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Access to General ward in a private hospital

 

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.

Adult                           $1,344

Child Under 18             $807

Students 18-24 years   $1,074

  • 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                                           34,020

      Gynecology                                         17,280

      Hospitalisation                                  172,800

      Optical (2 years)                                 10,800

     Cancer Treatment   86,400 subject to                      hospitalization limit

      Global Limit                                     540,000

      Consultation                                       11,700

     Orthodontic                   11,340 subject to dental

      Lab Test                                             32,400

      Physiotherapy                                     16,200

      Radiology                                            51,300

    Prosthesis                           18,900 subject Hosp

      Dental                                                   7,200

      Hearing Aids                                        9.900

      Maternity (2 years)                             32,400

      Prescription Drugs                            40,500

      Surgery                                               54,000

    Dialysis       72,000 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                                   11,340

      Gynecology                                  5,760

      Hospitalisation                           57,600

     Optical (2 years)                           3,600

     Cancer Treatment    28,800 subject to hospitalization limit

      Global Limit                             180,000

      Heart                                                120

      Prescription Drugs                         600

      Consultation                               11,700

      Orthodontic       3780 subject to dental

      Lab Test                                           240

      Physiotherapy                              5,400

      Radiology                                   17,100

      Dental                                          7,200

      Maternity (2 years)                    10,800

      Surgery                                     18,000

  • 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
  • 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