UNDERWRITER |
BUPA |
BUPA |
BUPA |
BUPA |
ALLIANZ |
ALLIANZ |
ALLIANZ |
ALLIANZ |
TOTAL INPATIENT LIMIT |
KES95,000,000.00 |
KES142,500,000.00 |
KES190,000,000.00 |
KES237,500,000.00 |
KES299,250,000.00 |
KES199,500,000.00 |
KES152,000,000.00 |
KES67,450,000.00 |
$1,000,000.00 |
$1,500,000.00 |
$2,000,000.00 |
$2,500,000.00 |
$3,150,000.00 |
$2,100,000.00 |
$1,600,000.00 |
$710,000.00 |
INPATIENT |
ESSENTIAL |
CLASSIC |
GOLD |
WHO |
PREMIER |
CLUB |
CLASSIC |
ESSENTIAL |
Hospital accommodation |
Standard single room with a private bathroom |
Standard single room with a private bathroom |
Standard single room with a private bathroom |
Standard single room with a private bathroom |
Private room with a private bathroom |
Private room with a private bathroom |
Private room with a private bathroom |
Semi-private room |
Prescription drugs and materials |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Surgical fees, including anaesthesia and theatre charges |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Physician and therapist fees |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Surgical appliances and prostheses |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Diagnostic tests |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Organ transplant |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
$14,000.00 |
Psychiatry and psychotherapy |
Paid in full |
Paid in full |
Paid in full |
Paid in full for 20 days each membership year |
Paid in full |
Paid in full |
Paid in full |
$7,100.00 |
Accommodation costs for one parent staying in hospital with an insured child under 18 |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Emergency in-patient dental treatment |
Not applicable |
Not applicable |
Not applicable |
Not applicable |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Day-care treatment |
Covered |
Covered |
Covered |
Covered |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Out-patient surgery |
Not applicable |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Nursing at home or in a convalescent home |
$200 each day for 30 days |
$200 each day for 30 days |
$200 each day for 30 days |
Paid in full, not pay for nurses hired in addition to the hospital’s own staff |
$6,000.00 |
$4,000.00 |
$3,550.00 |
$3,550.00 |
Rehabilitation treatment |
We pay in full for up to 30 days of treatment |
We pay in full for up to 30 days of treatment |
We pay in full for up to 30 days of treatment |
We pay in full for up to 30 days of treatment |
$6,250.00 |
$4,250.00 |
$3,550.00 |
$2,800.00 |
Local ambulance |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Local Air Ambulance |
$10,000.00 |
$10,000.00 |
$10,000.00 |
$8,500.00 |
Paid in full |
Paid in full |
Paid in full |
$710.00 |
Emergency treatment outside area of cover - USA |
Ineligible if we suspect that you purchased cover for and travelled to the USA for the purpose of receiving treatment |
Ineligible if we suspect that you purchased cover for and travelled to the USA for the purpose of receiving treatment |
Ineligible if we suspect that you purchased cover for and travelled to the USA for the purpose of receiving treatment |
Ineligible if we suspect that you purchased cover for and travelled to the USA for the purpose of receiving treatment |
For trips of a maximum period of six weeks |
For trips of a maximum period of six weeks |
For trips of a maximum period of six weeks |
For trips of a maximum period of six weeks |
Emergency treatment outside area of cover - USA |
Treatment must be pre-authorised. 80% of costs out of network. |
Treatment must be pre-authorised. 80% of costs out of network. |
Treatment must be pre-authorised. 80% of costs out of network. |
Treatment must be pre-authorised. 80% of costs out of network. |
Full refund, maximum 42 days |
Full refund, maximum 42 days |
Full refund, maximum 42 days |
Full refund, maximum $14,000 |
Medical evacuation |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Expenses for one person accompanying an evacuated person |
Economy class air ticket by the most direct route available, whichever is the lesser amount |
Economy class air ticket by the most direct route available, whichever is the lesser amount |
Economy class air ticket by the most direct route available, whichever is the lesser amount |
Paid in full, if Worldwide Evacuation Options is also chosen |
$4,250.00 |
$4,250.00 |
$4,250.00 |
$4,250.00 |
Travel costs of insured family members in the event of an evacuation |
For 1 accompanying family member, economy class air ticket by the most direct route available, whichever is the lesser amount |
For 1 accompanying family member, economy class air ticket by the most direct route available, whichever is the lesser amount |
For 1 accompanying family member, economy class air ticket by the most direct route available, whichever is the lesser amount |
For 1 accompanying family member, economy class air ticket by the most direct route available, whichever is the lesser amount |
$2,800.00 |
$2,800.00 |
$2,800.00 |
$2,800.00 |
CT and MRI scans |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Full refund |
Full refund |
Full refund |
Full refund |
PET and CT-PET scans |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Full refund |
Full refund |
Full refund |
Full refund |
Oncology |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Full refund |
Full refund |
Full refund |
Full refund |
Maternity - after 10 months’ membership |
Not applicable |
$6,000.00 |
$10,000.00 |
$3400 only if Worldwide medical plus option is chosen |
$10,500 only if Premier maternity option is chosen |
$7,100 only if Premier maternity option is chosen |
Not applicable |
Not applicable |
Maternity - Medically essential caesarean - after 10 months’ membership |
Not applicable |
$19,000.00 |
$23,500.00 |
$22,100.00 |
$21,200 only if Premier maternity option is chosen |
$14,100 only if Premier maternity option is chosen |
Not applicable |
Not applicable |
Complications of pregnancy |
Not applicable |
$6,000.00 |
$10,000.00 |
|
Full refund |
Full refund |
Full refund |
Not applicable |
Laser eye treatment |
Not applicable |
Not applicable |
Not applicable |
Not applicable |
$1,400.00 |
$710.00 |
Not applicable |
Not applicable |
In-patient cash benefit (per night) |
$150.00 |
$150.00 |
$150.00 |
$170.00 |
$210.00 |
$210.00 |
$210.00 |
$210.00 |
Emergency out-patient treatment |
Not applicable |
Not applicable |
Not applicable |
Not applicable |
$1,050.00 |
$1,050.00 |
$1,050.00 |
Not applicable |
Emergency out-patient dental treatment |
Not applicable |
Not applicable |
Not applicable |
Not applicable |
$1,050.00 |
$710.00 |
Not applicable |
Not applicable |
Palliative care and long term care |
$41,000.00 |
$41,000.00 |
$41,000.00 |
$34,000.00 |
Full refund, max. 30 days per lifetime |
Full refund, max. 30 days per lifetime |
Full refund, max. 30 days per lifetime |
Full refund, max. 30 days per lifetime |
Accidental death |
Not applicable |
Not applicable |
Not applicable |
Not applicable |
$14,000.00 |
Not applicable |
Not applicable |
Not applicable |