Econo Care – KES 2.5 million cover

Get a cover that will ensure you and your family stay healthy

Econo Care – KES 2.5 million 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
  • Maxillofacial surgery resulting from an illness Sublimit of Kshs. 150,000
  • 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. 250,000
  • 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. 6,000 per event
  • Air evacuation through International air ambulance Up to Kshs. 180,000
  • 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. 200,000
  • Pathology, Radiology and paid in full other necessary diagnostic tests
  • Accidental related dental treatment
  • Accidental related optical treatment
  • Maternity Expenses-delivery Complications, caesarean sections, pre and post natal expenses(Year 2)-Sub-limit of Kshs. 100,000
  • Funeral Expenses -Sub-limit of Kshs.50,000

Benefits

  • Out patient Benefits -Limit Kshs. 75,000
  • Consultation 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

Does this cover have maternity benefit?
The cover has maternity benefit which takes care of delivery, complications caesarean Section and antenatal (year 2) with a sub benefit limit of Kshs. 100,000