UNDERWRITER |
ALLIANZ |
ALLIANZ |
ALLIANZ |
ALLIANZ |
TOTAL INPATIENT LIMIT |
KES 303,750,000.00 |
KES 202,500,000.00 |
KES 151,875,000.00 |
KES 67,500,000.00 |
$ 3,037,500.00 |
$ 2,025,000.00 |
$ 1,518,750.00 |
$ 675,000.00 |
INPATIENT |
PREMIER |
CLUB |
CLASSIC |
ESSENTIAL |
Hospital accommodation |
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 |
Surgical fees, including anaesthesia and theatre charges |
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 |
Surgical appliances and prostheses |
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 |
Organ transplant |
Paid in full |
Paid in full |
Paid in full |
$14,000.00 |
Psychiatry and psychotherapy |
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 |
Emergency in-patient dental treatment |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Day-care treatment |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Out-patient surgery |
Paid in full |
Paid in full |
Paid in full |
Paid in full |
Nursing at home or in a convalescent home |
$6,000.00 |
$4,000.00 |
$3,550.00 |
$3,550.00 |
Rehabilitation 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 |
Local Air Ambulance |
Paid in full |
Paid in full |
Paid in full |
$710.00 |
Emergency treatment outside area of cover - USA |
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 |
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 |
Expenses for one person accompanying an evacuated person |
$4,250.00 |
$4,250.00 |
$4,250.00 |
$4,250.00 |
Travel costs of insured family members in the event of an evacuation |
$2,800.00 |
$2,800.00 |
$2,800.00 |
$2,800.00 |
CT and MRI scans |
Full refund |
Full refund |
Full refund |
Full refund |
PET and CT-PET scans |
Full refund |
Full refund |
Full refund |
Full refund |
Oncology |
Full refund |
Full refund |
Full refund |
Full refund |
Maternity - after 10 months’ membership |
$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 |
$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 |
Full refund |
Full refund |
Full refund |
Not applicable |
Laser eye treatment |
$1,400.00 |
$710.00 |
Not applicable |
Not applicable |
In-patient cash benefit (per night) |
$210.00 |
$210.00 |
$210.00 |
$210.00 |
Emergency out-patient treatment |
$1,050.00 |
$1,050.00 |
$1,050.00 |
Not applicable |
Emergency out-patient dental treatment |
$1,050.00 |
$710.00 |
Not applicable |
Not applicable |
Palliative care and long term care |
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 |
$14,000.00 |
Not applicable |
Not applicable |
Not applicable |