugs and dressing upon discharge- maximum of 30 days’ supply
  • Surgical Appliances
  • Internal Prosthesis- Ksh 100,000
  • Maxillofacial surgery resulting from an Illness – Ksh 150,000
  • Procedure-OAL
  • Radiology & Pathology and other necessary diagnostic tests
  • MRI&CT SCNAS(Pre-authorization)
  • Physiotherapy as part of treatment.
  • Psychiatric Treatment- Ksh 100,000
  • Pre-existing, Chronic, and HIV( year 2), Cancer ( year 3), Organ transplant( year 2) Theatre charges, ICU, HDU will be covered up Kshs 50,000
  • Lodger Fee accompanying child below 6 years
  • Motor Vehicle Accident Reconstructive Surgery and any other accidents- OAL
  • Accident related Dental and Optical Treatment.
  • Ambulance (in-country )Ksh 5,000 per event
  • Air/Cross boarder Evacuation Ksh 250,000
  • Maternity Expenses- delivery, complications, caesarean sections, pre and post natal expenses ( year 2) will be covered up to Kshs 50,000
  • Inpatient dental and optical hospitalization resulting from an illness (apart from Laser eye Surgery) will be covered for up to Kshs 100,000 within the inpatient limit.
  • Funeral Expense – Kshs 50,000
  • Standard Ward Bed up to Kshs 8,000 NET OF NHIF

Benefits

  • Consultations (Doctors on panel)
  • Pathology, X rays, MRI, CT scans and other necessary diagnostic tests
  • Prescription drugs and dressing up to a maximum of 30 days dosage
  • Radiology & Pathology
  • Gynaecological illness and treatment.
  • Pre-existing, chronic cover after two years of cover.
  • Cancer treatment after three years of cover.
  • Psychiatric treatments after two years of cover.
  • 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.