ACTIVE

Access to 2 bedded ward in Grade A & B hospitals

 

Introduction of a Low Claims Bonus Benefit per family

The low claims bonus is introduced as reward mechanism for families with low levels of utilisation.

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                                  3 months

      Optical Services                            6 months

      Hospitalisation                              6 months

      Maternity                                        9 months

      MRI & CT Scan                              12 months

      Chemotherapy                               24 months

      Dental procedures                        6 months

      Surgical Operations                     6 months

      Dialysis                        24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

Child Under 18               $1,380

Adult                          $2,301

Students 18-24 years      $1,839

  • Benefits Limits Schedule

      Anesthetic                                           45,360

      Gynecology                                          23,040

      Hospitalisation                                  230,400

      Optical (2 years)                                  14,400

     Cancer Treatment   115,200 subject to                      hospitalization limit

      Global Limit                                   720,000

      Consultation                                        46,800

     Orthodontic                    20,160 subject to dental

      Lab Test                                              43,200

      Physiotherapy                                      21,600

      Radiology                                           68,400

    Prothesis                        33,600 sub- ject Hosp

      Dental                                                 28,800

      Hearing Aids                                      28,800

      Maternity (2 years)                             43,200

      Prescription Drugs                            54,000

      Surgery                                               72,000

    Dialysis       96,000 subject to hospitalization limit

• Free Eco-sure Lite funeral benefit of $50,000 on all packages.

• Free Hospital cash back of $5,000 per day from the 4th day of hospitalization.

(Applicable to members on Active and Vitality packages)

• Low claims bonus – Loyal members will get a bonus after every 3 year anniversary of their joining.

The bonus is based on the member’s claims/contribution ratio

• Free Connected Health device for Diabetes/Hypertension patients

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NB: Subject to terms and conditions as specified in the Maisha Health Fund Policy available through our Membership and Subscriptions department.

We are your partner for health, helping you live well by bringing the best in medicine and healthcare to your door.

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  • Benefits Limits Schedule

      Anesthetic                                     1,300

      Gynecology                                     240

      Hospitalisation                             3.200

      Optical (2 years)                              100

      Other                                                152

      Global Limit                                10.000

      Heart                                                120

      Prescription Drugs                         600

      Consultation                                    460

      Hearing                                            180

      Lab Test                                           240

      Physiotherapy                                240

      Radiology                                        300

      Dental                                              300

      Maternity (2 years)                         380

      Surgery                                        2.200

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                        3 months

      Optical Services                  6 months

      Hospitalisation                    6 months

      Maternity                              9 months

      MRI & CT Scan                  12 months

      Chemotherapy                  24 months

      Dental procedures              6 months

      Surgical Operations           6 months

      Dialysis                              24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence
  • Benefits Limits Schedule

      Anesthetic                                     1,300

      Gynecology                                     240

      Hospitalisation                             3.200

      Optical (2 years)                              100

      Other                                                152

      Global Limit                                10.000

      Heart                                                120

      Prescription Drugs                         600

      Consultation                                    460

      Hearing                                            180

      Lab Test                                           240

      Physiotherapy                                240

      Radiology                                        300

      Dental                                              300

      Maternity (2 years)                         380

      Surgery                                        2.200

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                        3 months

      Hospitalisation                    6 months

      MRI & CT Scan                  12 months

      Dental procedures              6 months

      Dialysis                              24 months

      Optical Services                  6 months

      Maternity                              9 months

      Chemotherapy                  24 months

      Surgical Operations           6 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence